Njengomhlengikazi weNonal Care Care (NICU) , ndiyakuthanda ukuvumela abaphindaphindiweyo balele ndawonye xa ndiphantsi kwam. Umkhuba wokuvumela iintsana zilele kunye kunye ne-incubator ebizwa ngokuba yi-cobedding kwaye inokwenziwa ngamawele, ama-triplets, okanye ezinye iziphindaphindi.
Nangona kukho iinzuzo zokuvumela ukuba abaninzi baphinde balele ndawonye kwi-NICU, kunokubakho ukuphazamiseka ekubambeni.
Ngelishwa, akuzange kubekho uphando oluninzi olwenziwayo kwiingeniso kunye nobungozi bokuphindaphindwa kwezibindi.
Izinzuzo ezinokwenzeka
Nangona abahlengikazi, abazali kunye nezifundo zecala ziyavuma ukuba kukho iinzuzo ezicacileyo zokuvumela ukuba abaninzi baphinde balala ndawonye kwi- NICU , akukho zifundo ezenzelwe iinjongo ezinkulu, ezenzelwe kakuhle ukubonisa ukuba ziphi na izibonelelo ezinokwenzeka. Iintlobo ezinokubakho zokuphindaphindwa kwamanzi ziquka:
- Ukunyamekela ukuphuhliswa kwentlalo: Ukunyamekela uphuhliso kunciphisa utshintsho ebomini ngokubonelela ngononophelo olulinganayo. Ukuvumela ukuphindaphinda kubuthane kunye yindlela ebalulekileyo yokukhuthaza unyango. Iziphindaphindiweyo zikwazi ukubona, ukuchukumisa, kunye nokuvumbazana ngamaxesha onke, njengokuba zinokukwazi ukuzenza ngaphambi kokuzalwa.
- Ukucatshukiswa okungaphantsi: Ukujonga izinga lokunyamekela intliziyo kunye nezinye iingxaki zokuxinzelela, ukuphindaphinda okuphindaphindiweyo kubonakala kungenasiphelo kunezinye iindinyana. Xa ukuphindaphinda kulala ndawonye, badibanisa ukulala / ukuhamba kwabo kunye neengxaki ezincinci.
- Ukufumana ubunzima bokuzuza ubunzima: Xa ukuphinda kulala ndawonye, kubonakala kunokuba bunzima ngaphezu kokuphindaphindiweyo.
- Ukunciphisa i-apnea: Abaninzi abalala kunye nabo banokuba neepisodes ze-apnea ezincinci kunezo ezingabikho. Ixesha elifutshane le-apnea (
- Ezinye iingeniso ezinokwenzeka: Nangona kungekho zifundo zivuselela ezi nzuzo, iingxelo zeengxelo kunye noongikazi zibonise ezinye iinzuzo zokuphindaphinda iintlobo, kuquka nabazali abonwabileyo, iincwadana ezimbalwa ze-bradycardia, i- thermoregulation encinci, kunye neemfuno ze-oxygen ezantsi.
Mngcipheko
Kubalulekile ukuqaphela ukuba akukho zifundo zenzululwazi ezenzelwe kakuhle zifumene nayiphi na ingozi engokoqobo yokuphindaphinda i-NICU. Nangona kunjalo, iingxelo zabongikazi kunye nokubonwa kubonisa ezinye izithintelo ezinokwenzeka zokuvumela ukuba abaninzi baphinde balele kunye:
- Ukungazinzi kokunyuka komzimba : Nangona ukulungelelaniswa ngcono kweyona ndlela inokubangela inzuzo yokuphindaphindwa kwamanzi, ukulungelelaniswa kwamanzi kungumngcipheko onokwenzeka xa ukuphindaphindwa kukubukhulu obuhlukeneyo. Ngokomzekelo, iwele elincinane elilele ngewele elikhulu, umzekelo, lingabanda kakhulu, okanye iwele elikhulu likwazi ukutshisa.
- Usuleleko: Nangona akuzange kubekho iingxelo zentsholongwane ezidlulayo ukusuka kwiiqela ezininzi ukuya kwelinye ngenxa yentsholongwane, usulelo luhlala lubeka ingozi xa abaninzi belala ndawonye.
- Ukubonakaliswa kwe-oksijeni eyongezelelweyo: Xa iphindaphinda ilala kunye kodwa enye iyimfucumfucu yamanzi , omnye umntwana usenokungena kwi-oxygen eyongezelelweyo. Amanqanaba aphezulu e-oxygen eyongezelelweyo inokunyusa umngcipheko we-retinopathy wokungabi naluhlaza (ROP).
- Iimpazamo ekunyamekeleni: Xa uphinda ubhedu edibeneyo kunye, oongikazi banokungabonakali banike umntwana ongafanelekanga imishanguzo, ukuxuba iimali zokutya, okanye wenze ezinye iimpazamo. Iintsana nazo zinokukhupha ezinye izilwanyana ezondla okanye ezinye izixhobo.
Imithombo:
Hayward, Kathryn. "Ukukhutshwa kwamawele: Ukunyuswa kweNdalo yeNkqubo yoLuntu?" Umbhalo waseMelika we-Nursing and Child Nursing July / Aug 2003; 28, 260-264
Tomashek, K, Wallman, C, kunye neKomiti ye-Fetus neNtsana. "Amabhinqa e-Cobedding kunye ne-Multi-Order Multiples kwi-Hospital Setting." Izifo zonyango ngoDisemba 2007; 120, 1359-1366.