Amalungu Ogulayo okanye iQela lokuNakekelwa kwezeMpilo likaBantwana
Iyunithi yokunakekelwa kwe-neonatal enkulu, ebizwa nangokuthi yi-NICU , yindawo ebhedlele ehlinzeka ngononophele iintsana ezingekafiki kunye neentsana ezigulayo. Iintshaba kunye neentsana ezigulayo zifuna unonophelo oluthile olukhethekileyo kwaye kuthatha abantu abaninzi abaneempawu ezininzi zemisebenzi ezahlukileyo ukubonelela.
Xa ufika kuqala kwi-NICU, ngokuqinisekileyo kuya kuba nzima kwaye kudideke.
Unokukunceda ukukhulula ezinye iingxaki xa uyazi kwaye uyayiqonda indima indima ngamnye umntu enomntwana wakho. Ngokuqinisekileyo, unako ukubuza umhlengikazi wakho umntwana ukuba achaze ukuba ngubani umntu kunye nento abayenzayo. Kodwa, ngolwazi olongezelelweyo okanye uluhlu olukhawulezayo ongabhekisela kuyo, nolu luhlu olusondeleyo lwamalungu eqela lakho lokunakekelwa kwempilo yengane.
Ngubani osebenza kwi-NICU?
Wonke amalungu eqela le-NICU unomsebenzi obalulekileyo. Kusuka koogqirha abadala isicwangciso sonyango kubahlengikazi ababonelela ngononophelo kubagcini bezindlu abagcina iicandelo ezicocekileyo, abaqeqeshi abazinikeleyo basebenzisana kunye ukuqinisekisa ukuba umntwana wakho (kunye nawe) unokufumana uncedo olungcono. Apha ngamalungu abasebenzi be-NICU onokuyifumana ngexesha lokuhlala.
Neonatologist
I-neonatologist ugqirha ogxininise ekunakekeleni iintsana ezingaphambi kwexesha kunye nosana olusweleyo oludinga unyango olukhethekileyo emva kokuba bazalwe. I-Neonatologists igqiba inkqubo yokuhlala ekubeni ngunyana wezingane kwaye uqhubeke nokuqeqesha kwinkqubo yobudlelwane be-neonatal enye iminyaka emithathu
I-neonatologist inoxanduva lokuxilonga iintsana kwi-NICU nokwenza zonke izigqibo malunga nesicwangciso sonyango. Baye balungiselele iimvavanyo kunye neyeza, ukwenza iinkqubo, nokulawula unyango lwempilo yomntwana ngamnye.
Ngonyango
Udokotela wezilwanyana ugqirha ojongene nokunyamekela iintsana, iintsana kunye nabantwana.
Udokotela wezilwanyana unokuba nguye ophethe i-nursery ekhethekileyo (inqanaba lesi-2) okanye asebenze kunye neonatologists njengenxalenye ye-NICU kunye neCandelo loLondolozo lweZiko loKhathalelo.
Umhlalaphantsi wezeMpilo
Umhlala-phantsi wezilwanyana ngumntu oye waphumelela kwisikolo sezonyango kwaye ufunda ukuba ngumntwana wezingane. Abemi beogqirha, kwaye uhlala iminyaka emithathu yindlela abafumana ngayo ekuqeqesheni umsebenzi.
Umhlali oneminyaka yokuqala ubizwa ngokuba ngumfundi. Emva konyaka wokuqala, baneminyaka yesibini kunye nabemi besithathu. Abahlali basekhaya basebenza phantsi kolawulo lwezingane okanye i-neonatologist.
Umntu ozalelwa kwintsapho
Umntu ongenasifo sokubeletha ungumntwana wezingane oye wagqiba ukuhlala kwakhe kwizilwanyana kwaye ngoku ubhalise kwinkqubo yeminyaka emithathu ukuba abe ngu-neonatologist. Abazalwana basebenza ngokubambisana ngokuthe ngqo kunye nabaya kwi-neonatologists ukuxilonga nokudala isicwangciso sokunyamekela iintsana kwi-NICU.
UmNcedisi woNyango waseNewatal
Umncedisi wezeMpilo (PA) unesidanga semfundo kunye noqeqesho oluphambili lwezokwelapha. Basebenza phantsi kweliso logqirha ukuze banike inkxaso ngononophelo. I-NEonatal PA idla ngokugqiba inkqubo yabo yokuhlala kwi-NICU. Bayakwazi ukuhlola izigulane, ukunikezela ngamachiza, nokunceda ukuphuhlisa izicwangciso zonyango.
Umhlengikazi waseNewatal
Abahlengikazi be-Neonatal (NNP) ngumongikazi ophethe i-degree degree kunye noqeqesho oluphambili kwi-neonatology. Ngaphantsi kolawulo lwe-neonatologist okanye wezingane, i-NNP iyakwazi ukuhlola, ukubeka iliso nokuphatha izigulane. Baya kunika umyalelo kunye neenkqubo ezithile.
UmNesi weNonatal
Umongikazi we-neonatal ngumntu wena nomntanakho obona kakhulu. Ukhona apho ekhondweni lokujonga umntwana wakho ukusuka ngomzuzu ukuya kumzuzu. Umongikazi we-neonatal uqhuba i-odolo yegulane, unike umntwana wakho unyango, uqinisekisa ukuba umntwana wakho ukhuphile kwaye ukhululekile, kwaye uhlaziywa iingxelo okanye nayiphi na utshintsho kwimeko yomntwana wakho kwi-neonatologist.
Umongikazi wakho uya kuphinda aphendule imibuzo yakho, akuncede, akufundise, kwaye akuxhase njengoko ulungelelanisa nabazali kwiNICU kwaye ufunde ukuthatha inxaxheba ekunyamekeleni komntwana wakho.
I-Clinical Nurse Specialist
I-Specialist Nurse Clinic (CNS) lunye uhlobo lomongikazi osebenzayo ophezulu kunye neesitifiketi se-masters okanye ngaphezulu. Banikezela abasebenzi abanezemfundo eqhubekayo, iiprojekthi zophando, kunye noncedo ekuphuhliseni imigaqo-nkqubo, iinkqubo kunye nokuphucula kwi-NICU. I-CNS yeyunithi inokukwazi ukuqhuba imfundo yesigulane okanye amaqela okuxhasa abazali.
Abanye abahlengikazi
Ngaphandle kwabahlengikazi abajongana nomntwana wakho nsuku zonke, kukho umongikazi ophetheyo kwi-shift nganye ejongene nemisebenzi yunithi kwaye unika uncedo olongezelelweyo kunye nenkxaso xa kufuneka.
Umphathi wezeNyunithi yeyunithi uyongamela imihla ngemihla ukusebenza kweNICU. Umphathi wabahlengikazi ophethe abasebenzi, ukukhathazeka ngokwezimali kunye nezinye iimaphepha, kodwa nabo basebenzisana noogqirha kunye nabongikazi abancedisayo ukunyamekela izigulane kunye neentsapho.
Uphefumulayo
Umphefumli ophefumulayo ugxile ekuphatheni imiphunga kunye ne-airways . Ngaphantsi kwemiyalelo ye-neonatologist, athatha kwaye ahlaziye igazi eliphazamisayo kwaye alandele amanqanaba e-oxygen. Abaphefumli be-respiratory can put in tubes breathing and give their respiratory treatments. Bakhathalela nezixhobo zokuphefumula kunye nezixhobo ezifunekayo kwi-preemie yakho.
I-Psychological and Psychologist
Iingcali zenyama kunye nezemisebenzi zinceda ekwakheni, ekuqiniseni nasekuphuculeni ukunyakaza komzimba. Baya kusebenza kunye nosana lwakho ukugcina izihlunu zakhe, amajoyina, kunye neentsholongwane zikhula ngendlela ephilileyo.
Unontlalontle
Abasebenzi bezentlalo baququzelele iinkonzo kunye nokudibanisa iintsapho kunye nezibonelelo zoluntu. Zinceda iintsapho ukuba zithole inkxaso, ngokomzimba, nangokwezimali abayidingayo ngexesha lokuhlala kweNICU yomntwana kunye nasekhaya.
Umphathi wezeMviwo
Umphathi wecala uhlola isibhedlele sakho sokuhlala esibhedlele. Basebenzisana kakhulu noogqirha, abahlengikazi, abasebenzi bezentlalo, nabanye abaqeqeshi bezempilo, kunye neenkampani zomshuwalense. Abaphathi bamalungiselelo baququzelele iinkonzo kunye nezibonelelo ukubonelela umntwana wakho ngononophelo lwekhwalithi ngelixa usesikhungweni kwaye xa usesekhaya.
Umcebisi we- lactation okanye umntu oqeqeshwe ngoqeqesho olukhethekileyo ekunceliseni uncedisa abasebenzi be-NICU nabazali xa kufikelele kwimingeni yokuncelisa okanye ukubethelela ubisi lwebele ngaphambi kokuba umntwana okanye umntwana onemfuno ezizodwa.
UmNcedisi oNcedisayo
Umncedisi ongumncedisi (NA), okanye ugqirha wokunakekelwa ngesigulane / umhlobo (PCT, PCA), uxanduva lokugcinwa kweyunithi kunye nebala lokulala komntwana kunye neemfuno ezifunekayo ukuba abahlengikazi, oogqirha kunye nabagqirha bafuna imihla ngemihla. Basenokwenza ezinye izinto ezifana nokuthatha umsebenzi wegazi kwi-laboratory okanye ukufumana imishanguzo kwi-pharmacy.
Unobhala weCandelo
Unobhala wenkonzo okanye unobhala wenyunithi angaphendula umnxeba xa ubiza. Ulungelelanisa iphepha kunye nokugcina ukuba ngubani ozayo kwaye uya kwiyunithi.
Umgcini wezindlu
Abasebenzi bokugcina indlu bagcina i-NICU icocekile. Bahlamba phantsi kunye nezinye iindawo, basuse udoti baze bazalise isephaphu kunye nabanikeli beelulini. Zonke ezi zenzo zinceda ukunqanda ukusasazeka kweentsholongwane kunye nezifo.
Abanye abasebenzi Bonyango
Unokudibana kunye neengcali ze-x-ray, ochwepheshe be-ultrasound, oomachiza kunye nabanye ootitshala bezonyango ngexesha lakho kwi-NICU.
Bafundi
Ekufundiseni izibhedlele, unokwazi ukubona abafundi bezonyango, abafundi abahlengikazi kunye nabafundi bangena nasiphi na imimandla echazwe ngasentla ekuqwalaseleni nasekufundeni kwi-NICU.
Amanye oogqirha bezilwanyana kunye nabagqirha
Oogqirha abaninzi banokubizwa ukuba bancede banakekele umntwana wakho kuxhomekeke kwimfuno zomntwana. Ezinye zeengcali ezisebenzisana neonerenitorist ukubonelela umntwana wakho zibandakanya:
- I-Cardiologists: oogqirha beentliziyo
- Iingcali ze-Neurologists: oogqirha abaphatha ingqondo kunye nemiba yesistim
- Ama-Nephrologists: oogqirha bezintso
- I-Urologists: oogqirha abaphatha iingxaki ezinxulumene nephepha lomchamo
- I-Gastroenterologists: oogqirha abajongene nesisu kunye namathumbu
- Iipulmonologists: oogqirha bamaphaphu
- I-Hematologists: oogqirha abaneengxaki zegazi
- I-Geneticists zonyango: oogqirha abajongene ne-genetics kunye nokukhubazeka kokuzalwa
- Abagqirha: oogqirha abasebenza ngentliziyo, utyando lweengqondo, okanye ezinye iintlobo zokuhlinzwa ngokuxhomekeka kwizodwa zazo
Abasebenzi be-NICU kunye neNtsana Yakho yangaphambili
Kukho abantu abaninzi abahlukeneyo abaneemisebenzi eyahlukeneyo esebenza kwiNICU. Unokuhlangabezana kuphela neembalwa zazo ukuba ukuhlala kwengane yakho kukufutshane.
Nangona kunjalo, ukuba uchitha iiveki ezimbalwa okanye iinyanga kwiyunithi, mhlawumbi uya kufika ekudibaneni nabasebenzi abambalwa kuloluhlu. Njengoko uyazi, uya kubafumanisa ukuba aba bantu bakhetha ukusebenza kwi-NICU abayinyamekeli kuphela umntwana wakho, kodwa banokukhathalela wena nomntwana wakho. Baya kuba khona ukuze bakuxhase njengoko uhamba kwiindawo eziphezulu kunye neendlela zohambo lwakho lweNICU. Baya kukhwaza nawe, bahleke kunye nawe, kwaye bagubha yonke into ebalulekileyo kunye nawe.
Nangona i-NICU ingaba yindawo eyoyikisayo, yindawo ekhethekileyo ezele abantu abakhethekileyo. Lawa ngamalungu eqela lakho lonakekelo lwempilo yengane.
Imithombo:
I-Arockiasamy V, i-Holsti L, i-Albersheim S. Abamava ka-Fathers kwiziko elinyango lokunakekela abantwana: ukukhangela ukulawula. Pediatrics. 2008 Feb 1; 121 (2): e215-22.
UDucel G, Fabry J, uNicolle L. Ukuthintela izifo ezifakwe esibhedlele: isikhokelo esisebenzayo. Ukuthintela izifo ezifakwe esibhedlele: isikhokelo esisebenzayo. 2002. (Umhl. 2).
UKearvell H, Grant J. Ukuxhumeka: Abahlengikazi banokuxhasa njani umnxeba womntwana / uncinci kwiziko elinyango lokunakekela abantwana. I-Australian Journal of Advanced Nursing, The. 2010 uMar; 27 (3): 75.
I-Sweeney JK, i-Heriza CB, i-Blanchard Y, i-Dusing SC. Ulwaphulo lwezonyango. Icandelo II: Izikhokelo zoqheliselo kunye nezikhokelo zenkxaso-siseko esekelwe kwisiseko. Unyango lwezonyango. 2010 Apr 1; 22 (1): 2-16.
VandenBerg KA. Inkathalo yokuphuhliswa yodwa yintsholongwane ekhuselekileyo kwiNICU: isikhokelo soqeqesho. Phuhliso lwabantu. 2007 Julayi 31; 83 (7): 433-42.