Ukunakekelwa kweNonatal and Level NICU

Ukusuka kwi-Well Nursery Nursery kuya kwiNqanaba 4 yeNICU

Amaninzi amaninzi alindele ukuba izibhedlele zifana, kodwa amazinga e-NICU kunye namanqanaba okunakekelwa kwe-neonatal ahluka kakhulu esibhedlele. Ezinye izibhedlele zinganika unonophelo lweengcali kwiintsana ezincinci nangona zigula kakhulu, kubandakanywa iintsapho ezincinci. Ezinye izibhedlele zilungiselelwe ukubonelela ngononophelo olunyamekela umntwana umntwana osesikweni kwaye kufuneka adlulisele iintsana ezingasemva okanye ezigulayo kwezinye izibonelelo.

Yintoni oyifunayo ukuba uyazi malunga neentlobo ezahlukeneyo zeendawo zokubeletha ezibonelelwe ukuba ukhetha isibhedlele apho unokuhambisa okanye unayo umntwana ofuna unonophelo olulodwa? Ziziphi izinto ezahlukileyo phakathi kwendawo yokubeleka abantwana, unonophelo olukhethekileyo lokunyamekela, kunye ne-level 3 okanye i-nursery level?

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I-Nursery Nursery

I- nursery yolondolozo lwanyana linikela ngononophelo iintsana ezinempilo ezizalwe ngokusondeleyo kwimini efanelekileyo. Ewe, abantwana abanikezela ngononophelo lwengonyango, kuquka ukuhlolwa kunye nokuhlolwa kwesisu esitsha .

Ngokuqhelekileyo abantwana abancinci bangakwazi ukunyamekela iintsana ezingekazalwa zizalwe kwiiveki ezingama-35 (ezibizwa ngokuba ziintsana ezisekuqaleni kweentsana ) kunye nalabo abaneengxaki ezincinci zonyango.

I-nursery yolondolozo lwanyana ixhotyiswe ukuzinzisa iintsana ezizalwe ngaphaya kweeveki ezingama-35 okanye ngeemeko zonyango ezifuna ukuthutha kwi-NICU.

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Uncedo oluKhethekileyo lweZikole

I- nursery ekhethiweyo ngamanye amaxesha kuthiwa yinqanaba le-2 le-NICU, inokunyamekela iintsana ezizalwe kwiiveki ezingama-32 zonyango okanye ngaphezulu (ezithathwa ngokuba ziintsana zangaphambi kwexesha lokuqala ) okanye iintsana ezithe zaphela ixesha kodwa zifuna ukuvavanya okufutshane okanye iintsholongwane emva kokuzalwa.

Unonophelo olukhethekileyo lunokunyanga iintsana kunye neengxaki zempilo zokungcoliseka kwangaphambili, ezifana ne-jaundice kunye neengxaki zokutya okanye ukuhlala zifudumele. Ekubeni ukusondla kungomnye wemisebenzi edla ngokuqaphela xa umntwana engathunyelwa ekhaya evela kwinqanaba lokunyamekela okhethekileyo, unokufisa ukufunda ngakumbi ngokusondeza iintsana ezingaphambi kwexesha .

Unonophelo olukhethekileyo

• Amanqanaba oku-2A angaboneleli ngoncedo lokuphefumula
• Amanqanaba e-Level 2B anikezela uncedo oluthile lokuphefumula olunjengeenkqubela eziqhubekayo zomoya ( CPAP )

Kaninzi

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Nqanaba 3 iNICU

Inqanaba lesi-3 le-NICU linokubonelela ngononophelo olunzulu iintsana ezizalwe phantse kuwo onke amaxesha obudala, ukusuka " kwiintsana ezindala kakhulu ," iintsana ezizalwe kwiiveki ezingama-27 ukuya kuma-30, nangaphezulu.

Incazelo yezinga le-3 le-NICU ingahluka kwiindawo ezahlukeneyo okanye kwizibhedlele, kodwa zonke i-NICU ze-3 ziyakwazi ukunakekela iintsana ezizalwe kwiiveki ezingaphezu kwe-28, zinako ukubonelela ngenkxaso yokuphefumula ezinsana ezinenkinga yokuphefumula kwaye zikwazi ukuhambisa izifo zamanzi iintsana ezingenakuthabatha ukunyusa ubisi.

Ngokwezicwangciso ezithile, i-NICU yezinga le-3 yinqanaba eliphezulu lokunakekelwa kwezingane. Ngaphantsi kwezi zigaba, i-NICU yesigaba 3 inokunika inqanaba elifanayo lokunyamekela njengezinga le-NICU elingezantsi.

Kaninzi

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INqanaba 4 iNICU

Kwizibhedlele kunye nezibhedlele ezisetyenzisiweyo, inqanaba le-4 i-NICU iyunithi yonyango enzulu ekwazi ukunakekela iintsana ezincinci ukuya kwiintsuku ezingama-22 ukuya kuma-24 ubudala. Igama elithi " iintshaba ezincinci " lisetyenziselwa ukuchaza iintsana ezizalwe phakathi kweeveki ezingama-22 neye-26 zesigxina okanye ezincinci kune-1 kwimilogram engama-13.

I-NICU yeNqanaba 4 inokubonelela ngeentlobo ezinzulu zokuxhasa ukuphefumula iintsana ezigula kakhulu, kubandakanywa oksijini okanye i-ECMO. Banikezela ngeentlobo ezahlukeneyo zokuhlinzwa okwenziwa nge-neonatal kuquka ukuhlinzwa kwentliziyo kwiintsana ezizalwe ngesifo senhliziyo esiswini.

Kaninzi

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Ukujongana Xa Umntwana Wakho Isibhedlele kwiNICU

Kukho izinto ezimbalwa ezingesabisayo kunokuba zisebenzele umntwana osesikweni kwi-NICU. Abazali abaninzi banomuvo wokuba benze into ekutshintsheni indawo kunye nosana lwabo kwaye amlungiselele eli liva. Nangona kunjalo kukho izinto ezininzi onokukwazi ukukunceda wena kunye nosana lwakho ukuba nilwisane ngokusemandleni ngeli xesha.

Funda ngokubanzi njengoko unako malunga neendlela kunye neenkqubo zeNICU kwakunye neentlobo zezilindisi ezisetyenzisiweyo . Kukho amagama amaninzi kunye neninzi yeenkqubo ezenzekayo. Ukuqonda ezinye zezi zinto kunokususa uloyiko kunye nokukunceda uzive unamandla ngakumbi ohambweni lwakho.

Ukubambisana nomntwana wakho konke, ukuba kungabalulekanga ngakumbi, kunokugqithisa umntwana opheleleyo okanye umntwana ozelwe ngaphandle kweengxaki zonyango. Ngombulelo, abasebenzi be-NICU baqeqeshiwe kwaye bayazi kakuhle ukubaluleka kokubambisana nenkqubela yengane yakho kwaye baya kusebenza nawe ngeendlela ezininzi. Ezinye zezi ndlela, ezifana ne-kangarooing (isikhumba esiqhekezayo ukukhupha kunye nosana lwakho) sinokubonakala ngathi singaphandle, kodwa kukho iindidi zezifundo ezenziweyo ukuze zifumane iindlela ezifanelekileyo zokuthetha uthando kunye nenkxaso kubantwana abamele bachithe ixesha iingalo zabazali kunye ne-incubator.

Abazali abaninzi bafumana iinkqubo eziqinileyo kunye nezikhokelo kwi-NICU enokwesabisa, kwaye kunokuba luncedo ukuba uqaphele ukuba le miba eqinileyo iyimfuneko yokubonelela ngenyameko kula bantu bantu abancinci kwaye banokugula ngokukhawuleza xa bebonakaliswe kwiimonorganism ezinobungozi .

Umbuzo abaninzi abazali bawubuza ngethuba lithile uthi, " Ndiya kuthatha nini na umntwana wam ekhaya ekhaya kwiNICU? " Impendulo iyahlukahluka kuwo wonke umntwana, kodwa imimiselo embalwa idinga ukudibana phambi kokukhutshwa. Ezi ziquka:

• Amandla omntwana wokugcina ubushushu bakhe.
• Ukukwazi ukunyamekela umntwana ngomlomo (nangona ezinye iintsana zingaya ekhaya kunye ne-NG okanye iT-tube).
• Ukukwazi ukuphefumula umntwana ngaphandle kokuncedwa (nangona iintsana zingathunyelwa ekhaya nge-oksijeni nge-canal.)
• Xa umntwana usuka ku-apnea kunye ne-bradycardia (U-A kunye no-B utsho).

Kukho neembalo ezininzi zokukhutshwa kwe-NICU okumele kufikelelwe kuyo, kubandakanywa isikrini sokuva kunye nokufunda ngesitulo sezimoto.

Funda kabanzi malunga nokujamelana nexa unesana esengumntwana .

> Imithombo

• > Baia, I., Amorim, M., Silva, S. et al. Ukubeletha Abantwana Abancinci Bokuqala Nokuxinwa Kweengxaki kwiNyunatal Care Centers. Phuhliso lwabantu . 2016. 101: 3-9.
• > Bapat, R., McClead, R., Abelusi, E., uRyshen, G., noT. Bartman. Imingeni, Impumelelo, kunye namathuba okunciphisa ukuFunda kwi-Hospital yeNational Child Based Hospital (NICU). I-Journal ye-Neonatal ne-Perinatal Medicine . 201. 9 (4): 433-440.
• > Horbar, J., Edwards, E., Greenberg, L. et al. Utshintsho kwiNtsebenzo yeeNyunithi zokuNakekelwa kweNonatal Intensive United States. JAMA Pediatrics . 2017. 171 (3): e164396.
• > Kliegman, uRobert M., uBonita Stanton, uSt Geme III uJoseph W., uNine Felice. Schor, uRichard E. Behrman, kunye noWaldo E. Nelson. Ncwadana yeeNzululwazi. 20 Edition. Philadelphia, PA: Elsevier, 2015. Print.