Child 8/8 Apgar mamakisi - zvinorevei?

Vabereki vechiduku vakawanda vakatarisana muupenyu hwako nemashoko okuti "Apgar zvibozwa". Pakarepo pashure pokuberekwa, chiremba anofanira kuudza mukadzi pfungwa iye paakavapa pasi mwana akamboona ichi. Sezvinongoita pakukura uye uremu, vari chakaunzwa kadhi exchange. parameters izvi zvinonyanya kudiwa chiremba, kwete mukadzi pachake.

Chii Apgar zvibozwa?

ino yakazokudziridzwa neAmerican anesthesiologist Virginia Apgar muna 1952. Chinangwa pakafunuka - zvichiita vananyamukuta kuongorora utano mamiriro achangoberekwa pakarepo pashure asvika munyika ino. Saka, unogona kukurumidza kuona kudiwa nokumutswa.

Ongorora achangoberekwa Apgar mamakisi kaviri - pakutanga uye wechishanu maminitsi zvoupenyu. Mune zvisingawanzoitiki kacho, nhamba huru mazano akadaro. Pakutanga anoitwa neonatal hunenge mukoti. Asi mazuva ano ndiwo mutoro neonatologists.

Gumi-pfungwa pamwero tinyatsonzwisisa achangoberekwa mamiriro

Nokuti kunyatsoongorora mwana akashandisa gumi-hurongwa. Izvi inorangarira parameters rake kupomba, kufema, tsandanyama matauriro, ganda uye chokuziva hunenge. Mumwe nomumwe wavo hunoyerwa yoga awarding 0 kusvika 2 points. Verengai yavo Mugumisiro ongororo.

Achangoberekwa kwaiyerwa, akayera kukosha kwayo, kuti sekamufarenzi musoro uye chipfuva. Kana mafufu enyu chakagadzwa zvibodzwa anopfuura 7-8 Apgar mamakisi, mwana zvachose utano. Pakadaro riri pamwe chete naamai pamberi zvinoyerera. Kana mwero uchitikurudzira hwakawanda pazasi 7 pfungwa, mwana anoda yevanorwara zvikuru.

Chinhu chakanaka chakarurama 8/8 Apgar mamakisi, sapamazuva miniti yokutanga 10 pfungwa dziri asingasviki 15% vachangoberekwa.

Ko pfungwa akafanana "musoro" uye "utano"

Haufaniri hako kutya kana vachigumburisana kana chiremba ane mwana kupima 7/8 Apgar zvibozwa. Kana mwana akabva akaisa amai vangu pamusoro mudumbu, chipfuva, uye akapiwa pashure akatorwa kuti kuongorora, zviri zvimwe. Asi pano pane mamiriro utano hwake anogona kutongwa chete maererano migumisiro zvimwe miedzo uye ongororo. It anonzi mukuru zvakakwana zvibodzwa 8/9 uye kunyange 8/8 Apgar zvibozwa.

Child utano cheki, zvisinei zvido mai vake. Kubva vabereki kungadiwa kuti kubvuma kuti mushonga, asi mvumo kuitisa ongororo havakumbiri munhu.

Nokufamba kuongororwa uku, chiremba anofanira kutora ropa kubva thumbs kusvika gumbo kuti haabatanidzi kuvapo shanu nevakawanda kunotouraya. Kana aonekwa mune nenguva nenzira, zvakakodzera kurapa yekudyidzana kunowedzera ndingangokuvara hwokuponesa. The mbudzana iyi ichava zvizere uye utano.

Zano kuona zvachose mamakisi

Ongorora mamiriro ezvinhu mucheche Apgar munguva maminitsi mashanu hwake pakutanga. Pakarepo shure kuberekwa vakarinda apo uye sei mwana akachema, ongorora mamiriro ganda rake, zvinofungidzirwa pane chiedza furashiraiti, kutsanangura tsandanyama matauriro uye kwemwoyo.

Kana mwana ane chaiwo Ruvara ganda, uye akashevedzera nenzwi guru pasina rubatsiro pakarepo pashure pokuberekwa kwake, mwana anowana chikuru mamakisi ari Apgar. Uyezve, anofanira kudzivisa basa flexion kana chiwedzerwa neonatologist Mbabvu ake. In sechiedza, achangoberekwa finyamo kwakadaro, uye kakawanda mwoyo wayo anorova achitevedza Nachiremba mitemo inenge 100 anorova paminiti.

Uyewo neonatologist macheki kuvapo kana kusavapo kuti unconditional hunenge. Kana mwana afuke shure uye kumisa tsoka dzake, anofanira kuita kutanga. Izvi zvinonzi dzepanguva zvinokambaira. Kana mwana anotora muhapwa uye makumbo kupfeka tafura, tilting zvishoma mberi panguva iyoyowo, anofanira swap makumbo, simulating kufamba. Zviri dzepanguva zvaitika gait.

Low Apgar chibozwa

Asi kwete mwana wose Rinotarisira kuratidza nemigumisiro yakanaka pashure ndima kubudikidza nokuberekwa Canal uye ruzivo somugumisiro kunetseka zvikuru. Naizvozvo, kana mafufu kunge yavose sezvavakatarirwa akaderera zvishoma pane 8/8 Apgar mamakisi, regai kuva agumbuka, nekuti ichi ndicho chakaipa nazvo. Uyewo usakanganwa pamusoro nevakwegura, unhu ari achangoberekwa murume. Pashure pezvose, moms, zvakare, wadzikama chaizvo. Saka nei mwana anofanira kuva basa?

Sezvambotaurwa, kuongorora zviratidzo zvinokosha hwomwana panguva yokutanga uye wechishanu maminitsi hwake. Zvakajairika nyaya iri kana kufungidzira wokutanga 1 pfungwa kuvatumwa yechipiri. Somuenzaniso, imwe 8/8 Apgar hwakawanda hunoratidza kuti zviratidzo pashure maminitsi 5 haana dzichinje zvinooneka.

Asi kazhinji zvakakwana kuchinjana mepu unogona kuona zvishoma tsika yakasiyana. Somuenzaniso, 7/8 uye 6/8 Apgar hwakawanda hunoratidza kuti pashure maminitsi mashanu mwana vakagara munyika zvachose vasingazivi kwaari. Naizvozvo, simbi iri yepamusoro zvikuru unongotaura. Kazhinji, panguva iyi pfupi nguva yakazara okisijeni, muviri kuti chokuita kuvandudzika pakati kumwoyo. Izvi zvinobatsira kuti kuwedzera imwe kana mbiri pfungwa.

Zviri pamusoro Kukoshesa zvinodiwa vachangoberekwa zvokurarama nazvo

Nokuti kunzwisisa chii Kukoshesa iri nani uye iro vanachiremba akaisa achangoberekwa, unogona kushandisa tafura pazasi.

Asi tichibatsirwa tafura iyi inogona kutongwa chete utano mwana wako chaiko. Haukwanisi kushandisa Apgar pakafunuka prices mamwe Zvaifungidzirwa. Somuenzaniso, hazvina kushandiswa kuona pfungwa nemano mwana.

Sei chepamusoro zvibozwa?

Zvechokwadi, mai ose anoda mwana wake kuti ave noutano hwakanaka. 8 Apgar zvibodzwa - iyi ndiyo imwe yenzvimbo vakatsvaka wake unongotaura. Asi ichi mugumisiro kunobva zvikurukuru pamusoro wake. Pakarepo mushure mukadzi awana kubva pamusoro okuparadza pamuviri, iye anofanira kudzokorora uye kuchinja zvokudya zvenyu, zuva nezuva. Uyewo vanofanira kutevedza vakaraira vose chiremba mirayiridzo zvachose. Chete muchiitiko ichi 9 months kuti kuzvarwa mwana akasimba uye utano, achawana kushoma 8 Apgar zvibozwa.

Behavior pakusununguka

Musanyanya asingaremekedzwi uye maererano vanachiremba panguva pakukurukura. Pashure pezvose, kubva wakanaka mugumisiro izvi kunoenderana munzira iyo mwana azvarwa. 8/9 Apgar zvibodzwa vachagamuchira mwana, ane mai vakaita nemazvo uye zvinoenderana vanorumbidza zvose chiremba. In nevakomana nyaya, mwana anogona kuva mbundishire pachinzvimbo musoro. Hapana ngozi uye zvinouraya izvi, zvechokwadi kwete. Mumwedzi ganda ruvara kuchinja kuti rwebhuruu dzinongoitika blue. Asi pano kupima Apgar hwakawanda achapiwa kuderedzwa 1 kana 2 points.

Usanetseka kana vamwe nhamba yakanga zvishoma pasi dzose. Iyi haisi urema, kana kuvapo matambudziko mwero utano. Apgar zvibodzwa - zviri zvikuru chinokosha chakarurama, izvo pasina nzira kunokanganisa mberi remangwana mwana. It kufungawo chete pakuzvarwa, kureba uye uremu.