Scale uye Silverman Apgar mamakisi: kuyera utano vachangoberekwa

Hazvina chakavanzika nezve mwana munyika - chakakomba bvunzo kwete chete nokuti mai asiwo amene. Pashure masekonzi mashoma, upenyu mafufu ari kuchinja zvinoshamisa: mwedzi yose pfumbamwe akararama mai vangu padumbu uye vachisasa ari Líquido fluid uye ikozvino kuzivana kwezvakatipoteredza itsva, apo mhepo chingandikona chiedza chawo munyoro uye zvakare chando nokuda ganda. Uye chete ndifare mbudzana kupinda mamiriro ezvinhu kujairika iyo achaita ikozvino kurarama. Mumwe nzira nokuda Pakusarudza ezvinhu richangoberekwa nguva yaakaberekerwa yokutanga pamwero uye Silverman Apgar mamakisi, iyo ichakurukurwa munyaya ino.

Now - woga!

Mumazana refu mwedzi pamuviri padumbu pamuviri amai muvhuruvhuru kunopa okisijeni achiine rukuvhute tambo uye placenta. Asi pashure kuberekwa kwemwana chete vanogona kuvimba pachake. Zvino, kufema, mudziyirwe, ndizvidye uchava hwavo. Nguva yezwi itsva iyi nokuda mafufu rusununguko zvakadaro kutsanya, kuti, zvinosuwisa, kwete zvipembenene zvose zvinogona kubata nayo.

Mumwe uwandu vachangoberekwa kubatsirwa nenyanzvi. Kana asiri chokuendesa vacheche ezvinhu rinodzokera dzose. Chokwadi, vamwe varege kurarama kana vachava varege kushandisa zvakakomba matanho nokumutswa.

Izvi dzinokosha mumasekonzi vokutanga

Zvaive munguva iyi pfupi, apo bhiri anouya chete yechipiri muna kunyatsoongorora mamiriro kukambaira, pakati nguva upenyu chokutanga zvinokurudzirwa kushandisa rinokosha pezvose. Vanobvumira vanachiremba kuti nokukurumidza, yakarurama, muchimuranga pamusoro izvi, chisarudzo uye kunzwisisa kuti mwana uyu aida kutarisirwa kunyatsotarisirwa. Kupfuura nomukurumbira uye zvinowanzoshandiswa maternity mawadhi vari Silverman Scale, iyo inoshandiswa kuona kukomba achangoberekwa matambudziko kufema, uye Apgar mamakisi, izvo makore akawanda apfuura ndiye akasika munhu American anesthesiologist Virginia Apgar. Izvi zvinoreva zviviri zvishandiso chinokosha, uye iwe unogona kuita pfungwa pamusoro hutano mafufu.

Pakusarudza mamiriro mwana Apgar

Kuti kutsanangura mamiriro sezvazviri chete izvo akaberekwa mwana, vanachiremba kushandisa zviitiko American anesthesiologist. Apgar zvibodzwa munguva nguva upenyu kukambaira rokutanga anodzora mashanu anokosha zvekuchipatara zviratidzo: kwemwoyo uye mutinhimira, hunhu tsandanyama matauriro uye kufema, uyewo coloring ganda uye mamiriro mafufu hunenge. Zvichienderana sei akazivisa zviratidzo, vanachiremba akaisa kuongorora muna pfungwa mumwe nomumwe wavo; imwe neimwe parameters shanu anogamuchira kubva razero kusvika muzvikamu zviviri.

The kunonyanyisa nhamba pfungwa anogona agoiswa nembudzana - 10. Migumisiro zvinowa- zvakanyorwa kaviri: wokutanga - mushure mweya wokutanga mwana kunzwisisa manzwiro aanoita panguva iyoyo; wechipiri - maminitsi mashanu pashure pokuberekwa kwake, kuti aone sei mwana akatanga kuchinja itsva, zvikuru kujairika mamiriro kwaari. Kana vanachiremba kwechimbichimbi nokumutswa, kuongororwa uku yechipiri inoratidza zvibereko vakanga.

Mugumisiro anoonekwa zvinoitika Apgar mamakisi 7 kusvika 10 pfungwa; inogutsa ezvinhu panguva ispăşire, uyo scored 4-6 pfungwa (ivo zvinoda yakakodzera dzokurapa); kana mwana ari kuwana asingasviki 4 pfungwa, muitiro yaifanira nokumutswa pakarepo.

Pakusarudza mamiriro mwana pamwero Silverman

Nekukurumidza rokuongorora munhu kufema chirwere muna Savacheche vakaberekerwa nguva isati yakwana, ndikarangarira pakafunuka Silverman. Kudzidza chaiitirwa pakarepo pashure pokuberekwa, uye shure mbiri, matanhatu, gumi uye maawa makumi maviri nemana upenyu inogara. Nyanzvi dzakaona sezvo thorax unotii, sezvo wakavhomorwa intercostal nzvimbo uye sternum, chii nzvimbo mandible, chinofema mwana.

All idzi dzinoongororwa, uyewo Apgar mamakisi, kubvira razero vaviri points. Asi pane musiyano unokosha: kana akaita vachangoberekwa Apgar mamakisi, akaisvonaka anonzi kupfuura akakwana mamakisi - maviri. The "Pfungwa" zvakawanda kuwana mwana, nani.

Silverman Scale chinoshandiswa kuongorora rusvava saizvozvo, asi muchiitiko chino duku scorers pipsqueak, zviri nani, nokuti kunoratidza kuti kwokuomerwa zviratidzo matambudziko kufema iduku uye amenable kuti kururamiswa.

Zvakadini kana achangoberekwa SDR ...

Kana mwana akaberekwa nguva isati yakwana, zvingangoita kuti SDR - kufema nenhamo syndrome. Nokuti chirwere ichi kunoratidzwa zviratidzo kusagadzikana kweropa ino: dzinodya mafufu shoma BP, havachanyatsogoni microcirculation, pane tachycardia. Chiremba anogona kuona imwe muted zvenzwi.

kuwedzera chiropa mwana inogona kuchengetwa muna SDR. Hypovolemia zvingamuka, izvo zvinowanzoita kuti Urume chengetedzo uye peripheral edema. The nechepakati tsinga kunogona woutsinye, mwana anogona kuona periventricular ropa. Uye kusvikira zvino, vanachiremba vanogona kupindura mubvunzo chii chiri chikuru - pokukundwa hwomwana uropi kana mumapapu.

Nokubatsira mashoko uwandu pfungwa

Saka isu kugadziriswa kunyanya: chete panguva apo count nguva kunyange miniti, uye wechipiri, chiremba kuongorora mamiriro vana vachangoberekwa ari nguva yokutanga chaizvo hwavo anokosha chikero kushandiswa. With chikero izvi varume vanamajasi chena anogona kukurumidza kusarudza zvakanaka sei mwana zvikuru anoda unyanzvi hanya.

It Apgar zvibodzwa / Silverman anopa zvose zvakafanira mashoko ari pamusoro sei kuita neonatologists neimwe nyaya. Panguva Chaiyo urongwa kubatsirwa waida kubatsirawo mune ramangwana riri utano mwana. A chikero Silverman anopawo uyewo zvakafanira mashoko pamusoro utano rokusamhanyira vacheche.