Ogwira ntchito ku NICU

Nkhaniyi ikufotokoza za gulu lalikulu la osamalira omwe akutenga nawo gawo posamalira khanda lanu m'chipinda cha ana osamalidwa bwino (NICU). Ogwira ntchito nthawi zambiri amakhala ndi izi:

MALO OGWIRITSA NTCHITO ZAumoyo

Wothandizira zaumoyo uyu ndi namwino wothandizira kapena wothandizira adotolo. Amagwira ntchito moyang'aniridwa ndi neonatologist. Katswiri wothandizana nawo azaumoyo atha kukhala ndi chidziwitso chochulukirapo kuposa wokhalamo, koma sangakhale ndi maphunziro ndi maphunziro ofanana.

WOPHUNZIRA DOTOLO (NEONATOLOGIST)

Dokotala amene akupezekapo ndiye dokotala wamkulu woyang'anira chisamaliro cha mwana wanu. Dokotala wopezekayo amaliza maphunziro a chiyanjano mu neonatology ndi maphunziro okhalamo a ana. Kukhazikikanso pansi ndikuyanjana nthawi zambiri kumatenga zaka 3 iliyonse, pambuyo pazaka 4 za sukulu yamankhwala. Dokotala ameneyu, wotchedwa neonatologist, ndi dokotala wa ana yemwe amaphunzitsidwa mwapadera kusamalira ana omwe akudwala ndipo amafuna chisamaliro chokwanira akabadwa.

Ngakhale pali anthu osiyanasiyana omwe akuchita nawo chisamaliro cha mwana wanu ali ku NICU, ndi neonatologist yemwe amasankha ndikugwirizanitsa dongosolo la chisamaliro cha tsiku ndi tsiku. Nthawi zina, neonatologist amatha kufunsa akatswiri ena kuti athandizire posamalira mwana wanu.

NEONATOLOGY WANZANU

Mnzanu wa neonatology ndi dokotala yemwe wamaliza kukhala pantchito ya ana ndipo pano akuphunzira za neonatology.

WOKHALA

Wokhalamo ndi dokotala yemwe wamaliza sukulu ya udokotala ndipo akuphunzira ukadaulo wa zamankhwala. Pazachipatala, maphunziro okhalamo amatenga zaka zitatu.

• Mkulu wokhala ndi dokotala yemwe wamaliza maphunziro a udokotala wa ana ndipo pano akuyang'anira anthu ena.
• Wokalamba wamkulu ndi dokotala yemwe ali mchaka chachitatu cha maphunziro a ana. Dokotala ameneyu amayang'anira omwe amakhala m'sukulu zachinyamata komanso ophunzira.
• Wachichepere, kapena wachiwiri, wokhalamo ndi dokotala wachiwiri wazaka zitatu zamaphunziro a ana.
• Wokhala chaka choyamba ndi dokotala mchaka choyamba chamaphunziro azachipatala. Dotolo wamtunduyu amatchedwanso wophunzira.

Wophunzira zamankhwala

Wophunzira zamankhwala ndi munthu yemwe sanamalize sukulu ya udokotala. Wophunzira zamankhwala amatha kuyesa ndikuwongolera wodwalayo mchipatala, koma amafunika kuti malamulo awo onse awunikidwe ndikuvomerezedwa ndi dokotala.

SUNGANI YOPHUNZITSIRA KWAMBIRI YOPHUNZITSIRA (NICU) MANKHWALA

Namwino wamtunduwu walandila maphunziro apadera posamalira ana ku NICU. Anamwino amatenga gawo lofunikira pakuwunika mwana ndikuthandizira komanso kuphunzitsa banja. Mwa onse osamalira mu NICU, anamwino nthawi zambiri amakhala nthawi yayitali pabedi la mwana, kusamalira mwanayo komanso banja. Namwino amathanso kukhala membala wa gulu loyendetsa la NICU kapena kukhala katswiri wa membrane wa oxygenation (ECMO) ataphunzitsidwa mwapadera.

PHALMASITI

Wamasayansi ndi katswiri wamaphunziro ndi maphunziro pokonzekera mankhwala omwe amagwiritsidwa ntchito ku NICU. Amankhwala amathandizira kukonzekera mankhwala monga maantibayotiki, katemera, kapena njira zamitsempha (IV), monga chakudya chonse cha makolo (TPN).

WODZIPEREKA

Katswiri wazakudya kapena wazakudya ndi akatswiri omwe amaphunzitsidwa komanso kuphunzitsidwa zaumoyo. Izi zikuphatikiza mkaka waumunthu, zowonjezera mavitamini ndi mchere, komanso njira zoyambira kukhanda zomwe zimagwiritsidwa ntchito mu NICU. Akatswiri azakudya amathandizira kuwunika zomwe ana amadyetsedwa, momwe matupi awo amalabadira chakudya, komanso momwe amakulira.

WOKHUDZANA NDI LACTATION

Wothandizira za lactation (LC) ndi katswiri yemwe amathandizira amayi ndi makanda omwe akuyamwitsa ndipo, ku NICU, amathandizira amayi ndi mkaka wofotokozera. IBCLC yatsimikiziridwa ndi International Board of Lactation Consultants kuti idalandira maphunziro ndi maphunziro ena komanso kupitiliza mayeso olembedwa.

AKATSWIRI ENA

Gulu lazachipatala litha kuphatikizaponso othandizira kupuma, wogwira ntchito zothandiza anthu, othandizira thupi, olankhula komanso othandizira pantchito, ndi akatswiri ena kutengera zosowa za mwana wakhanda.

KUTHANDIZA ANTHU

Madokotala ochokera kuzinthu zina zapadera, monga matenda a ana kapena opaleshoni ya ana, atha kukhala m'gulu la akatswiri omwe amasamalira ana ku NICU. Kuti mumve zambiri onani: Alangizi a NICU ndi othandizira.

Malo osamalira ana obadwa kumene - ogwira ntchito; Malo osamalira odwala Neonatal - ogwira ntchito

Zambiri zaife Kukula kwa mankhwala obadwa kwa neonatal-perinatal: mbiri yakale. Mu: Martin RJ, Fanaroff AA, Walsh MC, olemba., Eds. Fanaroff ndi Martin's Neonatal-Perinatal Medicine: Matenda a Mwana wosabadwa ndi Khanda. 11th ed. Philadelphia, PA: Elsevier; 2020: mutu 1.

Sweeney JK, Guitierrez T, Beachy JC (Adasankhidwa) Ma Neonates ndi makolo: malingaliro a neurodevelopmental m'chipinda chamankhwala osamalitsa omwe amatsatira ndikutsatira. Mu: Umphred DA, Burton GU, Lazaro RT, Roller ML, eds. Kukonzanso Kwa Neurological kwa Umphred. Lachisanu ndi chimodzi. St Louis, MO: Elsevier Mosby; 2013: mutu 11.