Kukula kwa APGAR: ndi chiyani, ndi chiyani komanso tanthauzo lake

Zamkati

• Momwe sikelo ya APGAR imapangidwira
• 1. Ntchito (kamvekedwe ka minofu)
• 2. Kugunda kwa mtima
• 3. Maganizo
• 4. Mtundu
• 5. Kupuma
• Zomwe zotsatira zake zikutanthauza
• Zomwe zimachitika zotsatira zikakhala zochepa

Mulingo wa APGAR, womwe umadziwikanso kuti mphotho ya APGAR, ndimayeso omwe amachitidwa mwana wakhanda atangobadwa kumene omwe amafufuza momwe alili komanso thanzi lake, kuthandiza kuzindikira ngati mtundu uliwonse wa chithandizo kapena chithandizo chamankhwala chowonjezera chikufunika atabadwa.

Kuwunikaku kumachitika mphindi yoyamba yobadwa ndipo imabwerezedwanso mphindi 5 kuchokera pakubadwa, poganizira zomwe mwana amachita monga zochitika, kugunda kwa mtima, mtundu, kupuma ndi malingaliro achilengedwe.

Momwe sikelo ya APGAR imapangidwira

Poyesa index ya APGAR, magulu akulu asanu azikhalidwe za akhanda amalingaliridwa, omwe akuphatikizapo:

1. Ntchito (kamvekedwe ka minofu)

• 0 = Minyewa yamphongo;
• 1 = Pindani zala zanu ndikusuntha mikono kapena miyendo yanu;
• 2 = Kusuntha mwachangu.

2. Kugunda kwa mtima

• 0 = Palibe kugunda kwamtima;
• 1 = Kumenya kochepera 100 pamphindi;
• 2 = Kuposa kumenya 100 pamphindi.

3. Maganizo

• 0 = Sichimayankha zokopa;
• 1 = Zoyipa zikalimbikitsidwa;
• 2 = Kulira mwamphamvu, kutsokomola kapena kuyetsemula.

4. Mtundu

• 0 = Thupi limakhala loyera kapena labuluu;
• 1 = Mtundu wobiriwira pathupi, koma wabuluu kumapazi kapena m'manja;
• 2= Mtundu wapinki mthupi lonse.

5. Kupuma

• 0 = Sipuma;
• 1 = Kulira kofooka ndikupuma mowirikiza;
• 2 = Kulira mokweza ndikupumira pafupipafupi.

Gulu lirilonse limapatsidwa phindu lolingana ndi yankho lomwe likuyimira bwino mkhalidwe wa mwana pakadali pano. Mapeto ake, mphambu iyi imawonjezedwa kuti ipeze mtengo umodzi, womwe ungasinthe pakati pa 0 ndi 10.

Zomwe zotsatira zake zikutanthauza

Kutanthauzira kwa mtengo womwe umawonekera mukangowonjezera mulingo wa mulingo wonse kuyenera kupangidwa ndi dokotala, komabe, chabwinobwino ndikuti mwana wathanzi amabadwa, osachepera, ndi 7 mphindi yoyamba.

Mitundu yochepera 10 pamphindi yoyamba ya moyo ndiyofala ndipo imachitika chifukwa makanda ambiri amafunika kuti achotse amniotic madzimadzi m'mapapu asanapume bwinobwino. Komabe, mozungulira mphindi 5 ndizofala kuti mtengowu uwonjezeke mpaka 10.

Maonekedwe ochepera kuposa 7, paminiti 1, amapezeka kwambiri mwa ana obadwa:

• Pambuyo woopsa mimba;
• Ndi gawo la kaisara;
• Pambuyo pamavuto pakubereka;
• Asanathe milungu 37.

Pakadali pano, kuchuluka m'munsi sikuyenera kudetsa nkhawa, komabe, iyenera kuwonjezeka patadutsa mphindi zisanu.

Zomwe zimachitika zotsatira zikakhala zochepa

Ana ambiri omwe amakhala ndi mphambu ochepera 7 pa sikelo ya APGAR amakhala athanzi, chifukwa chake, kuwonjezeka kumeneko kumawonjezeka pamphindi 5 mpaka 10 zoyambirira za moyo. Komabe, zotsatira zake zikakhala zotsika, kungakhale kofunikira kukhala m'chipinda cha neonatology, kuti mulandire chisamaliro chapadera ndikuwonetsetsa kuti chikukula mwanjira yabwino kwambiri.

Mtengo wotsika wa APGAR sukuneneratu zotulukapo zilizonse pa luntha la mwana, umunthu wake, thanzi lake kapena machitidwe ake mtsogolo.