Incubators for Babies: Chifukwa Chomwe Amagwiritsidwa Ntchito Ndi Momwe Amagwirira Ntchito
Zamkati
- Nchifukwa chiyani khanda liyenera kukhala mu chofungatira?
- Kubadwa msanga
- Nkhani zopumira
- Matenda
- Zotsatira za matenda a shuga
- Jaundice
- Kutumiza kwanthawi yayitali kapena kowopsa
- LKulemera kwa kubadwa
- Kuchira pa opaleshoni
- Kodi chofungatira chimatani?
- Kodi pali mitundu ingapo yamagetsi?
- Tsegulani chofungatira
- Chotsegula chofungatira
- Kutumiza kapena kunyamula chonyamula
- Tengera kwina
Mwakhala mukuyembekezera nthawi yayitali kuti mukakumane ndi kubwera kwanu kwatsopano kotero kuti china chake chikachitika kuti chikulekanitseni chimatha kukhala chopweteka. Palibe kholo lomwe likufuna kulekanitsidwa ndi mwana wawo.
Ngati muli ndi mwana wakhanda wobadwa msanga kapena wodwala yemwe amafunikira TLC yowonjezerapo, mutha kuphunzira mwachangu za chipatala cha m'dera lanu la chipatala (NICU) kuposa momwe mumayembekezera - kuphatikiza oyambitsa.
Muli ndi mafunso ambiri okhudzana ndi makina opangira makina. Timachipeza! Kuchokera pazogwiritsira ntchito makina opangira makina opangira makina opangira makina opangira makina opangira makina opangira makina opangira makina opangira ntchito kupita ku ntchito zawo zosiyanasiyana takupatsani chidziwitso chofunikira kuti mumvetsetse chida chofunikira chachipatala ichi.
Komabe, tikukhulupirira kuti simudzaopa kufunsa achipatala pachipatala chilichonse chomwe chili m'maganizo mwanu. Alipo nawonso, nawonso.
Nchifukwa chiyani khanda liyenera kukhala mu chofungatira?
Incubators ndi opangira ma NICU. Amagwiritsidwa ntchito limodzi ndi zida zina ndi njira zowonetsetsa kuti ana omwe akusowa thandizo lowonjezera ali ndi malo abwino komanso kuwunika mosalekeza.
Zitha kuthandiza kuwalingalira ngati chiberekero chachiwiri chopangidwa kuti chiteteze mwana ndikupereka gawo labwino pakukula kwake.
Pali zifukwa zambiri zomwe mwana angafunikire kukhala mkati mwa chofungatira. Izi zingaphatikizepo:
Kubadwa msanga
Ana obadwa asanakwane amafunika nthawi yochulukirapo kuti apange mapapu ndi ziwalo zina zofunika. (Maso awo ndi ng'oma zawo zamakutu zimatha kumva bwino kotero kuti kuwala komanso kumveka bwino kumatha kuwononga ziwalozi nthawi zonse.)
Komanso, ana obadwa mofulumira kwambiri sadzakhala ndi nthawi yopanga mafuta pansi pa khungu ndipo adzafunika kuthandizidwa kuti azitha kutentha komanso kuchita bwino.
Nkhani zopumira
Nthawi zina makanda amakhala ndimadzimadzi kapena meconium m'mapapu awo. Izi zitha kubweretsa matenda ndikulephera kupuma bwino. Ana obadwa kumene amathanso kukhala osakhwima, osakhala ndi mapapu athunthu omwe amafunikira kuwunika komanso mpweya wowonjezera.
Matenda
Incubator imachepetsa mwayi wamajeremusi ndi matenda owonjezera pamene kakang'ono kamachira ku matenda. Incubators amaperekanso malo otetezedwa pomwe ndikotheka kuwunika zofunikira 24/7 mwana wanu akafunikiranso ma IV ambiri kuti amwe mankhwala, madzi, ndi zina zambiri.
Zotsatira za matenda a shuga
Madokotala ambiri amafungatira khanda mwachidule ngati mayi adadwala matenda ashuga, kuti mwana athe kusungika bwino ndikutentha akamakhala ndi nthawi yowunika shuga wawo wamagazi.
Jaundice
Makina ena ophatikizirapo amakhala ndi magetsi apadera othandizira kuchepetsa jaundice, chikasu cha khungu ndi maso a mwana. Matenda a jaundice obadwa kumene amakhala ofala ndipo amatha kuchitika ana akakhala ndi bilirubin yokwanira, mtundu wachikasu wopangidwa pakutha kwa maselo ofiira amwazi.
Kutumiza kwanthawi yayitali kapena kowopsa
Ngati mwana wakhanda wakumana ndi vuto linalake, angafunike kuyang'aniridwa nthawi zonse ndi zina zothandizira zamankhwala. Chofunguliracho chitha kuperekanso malo otetezeka ngati m'mimba momwe mwana amatha kuchira pamavuto.
LKulemera kwa kubadwa
Ngakhale mwana asanabadwe msanga, ngati ali wocheperako, sangakhale wofunda popanda thandizo lina lomwe chofungatira chimapereka.
Kuphatikiza apo, makanda ang'onoang'ono amatha kulimbana ndi zofunikira zambiri zomwe ana akhanda asanakwane (mwachitsanzo, kupuma, ndi kudya), kupindula ndi mpweya wowonjezera komanso malo owongoleredwa omwe amapangira chofungatira.
Kuchira pa opaleshoni
Ngati mwana ayenera kuchitidwa opaleshoni chifukwa cha zovuta pambuyo pobadwa, adzafunika kuyang'aniridwa ndikuwongoleredwa, malo otetezeka pambuyo pake. Chofungatira ndichabwino pa izi.
Kodi chofungatira chimatani?
Zingakhale zophweka kuganiza za chofungatira ngati bedi chabe la mwana wodwala, koma ndizochulukirapo kuposa malo ogona.
Makina opangira makinawa amapangidwa kuti azikhala ndi malo otetezedwa, kwa ana kuti azikhala m'mimba pamene ziwalo zawo zofunika kukula.
Mosiyana ndi bassinet yosavuta, chofungatira chimapereka malo omwe angasinthidwe kuti azitha kutentha bwino komanso mpweya wabwino, chinyezi, ndi kuwala.
Popanda malo olamulidwawa, makanda ambiri sangakhale ndi moyo, makamaka omwe amabadwa miyezi ingapo asanabadwe.
Kuphatikiza pa kuwongolera nyengo, chofungatira chimateteza ku ma allergen, majeremusi, mapokoso ochulukirapo, komanso kuwala komwe kumatha kuvulaza. Kukhoza kwa chofungatira kumalamulira chinyezi kumathandizanso kuteteza khungu la mwana kuti lisataye madzi ochulukirapo ndikukhala lophwanyika kapena losweka.
Chofungatira chimatha kuphatikiza zida zowunikira zinthu zingapo kuphatikiza kutentha kwa mwana ndi kugunda kwa mtima. Kuwunikaku kumalola anamwino ndi madotolo kuti azitha kuwunika momwe mwana alili wathanzi nthawi zonse.
Kupatula kungopereka chidziwitso chokhudza zofunikira za mwana, chofunguliracho chimakhala chotseguka pamwamba kapena kukhala ndi mabowo m'mbali zomwe zimaloleza kuti zigwiritsidwe ntchito limodzi ndi njira zosiyanasiyana zamankhwala ndi kuchitapo kanthu.
Incubators itha kugwiritsidwa ntchito limodzi ndi njira zamankhwala monga:
- kudyetsa kudzera mu IV
- kupereka magazi kapena mankhwala kudzera mu IV
- kuwunika nthawi zonse ntchito zofunika
- mpweya wabwino
- magetsi apadera azithandizo la jaundice
Izi zikutanthauza kuti sikuti kokha chofungatira chimatetezera mwana, koma chimapereka malo abwino kwa akatswiri azachipatala kuti aziyang'anira ndi kuchiza khanda.
Kodi pali mitundu ingapo yamagetsi?
Mutha kukumana ndi mitundu ingapo yamafuta. Mitundu itatu yodziwika bwino ya chofungatira ndi: yotsegulira yotseguka, yotsegulira yotsekedwa, ndi yoyendetsa makina oyendetsa. Iliyonse imapangidwa mosiyana pang'ono ndi zabwino ndi zolephera zosiyanasiyana.
Tsegulani chofungatira
Izi nthawi zina zimatchedwanso kutentha kowala. Potsegulira chotseguka, khanda limayikidwa pamalo athyathyathya ndi chinthu chowala chowala chomwe chimaikidwa pamwambapa kapena kutentha pansi.
Kutulutsa kotentha kumawongoleredwa ndi kutentha kwa khungu la mwana. Ngakhale mutha kuwona zowunikira zambiri, chofungatira chatsegulidwa pamwamba pa mwanayo.
Chifukwa cha malo otsegukawa, zotsegulira zotseguka sizimapereka mphamvu zofananira chinyezi monga zotsekera zotsekedwa. Komabe, amathabe kuwunika ntchito zofunikira za khanda ndikuwothautsa.
Ndikosavuta kukwaniritsa khungu ndi khungu ndi mwana mu makina otsegulira otseguka, chifukwa ndizotheka kukhudza mwanayo kuchokera pamwambapa.
Zotsegulira zotseguka zimagwira ntchito bwino kwa makanda omwe amafunikira kuti afunditsidwe kwakanthawi ndipo ziwerengero zawo zofunika kuzayeza. Kulephera kulamulira chinyezi komanso kuteteza ku tizilombo toyambitsa matenda kutanthauza kuti zotsegulira zotseguka sizabwino kwa makanda omwe amafunikira malo owongoleredwa komanso kuteteza majeremusi.
Chotsegula chofungatira
Chofungatira chatsekedwa ndichomwe mwanayo wazunguliridwa kwathunthu. Idzakhala ndi zibowo zam'mbali mbali kuloleza ma IV ndi manja amunthu mkati, koma idapangidwa kuti ma virus, kuwala, ndi zinthu zina zisatulukemo. Chofungatira chatsekedwa chili ngati kukhala muubweya woyendetsedwa ndi nyengo!
Chimodzi mwazosiyana kwambiri pakati pa chofungatira chotseguka ndi chotseguka ndi momwe kutentha kumafalikira komanso kutentha kumawongoleredwa. Chotsegulira chotseka chimalola mpweya wofunda kuwombedwa kudzera pam denga lozungulira mwana.
Kutentha ndi chinyezi zimatha kuyendetsedwa pamanja pogwiritsa ntchito zipsinjo zakunja kwa chofungatira kapena kusintha masensa akhungu ophatikizidwa ndi mwana. (Incubators zomwe zimangosintha monga izi zimatchedwa servo-control incubators.)
Zitsekerero zotsekedwa ndizomwe zimakhala zochepa kwambiri. Izi zikutanthauza kuti ndi abwino kwa makanda omwe amafunikira chitetezo chowonjezera cha majeremusi, kuchepetsedwa kwa kuwala / kumveka, ndi kuwongolera chinyezi.
Makina ena otsekera ali ndi makoma awiri othandizira kuteteza kutentha ndi mpweya. Izi zimadziwika kuti zotchinga zazing'ono.
Kutumiza kapena kunyamula chonyamula
Monga momwe dzinalo limatanthawuzira, mitundu iyi ya makina opangira makina amagwiritsidwa ntchito kunyamula mwana pakati pa malo awiri osiyana.
Imodzi itha kugwiritsidwa ntchito mwana akatengeredwa kuchipatala china kuti akalandire chithandizo chomwe sichikupezeka komwe ali kapena kupezeka kwa madotolo omwe amakhazikika m'malo omwe amafunikira chisamaliro chowonjezera.
Chonyamulira chonyamula chimaphatikizira chopumira chaching'ono, chowunika cha kupuma mtima, mpope wa IV, oximeter wamagetsi, komanso mpweya wopangidwa ndi oxygen.
Chifukwa makina oyendetsa mayendedwe amakhala ang'onoang'ono, amakhala bwino m'malo omwe makina otsegulira ndi otseguka nthawi zonse sangakhale.
Tengera kwina
Ngakhale makina opangira makinawa angawoneke ngati owopsa, ndizofunikira pazachipatala zomwe zimapereka malo oyang'anira ana akhanda asanakwane komanso odwala. Popanda makina oyendetsa makina oberekera, ana ocheperako amatha kupulumuka poyambira!
Incubator kwenikweni ali ngati chiberekero chachiwiri kapena thovu lotetezeka pozungulira mwana. Ngakhale zimatha kubweretsa nkhawa kuti mudzazungulidwe ndi makina opangira zida za NICU mukamayendera mwana wanu, chitonthozo chitha kubwera podziwa kuti zida zamagetsi zimatanthauza kuti mwana wanu akupeza mpweya komanso kutentha komwe angafune.
Kuphatikiza apo, ngakhale mungakhale ndi nkhawa zakukhudzidwa kwamomwe mwana wanu adzapatukana nanu, musataye mtima. Kuyang'ana zotsatira zakanthawi yayitali za chisamaliro cha makina opatsira omwe adapeza kuti chiwopsezo cha kukhumudwa chinali 2 mpaka 3 nthawi kutsitsa kwa azaka 21 zakubadwa omwe anali ali mu makina oyendetsa atangobadwa.
Ngakhale chofungatira sichingakhale mikono ya amayi, chitha kuthandiza kupereka chitetezo, kutentha, komanso chidziwitso chofunikira.
Funsani namwino wanu kuti akuthandizeni kumvetsetsa nyumba yomwe mwana wanu ali nayo pano, ndipo ngati zingatheke, pitani mwana wanu ku NICU kuti mukalankhule nawo ndikuwakhudza kapena kuwadyetsa monga momwe amalolera. Izi zithandizira kukula kwawo ndikukulolani kuti mupitilize kulumikizana nawo.