Abin da za ku sani kafin ku iya koma gida
Saukewa daga Neman Kulawa na Neonatal yana dogara ne a kan matakai, kuma jaririn da ba a taɓa haihuwa ba dole ne ya dace da ka'idoji na gaba kafin sun shirya su koma gida:
1. Bude Crib
Yarinku zai cigaba da ci gaba daga mai sa wuta ko mai haske a cikin gidan yarinya bisa ga shekarun haihuwa, nauyin nauyi, da ikon jariri don sarrafa lafiyar jikin su.
Tsarin yana yawanci sauƙi, amma ana iya dawo da jaririn zuwa yanayin mai zafi a farkon alamar rashin iyawa don kiyaye yawan zafin jiki. Tsayawa jikin jiki yana dauke da adadin kuzari da oxygen. Daɗaɗɗen ƙarfin da jaririnka yake amfani dashi don dumi, da ƙasa da jariri zai kasance da girma da warkarwa. Yana da muhimmanci a ci gaba da kulawa da zafin jiki na jaririn a lokacin wannan lokaci.
Lokacin da jariri ya kasance a cikin babban ɗakunan ajiya, yana da muhimmanci a fara aikin barci. Don ƙwaƙwalwar ciwon hawan Mutuwar Ƙwararrun Ƙwararru (SIDS), jariri ya kamata ya barci a baya. Gidan gidan jaririn ya kamata ya zama lebur, kyauta daga kayan wasa, matasan kai, bumpers, waƙa ko bargo.
2. Jiran sauraro
Kafin ka dawo da jariri daga NICU, jariri zai bukaci samun allo na sauraro. Jarabawar sauraron jarrabawar jarrabawa ne mai gwaji wanda zai iya sauraron matsalolin jaririn jarirai. Yaran jarirai da kuma lokuttan da ake bukata na kulawa da NICU suna fuskantar haɗari ga rashin jin daɗi don dalilai da dama ciki har da rashin jinƙai, ƙananan ƙarfin haihuwa, jaundice, hemorrhage na intraventricular, wasu magunguna, da kuma cututtuka.
Akwai gwaje-gwaje guda biyu da za a iya amfani dasu:
- Koyarwar Otoacoustic (OAE) - wannan jarabawar gwajin sautin raƙuman ruwa a cikin kunnuwan ciki. An gudanar da bincike mai zurfi kawai a cikin tashar kunne na jariri. Yakan daidaita mayar da martani (ƙira) lokacin da aka kunna sauti ko sautuna a cikin kunnuwan jaririn.
- Adireshin Auditory Aiki na Aiki (AABR) - wannan gwajin gwaji yadda jijiyar sauraron sauraron sauti yayi. Sanya guda uku tare da shafuka masu nuni suna sanya a jariri: daya a goshin goshi, ɗaya a kan ƙuƙwalwar wuyansa, kuma ɗaya a gefen dama na kafada. An sanya kananan kunnen kunguwa a cikin kunnen jariri. A lokacin gwaji, ana daukar kwayar cutar ta hanyar earmuffs. Sakamakon da aka sanya a jikin jaririn ya gano abin da yake kwakwalwa ga jaririn a cikin danna.
Za a iya yin allon jaririn ku yayin da jaririnku yake:
- Samun kusa da fitarwa.
- A cikin babban ɗaki.
- Gestation na makonni 34 (gyara ko ainihin) ko mazan.
- Karɓar NO tsakiya m tsarin stimulants. (Kamar maganin kafeyin)
- Barci ko a cikin shakatawa jihar.
3. Nazarin Sashin Kasuwanci / Gwaji
Cibiyar Harkokin Ilimin Harkokin Ilmin Amirka ta bayar da shawara ga gwajin motar mota, ko kalubalen mota, ga dukan jaririn da aka haife kafin makonni 37 ko 2500 grams kafin fitarwa daga asibiti. An kalubalanci kalubalen mota a matsayin hanya don ƙayyade shirye-shiryen ka don tafiya a cikin wani motar mota kuma don saka idanu don yiwuwar apnea, bradycardia ko oxygen desaturation yayin da suke zaune a wurin su na tsawon lokaci.
Duk jarirai da suka hadu da daya daga cikin wadannan ka'idodi a lokacin fitarwa suyi kalubalantar kalubale na Car Seat:
- Shekaru mai shekaru fiye da makonni 37 ko kasa da 2500 grams.
- Yara jarirai da ake buƙatar oxygen supplementation.
- An aiko da jarirai a gida a kan mashigin buƙata.
- Sauran yanayi na kiwon lafiya wanda ke sanya jariri a babban haɗari na apnea, bradycardia ko iskar oxygen desaturation.
A yayin gwajin:
- Za a sanya jaririn ku ko ya kasance a kan saka idanu na kwakwalwa tare da adadi mai mahimmanci don ci gaba da lura da alamun wahala.
- Dole kujin motarku na jariri ya zauna a kusurwa 45-mataki.
- Yaronku ya kasance a cikin motar mota har tsawon minti 90.
- Dole ne a sanya hoton kayan aiki a matsayi na kirji.
Dole ne a kalubalanci kalubalen mota daya zuwa kwana bakwai kafin komawa gida. Bincike ya nuna cewa wasu jarirai, musamman ma waɗanda aka haife su a kasa da makonni 37, suna iya kasancewa a cikin ɓangarorin da suka shafi na bradycardia, apnea, da kuma oxygen desaturation lokacin da suke tafiya a wani wurin zama na tsaro na mota.
Idan jaririn bai wuce gwaji a karo na farko ba, ya kamata a sake maimaita shi bayan 'yan kwanaki. Idan jaririn ya kalubalanci motar mota a karo na biyu, gwada a cikin gado mota.
Kuma jaririnka ma yana bukatar:
- Kuna iya cin abinci duk da abinci tare da sauƙi yayin daukar adadin adadin adadin kuzari.
- Samun nauyi.
- Bugawa kan kansu. Yawancin yara suna kashe oxygen lokacin da aka cire su daga NICU, amma wasu jarirai na iya buƙatar ƙarin oxygen don tsawon lokaci kuma za'a iya dawowa gida tare da wannan farfadowa.
- Ba su da wani "ɓangaren" na apnea, (dakatar da numfashi) da kuma bradycardia, (jinkirin jinkirin zuciya) ko canji a launi. Kuna iya iya ɗaukar jaririn ku a kan saka idanu idan suna da taƙaitaccen ɓangaren maganganun da ba su buƙatar wani aiki.
Tun da kowane jariri ya bambanta, kuma kowane tafiya na NICU zai bambanta, yana da wuya a ce lokacin da jariri zai buge duk waɗannan alamu kuma ku kasance a shirye don fitarwa. Yana iya taimakawa wajen lura da ci gaban jaririnka ta hanyar fara wani jarida ko jerin abubuwan da za a yi, kuma don tunawa da muhimman abubuwan da suka faru kamar yadda suke faruwa!
Sources
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Matsakin motar: wata kalubalen da za a yi ga jarirai na farko? - Pilley da McGuire 90 (6): F452 - ADC -
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