Kusamalira ana msanga kuchipatala ndipo pambuyo kumaliseche

Pamene banjali ndi mwana, mayi ndi bambo amacheza pa izo nthawi zonse, chifukwa popanda kuisamalira mwana basi sangathe bwinobwino, ndipo mwina kupulumuka. Ndipo nanga bwanji ngati mwanayo anabadwa? Kusamalira ana msanga ayenera kukhala wapadera, chifukwa nyenyeswa amenewa nthawi zina ngakhale kupuma ndipo sangathe kudya popanda thandizo.

Posachedwapa, madokotala akhala Sadadzipangire kutsitsimutsa ndi kupulumutsa moyo wa mwanayo, yemwe kubadwa kulemera zosakwana kilogalamu imodzi. Tsopano zonse zasintha Akatswiri akhoza kupereka mwayi kwa wina wamng'ono, yemwe anabadwa kukula kwa kanjedza ndi akulemera theka kilo. Zokhudza kusamalira ana msanga mu odwala kwambiri kuchipatala, kunyumba pambuyo kumaliseche ndi mavuto ena ayankhidwa m'nkhaniyi.

Ana obadwa masiku asanakwane: Features

ana Full-akuti ndi amene anabadwa kuchokera TH 37 mpaka 42 TH sabata mimba. Ngati mwanayo anabadwa Ikani, amaona msanga. The vuto lalikulu la makanda amenewa ndi underdevelopment ziwalo mkati, ndi mibadwo kale panali, kusamalidwa bwino wa mwana chofunika. Unamwino kusamalira ana msanga akuyamba ndi mphindi zoyambirira za moyo wake, mayi akhoza mosadalira kuyamba kusamalira Chad wake pokhapokha ndi chilolezo cha dokotala, koma zambiri pa izo mtsogolo. Tikakhala ndi chidwi makamaka Maphunziro Akakhalidwe Kazolengedwa mwana, kumene anabadwa. Kodi mofulumira akhoza prigolubit mayi ndi mwana wake? Izi zidalira pa mlingo wa prematurity. Total gawo madigiri zitatu:

1. Oika prematurity - chimalemera yosakwanira kilogalamu a.
2. Kwambiri masiku asanakwane - kulemera kwa kilogalamu ndi theka.
3. Prematurity - kulemera kwa theka la kilogalamu awiri ndi theka.

Mbali yaikulu ya mwana msanga ndi:

• wochepa thupi;
• kuwonjezereka ang'onoang'ono (mpaka 46 cm);
• disproportionally chinamanga thupi (zikuluzikulu mutu, miyendo yake ndi yaifupi, khosi, groin ankatembenukira motsogozedwa Mchombo wa);
• anamaliza mawonekedwe a Chigaza, ndi fontanel kuoneka bwino ndipo sutures;
• makutu mbamuikha mwamphamvu kwa mutu wake, zofewa kwambiri;
• khungu ndi woonda kwambiri ndi wamakwinya, akhoza kuwala nkhata yonse;
• pamwamba thupi yokutidwa ndi fuzz pang'ono;
• Kusapezeka kwathunthu wosanjikiza mafuta;
• pa manja ndi miyendo kungakhale underdeveloped misomali kapena kwina palimodzi;
• testes undescended anyamata ndi unclosed pudendal mphanga atsikana.

Dziwani kuti onse zizindikiro pamwamba ayenera kumwedwa pamodzi. Only ndiye tingakambirane maonekedwe a kusamalira ana msanga. Koma ngati anasonyeza chinthu chimodzi, izo zikusonyeza kudwala osati prematurity.

Khalidwe la mwana msanga

Makanda obadwa asanabadwe wako, ndi makhalidwe osiyana. Iwo ali wofooka, pali wotsikirapo minofu kamvekedwe. Kids tulo (ndi noticeable ngakhale pa maziko a chakuti ana zonse yaitali kugona pafupifupi nthawi zonse), iwo kunjenjemera chifukwa ndi kuyamba kusuntha mosintha. Makamaka complicates kusamalira ana msanga palibe reflex wakuyamwa. Ting'onoting'ono njala, koma sindikudziwa momwe kudya.

Mwachidule za chisamaliro cha ana msanga

Ife akamufunsirire kuganizira ndi ndondomeko ya kusamalira mwanayo, kenako kudutsa wachina chilichonse mwatsatanetsatane.

Unamwino kusamalira ana msanga, monga takambirana kale, akuyamba ndi masekondi choyamba cha moyo wake. Chinthu choyamba atengedwa mu thewera ofunda ndi kupanga mpweya wabwino ngati n'koyenera. Ichi ndi ndondomeko zofunika kwambiri. mwana kupuma mododoma kapena kusiya palimodzi, kuyambira mwana wosabadwa kupangika surfactant zokwanira - mankhwala kuti ndi udindo kupuma moyenera. Choncho, m'mapapo minofu sangathe kwathunthu anaweramuka.

The chachiwiri vuto - obadwa nthawi yawo isanakwane sitili okonzeka kuli thupi mu dziko lino, iwo alibe subcutaneous wosanjikiza mafuta, kotero thermoregulation si wangwiro. Kids msanga supercooled ndi overheat, monga yozungulira kutentha zosiyana kwambiri ndi zimene anali m'mimba.

M'mbuyomu, vutoli anali anathana ndi kuzimata khanda mu ubweya thonje kapena nachiyika pa mbaula ofunda. Tsopano vuto la malamulo thupi kutentha kwa ana akhanda ndi kuthetsedwa mosiyana: mwana msanga aikidwa mu makina, kapena, mawu osavuta, mmakina. Pali afika okwanira kuchuluka kwa mpweya, ndi olekanitsidwa phokoso yozungulira ndi kuwala. Kutentha ndi chinyezi mu chofungatira pa malamulo, zinthu zofanana intrauterine.

Kudyetsa mavuto, nawonso, ndi kwina. Features wa tikawasiye ana msanga ngati nsalu, kuyan'anila chikhalidwe ambiri ndipo, ndithudi, kudya. madokotala amatenga anasonyeza mkaka mayi, anawonjezera mavitamini zofunika, mapuloteni ndi mchere. Ngati mkazi alibe mkaka, woŵirikiza ntchito, apangidwa makamaka kwa ana obadwa masiku asanakwane. Kudyetsa mwana, ngati ofooka anayamba woyamwa reflex ikuchitika ntchito syringe.

Mwana, kumene bwino anakamba reflex kupereka botolo. Ngati kulemera kwa mwana ndi wamng'ono kuti simungathe ngakhale kumeza, naso-chapamimba chubu ntchito kapena kutumikiridwa zakudya m'nsinga. Kafukufuku umayamba mwa spout nyenyeswa, mkaka ndi Mlingo yaing'ono Lifikira m'mimba. Mulimonsemo, akudyetsa mwana msanga - fractional ndi chakudya chochepa, ngakhale ngati akulemera makilogalamu oposa awiri. The matupi si anayamba zokwanira ntchito kwathunthu. Unamwino kusamalira ana msanga ndi kuvomerezedwa. Ndipotu, mayi akhoza overfeed.

Kusamalira ana msanga mu chipatala mu magawo oyambirira sizingatheke ngati pali mavuto thanzi. Mu nkhani iyi, mwana kunditumiza ku odwala mwakayakaya.

chisamaliro kuwatsitsimula

Kusamalira wakhanda msanga mu magawo oyambirira adzatenge madokotala a chipatala. Nthawi zambiri yomweyo pambuyo pa kubadwa kwa uyo mu odwala mwakayakaya ana, ndi bwino, ngati osamalira okalamba lilipo. Koma izo zimachitika kuti kuchipatala palibe kulekana amenewa.

The nyenyeswa chinthu choyamba kuyendera cardiologist, katswiriyu, zamafupa, maso, anachititsa neurosonography (ultrasound oziziritsa), ngati n'koyenera, ultrasound a ziwalo. Komanso, zitsanzo mkodzo ndi anasonkhana, magazi. Pamene mwana aikidwa mu njira mmakina.

Kodi chimachitika n'chiyani ngati chipatala alibe kuwatsitsimula yake? Analibe mwayi woti "tinyamuke" mwanayo? Palibe zangati. Onse zipatala umayi zili ndi zida zina zofunika kuti kusamalira ana msanga, pali kupezeka ndi unit kwa mpweya wabwino, ndi mmakina, ndi katundu wapadera lakonzedwa kukhala nyenyeswa za moyo, ndi neonatologist - katswiri ophunzitsidwa namwino ana mu nthawi yoikidwayo.

Koma pali vuto: neonatologists, osati kusamalira ana msanga, koma ayenera kupezeka pa aliyense akabereka wotsatira. Izi zikutanthauza kuti ananena za msanga adzakhala ang'onoang'ono ndi neonatologist mwina mukutanthauza ngati zonse mwadzidzidzi pali kufunika kupulumutsa nyenyeswa.

Mu chisamaliro tima anamwino ntchito ndi neonatologists, amene ali ndi udindo kokha unamwino kale mu dipatimenti ana awo. Pankhaniyi, wakhanda adzakhala nthawi zonse kuyang'aniridwa maso zachipatala.

Ngati mwana wanu amafunika kukhala osamala kwambiri ndi mu chipatala izo siziri, ndiye, pambuyo olimba cha chikhalidwe chake adzatengedwa kuchipatala china komwe kulibe ofalitsa apatukane. Mayendedwe ikuchitika mu makina apadera, amene ali zipangizo mpweya, chofungatira ndi zipangizo zina zofunika pa moyo.

Pamene mwana ali odwala kwambiri mayi anga angabwere kwa mu nthawi yake, koma kuti "kulankhula" kudzera mu kapu ya chofungatira (chofungatira). Pali siteshoni kuli kotheka kukaona mwana nthawi iliyonse tsiku.

kudya

Makolo a ana obadwa oyambirira, muyenera kudziwa chilichonse ndi mbali ya kusamalira ana msanga, kuti Musadandaule za mwanayo. Mabanja ambiri kuyamba kudandaula kwambiri pa moyo wa nyenyeswa sindikuganiza kuti adzakhala kupirira. Kumene, zimakhala zovuta kwambiri kudutsa chotero yovuta ya unamwino, koma patsogolo alibe kuima, ndi madokotala akhoza kupulumutsa angakhale ang'ono.

Ngati kulemera kwa mwanayo kuti makilogalamu awiri ndi woyamwa reflex ndi bwino anakamba, pali kuthekera kwa yoyamwitsa. Momma zambiri kusunga nyenyeswa pa manja ake, chakudya ndi kuthandiza kusamalira ogwira ntchito zachipatala. Botolo kapena syringe kudya namwino okha, choncho palibe vuto ndi kholingo. Monga kale olembedwa, ngati wakuyamwa reflex palibe kapena bwino akupangidwa ziwalo m'mimba angathe kupirira ntchitoyo, ndi kudya ayenera kukhala fractional.

ana obadwa masiku asanakwane muyenera wambirimbiri madzi. Kawirikawiri thupi ntchito kukhalabe 1/1 kuchepetsedwa ndi 5% shuga Ringer njira. Komanso, mavitamini zofunika, mu masiku oyambirira angapo onetsetsani kuti atchule riboflavin, vitamini K ndi E, ascorbic asidi, thiamine. Kuganizira pa chikhalidwe munthu wa ana akhanda, adokotala akhoza mankhwala mavitamini ena.

Patapita kanthawi, mwana chakudya kukhala chirichonse chosiyana ndi anzawo mphamvu. Koma mu magawo oyambirira a unamwino amafuna zowonjezera wapadera kuti chitukuko ndi kukula kwa nyenyeswa anali zolimira.

Kodi makolo otsimikiza kuti zinachitikira chakudya Sikuti. Posakhalitsa, crumb kwanu kuchitidwe nayenso ake ndi ku wochepa, wofooka mwana wansangala, duwa-cheeked ndi yogwira kuyenda.

Unamwino m'chipatala

Kusamalira ana msanga kwenikweni akuyamba ndi dipatimenti ya kudwala kwa mwana kuchipatala. Apa mwana nthawizonse zidzakhala kuyang'aniridwa ndi anamwino ndi madokotala adzalembedwa nchitozi ndondomeko zofunika, kuyendera.

Translation khanda kupatukana ochiritsira akhoza kuchitika kokha pamene iye afika pa thupi la osachepera awiri makilogalamu, ndi mwachangu woyamwa mkaka paokha kulimbana ndi lamulo la thupi kutentha, kupuma bwino. Nthawi kukhala mu chofungatira chimadalira pa kukula kwa mlingo wa prematurity, pali anayi:

• woyamba digiri - kubadwa pa mawu kuchokera 37 mpaka masabata 35;
• digiri yachiwiri - kuchokera 34 kwa masabata 32;
• chachitatu digiri - masabata 31-29;
• digiri wachinayi - 28 zochepa.

Ngati pa nthawi ya kumaliseche kuchokera ku chipatala ndi mayi a mwanayo wafika magawo osachepera, amene akhoza kusamalira mwana msanga kunyumba, ndiye anamulola kupita kunyumba ndi mayi ake. Koma ngati kufunika kuwatsitsimula salinso pano, koma anakhalabe thanzi, mwana kunditumiza ku dipatimenti ana. Mayi yekha waganiza bwanji kuchitapo kanthu: kupita kuchipatala pamodzi ndi nyenyeswa, kapena kubwera kuchipatala unamwino.

Pachipatala

dipatimenti ana apadera a abadwe msanga, ndi anasamutsidwa ndi dongosolo la Pediatrics ndi neonatology. Amenewa n'zotheka ngakhale crumb ukadali anadyetsedwa kudzera chubu ndipo amafunika yokumba kupuma yokonza. Zonse kusamalira ana msanga Pankhaniyi - m'manja mwa ogwira ntchito zachipatala.

Mwana adzaikidwa mu chikuku chamwana mkangano kapena chofungatira. M'chipatala zambiri wathunthu Kupenda wochititsidwa, izo walangizidwa kudziwika matenda majini ndi pathologies. Baby kuyendera akatswiri yopapatiza, woikidwa ndi mayesero koyenera ndi njira.

mphamvu zabwino zambiri akuyamba kukula kwa tsiku asanabadwe sikhala, mwachitsanzo tsiku pamene mwana anali kudzabadwira ku nthawi. Nthawi anakhala m'chipatala zimadalira m'mene msanga mwana kunenepa kuphunzira akuyamwitsa ndi kumeza, kuti kupezeka kwa pathologies sakudziwika. Hospital mankhwala zikhoza kwa masabata miyezi ingapo.

nyumba

Pamene crumb ndi wakonzeka kupita kunyumba, dokotalayo mwatsatanetsatane malangizo kwa makolo. Kusamalira mwana msanga pambuyo kumaliseche ndi yovuta kwambiri, makamaka kwa mabanja imene mwana woyamba anabadwa. vuto lagona pa choona kuti nyenyeswa yekha nasamalidwa ogwira ntchito ndi makolo akhoza ndiribe lingaliro za mmene ndi chochita.

Mulimonsemo, ngati mwanayo anabadwa, zothandizira mipingo yawo tidzikhala. Ngati pazifukwa zina, dokotala sanabwere kuyika tsiku, itanani chipatala ndi kufunsa kudzacheza. Tsopano tiyeni tione mwatsatanetsatane ins ndi outs chisamaliro kunyumba kwa mwana msanga, amene ayenera kudziwa aliyense m'banja ankakhala mu chipinda.

1. Yoyambirira mwa ofunika kuonera - ndi kutentha mpweya nyenyeswa chipinda, zikhale za 22 madigiri. Kumbukirani kuti ana msanga mwina mavuto ndi owongolera.
2. Kumusambitsa kunyumba kwa nthawi yoyamba pambuyo kusamvana waima GP. Bafa kutenthetsa digiri 24, madzi ayenera kukhala pafupi ndi kutentha thupi. Pambuyo kutsuka mwana mosamala misozi ndi chopukutira zofewa ndi zovala ofunda, monga ana mu nthawi, angathe mofulumira supercooled.
3. Kuyenda sasiyana ndi zimene amapatsidwa makanda zonse yaitali. M'chaka ofunda mukhoza kupita kupuma mpweya yomweyo pambuyo kumaliseche, ndi nyengo yozizira - mwezi. Amayenda woyamba kumatenga za theka la ora, nthawi pang'onopang'ono kumawonjezera.
4. Yoyamwitsa ana msanga pambuyo kumaliseche, Sutha, monga iye adzakhala 'asokoneza "botolo ndipo zidzakhala aulesi kwambiri kuyamwitsa. Koma yesani kuyamwitsa monga Nthawi zambiri kapena kunena mkaka, ndiponso kudyetsa mwana wawo, chifukwa mkaka wa m'mawere - chinthu chofunika kwambiri mphamvu chaka choyamba cha moyo. Ngati muli mkaka wokwanira kapena kuusunga palimodzi pambuyo nkhawa opangidwa chifukwa nkhani ya moyo wa nyenyeswa wake, ndiye kugula osakaniza anaikira makanda msanga.
5. Mu chisamaliro cha ana msanga kunyumba onetsetsani kuti kuyatsa Ataona zonse! Ngati mwana wakhala aulesi, ofooka, iye akukana kudyetsa ndi burp kwambiri, nthawi yomweyo dokotala anu, ndi chizindikiro choipa kwambiri.

amasamalidwa msanga mwana outpatient

Konzani kuti kafukufuku ana oyambirira, anapanga payekha. Ana obadwa masiku asanakwane zambiri amadwala matenda a impso, diso, ubongo kudwala anati. Ngati pali kuphwanya iliyonse, mwana kuvala mlandu kwa dokotala n'kofunika ndipo izikhala amapita popanda akusowa paudindo wawo.

Ngati kuyenda wanu mwangwiro wathanzi, ndiye chofunika yoyendera mwezi mu chipatala ndipo ulendo akatswiri, amene amapangidwa mu "Masiku a ana athanzi." Patangopita mwezi, namwino chigawo kodi inu pitani mukaone, kuonetsetsa bwino mwanayo.

Kukula kwa makanda msanga

Ngati mwamuna wamng'ono anabadwa kumayambiriro kwa miyezi iwiri yoyambirira ya moyo wake, iye nthawi kugona, asatope msanga ngakhale pa ntchito otsika. Patadutsa miyezi iwiri zakubadwa, mwana kuyamba kukhazikitsa mofulumira kwambiri yogwira kusuntha zimene zingachititse kuti kupsyinjika nthambi minofu. N'zosavuta kuchotsa Zochita wapadera.

Tisaiwale kuti mantha dongosolo ana akhanda msanga ofooka, tenepo mwanayo akhoza kuyamba palibe chifukwa, mantha kayendedwe mwadzidzidzi phokoso. Nthawi tulo lokoma siyana zikuchepa akuukira malemeredwe kachiwiri popanda chifukwa. ana Tiyenera bata ndi mtendere, iwo sadzalekerera kukumana ndi alendo ndi kagwiridwe.

Ngati mwana alibe kudwala, zidzakhala wokongola kudya kukhala ndi kukula. Ndi zaka miyezi itatu Muwapeza mwinanso kuposa anzawo mu msinkhu, thupi ndi chitukuko!