Apgar isikolo

Ukuzalwa indoda entsha - eziyinkimbinkimbi futhi eyinkimbinkimbi. Kubalulekile kakhulu ukuze kuphumelele ungawoni ingane. Ukuze kahle ukunakekela usana olusanda kuzalwa noma ukunikeza usizo oludingekayo, kubalulekile ukuba ngokwanele ukuhlola isimo sakhe ngemaminithi ekucala emva kokuzalwa. Ngenxa yale njongo Apgar isikolo. Nobuchwepheshe odokotela, kulesi simo, kubaluleke kakhulu, ngenxa ezingeni lesi sibalo incike ukuziphatha kwabasebenzi bezokwelapha esikhathini esizayo.

Apgar amaphuzu kubonisa ezingeni impilo ngokomzimba umntwana ngesikhathi sokuzalwa. Lwakhiwe nge udokotela American Virginia Apgar. Lolu hlelo kwaba lula futhi zihambisane umsebenzi odokotela nabahlengikazi. Ngu ubuka ingane embukisweni maphuzu, efingqa ukuthi udokotela kunquma ukuthi usana banempilo futhi kungaba kudinga ukunakekelwa okukhethekile.

Apgar isikolo kuhilela ukuhlola izinkomba ezifana:

1. Kwenhliziyo.
2. Breathing.
3. Imisipha ithoni.
4. Elisheshayo futhi ibala lesikhumba.

ipharamitha ngamunye angabelwa amaphuzu kuka-0 no 2. Ngakho, amaphuzu aphezulu kuyoba 10. Nokho, lokhu isimo ekahle akuyona ovamile. Ibanga kunikezwa kabili imizuzwana yokuqala yokuphila, bese ngemva kwemizuzu emihlanu. Kule ndaba, izikolo ezimbili elotshiwe. Kubonakala sengathi lokhu - Apgar amaphuzu 7/8. Idijithi yokuqala kumelwe ibe incane kuneyesibili. Lokhu kusikisela ukuthi isimo sibe ngcono. Uma inkomba libukeka Apgar amaphuzu 8/8, ukhathazeke kakhulu akudingekile - kuba izimpawu ngempela eliphezulu.

Yini umele ngamunye izinkomba:

1. Palpitations. Ngo izinsana, inhlitiyo ishayela at a imvamisa 140 ngomzuzu. Uma le nkomba ingaphezu 100, kunikezelwe 2 amaphuzu. Uma umntwana ukuphefumula ukushaya kwenhliziyo kancane behlisa - 1 iphuzu. Uma kungekho i-pulse - 0 amaphuzu.
2. Breathing. Ngo usana ngomzuzu 40-45 kwenza ukunyakaza zokuphefumula futhi ngezwi elikhulu. Kulokhu, ukubeka 2 amaphuzu. Uma ingane akusho ukukhala, nikhale, uphefumule kancane - 1 iphuzu, akusho bungakhiphi noma yimuphi umsindo - 0 amaphuzu.
3. Imisipha ithoni. Ngo izinsana, ngokuvamile, i anda imisipha ithoni. Ngemuva kokushiya esibelethweni bese once khulula, ingane iqala ukuhambisa ngenkuthalo. isimo esinjalo. esikalini 2 amaphuzu. Uma imilenze nezingalo kukhona ukunyakaza izimisele nevilaphayo, wayesezibeka 1 iphuzu alinyakazi - 0 amaphuzu.
4. Ikhaliphe. Esikhathini imizuzwana zokuqala ngemva kokuzalwa ndoda omncane sebesebenza ikhaliphe unconditioned: ukukhala, ukuphefumula. Uma kunjalo - 2 amaphuzu. Uma ingqondo yavela ngemva manipulations yezokwelapha - 1 iphuzu. Ikhaliphe bengekho - 0 amaphuzu.
5. Ibala lesikhumba. Ngo izinsana, kufanele kube pink okhanyayo noma elikhanyayo. Lokhu kubonisa ezinhle kwegazi. Udokotela ehlola izintende, izindebe, nolwelwesi lwamafinyila, izinyawo. Uma kukhona umbala bluish - 1 iphuzu. Lapho kukhona isidumbu ugodo - 0 amaphuzu.

Kuye Bangalinganisa Imininingwane amaphuzu isimo ngendlela elandelayo:

7-10 - sesimweni esihle ingane kungabhekwa njengokuvikela evamile.

5-6 - kwezinso ezidinga yimuphi umuntu ukuba aphefumule.

3-4 - ngeziphambeko isilinganiso.

0-2 - ngeziphambeko sina, umntwana kudingeka oluphuthumayo lwezokwelapha.

Apgar isikolo inika ukuhlolwa lesifanele kakhulu futhi olunembile empilweni, uma nje wokuhlola kwenziwa ngokushesha kakhulu. Kule kuxhomeke kakhulu. Endaweni yokuqala yokuphila kwengane.