Na da fayn fayn tɛm de we yu pikin kam na dis wɔl, dɔktɔ ɛn nɔs dɛn de tɔk to yu wantɛm wantɛm se, "Wetin na di Apgar skɔ?" Yu kin de wɔnda, "Wetin dis Apgar min? Sɔntin de we nɔ rayt wit mi pikin?" Nɔ fred. Dis na wan we we rili simpul ɛn impɔtant we dɛn kin yuz fɔ no di pikin in wɛlbɔdi kwik kwik wan jɔs afta dɛn bɔn am. Tide, wi go tɔk bɔt ɔl wetin yu nid fɔ no bɔt di Apgar skɔ.
Fɔ tɔk am simpul wan, wetin na di Apgar Skɔ?
Tink bɔt di Apgar skɔ as ‘snapshot’ fɔ di pikin in kɔndishɔn afta dɛn bɔn am. Dis kin mek dɔktɔ dɛn ɔndastand kwik kwik wan aw di pikin de ajɔst to di tin dɛn we de na do frɔm di say we i de na di bɛlɛ. Dis kin rili ɛp fɔ disayd if di pikin nid ɛkstra ɛp, dat na fɔ sɔpɔt am smɔl.
Bɔt wan impɔtant tin de we yu fɔ mɛmba na ya.
di Apgar skכl nכ kin prεdikt yu pikin in fכs fכs. I nɔ kin ebul fɔ tɔk ɛnitin bɔt aw pikin in sɛns, aw dɛn go divɛlɔp as dɛn de gro, ɔ aw dɛn go gɛt wɛlbɔdi tumara bambay. Na jɔs fɔ no di pikin in kɔndishɔn we dɛn bɔn am.
Dɔn bak, dɔktɔ dɛn nɔ kin yuz di Apgar skɔ nɔmɔ fɔ disayd us tritmɛnt pikin nid. Na jɔs wan tul we dɛn de yuz.
Aw dɛn kin gi di Apgar skɔ? Lɛ wi luk dɛn 5 tin ya
We yu de disayd di Apgar skɔ, fayv men tin dɛn de we yu fɔ tink bɔt. Dɛn kin gi ɛni wan pan dɛn tin ya wan mak we na 0, 1, ɔ 2. Fɔ dɔn, dɛn kin ad ɔl dɛn pɔynt ya togɛda fɔ kɔl di ɔl Apgar mak. Okay, mek wi si wetin na dem 5 factors?
| Factor we dɛn fɔ tɛst | Skɔring ɛn Diskripshɔn |
|---|---|
| Aw i tan (di kɔlɔ we di skin gɛt) . | dis na fכ gεt di aidia fכ di כksijεn lεvεl na di pikin in bכdi.
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| Pulse (at bit) . | Dis de mek di pikin in at rit.
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| Grimace (riflɛks rispɔns) . | dεn si di pikin de rεspכnd to εksternal stimuli (e.g., bay we i de put sכm sכkshכn pan di nos כ mכt).
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| Aktiviti (mכsul aktiviti) . | Wi de chɛk aw di pikin de muv fayn fayn wan.
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| We yu de blo (we yu de blo) . | Wi de chɛk aw di pikin de blo fayn fayn wan.
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Aw yu kin ad di pɔynt dɛn ɛn ɔndastand dɛn?
We dɛn ad di mak fɔ ɔl di fayv tin dɛn togɛda, di ɔl mak kin kɔmɔt frɔm 0 to 10. Dɔktɔ dɛn kin chɛk dis mak tu tɛm.
1. 1 minit afta dεn bכn am.
2. 5 minit afta dεn bכn am.
Dɛn kin put dɛn mak ya lɛk dis:
- Skɔ 7 to 10: Di pikin gɛt gud wɛlbɔdi. (I de mek pɔsin fil fayn)
- Skɔ 4 to 6: Bebi kin nid sɔm sɔpɔt. (I nɔmal smɔl) .
- Skɔ 0 to 3: Bebi nid fɔ go to dɔktɔ wantɛm wantɛm. (Lo)
If di pikin in 5 minit skɔ nɔ rich 7, di dɔktɔ dɛn go chɛk dis skɔ ɛvri 5 minit fɔ 20 minit.
Wetin fɔ du if di pikin in skin dak?
Wan limiteshɔn fɔ di Apgar skɔring sistɛm na dat i de luk pan di skin kɔlɔ. I de gi ay mak to pink, we kin bi tin we nɔ fayn sɔntɛnde to bebi dɛn we gɛt dak skin tɔyn. So, dɔktɔ dɛn we gɛt ɛkspiriɛns kin luk di kɔlɔ we di pikin in lip, in tɔŋ, ɛn di gam gɛt pas di kɔlɔ we di pikin in skin gɛt. Di kɔlɔ we dɛn say dɛn de gɛt kin mek wi no mɔ bɔt di ɔksijɛn we de na di bɔdi.
Wetin na nɔmal Apgar skɔ?
Wan Apgar skor we na 7 ɔ pas dat, na fayn tin. Bɔt nɔ wɔri if yu pikin nɔ gɛt pafɛkt 10 pan 10. Ivin di pikin dɛn we gɛt wɛlbɔdi nɔ kin gɛt pafɛkt 10. Dis na bikɔs i kin tek sɔm minit fɔ mek di pikin in blɔd go bak ful wan afta dɛn bɔn am. So, i rili nɔmal fɔ gɛt smɔl blu kɔlɔ na di an ɛn fut dɛn (we di mak de 1 poɛnt smɔl) .
Wetin kin apin if di pikin in Apgar skɔ smɔl? A fɔ wɔri?
Nɔ, nɔ wɔri. Apgar skɔ we nɔ rich 7 jɔs min se di pikin nid smɔl ɛp fɔ ajɔst to dis nyu wɔl. Dat min se di mɛdikal tim go gi di pikin di sɔpɔt we dɛn nid wantɛm wantɛm. Na sɔm pan di tritmɛnt dɛn we dɛn kin gi di pikin dis kayn tɛm:
- supliment oksijεn: dεn de gi di pikin כksijεn fכ mek i izi fכ brith.
- Intubation fɔ mek i nɔ izi fɔ blo: Sɔntɛnde i kin nid fɔ put smɔl tiub fɔ mek di pikin in aywe opin.
- Kɔmpreshɔn na di chɛst: If di at rit wik, masaj di chɛst jisnɔ fɔ mek i wok.
- Mεdikeshכn lεk epinephrine: If nid de, dεn kin gi mεdikeshכn fכ mek di at wok fayn.
- mεkanikal vεntileshכn: If di pikin de gεt difεlεbl fכ brith in wan, dεn kin gi am mεkanikal ventilashכn, lεk positifu-prεshכn vεntileshכn (PPV) כ nyu bכbi kכntinyu positifu aywe prεshכn (NCPAP).
Wetin na di tin dɛm we kin mek pɔsin gɛt smɔl Apgar skɔ?
Bɔku tɛm, di smɔl Apgar skɔ kin apin we di pikin de gɛt prɔblɛm fɔ ajɔst to layf we nɔ de na di bɛlɛ. Dis kin bi bikɔs ɔf sɔm rizin dɛn:
- We dɛn bɔn pikin bay sizarian sɛkshɔn (C-section).
- I nɔ kin izi fɔ bɔn pikin ɔ i kin tek lɔng tɛm.
- wan wata (sכmtin lεk pus) de stכp na di pikin in aywe.
- Fɔ gɛt kɔmplikeshɔn we yu gɛt bɛlɛ (high-risk pregnancy).
- Fɔ bɔn pikin bifo tɛm.
Nɔ ɛva tink se na yu fɔlt we sɔntin lɛk dis apin. Bɔku tɛm, bɛlɛ ɛn bɔn pikin na tin dɛn we nɔbɔdi nɔ go ebul fɔ kɔntrol.
Udat mek di we aw dɛn de yuz Apgar?
Wan dɔktɔ we nem Dɔktɔ Vijinia Apga we de anestez pipul dɛn bin bigin fɔ yuz dis we aw dɛn kin skɔ fɔ di mak insay 1952. I sɔprayz fɔ no se we i bigin dis sistɛm, i nɔ bin yuz di lɛta dɛn we de na in nem. Leta, insay 1962, tu ɔda dɔktɔ dɛn we de mɛn pikin dɛn bin mek di nem APGAR fɔ mek i izi fɔ mɛmba dɛn 5 pɔynt dɛn ya.
Fɔ dɔn, i nɔmal fɔ wɔri bɔt yu pikin in Apgar skɔ. Bɔt mɛmba se na jɔs wan tul fɔ ɛp dɔktɔ dɛn fɔ ɔndastand aw yu pikin de da tɛm de. I nɔ de sho aw yu pikin go bi tumara bambay. I nɔ mata di mak we yu gɛt, yu mɛdikal tim go gi yu pikin di bɛst kia.
Mɛsej we dɛn kin kɛr go na os
- Di Apgar Skɔ na kwik we fɔ mɛzhɔ di pikin in wɛlbɔdi we dɛn bɔn am, nɔto fɔ tɔk bɔt di tumara bambay.
- di skכl we sכmtεm sכmtεm sכmtεm min se di pikin nid sכm εp εn atεnshכn sכmtεm da tεm de.
- I rili nɔmal fɔ mek pikin we gɛt wɛlbɔdi nɔ gɛt 10 pan 10 mak. Nɔ wɔri bɔt am.
- If di pikin in Apgar skɔ smɔl, i nɔ ɛva bi di mama in fɔlt. Bɔku tin dɛn de we kin afɛkt am we wi nɔ ebul fɔ kɔntrol.
- If yu gɛt ɛni kwɛstyɔn ɔ wɔri bɔt dis, nɔ fred fɔ tɔk bɔt am wit yu dɔktɔ.
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