Lɛ wi tɔk bɔt di Apgar Score, di tɛst we yu pikin kin go tru afta dɛn bɔn am!

Aw yu gladi fɔ yu smɔl pikin fɔ kam na dis wɔl? Afta yu bɔn yu pikin, sɔm tɛst dɛn de we dɔktɔ ɛn nɔs dɛn kin du wantɛm wantɛm. Wan pan di impɔtant tin dɛn we dɛn kɔl di Apgar Score . Yu go dɔn yɛri dis wɔd bifo. So, lɛ wi tɔk bɔt am simpul ɛn izi fɔ ɔndastand tide. Natin nɔ de fɔ wɔri bɔt, dis nɔto sɔntin fɔ mek di pikin fred, na jɔs smɔl tɛst fɔ gɛt di fɔs aidia bɔt di pikin in wɛlbɔdi .

Wetin na di Apgar Skɔ?

Fɔ tɔk am simpul wan, di Apgar Skɔ na di mak we dɛn kin gi yu nyu bɔbɔ jɔs afta dɛn bɔn am. I tan lɛk yu pikin in fɔs "ripɔt kad." Bɔt i nɔ de tɔk bɔt aw yu pikin go gɛt sɛns ɔ aw i go gro tumara bambay. dεn kin yus am mεntal fכ no if di bεsik bכdi in bכdi wok dεm de wok fayn afta dεn bכn am εn if i nid fכ go to mεdikal kwik kwik wan.

Na dɔktɔ ɛn spɛshal pipul dɛn kin du dis tɛst. Dɛn kin gi dɛn mak ya wan minit afta dɛn bɔn di pikin, ɛn bak fayv minit afta dat. Sɔntɛnde, if dɛn fil se dɛn nid fɔ tek tɛm smɔl bɔt di pikin in kɔndishɔn, dɛn kin ripit dis tɛst afta 10, 15, ɔ 20 minit.

Ustɛm yu kin du dis? Wetin mek na so i bi?

As wi bin dɔn tɔk, dɛn kin du dis Apgar tɛst tu tɛm mɔ:

1. insay di fכs minit we dεn bכn am: dis na we wi de luk aw di pikin de ajɔst to dis nyu envayroment sכmtεm we i kכmכt na di bכdi, εn if in bכdi sistεm dεm de stat fכ wok. Dis go ɛp wi fɔ ɔndastand us kayn ɛp di pikin nid wantɛm wantɛm.

2. 5 minit afta dεn bכn am: na dis tεm, dεn de chεk di pikin in kכndishכn bak. Bɔku pikin dɛn bɛtɛ naw pas aw dɛn bin de di fɔs minit. Dis sɛkɔn chɛk-ap de chɛk aw di pikin dɔn ajɔst to di say we i de ɛn if dɛn nid fɔ kia fɔ ɛni spɛshal kia.

Tink bɔt am, we wi muf go na nyu ples wantɛm wantɛm, i kin tek wi smɔl tɛm fɔ yus to am. Bebi dɛn na di sem we. We dɛn kɔmɔt na di wam ɛn sef we dɛn mama in bɛlɛ de, dɛn kin tek sɔm tɛm fɔ yus to dis wɔl. Na dat mek wi de chɛk na 1 ɛn 5 minit.

Wetin di Apgar tɛst rili mɛzhɔ?

Dis na tin we rili izi fɔ mɛmba. Di fayv lɛta dɛn APGAR na di wangren we fɔ mɛmba dɛn fayv pɔynt ya. Ɛni wan pan dɛn lɛta ya tinap fɔ wan Inglish wɔd. Mek wi ɔndastand ɛni wan pan dɛn na Sinhala :

1. A – Aw i tan – Di pikin in skin kɔlɔ:

• Dis na fɔ chɛk di pikin in skin kɔlɔ . Di wan ol bɔdi na fayn pink kɔlɔ, ɔ di bɔdi pink wit di limb dɛn nɔmɔ we blu smɔl, ɔ di wan ol bɔdi blu ɔ pale?
• Wetin mek dis impɔtant? di kɔlɔ we di skin gɛt kin mek wi no if di pikin in blɔd de go fayn fayn wan ɛn if di blɔd de gɛt inof ɔksijɛn. Bebi we de gɛt inof ɔksijɛn kin gɛt pink.

2. P – Pulse – Di pikin in at rit :

• Dis de mek di pikin in at rit. Di dɔktɔ ɔ nɔs go chɛk dis bay we i put dɛn an pan di pikin in chɛst ɔ yuz stetɔskɔp .
• Wetin mek dis impɔtant? At rit na wan men sayn fɔ layf. I de tɛl yu aw yu pikin in at strɔng ɛn gɛt wɛlbɔdi. If i pas 100 bit fɔ wan minit, dat na fayn tin. (Bebi in at kin bit fast pas wi yon.)

3. G – Grimace rεspכns – Rispכns to εksternal stimuli (Rεflεks):

• Dis min se yu fɔ wach aw di pikin de du tin we i du smɔl tin. fכ egzampl, sכmtεm yu kin pat di pikin in an כ in sכl jכnt, כ du sכm sכmtin nia in nos (e.g., was am).
• Wetin mek dis impɔtant? If yu pikin de kray fayn, de snis, de kɔf, ɔ de tray fɔ kɔmɔt nia in an ɛn fut, dat min se in riflɛs de wok fayn. Dis kin mek yu no aw yu pikin in nervɔs sistɛm de wok fayn fayn wan.

4. A – Aktiviti – Mɔsul tɔyn: .

• dis de chεk aw di pikin in an dεm de muv, if di mכsul dεm de tכn, כ if di bכdi de jכk.
• Wetin mek dis impɔtant? Bebi we de muv in an ɛn fut fayn fayn wan, we in an ɛn fut bɛn smɔl, de sho se dɛn mɔsul dɛn de wok fayn. If i tan lɛk se dɛn de slip, ɔ if i tan lɛk se dɛn de fɔdɔm we yu es dɛn, yu fɔ pe atɛnshɔn to dat.

5. R – Respirashכn – Breth rεt εn εfכt:

• Dis na fɔ chɛk aw di pikin de blo. Bɔku tɛm, pikin we de kray fayn ɛn gɛt trɛnk kin blo fayn. Dɛn kin chɛk bak di rit we pɔsin de blo, di ritm we i de blo, ɛn di tray we i de tray fɔ blo. If di pikin de blo sloslo, i nɔ de blo ɔltɛm, ɔ i nɔ de blo atɔl, i impɔtant bak ya.
• Wetin mek dis impɔtant? Ɔksijɛn impɔtant fɔ mek pɔsin gɛt layf. I rili impɔtant fɔ mek di pikin blo fayn fɔ insɛf.

Aw dɛn kin gi di gred dɛn?

Naw wi no wetin na di fayv tin dɛn. Dɛn kin gi ɛni wan pan dɛn tin ya wan mak we na 0, 1, ɔ 2.

• 0 points: Dat min se no rilevɛns akshɔn nɔ de atɔl.
• Skɔ 1: Dat min se i de de to sɔm mak, bɔt nɔto kɔmplit gud.
• Skɔ 2: Dis min se di akshɔn we gɛt fɔ du wit am rili gud ɛn i gɛt wɛlbɔdi.

So, dɛn kin gɛt di tɔtal Apgar Skɔ bay we dɛn ad di mak dɛn fɔ ɔl di fayv tin dɛn. Di maksimal mak na 10 (2 poɛnt fɔ ɛni aytem, ​​10 poɛnt fɔ 5 aytem).

Bɔt mɛmba dis: Na smɔl bebi dɛn nɔmɔ kin gɛt pafɛkt 10 pan 10! Bɔku pikin dɛn kin gɛt mak we na 7, 8, ɔ 9. Di men rizin fɔ dis na bikɔs ivin pikin dɛn we rili wɛl kin gɛt smɔl blu kɔlɔ na dɛn finga ɛn fut finga dɛn jɔs afta dɛn bɔn dɛn. Dɛn kɔl dis `(Acrocyanosis)`. dis na biכs i tek sכm tεm fכ di bכdi we de kכ m כt na di εnd dεm na di limb dεm te di pikin in bכdi wam sכmtεm. Dis na tin we rili nɔmal ɛn nɔto natin fɔ wɔri bɔt. I go go afta sɔm tɛm.

Kin:

• Skɔ 7 to 10: Di pikin gɛt gud wɛlbɔdi ɛn i nɔ nid ɛni spɛshal tritmɛnt.
• Skɔ 4 to 6: Di pikin kin nid sɔm smɔl ɛp. fכ egzampl, yu kin nid fכ sok di pikin in nos εn mכt, fכ mek in skin wok, כ gi am כksijεn fכ sכm tεm.
• If di mak nɔ rich 4: Di pikin nid fɔ go to dɔktɔ kwik kwik wan. Dis min tin dεm lεk fכ εp di pikin fכ brith εn fכ mek in at bit bak to nכmal.

Wi fɔ wɔri if di Apgar skɔ drɔp?

Dis na di big kwɛstyɔn we bɔku mama ɛn papa dɛn gɛt. We di Apgar Score drɔp, sɔm pipul dɛn kin wɔnda se, "Sɔmtin siriɔs wan nɔ fayn wit mi pikin?"

Nɔ, nɔ wɔri bɔt am.

• Pan ɔl we di mak kin smɔl smɔl na di fɔs minit, bɔku pan di pikin dɛn mak kin go ɔp na di 5 minit tɛst. Dis min se smɔl smɔl di pikin de ajɔst to di wɔl.
• di Apgar skכ na כnli indikεshכn fכ di pikin in kכndishכn da tεm de. I nɔ de tɔk natin bɔt di pikin in wɛlbɔdi tumara bambay, in sɛns, aw i go biev, ɔ aw i go smat. Yu fɔ mɛmba dis.
• Dɛn mek dis we aw dɛn de gi di mak fɔ ɛp dɔktɔ ɛn nɔs dɛn fɔ disayd kwik kwik wan. Dɛn kin yus am fɔ ɔndastand se, "Us kayn ɛp dis pikin nid rayt naw?"
• Sɔntɛnde, if dɛn bɔn di pikin wit di pikin we nɔ izi fɔ bɔn ɔ dɛn bɔn am bifo tɛm, di Apgar skɔ kin smɔl smɔl. Bɔt di dɔktɔ dɛn no aw fɔ ɛp di pikin we dis kayn tin apin.

Tink bɔt am, sɔm pikin dɛn kin slo smɔl fɔ ajɔst to dis wɔl we dɛn bɔn dɛn. If yu gi dɛn smɔl ɛp, lɛk fɔ gi dɛn ɔksijɛn fɔ sɔm tɛm, dɛn go wɛl kwik kwik wan.

Tin dɛn we yu nid fɔ no (Take-Home Message) .

Okay, so, frɔm wetin wi dɔn tɔk bɔt, dɛn tin ya na di impɔtant tin dɛn we wi fɔ mɛmba:

• di Apgar Score na wan kwik tεst we dεn kin du jכs afta dεn bכn am fכ gεt sכm aidia fכ di pikin in hεlth stetכs naw.
• dis kin mεntal luk pan fayv tin dεm: di pikin in skin kכla, di at rεt, di we aw i de du tin we i de du, di mכsul dεm we de wok, εn di brith we i de blo.
• I nɔ kin izi fɔ gɛt pafɛkt mak we na 10 pan 10. I kɔmɔn fɔ gɛt mak we na 7, 8, ɔ 9.
• Apgar skɔ we smɔl nɔ de tɔk natin bɔt di pikin in fiuja. Na jɔs sɔntin fɔ si if di pikin nid ɛp da tɛm de.
• Dɔktɔ ɛn nɔs dɛn de ɔltɛm fɔ ɛp yu ɛn yu pikin. So, if yu gɛt ɛni kwɛstyɔn ɔ dawt, nɔ ɛva fred fɔ aks am.

Wi ɔl op se yu pikin go kam na dis wɔl wɛlbɔdi ɛn gladi! A op se yu dɔn ɔndastand di Apgar Skɔ naw.