Chu hun duhawm takah chuan i naute he khawvela a lo kal lai hian doctor leh nurse te chuan, "Apgar score chu eng nge ni?" I ngaihtuah mai thei, "He Apgar hian eng nge a awmzia? Ka naute hi thil dik lo a awm em?" Hlau suh. Hei hi naute pian veleh rang taka a hriselna tehna atana hmanraw awlsam leh pawimawh tak a ni. Vawiin hian Apgar score chungchanga hriat tur zawng zawng kan sawi dawn a ni.
A awlsam zawngin Apgar Score hi eng nge ni?
Apgar score hi naute pian hnua a dinhmun ‘snapshot’ angin han ngaihtuah teh. Hei hian doctor-te chu naute chu a pum chhunga boruak a\angin pawn lam khawvel nena a insiamrem \hat dan a hrethiam thuai thei a ni. Hei hian naute hian tanpuina dang a mamawh em tih relnaah a pui hle a, chu chu tanpuina tlem a mamawh tihna a ni.
Mahse hetah hian thil pawimawh tak pakhat i hriat reng tur a awm.
Apgar score hian i naute hmalam hun a hril thei lo. Naute finna chungchang te, an lo thang lian zel dan tur te, an hmalam hun atana an hriselna chungchang te engmah a sawi lawk thei lo. Naute pian tirh laia a dinhmun tehna mai a ni.
Tin, doctor-te chuan Apgar score chauh hmangin naute hian eng enkawlna nge a mamawh tih an rel lo. An hmanraw pakhat chauh a ni.
Engtin nge Apgar score hi pek a nih? Heng thudik 5 te hi han thlir ila
Apgar score tihfel hunah hian thil pawimawh panga ngaihtuah tur a awm. Heng factor tinte hi score 0, 1, 2 pek theih a ni a, a tawpah chuan heng point zawng zawng hi dah khawm a ni a, Apgar score zawng zawng chu chhut a ni. Okay, chu factor 5 te chu eng nge ni tih i en ang u?
| Factor test tur a ni | Scoring leh sawifiahna |
|---|---|
| A lan dan (vun rawng) . | Hei hi naute thisena oxygen level hriat theihna tur a ni.
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| Pulse (thinlung thawk) . | Hei hian naute heart rate a teh a ni.
|
| Grimace (reflex chhanna) a ni. | Naute hian pawn lam thil (e.g., hnar emaw hmui emaw-ah suction tlemte dahin) a chhang let tih hmuh a ni.
|
| Thiltih (muscle activity) 1.1. | Naute chu engtiang chiahin nge a che tha tih kan check mek a ni.
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| Thâwk chhuah (thâwk chhuah) . | Naute hi engtiang chiahin nge a thawk tha tih kan enfiah mek a ni.
|
Engtin nge point-te chu i belhkhawm a, i hriatthiam?
Factor pangate score zawng zawng hi an belhkhawm chuan score zawng zawng chu 0 atanga 10 thleng a ni thei a, doctor-te chuan he score hi vawi hnih tal an check thin.
1. Nau piang atanga minute 1 hnuah.
2. Pian hnu minute 5 hnuah.
Heng mark te hi a tlangpuiin hetiang hian an thliar hrang thin.
- Score 7 atanga 10: Naute chu a hrisel tha hle. (Thlamuanthlak tak) .
- Score 4 atanga 6: Naute hian tanpuina engemaw zat a mamawh mai thei. (A pangngai lo deuh) .
- Score 0 to 3: Naute hian damdawi lam pan vat a ngai. (Hniam)
Naute minute 5-a a score chu 7 aia tlem a nih chuan doctor-te chuan minute 5 danah minute 20 chhungin he score hi an enfiah ang.
Naute vun a dum a nih chuan engtin nge ni ang?
Apgar scoring system tihkhawtlai pakhat chu vun rawng a en vang a ni. Pink tan score sang zawk a pe a, hei hi naute vun dum zawk tan chuan a dik lo thei bawk. Chuvangin, doctor tawnhriat ngah tak takte chuan naute vun rawng aiin hmui, lei leh hmui rawng an en zawk thin. Chu hmun rawng chuan taksaa oxygen level chu a hriat chian zawk theih a ni.
Apgar score pangngai chu eng nge ni?
Apgar score 7 aia sang a nih chuan a tha hle. Mahse i naute hian 10 zinga 10 ṭha famkim a hmu lo a nih chuan lungngai suh, naute hrisel ber berte pawhin 10 ṭha famkim an hmu tlem hle a, hei hi a chhan chu naute thisen kal dan chu a pian hnua a pangngaia a lo kir leh theih nan minute engemaw zat a mamawh vang a ni. Chuvangin, ke ruh (score point 1 a hniam zawkna hmun) ah hian blue rawng tlem a awm hi thil pangngai tak a ni .
Naute Apgar score a hniam chuan eng nge thleng ang? Ka lungngai tur em ni?
Ni lo, lungngai suh. Apgar score 7 aia tlem a nih chuan naute hian he khawvel thara insiamrem turin tanpuina tlem a mamawh tihna chauh a ni. Chumi awmzia chu medical team chuan naute mamawh chu an pe nghal dawn tihna a ni. Chutiang hun laia naute enkawl dan thenkhat chu hetiang hi a ni:
- Supplemental oxygen: Naute chu thawk a awlsam zawk nan oxygen pek a ni.
- Thâwk harsat nân intubation: A châng chuan naute thawkna kawng hawn reng tûrin tube te tak te dah a ngai mai thei.
- Chest compressions: Heart rate a chak loh chuan zawi zawiin i rilru chu massage la, a tichak thei ang.
- Epinephrine ang chi damdawi: A tul chuan thinlung hnathawh that nan damdawi pek thin a ni.
- Mechanical ventilation: Naute hian a mah chauha thawk a harsat chuan mechanical ventilation pek theih a ni a, chu chu positive-pressure ventilation (PPV) emaw neonatal continuous positive airway pressure (NCPAP) emaw a ni thei.
Apgar score hniam chhan hi engte nge ni?
Vawi tam tak chu Apgar score hniam hi nautein nausen pum pawn lama nun a insiamrem harsat laiin a thleng thin. Hei hi chhan hrang hrang vang pawh a ni thei:
- Nausen cesarean section (C-section) hmanga nau piang.
- Nau neih hi a harsa emaw, hun rei tak a daih emaw a ni.
- Naute thawkna kawngah tui (pus ang chi) a awm a.
- Naupai laiin harsatna (complication) neih (high-risk pregnancy).
- Hun hmaa nau neih.
Hetiang thil a lo thlen hian i sualnaah ngai ngai suh. Naupai leh nau neih hi kan zinga tumahin kan thunun theih loh thil a ni fo thin.
Tuin nge Apgar method hi siam chhuak?
He scoring system hi kum 1952 khan anesthesiologist Dr. Virginia Apgar chuan a lo hmang tan a ni. Mak tak maiin he system a rawn luh tirh khan a hming letter te hi a hmang lo. A hnuah kum 1962 khan naupang enkawltu dang pahnih chuan heng point 5 te hi hriatreng awlsam zawk nan APGAR tih hming an lo siam ta a ni.
A tawp berah chuan i naute Apgar score ngaihtuah hi thil pangngai a ni. Mahse, chutih lai chuan doctor-te’n i naute dinhmun an hriatthiam theih nan hmanrua mai a ni tih hre reng ang che. I naute hmalam hun tur a hril lo. Score eng pawh ni se, i medical team chuan i naute chu a enkawl ṭha ber ang.
Take-Home Thuchah a ni
- Apgar Score hi naute pian tirh atanga a hriselna tehna rang tak a ni a, hmalam hun sawi lawkna a ni lo.
- Score hniam chuan naute hian chutih lai chuan tanpuina leh ngaihsakna tlem a mamawh tihna mai a ni.
- Naute hrisel tan chuan 10 out of 10 score a hmuh loh hi thil pangngai tak a ni. Ngaihtuah buai suh.
- Naute Apgar score a hniam chuan nu sualna a ni ngai lo. Kan thunun theih loh thil tam tak a nghawng thei a ni.
- Hemi chungchangah hian zawhna emaw, ngaihtuahna emaw i neih chuan i doctor nen sawiho theih a ni.
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