Saamai kana baba, unomirira nemwoyo wese kuuya kwemwana wako panyika. Asi dzimwe nguva, zvinhu hazvifambe sezvawakaronga. Kana mwana wako akazvarwa nguva isati yakwana kana kuti aine dambudziko guru rehutano pakuzvarwa, zvakajairika kunzwa kutya uye kuzvidya mwoyo. Asi usazvidya mwoyo. Kune chiremba akadzidziswa zvakanyanya kutarisira mwana wako munguva ino yakaoma. Tinodana chiremba iyeye kuti Neonatologist . Nhasi, ngatitaurei nezvekuti chiremba uyu ndiani uye zvaanoita.
Ndiani chaizvo chiremba wevana vacheche?
Muchidimbu, chiremba wevana vacheche inyanzvi yekurapa vacheche vachangoberekwa. Asi havasi vese vacheche vachangoberekwa. Uyu chiremba anorapa vacheche vanozvarwa nguva isati yakwana , kana avo vanozvarwa vaine chirwere chakaoma, kuremara kwekuzvarwa nako, kana zvimwe zvinhu zvinoisa njodzi.
Fungidzira kuti mwana wako akazvarwa mavhiki makumi matatu nemanomwe asati asvika. Nhengo dzake, kunyanya mapapu ake nemoyo, zvinogona kunge zvisati zvanyatsokura. Kana kuti mwana anogona kunge aine chirwere chemwoyo chakaonekwa paakazvarwa. Muzviitiko zvakadaro, chiremba wevana vachatarisira mwana.
Vanachiremba ava vanowanzo shanda muzvipatara zveNeonatal Intensive Care Units (NICUs). Iyi iwadhi inopa rubatsiro rwakakosha rwemaawa makumi maviri nemana kune vacheche vanorwara kana vana vasati vazvarwa. Dzimwe nguva, kana dambudziko rikaonekwa panguva yekuongororwa kwemwana wako asati aberekwa, chiremba weNeonatologist anogona kunge aripo pakubata kwako pamuviri kubva ipapo zvichienda mberi. Vanogonawo kunge varipo muimba yekuzvarira kuti vape rubatsiro rwemwana wako mushure mekuzvarwa.
Basa guru remucheche wevana nderei?
Mabasa evanachiremba vevana vacheche akakura zvikuru. Hazvisi zvekungopa mwana mushonga chete. Basa ravo guru nderekuronga zvese zvinodiwa kuponesa hupenyu hwemwana mudiki ane chirwere chakakomba.
Ngatizvinzwisisei zviri pachena kubva patafura iri pazasi.
| Basa | Tsananguro iri nyore |
|---|---|
| Kuongorora uye kurapwa | Vanotsvaga kuti ndeapi matambudziko, hutachiona, nezvimwe zvinetso zvine mwana achangoberekwa, vobva vatanga kurapwa kwakakodzera. |
| Kutarisira uye kubatanidza kutarisirwa kwevana | Kana mwana achida kuvhiyiwa, kana kuti rubatsiro rwevamwe vanachiremba, vakaita sechiremba wemwoyo kana wetsinga, ruchidiwa, zvese zvinorongwa kuti mwana awane kurapwa kwakanakisisa. |
| Kuitisa bvunzo | Miedzo yakaita sekuongororwa kweropa, X-ray, echocardiograms, kana ultrasound inorayirwa kuti iongorore mamiriro emwana. |
| Kuvimbiswa kwezvekudya zvinovaka muviri | Mwana anorwara angasakwanisa kuyamwisa mwana zvakanaka. Saka, tinova nechokwadi chekuti mwana ari kuwana kudya kwakakwana. Kana zvichidikanwa, tinogona kutoshandisa machubhu ekudyisa. |
| Vabereki vanotsigira | Vabereki vanonetseka zvikuru kana mwana wavo ari muNICU. Saka, ibasa guru revanachiremba ava kuzivisa vabereki nezvemamiriro emwana uye kurapwa kwake, uye kuvapa rutsigiro rwepfungwa rwavanoda. |
Ndepapi paunoda rubatsiro rweNeonatologist?
Kazhinji, chiremba wevana vacheche anodiwa kamwe kamwe uye zvisingatarisirwi. Zvisinei, mune dzimwe nguva, rubatsiro rwenyanzvi yakadaro runogona kudiwa panguva yekuzvitakura.
Heano mamwe mamiriro ezvinhu akadaro:
- Kana pamuviri pako paine njodzi huru: Kana uine zvirwere zvakaita sechirwere cheshuga kana BP, mwana anogona kukanganiswa nazvo.
- Kana paine mukana mukuru wekuti mwana azvarwe nguva isati yakwana: Kana vanachiremba vakaona izvi pachine nguva, unogona kutsvaga rubatsiro kubva kuna chiremba wevana vacheche.
- Kana mwana ari mudumbu akaonekwa kuti ane chirwere chekuzvarwa nacho:Kana scan ikaona dambudziko riri pamwoyo wemwana, uropi, kana imwe nhengo yemuviri, chiremba wevacheche achaita zvirongwa mwana asati aberekwa.
- Kana mwana akazvarwa zuva rekuzvarwa risati rasvika.
- Kana mwana akakuvara (kukuvara kwepamuviri) panguva yekusununguka.
- Kana mwana akazvarwa aine hutachiona kana chirwere.
- Kana paine matambudziko asingatarisirwi anomuka panguva yekusununguka kana mushure mekusununguka.
Chinhu chinonyanya kukosha kuziva kuti hausi wega uri mumamiriro ezvinhu akadai. Yeuka kuti une timu yezvekurapa ine hunyanzvi inogona kupa rubatsiro rwakanakisisa kumwana wako.
Matambudziko akajairika anorapwa nachiremba wevana vacheche
Chiremba wevana vacheche anorapa zvirwere zvakasiyana-siyana zvakaoma, zvinosanganisira:
- Kukura nguva isati yakwana: Izvi zvinokonzera matambudziko munhengo dzemuviri (kunyanya mapapu) dzisina kukura zvakakwana.
- Kuberekwa kushoma: Mwana ane huremu husingasviki 2500 gramu kana kuti mwana asati aberekwa ane dambudziko rekukura.
- Kukanganisika kwemuviri: Zvirwere zvinovapo pakuzvarwa, zvakaita semaburi mumoyo (septal defects), matambudziko etsinga.
- Matambudziko ekufema: Mwana anonetseka kufema ari ega.
- Chirwere chemwoyo: Zvirwere zvakaita sekurova kwemoyo kusina kurongeka (bradycardia) kana kutadza kushanda zvakanaka kwemoyo.
- Matambudziko europi: Matambudziko akakomba akadai sepfari kana kubuda ropa muuropi.
- Kuderera kweshuga muropa (Hypoglycemia).
- Jaundice: Chirwere chinowanzoitika asi dzimwe nguva chakakomba muvana vacheche vachangoberekwa.
- Kukuvara kwekuzvarwa.
Musiyano uripo pakati pemucheche nemwana wevana ndeupi?
Izvi zvinovhiringidza vanhu vazhinji. Zvichitaurwa zviri nyore, chiremba wese wevana vanozvarwa pakutanga anova chiremba wevana.
Funga nezvazvo nenzira iyi. Chiremba wevana chiremba anorapa zvirwere zvese zvemwana, anomupa majekiseni, uye anoongorora kukura kwake kubva pazuva raanozvarwa kusvika ava nemakore angangoita gumi nemasere. Iye ndiye "chiremba wemwana" wako.
Asi chiremba wevana vacheche inyanzvi yevana vakapedza makore akati wandei vachinyanya kurapa vana vacheche, kunyanya avo vane zvirwere zvakakomba. Chinangwa chavo ndechekurapa zvirwere zvinotyisidzira hupenyu zvinoitika mumazuva mashoma ekutanga kana mavhiki ehupenyu hwemwana. Kana mwana wako angopora obva aenda kumba kubva kuNICU, chiremba wevana wenguva dzose ndiye achatora basa rekutarisira mwana wako.
Ndeapi marapirwo anoitwa nechiremba wevana vacheche?
NICU inzvimbo ine michina yemazuva ano. Chiremba wevana vacheche anoshandisa michina iyi pamwe chete nekurapa kwakasiyana-siyana kubatsira kuponesa hupenyu hwemwana wako.
| Nzira yekurapa | Tsananguro iri nyore |
|---|---|
| Kubatsira kufema | Midziyo yakaita seCPAP neventilator zvinoshandiswa kubatsira mwana kufema. |
| Kudzora tembiricha yemuviri | Vana vacheche vasati vasvika nguva vanonetseka kudzora tembiricha yemuviri wavo, saka vanoiswa mumidziyo inodziya yakaita sema incubator. |
| Kurapa kwechiedza | Vacheche vane chirwere chejaundice vanorapwa nekuvaisa pachiedza chebhuruu. |
| Kurapa kwemutsinga | Mwana anopiwa mvura, mishonga inorwisa mabhakitiriya, nemimwe mishonga kuburikidza nemunyu. Kuwedzerwa ropa kunoitirwawo kana zvichidikanwa. |
Kana mwana wako achida kurapwa nachiremba wevana vacheche, chiremba achakutsanangurira zvese nezvemamiriro emwana wako, marapirwo ari kupihwa, uye njodzi dzawo. Sununguka kubvunza chiremba chero mibvunzo kana zvinokunetsa. Ikodzero yako.
Mharidzo Yekuenda Nayo Kumba
- Chiremba wevana vacheche chiremba ane ruzivo rwakakosha muvana vacheche, kunyanya avo vanozvarwa nguva isati yakwana kana vane matambudziko akaomarara ehutano.
- Kana mwana wako achida kurapwa muNICU, mwana wacho achatarisirwa nechikwata chevanachiremba chinotungamirirwa naNeonatologist.
- Vanachiremba ava ndivo vanoongorora chirwere chemwana, kurapwa kwacho, kudya kwakaringana, uye kutarisirwa kwacho kwese.
- Sununguka kubvunza chiremba wako chero mibvunzo yauinayo nezvemamiriro emwana wako kana kurapwa kwake. Ikodzero yako kuwana ruzivo rwakajeka.
- Chiremba wevana vacheche munhu akazvipira kupa mwana wako hupenyu hwakanaka. Saka vimba nechikwata chevanachiremba.
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