Mamiriro ekuzvarwa patsva anoongororwa navanachiremba kubva pamaminitsi ekutanga ehupenyu hwavo. Zvakakosha kusarudza kutarisira zvakanyanya kubva kune vashandi vavanoda. Nzira yekutanga yekuongororwa kwevatatu inorema uye kureba kwechecheche, pamwe chete neApgar scores. Ndizvo zvekupedzisira izvo zvatichazozvitaurira, tichitsanangura kuti mapepa anowanikwa sei uye kuti chiyero chavo chinoratidzei.
Chikamu cheApgar chinorevei?
Apgar system yakatangwa muna 1952. Zvinyorwa zvekuongorora nyika yevana vachangoberekwa pachiyero zvakarongedzwa naVirginia Apgar, anesthesiologist weAmerica. Chinokosha chaicho ndechokuti mumakore ekutanga nechishanu ehupenyu, vanachiremba vanoongorora nyika yemwana pane zvishanu. Mumwe nomumwe wavo anogoverwa zvimwe zvikamu - kubva ku 0 kusvika ku2.
Apgar zviyero zviduku
Pfungwa huru dzeApgar kuongorora ndezvekuti:
- ruvara rweganda;
- kufema;
- heart rate;
- muscle tone;
- mafungiro.
Muvara weganda. Ganda recheche rine ruvara rwemavara kubva kumucheka wakajeka kusvika kune pink yakajeka. Muvara uyu unofungidzirwa pa 2 nhope. Kana zvibatanidza nemakumbo zvine bluish tint, vanachiremba vanoisa 1 point, uye nechepachika uye cyanotic ganda - 0 mapeji.
Kupisa. Kuwanda kwekufema kwecheche kunowanzofungidzirwa pachikamu cheApgar mu 2 points. Sezvo mutemo, inenge 45 mhepo inofema / kubuda mukati maminiti, apo mwana achishevedzera shrilly. Kana kufema kuri pakati, kuoma, uye mheremhere dzinoberekwa zvishoma, 1 pfungwa inowanikwa. Hapana chinhu chimwe chete chinowedzerwa kune zvakakosha zviratidzo nokusavapo kwakakwana kwekupema uye kunyarara kwechecheche.
Moyo. Maererano neApgar tafura, kutengesa kwemwoyo kunopfuura 100 kurova paminiti inofungidzirwa pa 2 nhope. Rhythm iri pasi inotora 1 pfungwa, uye kushaikwa kwese kwepfungwa yemwoyo kunoratidzwa nenyanzvi pa 0 nhovo.
Tsvina inzwi. Mumwana achangobva kuberekwa, inzwi rehutachiona huchiwedzera hunowedzera nekuda kwechinzvimbo chakakosha panguva yekuvandudzwa kwemukati. Vanonyongedza kuisa maoko avo nemakumbo, kufamba kwavo hakugadzirwe. Iyi maitiro inofungidzirwa pa 2 nhope. Vacheche, vane maitiro mashomanana asina kusimba, vanogamuchira chikamu cheApgar chekutanga.
Reflexes. Mwana akaberekwa ane chimwe chimiro chekufungidzirwa kusinganzwisisiki, kunosanganisira
Chikamu cheApgar chinorevei?
Pfungwa dzakapiwa kumwana, chaizvoizvo, zvinokonzerwa nekuongorora kwekuzviisa pasi uye hazvikwanise kutongwa nenzira yehutano hwemwana. Zvazvinoreva maererano neApgar chikamu ndechekuongorora kana mwana achangoberekwa achida kudzorerwa kana kunyatsocherechedza kwehutano hwake mumazuva okutanga ehupenyu.