Iimeko zintsana zivavanywa oogqirha ukusuka kwimimiselo yokuqala yobomi babo. Kubalulekile ukucacisa ukuba ingqalelo engakanani kubasebenzi abaya kuyidinga. Iikhrayitheriya zokuvavanya okuphambili kwezi zintathu ubunzima nokuphakama kwengane, kwakunye namaqaku a-Apgar. Kuye malunga neyokugqibela esiza kuxelela, ukuchaza indlela amaxabiso athathwe ngayo kunye nokuba imali yabo ibonisa ntoni.
Iyintoni intsingiselo yeApgar?
Inkqubo yeAppgar yaqaliswa ngo-1952. Iimfuno zokuvavanya iimeko zentsana kwisebe zacetyiswa nguVirginia Apgar, ongu-anesthesiologist waseMelika. Ingundoqo yinto yokuba kwimimiselo yokuqala neyesihlanu yobomi, oogqirha bavavanya imeko yomntwana kwizizathu ezihlanu. Ngamnye wabo ubelwe amanqaku athile-ukusuka ku-0 ukuya kwe-2.
Imilinganiselo yeAppgar
Iingongoma eziphambili zovavanyo lweApgar zi:
- umbala wesikhumba;
- ukuphefumla;
- izinga lentliziyo;
- ithoni yomzimba;
- i-reflexes.
Umbala wesikhumba. Ulusu lomntwana lunombala oqhelekileyo ukusuka kwipinki ephaphakileyo ukuya ebomvu ebomvu. Lo mmbala uqikelelwa kumanqaku amabini. Ukuba izibambiso nemilenze zinomtsalane onobluhlaza, oogqirha bafaka i-1 point, kunye nekhusi kunye ne-cyanotic isikhumba - ama-0 amanqaku.
Ukuphefumula. Ukuphindaphinda kwintsana ngokuqhelekileyo kuqikelelwa kwinqanaba le-Apgar kumanqaku amabini. Njengomthetho, malunga nemiphefumlo engu-45 yokuphefumla / ukuphuma kwimizuzwana ngomzuzu, ngelixa umntwana ekhwaza. Ukuba ukuphefumla kuphakathi, kulukhuni, kwaye ukutshwankqa okuza kusanda kuzalwa, kukho i-1 iphuzu. Akukho ngongoma enye eyongeziweyo kwizibonakaliso ezipheleleyo ngokungabikho kokuphefumula nokuthula kwengane.
Intliziyo. Ngokutsho kwetafile ye-Apgar, intlawulo yenhliziyo ngaphezu kwe-100 beats ngomzuzu iqikelelwa kwiingongoma ezi-2. Isingqisho esezantsi sithatha ingongoma e-1, kwaye ukungabikho kwenkohlakalo yentliziyo kuphawulwe ngongcali kumaqondo angu-0.
I-tone ye-Muscle. Kwiintsana ezisandul 'ukuzalwa, ithoni yeemfudu ze-flexor zonyuka ngenxa yendawo ekhethekileyo ngexesha lophuhliso lwangaphakathi. Baxhatshaza izandla zabo nemilenze, ukuhamba kwabo akuhambisani. Le ndlela iqikelelwa kumanqaku amabini. Iintsana, ezineenkqubela ezimbalwa ezingenamandla, zifumana amanqaku a-Apgar we-1 iphuzu.
I-Reflexes. Umntwana ekuzalweni unesethi ethile yeengcamango ezingenanto, ezibandakanya
Kuthetha ntoni iAppgar score?
Amaphuzu abelwe umntwana, eqinisweni, isiphumo sovavanyo oluzimeleyo kwaye alukwazi ukugwetywa ngokuthembekileyo kwiimeko zempilo yengane. Ukubaluleka kwabo ngokweqela le-Apgar kukuhlola ukuba umntwana oza kusana kufuneka ahlaziywe okanye aqwalaselwe ngokucophelela kwimpilo yakhe ngemihla yokuqala yobomi.