Abasebenzi be-NICU

Lo mbhalo ukhuluma ngethimba eliyinhloko labanakekeli ababambe iqhaza ekunakekeleni usana lwakho egunjini labagula kakhulu (ne-NICU). Abasebenzi bavame ukufaka okulandelayo:

INGXENYE YEMPILO EBAMBISANAYO

Lo mhlinzeki wezokunakekelwa kwempilo ungumhlengikazi noma umsizi kadokotela. Basebenza ngaphansi kweso le-neonatologist. Uchwepheshe ohlangene wezempilo angaba nokuhlangenwe nakho okuningi ekunakekelweni kweziguli kunomhlali, kepha ubengeke abe nenani elifanayo lemfundo noqeqesho.

UKUYA KUDOKOTELA (NEONATOLOGIST)

Udokotela oya khona ngudokotela omkhulu obhekele ukunakekelwa kwengane yakho. Udokotela obekhona useqedile ukuqeqeshwa kobudlelwano kwi-neonatology kanye nokuqeqeshwa kokuhlala kwezingane. Ukuhlala kabusha nobudlelwano kuvame ukuthatha iminyaka emithathu ngamunye, ngemuva kweminyaka engu-4 yesikole sezokwelapha. Lo dokotela, obizwa nge-neonatologist, ungudokotela wezingane onokuqeqeshwa okukhethekile ekunakekeleni izingane ezigulayo futhi ezidinga ukunakekelwa okunamandla ngemuva kokuzalwa.

Yize kunabantu abaningi abahlukene ababandakanyeka ekunakekelweni kwengane yakho ngenkathi beku-NICU, yi-neonatologist enquma futhi iqondise uhlelo lwansuku zonke lokunakekelwa. Ngezinye izikhathi, i-neonatologist ingahle ibonisane nabanye ochwepheshe ukusiza ngokunakekelwa kwengane yakho.

I-NEONATOLOGY FELLOW

Umuntu we-neonatology ungudokotela oseqedile ukuhlala endaweni yezingane ejwayelekile futhi manje uqeqeshelwa i-neonatology.

ISAKHAMUZI

Isakhamuzi ngudokotela oseqede isikole sobudokotela futhi uqeqeshelwa ubudokotela. Ekufundisweni kwezingane, ukuqeqeshwa kokuhlala kabusha kuthatha iminyaka emithathu.

• Isakhamuzi esiyinhloko ngudokotela oseqedile ukuqeqeshwa emkhakheni wezingane futhi manje usengamele ezinye izakhamizi.
• Isakhamuzi esiphakeme singudokotela owenza unyaka wesithathu wokuqeqeshwa kwezingane ezijwayelekile. Lo dokotela uvame ukuphatha izakhamizi ezincane kanye nabafundela umsebenzi.
• Umfundi omncane, noma unyaka wesibili, ungudokotela ngonyaka wesibili weminyaka emi-3 yokuqeqeshwa kwezingane ezijwayelekile.
• Umhlali unyaka wokuqala ungudokotela ngonyaka wokuqala wokuqeqeshwa kwezingane ezijwayelekile. Lolu hlobo lodokotela lubizwa nangokuthi yi-intern.

UMFUNDI WEZEMPILO

Isitshudeni sobudokotela umuntu ongakaqedi isikole sobudokotela. Isitshudeni sezokwelapha singahlola futhi siphathe isiguli esibhedlela, kepha sidinga ukuthi yonke imiyalo yaso ibuyekezwe futhi ivunywe ngudokotela.

UMNYANGO WOKUNAKEKELA NGOKUDLULA OKUDINGEKAYO (NICU)

Lolu hlobo lomhlengikazi luthole ukuqeqeshwa okukhethekile ekunakekeleni izingane e-NICU. Abahlengikazi badlala indima ebaluleke kakhulu ekuqapheni umntwana nasekusekeleni nasekufundiseni umndeni. Kubo bonke abanakekeli ku-NICU, abahlengikazi bavame ukuchitha isikhathi esiningi eceleni kombhede wengane, banakekele umntwana kanye nomndeni. Umhlengikazi futhi angaba yilungu lethimba lezokuthutha le-NICU noma abe uchwepheshe we-membrane we-membrane oxygenation (ECMO) ngemuva kokuqeqeshwa okukhethekile.

ISIKHATHI SOKWENZIWA KWEZIMILIMU

Usokhemisi uchwepheshe ngemfundo noqeqesho ekulungiseleleni imithi esetshenziswe eNICU. Osokhemisi basiza ekulungiseleleni imishanguzo efana nezibulala-magciwane, ukugoma, noma izixazululo ze-intravenous (IV), njengokudla okuphelele kwabazali (TPN).

UDIETITI

Ingcwethi yokudla noma isazi sokudla okunomsoco uchwepheshe ofundile futhi oqeqeshelwe ukondleka. Lokhu kufaka phakathi ubisi lomuntu, izithasiselo zamavithamini nezamaminerali, kanye namafomula ezinsana zokuqala asetshenziswe ku-NICU. Izazi zokudla zisiza ukuqapha ukuthi izingane zondliwa yini, ukuthi imizimba yazo isabela kanjani ekudleni, nokuthi zikhula kanjani.

Umxhumanisi we-LACTATION

Umxhumanisi we-lactation (LC) uchwepheshe osekela omama nezinsana ngokuncelisa ibele futhi, ku-NICU, usekela omama ngobisi oluvezayo. I-IBCLC iqinisekiswe yi-International Board of Lactation Consultants ukuthi ithole imfundo ethile nokuqeqeshwa kanye nokuphasa isivivinyo esibhaliwe.

ABANYE OCHWEPHESHE

Ithimba lezokwelapha lingahle futhi lifake i-Therapist Therapist, usonhlalonhle, i-physical Therapist, i-speech kanye ne-Occupational Therapist, kanye nezinye izifundiswa ngokuya ngezidingo zomntwana ngamunye.

UKUSEKELA ABASEBENZI

Odokotela abavela kwezinye izinto ezikhethekile, njenge-cardiology yezingane noma ukuhlinzekwa kwezingane, bangaba yingxenye yamaqembu abonisanayo abandakanyeka ekunakekeleni izingane ku-NICU. Ngeminye imininingwane bheka: Ababonisi be-NICU nabasebenzi bokusekela.

Igumbi labagula kakhulu elisanda kuzalwa - abasebenzi; Uphiko lweziguli ezibelethayo - abasebenzi

I-Raju TNK. Ukukhula komuthi wokubeletha osanda kuzalwa: umbono womlando. Ku: Martin RJ, Fanaroff AA, Walsh MC, ama-eds. UFanaroff noMartin's Neonatal-Perinatal Medicine: Izifo Zengane Nengane. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2020: isahluko 1.

USweeney JK, uGuitierrez T, uLwandle JC. Ama-neonates nabazali: imibono ye-neurodevelopmental egumbini lokunakekelwa kwabasanda kuzalwa nokulandelwa. Ku: Umphred DA, Burton GU, Lazaro RT, Roller ML, eds. Ukuvuselelwa kwe-Neurological Rehabilitation ka-Umphred. Umhlaka 6. ISt Louis, MO: Elsevier Mosby; 2013: isahluko 11.