Isikali se-APGAR: siyini, siyini nokuthi sisho ukuthini

-Delile

• Isilinganiso se-APGAR senziwa kanjani
• 1.Umsebenzi (ithoni yemisipha)
• 2. Ukushaya kwenhliziyo
• 3. Izimo
• 4. Umbala
• 5. Ukuphefumula
• Kusho ukuthini umphumela
• Kwenzekani lapho umphumela usuphansi

Isikali se-APGAR, esaziwa nangokuthi amaphuzu noma amaphuzu we-APGAR, isivivinyo esenziwa enganeni esanda kuzalwa ngemuva nje kokuzalwa okuhlola isimo sayo kanye nobungqabavu bayo, okusiza ukubona ukuthi ngabe lukhona yini uhlobo lokwelashwa noma ukunakekelwa okwengeziwe kwempilo okudingekayo ngemuva kokuzalwa.

Lokhu kuhlola kwenziwa ngomzuzu wokuqala wokuzalwa futhi kuyaphindwa futhi emizuzwini emi-5 ngemuva kokubeletha, kucatshangelwa izici zengane njengokusebenza, ukushaya kwenhliziyo, umbala, ukuphefumula kanye nokucabanga kwemvelo.

Isilinganiso se-APGAR senziwa kanjani

Ekuhloleni inkomba ye-APGAR, kubhekwa amaqembu amakhulu ama-5 wezici ezisanda kuzalwa, afaka:

1.Umsebenzi (ithoni yemisipha)

• 0 = Imisipha ye-Flaccid;
• 1 = Goba iminwe yakho bese uhambisa izingalo noma imilenze yakho;
• 2 = Ihamba ngenkuthalo.

2. Ukushaya kwenhliziyo

• 0 = Akukho ukushaya kwenhliziyo;
• 1 = Amabhithi angaphansi kuka-100 ngomzuzu;
• 2 = Ishaya ngaphezu kwama-100 ngomzuzu.

3. Izimo

• 0 = Ayiphenduli eshukumisweni;
• 1 = Ama-grimaces lapho evuselelwa;
• 2 = Kukhala ngamandla, ukukhwehlela noma ukuthimula.

4. Umbala

• 0 = Umzimba unombala okhanyayo noma ompunga ngokuluhlaza okwesibhakabhaka;
• 1 = Umbala obomvana emzimbeni, kodwa uluhlaza okwesibhakabhaka ezinyaweni noma ezandleni;
• 2= Umbala opinki emzimbeni wonke.

5. Ukuphefumula

• 0 = Ayiphefumuli;
• 1 = Ukukhala okubuthakathaka ngokuphefumula okungajwayelekile;
• 2 = Ukukhala kakhulu ngokuphefumula njalo.

Iqembu ngalinye linikezwa inani elihambelana nempendulo emele kangcono isimo sengane okwamanje. Ekugcineni, leli banga lifakiwe ukuthola inani elilodwa, elizohluka phakathi kuka-0 no-10.

Kusho ukuthini umphumela

Ukuhunyushwa kwenani elivela ngemuva kokungeza amaphuzu wabo bonke ubukhulu kufanele njalo kwenziwe ngudokotela, noma kunjalo, into ejwayelekile ukuthi ingane enempilo izalwa, okungenani, inamaphuzu ayi-7 eminithini yokuqala.

Lolu hlobo lwamaphuzu angaphansi kweshumi kumzuzu wokuqala wokuphila lujwayelekile kakhulu futhi lwenzeka ngoba izingane eziningi zidinga ukufiswa ukukhipha wonke amniotic fluid emaphashini ngaphambi kokuba aphefumule kahle. Kodwa-ke, cishe imizuzu engu-5 kuvamile ukuthi inani likhuphuke liye ku-10.

Ukuvela kwamaphuzu angaphansi kuka-7, ngomzuzu wokuqala, kuvame kakhulu ezinganeni ezizalwayo:

• Ngemuva kokukhulelwa okuyingozi;
• Ngokwesigaba sokuhlinzwa;
• Ngemuva kwenkinga ekubelethweni;
• Ngaphambi kwamasonto angama-37.

Kulezi zimo, amaphuzu aphansi ayisona isizathu sokukhathazeka, noma kunjalo, kufanele akhuphuke ngemuva kwemizuzu emi-5.

Kwenzekani lapho umphumela usuphansi

Iningi lezingane ezinamaphuzu angaphansi kuka-7 esikalini se-APGAR ziphilile, ngakho-ke, lelo nani liyakhuphuka ngaphezu kwemizuzu yokuqala emihlanu kuya kweyishumi yokuphila. Kodwa-ke, lapho umphumela uhlala uphansi, kungadingeka ukuthi uhlale ophikweni lwe-neonatology, ukuthola ukunakekelwa okuthe xaxa futhi uqinisekise ukuthi kukhula ngendlela engcono kakhulu.

Inani eliphansi le-APGAR alibikezeli noma yimuphi umphumela ekuhlakanipheni kwengane, ebuntwini, empilweni noma ekuziphatheni ngokuzayo.