Ngeshwa, akubona bonke ababelethi abadlula bese baphela ngempumelelo. Kwenzeka ukuthi ingane idinga usizo olukhethekile. Ukutholakala esibhedlela sokubeletha emnyangweni wokuvuselela izinsana kuyithuba lokuba nenani elikhulu lezingane ukuba liphile futhi likhule liphilile.
Ukuvuselelwa kubizwa ngokuthi iqoqo lezinyathelo ezenzelwe ukubuyisela imisebenzi ebalulekile yomzimba - ikakhulukazi ukujikeleza kwegazi nokuphefumula. Ukuvuselelwa kwezinsana kubizwa ngokuthi izinyathelo zezokwelapha, ezenziwa ngokushesha lapho zizalwa futhi emahoreni angu-24 okulandelayo impilo yomntwana isuswe esimweni esibucayi. Ukuvuselelwa kwenziwa kulezo zimo lapho kungekho ukuphefumula noma umsebenzi wezinhliziyo kupheliswa, noma kungabikho kokubili kwalemisebenzi. Ukuvuselelwa kuyadingeka futhi ngokunciphisa kwe-baby - ukushaya okungaphansi kuka-100 ngomzuzu, i-dyspnea, i-apnea, i-hypotension - okungukuthi, nokucindezeleka kwe-cardiopulmonary. Ngokusho kwe-WHO, izingane ezifika ku-10% zidinga usizo olukhethekile lokuzalwa.
Ukuvuselelwa okuyisisekelo kwezinsana
Ngemva kokuzalwa ekamelweni lokulethwa umntwana usuhlolwe ngempela yi-neonatologist. Ngokusho kokuphefumula, i-palpitation, isikhumba, i-muscle tone, okubizwa nge-Apgar score kuvezwe. Ukunakekelwa kokuvuselela kuyodingeka uma ngabe usana luhlolwe:
- ukungabi khona kwe-palpitation;
- i-hernia ene-diaphragmatic;
- ukungabi nokuphefumula okuzimele;
- ukwehla kwenhliziyo;
- isifiso se-meconium.
Izinyathelo zokuqala zokuvuselelwa kwezinsana ekamelweni lokulethwa zenziwa yi-neonatologist, i-anastasiologist-resuscitator kanye nabahlengikazi ababili, ngamunye wabo owenza imisebenzi ecacisiwe. Lapho i-crumb entsha isanda kusulwa ku-amniotic fluid bese efakwa etafuleni lokuvuselelwa kwezinsana ngokushisa, i-neonatologist inyanisa izinga lokushisa lomzimba futhi lihlanza indlela yokuphefumula yomntwana kusuka emanzini. I-reanimatologist ibala izinga lokushaya kwenhliziyo, yenza massage engaqondile engqondweni, futhi ilalela amaphaphu. Uma kunesidingo, umoya wokuvuthwa owenzelweyo usetshenziswe ngokusetshenziswa kwe-mask esikhethekile nekhwama kuze kuvele umbala obomvana wesikhumba. Uma, ngemva kwalokhu kuvuselelwa, umntwana osanda kuzalwa aqala ukuphefumula eyedwa, ukhulunywe nge-trachea. Izindlela zokuvuselelwa kwezinsana zihlanganisa ukuphathwa kwezinto (i-adrenaline, i-cocarboxylase) ezenza ukuba kubuyiselwe ithoni ye-vascular.
Uma ingane ingenzi ukuvuleka okuzimele, izinyathelo zokuvuselela zigcwaliswa emva kwemizuzu engu-15-20.
Isigaba sesibili ngumnyango wokuvuselela izinsana
Uma izinyathelo eziyinhloko seziphelile ngokusungulwa kwemisebenzi yokuphefumula kanye ne-palpitation, ingane idluliselwa ekamelweni lokunakekelwa okujulile lama-neonates. Lapho, zonke izenzo zoodokotela zizohloswe ekuvimbeleni noma ekuqedeni i-cerebral edema, ukuvuselelwa kwegazi, umsebenzi wezinso.