Menene makin Apgar?
Makin Apgar shine ƙima mai sauƙi wanda ke gaya wa likitocin gabaɗayan yanayin jaririn ku bisa ga abubuwan lura a farkon lokacin rayuwa. Ana yin wannan gwajin don bincika ko jaririnku yana buƙatar taimako na numfashi ko kuma yana da matsalolin zuciya.
Apgar shine acronym wanda ke tsaye ga ma'auni masu zuwa:
- Abayyanar
- Pbugun zuciya ( bugun zuciya)
- Gwadannan, grimace (reflexes)
- Aaiki (sautin tsoka)
- Rexpiration (kokarin numfashi)
Likitan yara, OB/GYN, ungozoma, ko ma'aikacin jinya za su ba wa jaririn ku maki na Apgar na 0 zuwa 2 akan kowane ma'auni biyar, don jimlar maki 10 mai yiwuwa. Mafi girman maki Apgar, mafi kyawun jaririn yana yin.
Menene makin Apgar na al'ada?
Jarabawar Apgar tana auna bugun zuciyar jaririn, numfashi, sautin tsoka, amsawa, da launi a cikin ƴan mintuna na farko na rayuwa.
- Sakamakon Apgar na 7 zuwa 10 yana nufin cewa jariri yana cikin koshin lafiya ko kuma yana buƙatar kulawa ta yau da kullun.
- Makin Apgar na 4 zuwa 6 yana nufin cewa jaririn yana cikin yanayi mai kyau kuma yana iya buƙatar wasu matakan farfadowa.
- Idan maki Apgar bai wuce 4 ba yana nufin cewa jariri yana cikin rashin lafiya kuma yana buƙatar kulawar gaggawa.
Ta yaya makin Apgar ke aiki?
Ga yadda makin Apgar ke aiki:
Bayyanar / Launin Fata
Fatar jaririn ku tana da ruwan hoda (lafiya) ko shuɗi (mara lafiya)?
- ruwan shudi: 0
- Jiki ruwan hoda, gabobin shudi: 1
- ruwan hoda ko'ina: 2
bugun bugun zuciya / bugun zuciya
Yin amfani da stethoscope, likita ko ma'aikacin jinya za su saurari zuciyar jaririn ku.
- Ba a iya gano bugun zuciya: 0
- bugun zuciya na kasa da bugun 100 a minti daya: 1
- bugun zuciya na bugun 100 a minti daya ko fiye: 2
Grimace/Reflexes
Fussiness reflex, wanda kuma ake kira amsa wince, shine hanyar da jaririnku ke amsawa ga ƙarfafawa, kamar tsutsa mai haske (kada ku damu, ba ya ciwo).
- Babu amsa ga kara kuzari: 0
- Gyaran fuska: 1
- Yin gum da tari, atishawa ko kukan sha'awa: 2
Aiki/Sautin tsoka
Wannan rukunin yana auna yawan motsin jaririn.
- Sako-sako, maras kyau ko tsokoki marasa aiki: 0
- Wasu motsin hannu da kafafu: 1
- Yawan ayyuka: 2
Ƙoƙarin Numfashi/Kokari
Anan likita, ungozoma ko ma'aikacin jinya za su duba yadda jaririn yake numfashi.
- Babu numfashi: 0
- Hankali ko numfashi mara kyau: 1
- Kyakkyawan numfashi (kuka): 2
Shin ƙarancin makin Apgar yana nufin jaririn ba zai kasance cikin koshin lafiya ba?
Duk da yake Gwajin Apgar zai iya ba da labari da yawa game da yanayin jaririnku a cikin ƴan mintuna kaɗan bayan haihuwa, baya gaya muku da yawa game da komai a cikin dogon lokaci. A haƙiƙa, hatta jarirai waɗanda har yanzu maki ba su da ƙasa a cikin mintuna 5 galibi suna cikin koshin lafiya.
Duk jarirai suna samun akalla maki biyu Apgar a dakin haihuwa. Za a yi gwajin farko bayan minti 1 da haihuwa don ganin yadda jaririnka ya samu nakuda da haihuwa.
Bayan minti 5 da haihuwa, za a sake gwadawa don ganin yadda yake a yanzu a duniya. Yawancin ƙananan maki a minti 1 na al'ada ne bayan mintuna 5. Wani lokaci, jariri mai ƙarancin maki a minti 5 ana iya sake gwada shi a cikin mintuna 10.
Idan jaririn yana da ƙananan maki na Apgar, yana iya buƙatar oxygen ko izinin iska, ko kuma yana iya buƙatar motsa jiki don ƙara yawan bugun zuciyarsa. Yawancin lokaci, ƙananan maki Apgar shine sakamakon wahala mai wuyar haihuwa, sashin cesarean, ko ruwa a cikin hanyar iska na jariri.
Me kuma kuke bukatar sani?
An kirkiro makin Apgar ne a cikin 1952 ta likitan maganin sa barci Virginia Apgar, MD, don bincika ko jarirai suna buƙatar farfadowa bayan iyayensu mata sun sami maganin sa barci yayin haihuwa. A da, an saba da shi yi hasashen ko jariri zai tsira ko kuma ta sami matsalar jijiya, kuma likitoci sun yi amfani da shi wajen gano ciwon asphyxia na haihuwa.
Tun daga wannan lokacin, bincike ya nuna cewa ƙimar Apgar na jariri ba alama ce mai kyau na shaƙewa ba baya tsinkaya matsalolin jijiya a cikin cikakkun jarirai ko waɗanda ba su kai ba. A yau, ba a la'akari da maki Apgar jaririn wata alamar wani abu banda yadda yake yi a cikin 'yan mintuna na farko na rayuwa.