Iyini i-Apgar score?
Isikolo se-Apgar siwukuhlola okulula okutshela odokotela isimo sengane yakho sisonke ngokususelwe ku- ukubonwa ezikhathini zokuqala zokuphila. Lokhu kuhlolwa kwenziwa ukuze kubhekwe ukuthi ingane yakho idinga usizo lokuphefumula noma inezinkinga zenhliziyo.
I-Apgar isifinyezo esimele lezi zindlela ezilandelayo:
- Aukubukeka
- Pishayela (izinga lenhliziyo)
- Glezi, ama-grimaces (ama-reflexes)
- Aumsebenzi (ithoni yemisipha)
- Rukuphela kwesikhathi (umzamo wokuphefumula)
Udokotela wezingane, u-OB/GYN, umbelethisi, noma umhlengikazi uzonikeza usana lwakho olusanda kuzalwa isikolo se-Apgar esingu-0 kuye ku-2 kunqubo ngayinye emihlanu, ngesamba esingaba samaphuzu ayi-10. Uma i-Apgar iphezulu, ingane yenza kangcono.
Yini ethathwa njengomphumela ojwayelekile we-Apgar?
Ukuhlolwa kwe-Apgar kukala izinga lokushaya kwenhliziyo yengane yakho, ukuphefumula, ithoni yemisipha, ukuphendula kwe-reflex, kanye nombala emizuzwini embalwa yokuqala yokuphila.
- Isilinganiso se-Apgar sika-7 kuya ku-10 kusho ukuthi usana olusanda kuzalwa lunempilo enhle noma enhle kakhulu futhi ngokuvamile ludinga ukunakekelwa okujwayelekile kuphela ngemva kokubeletha.
- Isilinganiso se-Apgar sika-4 kuya ku-6 kusho ukuthi ingane isesimweni esihle futhi ingase idinge izinyathelo zokuyivuselela.
- Uma amaphuzu e-Apgar engaphansi kuka-4 kusho ukuthi usana olusanda kuzalwa lusesimweni esingesihle futhi ludinga usizo lwezokwelapha ngokushesha.
Ngabe amaphuzu e-Apgar asebenza kanjani?
Nansi indlela isikolo se-Apgar esisebenza ngayo:
Ukubukeka/Umbala Wesikhumba
Ingabe isikhumba somntwana wakho sipinki (sinempilo) noma siluhlaza okwesibhakabhaka (asiphilile)?
- eluhlaza okwesibhakabhaka: 0
- Umzimba ophinki, izitho eziluhlaza okwesibhakabhaka: 1
- Pink yonke indawo: 2
izinga lokushaya kwenhliziyo/inhliziyo
Esebenzisa i-stethoscope, udokotela noma umhlengikazi uzolalela inhliziyo yengane yakho.
- Ukushaya kwenhliziyo akubonakali: 0
- Ukushaya kwenhliziyo okungaphansi kuka-100 ngomzuzu: 1
- Ukushaya kwenhliziyo okungu-100 ngomzuzu noma ngaphezulu: 2
I-Grimace/Reflexes
I-Reflex fussiness, ebizwa nangokuthi i-wince response, indlela ingane yakho esabela ngayo ekukhuthazeni, njengokuncinza okulula (ungakhathazeki, akulimazi).
- Ayikho impendulo yokuvuselela: 0
- Ukwenza ubuso: 1
- Ukukhala ngokukhwehlela, ukuthimula noma ngokukhanukelayo: 2
Umsebenzi/Ithoni Yemisipha
Lesi sigaba sikala ukuthi ingane inyakaza kangakanani.
- Imisipha exegayo, engaqinile noma engasebenzi: 0
- Ukunyakaza okuthile kwezingalo nemilenze: 1
- Imisebenzi eminingi: 2
Ukuphefumula/Umzamo Wokuphefumula
Lapha udokotela, umbelethisi noma umhlengikazi uzohlola ukuthi ingane yakho iphefumula kahle kangakanani.
- Akukho umoya: 0
- Ukuphefumula kancane noma okungajwayelekile: 1
- Ukuphefumula kahle (ekhala): 2
Ingabe amaphuzu aphansi e-Apgar asho ukuthi ingane yakho ngeke iphile kahle?
Ngesikhathi Ukuhlolwa kwe-Apgar ungatshela okuningi ngesimo somntwana wakho emizuzwini embalwa ngemva kokuzalwa, ayikutsheli okuningi nganoma yini ngokuhamba kwesikhathi. Eqinisweni, ngisho nezingane amaphuzu azo asaphansi ngemizuzu emi-5 ngokuvamile zinempilo ngokuphelele.
Zonke izingane zithola okungenani amaphuzu amabili e-Apgar egumbini lokubelethela. Ukuhlolwa kokuqala kuzokwenziwa umzuzu o-1 ngemva kokuzalwa ukuze ubone ukuthi usana lwakho luphumelele kangakanani ngokusikwa nokubeletha.
Emizuzwini emi-5 ngemuva kokuzalwa, ukuhlolwa kuzophindwa ukubona ukuthi unjani manje njengoba esesemhlabeni. Iningi lamaphuzu aphansi ngomzuzu ongu-1 ajwayelekile emizuzwini emi-5 kamuva. Kwesinye isikhathi, ingane enamaphuzu aphansi ngemizuzu emi-5 ingaphinde ihlolwe ngemizuzu eyi-10.
Uma ingane yakho inezinga eliphansi le-Apgar, ingase idinge umoya-mpilo noma imvume yokuphefumula, noma ingase idinge ukukhuthazwa ngokomzimba ukuze inyuse izinga lokushaya kwenhliziyo yayo. Isikhathi esiningi, amaphuzu aphansi e-Apgar awumphumela wokubeletha okunzima, ukuhlinzwa, noma uketshezi endleleni yokuphefumula yengane.
Yini enye okudingeka uyazi?
Isilinganiso se-Apgar sadalwa ngo-1952 udokotela obulala izinzwa u-Virginia Apgar, MD, ukuze ahlole ukuthi izingane zidinga ukuvuswa yini ngemva kokuba omama bazo bethole i-anesthesia ngesikhathi sokubeletha. Esikhathini esidlule, yayisetshenziswa ukubikezela ukuthi ingane izosinda yini noma wayezoba nezinkinga zezinzwa, futhi odokotela bayisebenzisela ukuxilonga i-asphyxia yokuzalwa.
Kusukela lapho, ucwaningo luye lwabonisa ukuthi i-Apgar yengane ayiyona inkomba enhle yokuklinywa kanye ayibikezeli izinkinga zezinzwa ezinganeni eziphila isikhathi esigcwele noma ezizalwa ngaphambi kwesikhathi. Namuhla, isikolo se-Apgar yengane yakho asibhekwa njengophawu lwanoma yini enye ngaphandle kokuthi yenza kanjani emizuzwini embalwa yokuqala yokuphila.