Mankhwala ali ndi malo ambiri, ndipo dokotala aliyense ali ndi luso lake - cholinga cha ntchito. Nthawi zambiri nthawi zina zimakhala zovuta kumvetsa, komanso za zomwe neonatologist ikuchita, yemwe ali, zomwe zimagwira ntchito, osati aliyense.
Kodi uyu ndi ndani yemwe amachititsa kuti neonatologist izichita?
Gawo lachipatala chotero, monga neontology, limaphunzirira makhalidwe omwe ali ndi ana omwe amabadwa kumene. Malinga ndi izi, yemwe ali mwana wa neonatologist, ndi zophweka kuganiza kuti: dokotala uyu akuchitapo kanthu poyesa ndi kuchiza odwala kwambiri, kuyambira maminiti oyambirira kubadwa kwawo. Zopadera zimenezi zinkaonekera posakhalitsa, pamene neontology pang'onopang'ono inayamba kusiyana ndi matenda osokoneza bongo ndi ana.
Neonatologist ndi dokotala wa ana - kusiyana
Ndipotu, katswiri wa ana odwala matenda a mwana, komanso mwana wa ana, ndi dokotala wa ana, koma kuika kwake kwachinsinsi kumakhala kosavuta. Pankhaniyi, muyenera kufotokoza kuti miyezi ingati yomwe neonatologist imatenga ana. Nthawi ya mwana wakhanda ndi msinkhu wa khanda kuchokera pa zero mpaka masiku makumi awiri ndi asanu ndi atatu, pamene kuyang'anitsitsa thanzi la mwana waperekedwa kwa katswiri uyu. Dokotala wa ana amayamba kuyang'anitsitsa ana kuyambira mwezi umodzi.
Kodi amachita chiyani ndi neonatologist?
Aliyense yemwe ali ndi neonatologist ndi chimene amachiritsa, mkazi aliyense amene amanyamula mwana ayenera kudziwa. Dokotala uyu ali ndi gawo lapadera mu moyo wa munthu wamng'ono amene wangowoneka kumene. Panthawiyi, pamene moyo wa mwanayo ukusintha kwambiri, thupi lake likufunikira mwamsanga kusintha kwa malo atsopano, kusintha kwa kupuma, njira ya kudya, ndi zina zotero.
M'mwezi woyamba wa moyo, ziwalo zonse ndi machitidwe a mwanayo amamangidwanso, ndipo panthawi imeneyo zovuta zosiyana siyana zingathe kudziwika, kuphatikizapo zomwe zingasokoneze moyo wake wamuyaya. Chifukwa cha ichi, munthu amatha kuona momwe ntchito ndi neonatologist zimagwirira ntchito ndizobisika. Katswiriyu ayenera kuzindikira bwinobwino zaumoyo wa mwanayo, kuti apange zinthu zabwino kuti akule bwino.
Poganizira kuti neonatologist ikuchiza, tiyenera kuzindikira kuti nthawi imodzi amayenera kugwirizanitsa ntchito yake yambiri - dokotala wa opaleshoni, wodwala matenda a ubongo, katswiri wa cardiologist, pulmonologist, gastroenterologist ndi zina zotero. Pachifukwa ichi, mndandanda wa matenda, omwe amadziwa ndikugwira dokotala uyu, ndi wosiyana. Zina mwa izo, ziyenera kufotokozera zomwe zili pamalire a chizoloŵezi ndi matenda, zomwe zimafuna kukonzekera panthaŵi yake:
- chithandizo ;
- mliri;
- albuminuria;
- hypoglycemia yochepa;
- chithunzi;
- mkodzo acid diathesis ndi ena.
Timalemba mndandanda wa matenda ndi zovuta zomwe katswiri amafunika kukumana nazo:
- thrush;
- zovuta;
- blenorrhea;
- chiyanjano ;
- phenylketonuria;
- umbilical hernia;
- matenda a hemolytic;
- matenda owopsa;
- chithandizo;
- zofooka za mtima zakufa ;
- kupitiliza;
- zovuta za kubadwa ndi zina zambiri.
Kodi neonatologist imagwira kuti?
Ponena za yemwe ali - neonatologist, amayi ambiri amapezeka kale mu chipatala chakumayi panthawi yobereka kapena atabereka. Kuonjezera apo, palibe katswiri wa chipatala wathanzi nthawi zonse kuchipatala, akatswiriwa amagwira ntchito m'madipatimenti a chipatala kuchipatala, m'mazipatala za amayi onse, ndipo nthawi zambiri amalandira kuchipatala cha ana. Nthawi zina, mwana akakhala ndi mavuto a umoyo, a neonatologist akhoza kupitiriza kumuyang'anira kwa miyezi isanu ndi umodzi komanso mpaka chaka.
Zolinga za neonatologist
Udindo wa neonatologist ndi ntchito yaikulu yowunika, kuchiza ndi kuyamwitsa ana ndi zovuta zilizonse, kubadwa msanga, pambuyo yobereka zovuta. Nyuonatologist-resuscitator mwatsatanetsatane ali ndi zowonjezera zonse zofunika kuti apereke thandizo loyenera, lachangu ndi lachiwiri.
Kuphatikiza pa malingaliro ochizira matenda ena a mwana, mmalo mwa polyclinic pa phwando ku neonatologist, yemwe sanaphunzirepo, akhoza kulandira mayankho okhudza:
- malamulo akuluakulu oyang'anira mwana;
- ulamuliro wa tsiku la mwana, chakudya chake;
- mapangidwe a lactation;
- ndondomeko za katemera ndi zina zotero.
Kuyendera kuchokera ku neonatologist
Mphindi yoyamba pambuyo pa kubadwa, kuyesa kwa neonatologist ndiko kuyesa kuchuluka kwa thanzi la mwana pamsinkhu wa Apgar kuti asankhe momwe akufunira chisamaliro chapadera ndi chisamaliro. Zisanu zisanu ndi zitatu zimagwiritsidwa ntchito pa izi: kupuma, minofu, reflexes, mtima wamtima, chikopa. Zigawozi zimadziwika kawiri - mwamsanga atangobereka ndipo pambuyo pa mphindi zisanu. Kwa ana oyambirira, Silverman lonse imagwiritsidwa ntchito, yomwe imayambitsa ntchito yopuma. Kuonjezera apo, mwanayo ali woyezedwa, kukula kumayesedwa.
Kodi neonatologist imatani?
Dokotala mwiniwake kapena namwino mu maola 24 oyambirira atabadwa amapanga chitsanzo cha magazi kuchokera kwa mwana wakhanda kuchoka chidendene pofuna kufufuza kwina pa gulu la magazi, Rh factor, matenda osiyanasiyana. Patatha masiku owerengeka, kuyezetsa magazi kumachitika chifukwa cha matenda opatsirana pogonana komanso pofuna kudziwitsa anthu kuti adziwe bwanji. Dokotala wongobereka kumene amadziwa za thanzi la mwanayo poyang'ana zikuluzikulu ndikuyang'ana ziwalo zotere ndi ziwalo za thupi:
- mimba - kumverera kuti mudziwe malo ndi kukula kwa nthendayi, chiwindi;
- khosi, collarbone, sternum, ziwalo zompiringa - kusatengera kuvulala kwa kubadwa;
- minofu - liwu lawo limayesedwa;
- mutu - umatsimikiziridwa ngati pali edema, zotupa, kukula kwa fontanel;
- kuwala, mtima - kugwedeza kudzera phonendoscope;
- ziwalo zoberekera - kuyesedwa, kulumpha kuti azindikire ziphuphu.
Malangizo a Neonatologist
Malangizo ochepa, omwe a neonatologist amapereka, athandiza makolo atsopano kuti athe kupirira bwino ntchito zawo, ndipo mwanayo ndi wosavuta kusintha kwa malo atsopano:
- Ana ambiri atangobereka kumene amakhala pafupi kugona mokwanira, zomwe zimachitika mwachibadwa, koma sitiyenera kuiwala kuti tipereke nthawi zonse mawere.
- Chipinda chomwe mwanayo ali nacho chiyenera kukhala mpweya wokwanira, ndipo mapulogalamu, zovala, zogona siziyenera kusokoneza kupuma kwa zinyenyeswazi.
- Chifukwa chakuti kusamalidwa kwa mwana sikukulirakulira bwino, sikungatenge thukuta ndikumverera ngati munthu wamkulu, ndikofunika kuvala ndi kuziphimba molingana ndi kutentha kwa chipinda.
- Maulendo a alendo ayenera kusinthidwa kwa masiku angapo kapena masabata, pamene chipindacho chidzapanga boma linalake.
- Mwanayo ali wokhudzidwa kwambiri ndi momwe mayi amamvera mumtima mwake, ndipo kwa iye ndikofunikira kumva bata lomwe limachokera kwa iye, chidaliro cha zochita zake.