Apgar zvibodzwa

Apgar bvunzo yekukurumidza inoitwa pamucheche pamaminitsi mashanu nemashanu mushure mekuzvarwa. Iwo maminiti-mamakisi anotara kuti mwana akatsungirira sei maitiro ekuberekwa. Chikamu chemaminetsi mashanu chinotaurira mupi wezvehutano nezvekuti mwana ari kuita zvakanaka sei kunze kwedumbu raamai.

Muzviitiko zvisingawanzo, bvunzo inoitwa maminetsi gumi mushure mekuzvarwa.

Virginia Apgar, MD (1909-1974) akaunza chikamu cheApgar muna 1952.

Muedzo waApgar unoitwa nachiremba, nyamukuta, kana mukoti. Mupiro anoongorora zvemwana:

• Kufema kushanda
• Mamhanyiro emoyo
• Tsvina yemhasuru
• Reflexes
• Ruvara rweganda

Chikamu chega chega chinowanikwa ne0, 1, kana 2, zvinoenderana nemamiriro anoonekwa.

Kufema kuedza:

• Kana mucheche asiri kufema, mamakisi ekufema ari 0.
• Kana iko kufema kuchinonoka kana kusajairika, mucheche anowana chiuru chekufema.
• Kana mucheche akachema zvakanaka, mamakisi ekufema i2.

Mwero wemwoyo unoongororwa ne stethoscope. Uku ndiko kuongorora kwakanyanya kukosha.

• Kana pasina kurova kwemoyo, mucheche anowana 0 wekurova kwemoyo.
• Kana kurova kwemoyo kuri pasi peanorova zana paminiti, mucheche anowana chiuru chekurova kwemoyo.
• Kana kurova kwemoyo kwakakura kupfuura kurova zana paminiti, mucheche anowana maviri ekurova kwemoyo.

Tsono yemhasuru:

• Kana mhasuru dzakasununguka uye floppy, mucheche anotora 0 yetsiva toni.
• Kana paine imwe toni yemhasuru, mucheche anohwina 1.
• Kana paine kufamba kunoshanda, mucheche anohwina zvibodzwa zviviri zvemhasuru toni.

Grimace mhinduro kana kusagadzikana kusagadzikana izwi rinotsanangura kupindura mukusimudzira, senge pini nyoro.

• Kana pasina chekuita, mucheche anotora 0 yekufungidzira kusabatika.
• Kana paine grimacing, mucheche anohwina 1 yekufungisisa kusagadzikana.
• Kana paine kugwinha uye chikosoro, kuhotsira, kana kuchema zvine simba, mucheche anowana maviri ekufungidzira kusagadzikana.

Ruvara rweganda:

• Kana iro ganda reganda rakachenuruka bhuruu, mucheche anowana 0 ngevara.
• Kana muviri uri wepingi uye magumo acho ari ebhuruu, mucheche anowana 1 pavara.
• Kana muviri wese uri wepingi, mucheche anowana maviri eruvara.

Iyi bvunzo inoitwa kuti uone kana mwana achangoberekwa anoda rubatsiro kufema kana ari kunetseka nemoyo.

Chikamu cheApgar chakavakirwa pachikwata chakazara kusvika pagumi kusvika pagumi. Iyo yakakwira zvibodzwa, zvirinani izvo mwana ari kuita mushure mekuzvarwa.

Zvibodzwa zve7, 8, kana 9 zvakajairika uye chiratidzo chekuti mwana achangoberekwa ane hutano hwakanaka. Chikamu chegumi chakanyanya kujairika, nekuti vangangoita vacheche vese vanorasikirwa nepoint imwe chete yebhuruu maoko nemakumbo, zvinova zvakajairika mushure mekuzvarwa.

Chero zvibodzwa zvakaderera pane zvinomwe chiratidzo chekuti mwana anoda kurapwa. Iyo yakaderera mamaki, iyo yakawanda rubatsiro iyo mwana inoda kugadzirisa kunze kwedumbu raamai.

Kazhinji yenguva yakaderera Apgar mamaki anokonzerwa ne:

• Kuberekwa kwakaoma
• C-chikamu
• Mvura inoyerera mumwana mucheche

Mucheche ane yakaderera Apgar mamaki angangoda:

• Oxygen uye kubvisa kunze nzira yekubatsira nayo nekufema
• Kukurudzira panyama kuti uwane kurova kwemoyo pachiyero chine hutano

Kazhinji yenguva, mamaki akaderera paminiti imwe ari padhuze- zvakajairwa nemaminitsi mashanu.

Chikamu chepasi cheApgar hazvireve kuti mwana anozove nezvinetso zvakakomba kana zverefu zvehutano. Chikamu cheApgar hachina kugadzirirwa kufanotaura ramangwana rehutano hwemwana.

Achangozvarwa zvibodzwa; Kuendesa - Apgar

• Kuchengeta vacheche zvichitevera kuendeswa
• Achangozvarwa bvunzo

Arulkumaran S. Fetal yekutarisa mumabasa. Mune: Arulkumaran SS, Robson MS, eds. Munro Kerr's Kushanda Obstetrics. 13 ed. Philadelphia, PA: Elsevier; 2020: chits. 9.

Akatendeka NK. Mucheche achangoberekwa. Mune: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Chinyorwa chePediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: chits. 113.