Abasebenzi beNICU

Eli nqaku lixoxa ngeqela eliphambili labanonopheli ababandakanyekayo ekunyamekeleni usana lwakho kwicandelo lokhathalelo olunzulu lweentsana (NICU). Abasebenzi bahlala kubandakanya oku kulandelayo:

UKUVUNYELWA KWEZEMPILO

Lo mboneleli wezempilo ngumongikazi okanye umncedisi kagqirha. Basebenza phantsi kweliso lwe-neonatologist. Ingcali yezempilo emanyeneyo inokuba namava ngakumbi kukhathalelo lwezigulana kunomhlali, kodwa ngekhe ibenayo imfundo efanayo noqeqesho.

UKUYA KUGqirha (UNONATOLOGIST)

Ugqirha oya khona ngugqirha ophambili onoxanduva lokukhathalela umntwana wakho. Ugqirha ofikayo ugqibe uqeqesho lobudlelane kwi-neonatology kunye noqeqesho lokuhlala kwizilwanyana. Ukuhlala kwakhona kunye nobudlelwane zihlala zithatha iminyaka emi-3 inye, emva kweminyaka emi-4 yesikolo sezonyango. Lo gqirha, obizwa ngokuba yi-neonatologist, ngugqirha wabantwana onoqeqesho olukhethekileyo ekunyamekeleni abantwana abagulayo kwaye bafuna unyango olunzulu emva kokuzalwa.

Nangona kukho abantu abaninzi abahlukeneyo ababandakanyekayo kukhathalelo lomntwana wakho ngelixa ekwi-NICU, yi-neonatologist egqiba kwaye ilungelelanise isicwangciso sokhathalelo lwemihla ngemihla. Ngamanye amaxesha, i-neonatologist inokubonisana nezinye iingcali ukunceda ekunyamekeleni umntwana wakho.

INZULULWAZI NGOKWENZAYO

Umntu we-neonatology ngugqirha ogqibe indawo yokuhlala kwizifo zabantwana kwaye ngoku uqeqesho kwi-neonatology.

UMHLALI

Umhlali ngugqirha ogqibe isikolo sezonyango kwaye uqeqesho kwizifundo zonyango. Kwizilwanyana, uqeqesho lokuhlala luthatha iminyaka emi-3.

• Umhlali oyintloko ngugqirha olugqibileyo uqeqesho kunyango ngokubanzi kwaye ngoku ugada abanye abahlali.
• Umhlali ophezulu ngugqirha okunyaka wesithathu woqeqesho kunyango lwabantwana ngokubanzi. Lo gqirha ulawula ngokubanzi abahlali abancinci kunye nabaqeqeshwa.
• Omncinci, okanye unyaka wesibini, umhlali ngugqirha kunyaka wesibini kwiminyaka emi-3 yoqeqesho kunyango lwabantwana ngokubanzi.
• Umhlali unyaka wokuqala ngugqirha kunyaka wokuqala woqeqesho kunyango lwabantwana ngokubanzi. Olu hlobo logqirha lukwabizwa ngokuba ngumfundi.

UMFUNDI WONYANGO

Umfundi wobugqirha ngumntu ongekasigqibi isikolo sobugqirha. Umfundi ogqirha unokuvavanya kwaye aphathe isigulana esibhedlele, kodwa kufuneka ukuba zonke ii-odolo zabo ziphononongwe kwaye zamkelwe ngugqirha.

UMNYANGO WONonophelo olungapheliyo

Olu hlobo lomongikazi lufumene uqeqesho olukhethekileyo ekunyamekeleni iintsana kwi-NICU. Abongikazi badlala indima ebaluleke kakhulu ekujongeni usana nasekuxhaseni nasekufundiseni usapho. Kubo bonke abanonopheli kwi-NICU, abahlengikazi bahlala bechitha ixesha elininzi ebhedini yosana, bekhathalela umntwana kunye nosapho. Umongikazi unokuba lilungu leqela lezothutho le-NICU okanye abe yingcali ye-membrane ye-oxygenation (ECMO) eyongezelelweyo emva koqeqesho olukhethekileyo.

UPHANDO LWEZAMAFAMA

Usokhemesti yingcali kwezemfundo noqeqesho ekulungiseleleni amayeza asetyenziswa kwi-NICU. Oosokhemesti banceda ekulungiseleleni amayeza anje ngeyeza lokubulala iintsholongwane, ugonyo, okanye izisombululo ze-intravenous (IV), ezinje ngesondlo esipheleleyo sabazali (TPN).

UDETYITI

Ingcali yokutya okanye ingcali yezondlo yingcali efundisiweyo kwaye eqeqeshelwe isondlo. Oku kubandakanya ubisi lomntu, i-vitamin kunye ne-mineral supplements, kunye neefomula zentsana zokuqala ezisetyenziswa kwi-NICU. Izidlo zinceda ukujonga ukuba zeziphi na iintsana ezondliwayo, indlela imizimba yabo esabela ngayo ekutyeni, kunye nendlela abakhula ngayo.

UMQEQESHI WOKUFUNDA

Umcebisi nge-lactation (LC) yingcali exhasa oomama neentsana ngokuncancisa kwaye, kwi-NICU, ixhasa oomama ngobisi oluvakalisayo. I-IBCLC iqinisekisiwe yiBhodi yeHlabathi yaBacebisi ngeLactation njengabafumene imfundo ethile noqeqesho kunye nokupasa uviwo olubhaliweyo.

EZINYE IINGCALI

Iqela lezonyango linokubandakanya ugqirha wokuphefumula, unontlalontle, ugqirha womzimba, intetho kunye nonyango lomsebenzi, kunye nezinye iingcali ngokuxhomekeke kwiimfuno zomntwana ngamnye.

UKUXHASA ABASEBENZI

Oogqirha abavela kwezinye izinto ezikhethekileyo, ezinje ngezifo zentliziyo yabantwana okanye utyando lwabantwana, banokuba yinxalenye yamaqela abacebisi abandakanyeka ekunyamekeleni iintsana kwi-NICU. Ngolwazi oluthe kratya jonga: Abacebisi be-NICU kunye nabasebenzi benkxaso.

Unyango lwabantwana abasandul 'ukuzalwa - abasebenzi; Icandelo lokhathalelo olunamandla lweNonatal - abasebenzi

URaju TNK. Ukukhula kwamayeza osana ngokuzalwa: umbono wembali. Ku: UMartin RJ, uFanaroff AA, uWalsh MC, ii-eds. UFanaroff kunye noMartin's Neonatal-Perinatal Medicine: Izifo ze-Fetus kunye neentsana. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2020: Isahluko 1.

USweeney JK, uGuitierrez T, uLwandle oluJC. I-Neonates kunye nabazali: umbono we-neurodevelopmental kwicandelo lokhathalelo olunzulu lwe-neonatal kunye nokulandela. Ku: Umphred DA, Burton GU, Lazaro RT, Roller ML, ii-eds. Ukuvuselelwa kweNeurological ka-Umphred. Umhla wesi-6. ISt Louis, MO: Elsevier Mosby; 2013: isahl 11.