Isilinganisi se-APGAR: yintoni, yintoni eyenzelwe yona kwaye ithetha ntoni

Umxholo

• Senziwa njani isikali seAPGAR
• Umsebenzi (ithoni yemisipha)
• 2. Ukubetha kwentliziyo
• 3. Ingqondo
• 4. Faka umbala
• 5. Ukuphefumla
• Oko kuthethwa sisiphumo
• Kwenzeka ntoni xa iziphumo ziphantsi

Isikali se-APGAR, esikwabizwa ngokuba ngamanqaku e-APGAR okanye amanqaku, luvavanyo olwenziwa kusana olusandula kuzalwa emva nje kokuzalwa oluvavanya imeko yakhe nokuba sempilweni, ukunceda ekuchongeni ukuba ngaba lukhona na uhlobo lonyango okanye unyango olongezelelweyo olufunekayo emva kokuzalwa.

Olu vavanyo lwenziwa kwimizuzu yokuqala yokuzalwa kwaye iphindaphindwe kwakhona kwimizuzu emi-5 emva kokubeleka, kuthathelwa ingqalelo iimpawu zomntwana ezinje ngomsebenzi, ukubetha kwentliziyo, umbala, ukuphefumla kunye nengqondo yendalo.

Senziwa njani isikali seAPGAR

Ekuvavanyeni isalathiso se-APGAR, amaqela amakhulu amahlanu eempawu ezisandul 'ukuzalwa athathelwa ingqalelo, kubandakanya:

Umsebenzi (ithoni yemisipha)

• 0 = Izihlunu zeFlaccid;
• 1 = Gobisa iminwe yakho kwaye uhambisa iingalo okanye imilenze;
• 2 = Uhamba ngokusebenzayo.

2. Ukubetha kwentliziyo

• 0 = Akukho kubetha kwentliziyo;
• 1 = Ngaphantsi kwe-100 beats ngomzuzu;
• 2 = Ingaphezulu kwe-100 beats ngomzuzu.

3. Ingqondo

• 0 = Ayiphenduli kwisikhuthazi;
• 1 = Iimpawu ezimnandi xa zivuselelwe;
• 2 = Ukulila ngamandla, ukukhohlela okanye ukuthimla.

4. Faka umbala

• 0 = Umzimba unombala omthubi okanye ongwevu-buluhlaza;
• 1 = Umbala opinki emzimbeni, kodwa luhlaza okwesibhakabhaka iinyawo okanye izandla;
• 2= Umbala o-pinki kuwo wonke umzimba.

5. Ukuphefumla

• 0 = Akaphefumli;
• 1 = Ukulila okubuthathaka ngokuphefumla ngokungaqhelekanga;
• 2 = Ukukhala kakhulu ngokuphefumla rhoqo.

Iqela ngalinye linikwa ixabiso elihambelana nempendulo emele imeko yomntwana okwangoku. Ekugqibeleni, la manqaku ongezelelweyo ukufumana ixabiso elinye, eliya kwahluka phakathi kwe-0 ne-10.

Oko kuthethwa sisiphumo

Ukutolikwa kwexabiso elibonakala emva kokongeza amanqaku ayo yonke imilinganiselo kufuneka kusoloko kusenziwa ngugqirha, nangona kunjalo, into eqhelekileyo kukuba umntwana osempilweni uzalwe, ubuncinci, enamanqaku esi-7 kwimizuzu yokuqala.

Olu hlobo lwamanqaku angaphantsi kwe-10 kwiminithi yokuqala yobomi liqhelekile kwaye luyenzeka kuba uninzi lweentsana kufuneka lube nomnqweno wokususa onke amniotic fluid kwimiphunga ngaphambi kokuba aphefumle ngesiqhelo. Nangona kunjalo, malunga nemizuzu emi-5 kuqhelekile ukuba ixabiso lenyuke liye kwi-10.

Ukubonakala kwamanqaku angaphantsi kwe-7, kumzuzu wokuqala, kuqhelekile kwiintsana ezizelweyo:

• Emva kokukhulelwa okuyingozi;
• Ngokwecandelo lokuhlinzwa;
• Emva kwengxaki ekubelekeni;
• Phambi kweeveki ezingama-37.

Kule meko, amanqaku asezantsi ayingonobangela wenkxalabo, nangona kunjalo, kufuneka inyuke emva kwemizuzu emi-5.

Kwenzeka ntoni xa iziphumo ziphantsi

Uninzi lweentsana ezinamanqaku angaphantsi kwe-7 kwisikali se-APGAR ziphilile kwaye, ke, elo xabiso lonyuka ngaphezulu kwemizuzu emi-5 ukuya kweli-10 yobomi. Nangona kunjalo, xa iziphumo zihlala ziphantsi, kunokuba yimfuneko ukuhlala kwiyunithi ye-neonatology, ukufumana ukhathalelo oluthile ngakumbi kunye nokuqinisekisa ukuba ikhula ngeyona ndlela ibhetele.

Ixabiso eliphantsi le-APGAR alixeli kwangaphambili nasiphi na isiphumo kubukrelekrele bomntwana, kubuntu, kwimpilo okanye kwindlela aziphatha ngayo kwixa elizayo.