Limahana NICU

Kūkākūkā kēia ʻatikala i ka hui nui o nā mea mālama i pili i ka mālama ʻana o kāu pēpē i ka neonatal intensive care unit (NICU). Hoʻokomo pinepine nā limahana i kēia mau mea:

ʻOihana Kālā OLA ALLIED

He kahu hānai kēia kahu lawelawe olakino a kōkua kōkua kauka paha. Hana lākou ma lalo o ka nānā a kahi neonatologist. He ʻoi aku ka ʻike o ka ʻoihana olakino pili i ka mālama hoʻomanawanui ma mua o kahi kamaʻāina, akā ʻaʻole i loaʻa ka nui o ke aʻo a me ka hoʻomaʻamaʻa.

KĀLĀ KAUAHI (NEONATOLOGIST)

ʻO ke kauka hele ke kauka nui e mālama i ka mālama o kāu pēpē. Ua hoʻopau ke kauka hele i ka hoʻomaʻamaʻa pilina ma neonatology a me ka hoʻomaʻamaʻa noho ʻana i nā pediatrics. Noho mau ka noho a me ka launa me 3 mau makahiki i kēlā me kēia, ma hope o 4 mau makahiki o ke kula kauka. ʻO kēia kauka, i kapa ʻia he neonatologist, he pediatrician me ka hoʻomaʻamaʻa kūikawā ʻana i ka mālama ʻana i nā pēpē maʻi a koi aku i ka mālama nui ma hope o ka hānau ʻana.

ʻOiai he nui nā poʻe like ʻole i pili i ka mālama ʻana o kāu pēpē ʻoiai ʻo ia i ka NICU, ʻo ka neonatologist ka mea nāna e hoʻoholo a hoʻonohonoho i ka papa o ka mālama o kēlā me kēia lā. I kekahi manawa, e kūkākūkā paha ka neonatologist me nā loea ʻē aʻe e kōkua me ka mālama ʻana o kāu pēpē.

HOA NEONATOLOGY

ʻO kahi neonatology hoa kahi kauka i hoʻopau i kahi noho i nā pediatrics āpau a ke hoʻomaʻamaʻa nei i ka neonatology.

KUPONO

He kauka kahi kamaʻāina nāna i hoʻopau i ke kula lapaʻau a ke hoʻomaʻamaʻa nei i ka loea lapaʻau. I nā pediatrics, 3 mau makahiki ka hoʻomaʻamaʻa noho ʻana.

• He kauka nui kahi kauka i hoʻopau i ka hoʻomaʻamaʻa ʻana i nā pediatrics āpau a i kēia manawa ke kiaʻāina nei i nā kamaʻāina ʻē aʻe.
• ʻO ke kamaʻāina poʻokela he kauka i ke kolu o ka makahiki o ka hoʻomaʻamaʻa ʻana i nā pediatrics āpau. Mālama pinepine kēia kauka i nā kamaʻāina ʻōpio a me nā kauā.
• ʻO kahi ʻōpio, a i ʻole makahiki ʻelua, he kauka i ka lua o 3 mau makahiki o ka hoʻomaʻamaʻa ʻana i nā pediatrics āpau.
• ʻO ke kamaʻāina makahiki mua he kauka i ka makahiki mua o ka hoʻomaʻamaʻa ʻana i nā pediatrics āpau. Kāhea ʻia kēia ʻano kauka he intern.

Haumāna Lapaʻau

ʻO kahi haumāna olakino kekahi mea i hoʻopau ʻole i ke kula kauka. E nānā a mālama paha ka haumāna olakino i kahi mea maʻi i ka haukapila, akā pono e nānā a ʻae ʻia e kā ke kauka.

ʻO UNONATAL INTENSIVE CARE UNIT (NICU) NURSE

Ua loaʻa i kēia ʻano kahu hānai kahi hoʻomaʻamaʻa kūikawā i ka mālama ʻana i nā pēpē ma ka NICU. He mea nui loa nā kahu maʻi i ka nānā ʻana i ka pēpē a me ke kākoʻo ʻana a me ke aʻo ʻana i ka ʻohana. ʻO nā mea mālama a pau i ka NICU, hoʻolilo pinepine nā kahu maʻi i ka manawa nui ma kahi moe o kahi pēpē, e mālama ana i ka pēpē a me ka ʻohana. He lālā paha kahi kahu hānai ma ke kime halihali NICU a i ʻole lilo i loea oxygenation (ECMO) membrane extracorporeal ma hope o ka hoʻomaʻamaʻa kūikawā.

PHARMACIST

He loea ʻo kahi kauka lāʻau lapaʻau me ka aʻo a me ka hoʻomaʻamaʻa ʻana i ka hoʻomākaukau ʻana o nā lāʻau i hoʻohana ʻia i ka NICU. Kōkua nā kauka lāʻau i nā lāʻau e like me nā lāʻau lapaʻau, nā pale ʻana, a i ʻole nā ​​hāʻina intravenous (IV), e like me ka nui o nā meaʻai a nā mākua (TPN).

DIETITIAN

ʻO kahi mea hānai a mea hānai paha he loea i aʻo ʻia a hoʻomaʻamaʻa ʻia i ka meaʻai. Hoʻopili kēia i ka waiū kanaka, nā huaora a me nā mea hoʻopili mineral, a me nā formulate pēpē preterm i hoʻohana ʻia i ka NICU. Kōkua ka poʻe Dietitians i ka nānā ʻana i nā mea e hānai ʻia ai nā pēpē, pehea ka pane ʻana o ko lākou kino i ka meaʻai, a pehea lākou e ulu ai.

KUMUKANAWAI LACTATION

Kūkākūkā kahi lactation consultant (LC) i kākoʻo i nā makuahine a me nā pēpē me ka hānai ʻana i ka waiū a, i ka NICU, kākoʻo i nā makuahine me ka waiū e hōʻike ana. Ua hōʻoia ʻia kahi IBCLC e ka International Board of Lactation Consultants e like me ka loaʻa ʻana o ka ʻike kūikawā a me ka hoʻomaʻamaʻa ʻana a me ka hala ʻana i kahi hoʻokolokolo palapala.

NA MEA HOU

Hiki i ka hui olakino ke hoʻopili pū i kahi therapist respiratory, limahana kaiaulu, mea hoʻoponopono kino, haʻi ʻōlelo a me nā limahana limahana, a me nā loea ʻē aʻe e pili ana i ka pono o ka pēpē.

HALE Kākoʻo

ʻO nā kauka mai nā loea ʻē aʻe, e like me ka cardiology pediatric a i ʻole ke ʻoki poepoe pediatric, he ʻāpana paha o nā hui kūkākūkā e pili ana i ka mālama ʻana i nā pēpē ma ka NICU. No ka ʻike hou aku e ʻike: nā kūkākūkā NICU a me nā limahana kākoʻo.

Ke keʻena mālama mālama hānau hou - staff; Kahi mālama mālama hānau Neonatal - limahana

Raju TNK. Ka ulu ʻana o ka lāʻau neonatal-perinatal: kahi kuanaʻike mōʻaukala. I: Martin RJ, Fanaroff AA, Walsh MC, hua. ʻO Fanaroff lāua ʻo Martin's Neonatal-Perinatal Medicine: Nā maʻi o ka Fetus a me ka pēpē. 11th hua. Piladelapia, PA: Elsevier; 2020: chap 1.

ʻO Sweeney JK, Guitierrez T, Beachy JC. Nā Neonates a me nā mākua: nā hiʻohiʻona neurodevelopmental i ka neonatal mālama mālama nui a me ka ukali. I: Umphred DA, Burton GU, Lazaro RT, Roller ML, eds. ʻO Umphred's Neurological Rehabilitation. ʻElua huaʻōlelo St Louis, MO: Elsevier Mosby; 2013: chap 11.