Pālākiō APGAR: he aha ia, he aha ia a he aha ke ʻano

Anter

• Pehea e hana ai i ka pālākiō APGAR
• 1. Haʻawina (nā puʻukū)
• 2. Puʻuwai puʻuwai
• 3. Nā Reflexes
• 4. Waihoʻoluʻu
• 5. Ka hanu ʻana
• He aha ke ʻano o ka hopena
• He aha ka hana inā haʻahaʻa ka hopena

ʻO ka pālākiō APGAR, ka mea i ʻike ʻia ma ka helu APGAR a i ʻole helu, he hōʻike ia i hana ʻia ma ke keiki hānau hou ma hope koke iho o ka hānau ʻana e loiloi ai i kona kūlana maʻamau a me ke olakino, e kōkua ana e ʻike inā pono ʻia kekahi ʻano lapaʻau a i ʻole ke mālama lapaʻau hou aʻe ma hope o ka hānau ʻana.

Hana ʻia kēia loiloi i ka minuke mua o ka hānau ʻana a hana hou ʻia he 5 mau minuke ma hope o ka hānau ʻana, e noʻonoʻo ana i nā ʻano o ka pēpē e like me ka hana, ka puʻuwai, ke kala, ka hanu ʻana a me nā reflexes kūlohelohe.

Pehea e hana ai i ka pālākiō APGAR

I ka nānā ʻana i ka papa kuhikuhi APGAR, 5 mau pūʻulu nui o nā ʻano hānau hou i manaʻo ʻia, i hoʻopili ʻia:

1. Haʻawina (nā puʻukū)

• 0 = Nā mākala palapū;
• 1 = Kulou i kou mau manamana lima a neʻe i kou mau lima a i ʻole nā ​​wāwae;
• 2 = Neʻe ʻeleu.

2. Puʻuwai puʻuwai

• 0 = ʻAʻohe puʻuwai puʻuwai;
• 1 = Ma lalo o 100 mau kuʻi i kēlā me kēia minuke;
• 2 = ʻOi aku ma mua o 100 mau kuʻi i kēlā me kēia minuke.

3. Nā Reflexes

• 0 = ʻAʻole pane i nā stimuli;
• 1 = Nā Grimaces ke hoʻonāukiuki;
• 2 = Uē ikaika, ʻūlū a uhae paha.

4. Waihoʻoluʻu

• 0 = He ʻulaʻula a hina hina hina paha ke kino;
• 1 = ʻĀlena kala ma ke kino, akā bluish ma nā wāwae a i ʻole nā ​​lima;
• 2= ʻUlaʻula kala ma ke kino holoʻokoʻa.

5. Ka hanu ʻana

• 0 = ʻAʻole hanu;
• 1 = Uwaliwali me ka hanu kūpono ʻole;
• 2 = Uē nui me ka hanu maʻamau.

Hāʻawi ʻia kēlā me kēia hui i ke kumukūʻai e kūlike ana i ka pane e hōʻike pono ai i ka mokuʻāina o pēpē i kēia manawa. I ka hopena, hoʻohui ʻia kēia helu i loaʻa i hoʻokahi waiwai, e ʻokoʻa ma waena o 0 a me 10.

He aha ke ʻano o ka hopena

ʻO ka wehewehe ʻana o ka waiwai i hōʻike ʻia ma hope o ka hoʻohui ʻana i ka helu o nā ana āpau e pono mau e kauka, akā naʻe, ʻo ka mea maʻamau hānau ʻia kahi pēpē olakino, ma ka liʻiliʻi, me ka helu 7 i ka minuke mua.

ʻO kēia ʻano helu ma lalo o 10 i ka minuke mua o ke ola he mea maʻamau a hana ʻia no ka mea ʻo ka hapanui o nā pēpē e ʻiʻini e hemo i nā wai amniotic a pau mai nā akemā ma mua o ka hanu maʻamau ʻana. Eia nō naʻe, ma kahi o 5 mau minuke he mea maʻamau ia e hoʻonui ka waiwai i 10.

ʻO ka hiʻohiʻona o ka helu ma lalo o 7, i ka 1st minuke, ʻoi aku ka maʻamau o nā pēpē i hānau ʻia.

• Ma hope o ka hāpai keiki kamepiula;
• Na ka ʻāpana cesarean;
• Ma hope o kahi paʻakikī i ka hānau hānau ʻana;
• Ma mua o 37 mau pule.

I kēia mau hihia, ʻaʻole ke kumu helu haʻahaʻa ke kumu o ka hopohopo, akā naʻe, e hoʻonui ia ma hope o 5 mau minuke.

He aha ka hana inā haʻahaʻa ka hopena

ʻO ka hapa nui o nā pēpē me nā helu ma lalo o 7 ma ka pālākiō APGAR i ke olakino a, no laila, hoʻonui ʻia kēlā waiwai ma mua o 5 a 10 mau minuke o ke ola. Eia nō naʻe, ke waiho haʻahaʻa ka hopena, pono paha e noho i kahi neonatology unit, e loaʻa ai ka mālama kikoʻī a hōʻoia i ka ulu ʻana i ke ala maikaʻi loa.

ʻAʻole wānana ka waiwai haʻahaʻa o APGAR i kekahi hopena ma ka ʻike o ke keiki, ka pilikino, ke olakino a me ke ʻano i ka wā e hiki mai ana.