Cov tshuaj muaj ntau qhov chaw, thiab txhua tus kws kho mob muaj nws qhov kev tshwj xeeb - kev ua kom pom tseeb ntawm kev ua ub no. Nyob rau hauv ntau yam nws yog qee zaum nyuaj to taub, thiab hais txog dab tsi neonatologist ua, uas nws yog, dab tsi pathologies nws treats, tsis yog txhua leej txhua tus paub.
Leej twg yog qhov no thiab neonatologist kho dab tsi?
Xws li ib qho kev kho mob, zoo li neontology, kev tshawb fawb ntawm lub cev thiab kev paub tab ntawm cov me nyuam mos. Raws li qhov no, leej twg yog tus kws kho menyuam yaus neonatologist, nws yog qhov yooj yim twv: tus kws kho mob no tau koom nrog qhov kev kuaj mob thiab kev kho mob ntawm cov neeg mob yau tshaj, pib txij thawj thawj feeb ntawm lawv cov menyuam. Qhov tshwj xeeb tshaj plaws tsis ntev los no, thaum neontology maj pib cais cov poj niam thiab cov kws kho me nyuam.
Neonatologist thiab pediatrician - qhov txawv
Qhov tseeb, ib tug menyuam yaus neonatologist, thiab ib tug kws kho menyuam yaus, yog ib tus kws kho mob, tab sis nws qhov kev tshwj xeeb muaj ntau dua. Hauv qhov no, koj yuav tsum qhia kom meej tias pes tsawg lub hlis tus neonatologist siv cov me nyuam. Lub sijhawm ntawm tus menyuam mos liab yog hnub nyoog ntawm tus menyuam mos ntawm xoom mus rau tag nrho nees nkaum yim hnub, thaum lub sijhawm saib xyuas tus menyuam txoj kev noj qab haus huv raug muab tso rau tus kws kho mob tshwj xeeb. Tus kws kho menyuam yaus kuj pib soj ntsuam menyuam los ntawm ib lub hlis.
Dab tsi ua rau ib tug neonatologist?
Leej twg yog tus neonatologist thiab nws zoo li cas, txhua tus poj niam uas coj tus me nyuam yuav tsum paub. Tus kws kho mob no ua ib txoj haujlwm tseem ceeb hauv lub neej ntawm tus txiv neej uas nyuam qhuav tshwm sim. Thaum lub sijhawm no, thaum tus menyuam tus cwj pwm coj txawv txav, nws lub cev yuav tsum tau hloov mus rau ib qho chaw tshiab, hloov kev ua pa, kev noj mov, thiab lwm yam.
Thawj lub hli ntawm lub neej, tag nrho cov nruab nrog cev thiab lub cev ntawm tus mosliab yog rov kho dua, thiab lub sijhawm ntawd muaj peev xwm txheeb xyuas cov kabmob pathological txawv txav, nrog rau cov neeg uas yuav tsim kev kub ntxhov rau nws lub neej yav tom ntej. Muab qhov no, ib tug muaj peev xwm paub tau hais tias lub luag hauj lwm thiab maj mam ua txoj haujlwm ntawm neonatologist yog. Tus kws kho mob tshwj xeeb no yuav tsum muaj cuab kav ntsuam xyuas txoj kev noj qab nyob zoo ntawm tus me nyuam, tsim kev zoo rau nws txoj kev loj hlob zoo.
Xav tias tus neonatologist kho, peb yuav tsum nco ntsoov tias nws ib txhij yuav tsum sib sau ua ke nyob rau hauv nws kev ua si ntau specialties - kws khomob, neurologist, cardiologist, pulmonologist, gastroenterologist thiab lwm yam. Nyob rau hauv no hais txog, daim ntawv teev cov kab mob, uas diagnoses thiab treats tus kws kho mob, yog ntau. Ntawm lawv, ib tug yuav tsum tau tawm hauv cov xeev uas nyob rau ciam teb ntawm kev cai thiab txoj kev ua haujlwm, yuav tsum tau ua tib zoo saib xyuas kom raws sij hawm:
- cev nqaij daim tawv iav ;
- hormonal teebmeem;
- albuminuria;
- tus neeg mob hypoglycemia;
- cov tshuaj polycythemia;
- zis acid diathesis thiab lwm tus.
Peb sau cov kab mob thiab cov kab mob uas tus kws kho mob feem ntau tau ntsib:
- nqus;
- quav mob;
- blenorrhea;
- intertrigo ;
- phenylketonuria;
- umbilical hernia;
- kab mob ntsws;
- hemorrhagic kab mob;
- endocrinopathy;
- mob plawv tsis zoo ;
- pilorospasm;
- hnub yug raug mob thiab ntau lwm tus.
Tus kws kho mob neonatologist nyob qhov twg?
Hais txog nws yog leej twg - neonatologist, ntau cov poj niam pom hauv lub tsev kho mob thaum yug los thaum yug los yog tom qab yug. Tsis tas li, tsis yog tsuas yog neonatologist hauv tsev kho mob, cov kws kho mob ua haujlwm hauv cov tuam tsev hauv cov tsev kho mob me hauv tsev kho mob, hauv cov tsev kho mob me, thiab feem ntau tau txais kev nkag mus hauv cov tsev kho mob me nyuam. Qee zaum, thaum ib tus menyuam muaj teebmeem kev noj qab haus huv, neonatologist tuaj yeem soj ntsuam nws ntev txog rau lub hlis thiab txog li ib xyoos.
Ob lub luag haujlwm ntawm neonatologist
Txoj haujlwm ntawm neonatologist yog lub luag haujlwm tseem ceeb ntawm kev soj ntsuam, kev kho mob thiab cov me nyuam mos mob nrog kev ua tsis zoo, tsis tuaj yeem yug, tom qab ib tus menyuam nyuab. Tus neonatologist-resuscitator nyob rau hauv cov lus muaj cov ntaub ntawv txhua yam tsim nyog thiaj li muaj peev xwm npaj muaj kev tsim nyog tau txais kev pabcuam, kev kho mob sai thiab kev pabcuam.
Ntxiv rau cov lus pom zoo rau kev kho mob ntawm cov kab mob ntawm tus me nyuam, nyob rau hauv cov kev mob ntawm ib lub tsev kho mob nyob rau ntawm ib tug txais tos ntawm ib tug neonatologist, uas tseem tsis tau kawm nws, yuav tau txais kev pom zoo txog:
- cov cai tseem ceeb ntawm kev saib xyuas rau tus menyuam;
- tsoom fwv tus me nyuam lub hnub, nws cov khoom noj khoom haus;
- qhov tsim ntawm lactation;
- sij hawm ntawm kev txhaj tshuaj thiab lwm yam.
Kev kuaj los ntawm ib tug kws kho mob neonatologist
Hauv thawj thawj feeb tom qab yug los, tus kws kho mob neonatologist qhov kev kuaj xyuas yog ntsuam xyuas seb tus menyuam muaj mob npaum li cas hauv Apgar nplawm thiaj li txiav txim siab seb nws puas xav tau kev pab tshwj xeeb thiab tu nws. Tsib tus qauv siv rau qhov no: ua pa, mob nqaij, tsis xav ua kom pom, plawv atherosclerosis, tawv nqaij. Cov kev txwv no yog txiav txim ob zaug - tam sim tom qab yug me nyuam thiab tom qab tsib feeb. Rau cov me nyuam mos liab preterm, Silverman nplai yog siv, uas txiav txim siab ua pa. Ntxiv thiab, tus me nyuam muaj kev nyhav, qhov kev loj hlob yog ntsuas.
Tus neonatologist ua dab tsi?
Tus kws kho mob nws tus kheej los yog tus neeg tu mob hauv thawj 24 xuaj moos tom qab yug me nyuam ua ib cov qauv ntshav los ntawm ib tus menyuam mos los ntawm pob luj rau kev soj ntsuam ntxiv rau cov pab pawg neeg ntshav qab zib, Rh Factor, ntau yam kabmob. Ob peb hnub tom qab, kev kuaj ntshav yog tshawb xyuas cov kab mob caj ces thiab kev txiav txim siab dav dav dav. Tus kws kho mob yug tus menyuam mos kuaj mob tus menyuam txoj kev noj qab haus huv los ntawm kev kuaj lub ntsiab lus ntawm kev ua haujlwm thiab kuaj cov kabmob thiab lwm yam hauv lub cev:
- plab - xav paub seb qhov chaw thiab qhov loj ntawm tus po, siab;
- caj dab, pob qij txha, mob ntsws, lub pob ntseg qej - tshem tawm kev raug mob yug me nyuam;
- leeg - lawv lub suab raug ntsuas;
- lub taub hau - nws yog txiav txim siab seb puas muaj kev puas siab puas ntsws, qog, qhov loj ntawm tus fontanel yog teeb;
- teeb, lub plawv - bugged los ntawm ib phonenoscope;
- pojniam qau - kuaj, palpation mus ntes tau malformations.
Neonatologist lub tswv yim
Ob peb lub tswv yim, uas cov neonatologist muab, yuav pab cov niam txiv tshiab uas tau ua tiav lawv cov dej num, thiab tus me nyuam yoojyim hloov kho rau qhov chaw tshiab:
- Ntau tus me nyuam yug nyob rau thawj hnub tom qab yug me nyuam yuav luag pw tsaug zog, uas yog ib qho tshuaj tiv thaiv kab mob, tiam sis peb yuav tsum tsis txhob hnov qab tsis tu ncua lawv lub mis.
- Chav tsev nyob qhov twg tus me nyuam nyob yuav tsum zoo txaus, thiab cov ntaub qhwv tawm, khaub ncaws, chaw pw yuav tsis cuam tshuam nrog kev ua pa ntawm pob zeb.
- Vim tias cov thermoregulation ntawm tus me nyuam tsis zoo tsim, nws tsis tau hws thiab hnov txias li cov laus, nws tseem ceeb heev rau hnav khaub ncaws thiab npog nws raws li qhov kub ntawm chav tsev.
- Cov qhua ntawm cov qhua yuav tsum muab ncua rau ob peb hnub los yog lub lim tiam, thaum lub crumb yuav tsim ib tug tsoom fwv.
- Kid kas tseem ceeb heev rau lub siab lub ntsws ntawm leej niam, thiab rau nws nws yog qhov tseem ceeb rau kev xav tias tus calm los ntawm nws, kev ntseeg siab rau nws ua.