Cov neeg ua haujlwm NICU

Tsab xov xwm no tham txog pawg neeg tseem ceeb ntawm cov neeg zov me nyuam uas tau koom nrog kev saib xyuas koj tus me nyuam hauv lub tsev tu menyuam (cov neeg tsis muaj neeg zov) (NICU). Cov neeg ua haujlwm feem ntau suav nrog cov hauv qab no:

ALLIED HEALTH PROFESSIONAL

Tus neeg saib xyuas kev noj qab haus huv no yog ib tus kws tu neeg mob lossis kws pab tswv yim. Lawv ua haujlwm nyob rau hauv kev saib xyuas ntawm neonatologist. Tus kws paub txog mob hauv kev noj qab haus huv yuav muaj kev paub ntau dua hauv kev saib xyuas neeg mob dua li tus neeg nyob hauv nroog, tab sis yuav tsis muaj kev kawm thiab kev kawm zoo ib yam.

KUA DOCTOR (NEEG HLUB)

Tus kws kho mob uas saib xyuas yog lub luag haujlwm tseem ceeb kws saib xyuas koj tus menyuam. Tus kws kho mob tau koom ua tiav kev cob qhia txog kev paub txog neonatology thiab kev nyob hauv kev kho mob pediatrics. Chaw nyob thiab sib raug zoo feem ntau yuav siv sij hawm 3 xyoos txhua, tom qab 4 xyoo tsev kawm ntawv kho mob. Tus kws kho mob no, hu ua kws tu plaub hau (neonatologist), yog tus kws kho menyuam yaus nrog kev qhia tshwj xeeb hauv kev saib xyuas cov menyuam yaus uas muaj mob thiab xav tau kev saib xyuas tom qab yug menyuam tas.

Txawm hais tias muaj ntau tus neeg sib txawv nyob hauv koj tus menyuam saib xyuas thaum nws nyob hauv NICU, nws yog tus kws kuaj mob hlwb txiav txim siab thiab saib xyuas txoj kev npaj khomob txhua hnub. Qee lub sijhawm, tus kws kho neonatologist yuav sab laj nrog lwm tus kws tshaj lij los pab koj saib xyuas koj tus menyuam.

NEJ COV NEEG SAWV DAWS

Neonatology khub yog tus kws kho mob uas tau ua tiav qhov chaw nyob hauv kev kho mob dav dav thiab tam sim no muaj kev kawm txog neonatology.

TSHAJ

Tus neeg nyob hauv yog tus kws kho mob uas tau ua tiav lub tsev kawm ntawv kho mob thiab tau kawm hauv kws kho mob tshwj xeeb. Hauv kev ntsuas xyuas menyuam yaus, kev kawm chaw nyob yuav siv 3 xyoos.

• Ib tus thawj neeg nyob hauv yog tus kws kho mob uas tau ua tiav kev cob qhia txog kev kho mob dav dav thiab tam sim no saib xyuas lwm cov neeg nyob hauv.
• Tus neeg laus tau yog tus kws kho mob uas tau kawm xyoo thib peb hauv kev kho cov menyuam yaus. Tus kws kho mob no feem ntau saib xyuas cov neeg nyob qis qis thiab cov neeg xyaum haujlwm.
• Ib xyoos, lossis ob xyoos, neeg nyob hauv tsev kho mob yog tus kws kho mob hauv xyoo ob ntawm 3 xyoo ntawm kev cob qhia hauv kev kho cov menyuam yaus.
• Ib tus neeg nyob hauv thawj xyoo yog kws kho mob nyob rau hauv thawj xyoo ntawm kev cob qhia hauv kev kho cov menyuam yaus. Hom kws kho mob no tseem hu ua kws pab xyaum haujlwm.

NEEJ NEEG

Tus tub ntxhais kawm ntawv kho mob yog ib tug neeg uas tsis tau ua tiav tsev kawm ntawv kho mob. Tus tub kawm ntawv kho mob tej zaum yuav tshuaj xyuas thiab tswj tus neeg mob hauv tsev kho mob, tab sis yuav tsum muaj tag nrho cov lus txib kuaj xyuas thiab pom zoo los ntawm kws kho mob.

COV NEEG SAIB XYUAS NEEG SAIB XYUAS ZAWV (NICU) NURSE

Tus kws saib xyuas neeg mob no tau txais kev qhia tshwj xeeb hauv kev saib xyuas cov menyuam hauv NICU. Cov kws saib xyuas neeg mob yog tus tseem ceeb hauv kev saib xyuas tus menyuam thiab txhawb nqa thiab qhia tsev neeg. Ntawm txhua tus neeg saib xyuas hauv NICU, cov kws saib xyuas neeg mob feem ntau siv sijhawm ntau nyob ntawm menyuam yaus lub txaj, saib xyuas tus menyuam thiab tsev neeg. Tus kws tu neeg mob kuj yuav yog tus koom nrog pawg neeg thauj neeg NICU lossis dhau los ua tus kws tshaj lij cov pa oxygenation (ECMO) tshwj xeeb tom qab kev cob qhia tshwj xeeb.

PHARMACIST

Tus kws muab tshuaj yog cov kws tshaj lij nrog kev kawm thiab kev qhia paub txog kev npaj cov tshuaj siv hauv NICU. Cov kws muag tshuaj pab npaj cov tshuaj xws li tshuaj tua kab mob, txhaj tshuaj tiv thaiv kab mob, los yog tso tshuaj rau ntshav (IV), xws li tag nrho cov khoom noj niam txiv (TPN).

DIETITIAN

Tus kws qhia noj zaubmov lossis kws paub noj zaub mov zoo yog ib tug kws tshaj lij uas tau kawm thiab kawm paub txog kev noj zaub mov zoo. Qhov no suav nrog tib neeg cov kua mis, cov vitamins thiab cov tshuaj ntxhia, thiab cov qauv me nyuam hauv plab uas siv hauv NICU. Cov kws qhia noj zaub mov pab saib xyuas cov me nyuam kom pub mis noj, lawv lub cev teb li cas rau cov khoom noj, thiab lawv loj hlob li cas.

LIS LICAS XWB

Tus kws pab tawm tswv yim txog kev qhia mis (LC) yog tus kws tshaj lij uas txhawb nqa leej niam thiab cov menyuam uas pub niam mis thiab, hauv NICU, pab txhawb nqa cov niam nrog rau kev qhia mis nyuj. Ib qho IBCLC tau raug lees paub los ntawm Cov Kws Pab Tswv Yim Thoob Ntiaj Teb uas tau txais kev qhia tshwj xeeb thiab kev cob qhia ntxiv rau kis dhau qhov kev xeem sau ntawv.

LWM YAM TSHAJ

Pab pawg kho mob tej zaum yuav suav nrog tus kws kho mob ua pa, neeg ua haujlwm pab neeg, kws kho cev nqaij daim tawv, tus kws hais lus thiab tus kws tshaj lij, thiab lwm tus kws tshaj lij nyob ntawm tus menyuam qhov kev xav tau.

TXHAWB NEEG UA HAUJ LWM

Cov kws kho mob los ntawm lwm qhov tshwj xeeb, xws li kho plawv mob ntshav lossis kev phais menyuam yaus, tej zaum yuav yog ib feem ntawm pab pawg kws pab tswvyim koom nrog saib xyuas cov menyuam hauv NICU. Yog xav paub ntxiv saib: NICU cov kws pab tswv yim thiab txhawb cov neeg ua haujlwm.

Cov chaw zov menyuam tshiab - cov neeg ua haujlwm; Neonatal qhov chaw zov hnyav - cov neeg ua haujlwm

Raju TNK. Kev loj hlob ntawm cov tshuaj neonatal-perinatal: muaj keeb kwm pom. Hauv: Martin RJ, Fanaroff AA, Walsh MC, eds. Fanaroff thiab Martin's Neonatal-Perinatal Tshuaj: Cov kab mob ntawm lub plab thiab menyuam mosCov. 11th ed. Philadelphia, PA: Elsevier; 2020: chap 1.

Sweeney JK, Guitierrez T, Beachy JC. Neonates thiab cov niam txiv: kev saib xyuas neurodevelopmental kev pom zoo hauv cov neonatal kev saib xyuas hnyav thiab taug qab. Hauv: Umphred DA, Burton GU, Lazaro RT, Cov Menyuam ML, eds. Umphred's Neurological Kev Kho MobCov. 6 tus ed. St Louis, MO: Elsevier Mosby; 2013: chap 11.