Cov kws pab tswv yim NICU thiab txhawb cov neeg ua haujlwm

NICU yog chav tshwj xeeb nyob hauv tsev kho mob rau menyuam mos thaum yug los ntxov, ntxov heev, lossis leej twg muaj lwm yam mob loj. Cov menyuam feem ntau yug ntxov ntxov yuav tsum muaj kev saib xyuas tshwj xeeb tom qab yug.

Tsab xov xwm no tham txog cov neeg pab tswv yim thiab cov neeg ua haujlwm pabcuam uas tej zaum yuav koom nrog saib xyuas koj tus menyuam mos raws li koj tus menyuam qhov kev khomob xav tau.

AUDIOLOGIST

Tus kws ntsuas mob tau cob qhia los ntsuas tus menyuam lub pob ntseg thiab muab kev saib xyuas rau cov neeg muaj teeb meem hnov ​​lus. Feem ntau cov menyuam mos tau kuaj lawv lub rooj sib hais ua ntej tawm hauv tsev kho mob. Koj cov kws saib xyuas kev noj qab haus huv yuav txiav txim siab seb qhov kev kuaj twg zoo tshaj plaws. Kev sim hnov ​​lus zoo kuj tseem ua tau tom qab tawm hauv tsev kho mob mus.

CARDIOLOGIST

Tus kws kho plawv yog kws kho mob uas muaj kev kawm tshwj xeeb hauv kev kuaj mob thiab kho kab mob hauv lub plawv thiab cov hlab ntshav. Pediatric cardiologist raug cob qhia los daws cov teeb meem kev mob plawv tshiab. Tus kws kho plawv tuaj yeem kuaj xyuas tus menyuam, xaj kuaj, thiab nyeem cov ntawv sim. Kev kuaj mob los soj ntsuam lub plawv mob xws li:

• Kev xoo hluav taws xob
• Electrocardiogram (ECG)
• Echocardiogram
• Txoj Kev Ntshaw Mob

Yog tias tus qauv ntawm lub plawv tsis zoo li qub vim kev yug me nyuam, kev kho plawv tuaj yeem ua haujlwm nrog lub plawv phais ua lub ntsej muag ntawm lub plawv.

CARDIOVASCULAR SURGEON

Tus kws phais plawv plawv (lub plawv) yog kws kho mob uas muaj kev kawm tshwj xeeb hauv kev phais los kho lossis kho qhov tsis zoo ntawm lub plawv. Kev phais plawv rau cov kws phais plawv yog kawm los kho cov teeb meem lub plawv yug menyuam tshiab.

Qee zaum, kev phais mob tuaj yeem kho lub plawv. Lwm lub sijhawm, kev ua tiav tiav tsis tuaj yeem ua tiav thiab kev phais mob tsuas yog ua kom lub siab ua haujlwm zoo tshaj plaws. Tus kws phais yuav koom tes ua ke nrog tus kws kho plawv kom saib xyuas tus menyuam ua ntej thiab tom qab phais tas.

KHAWV KOOB

Tus kws kho phom sij yog tus kws kho mob uas tau kawm tshwj xeeb hauv kab mob thiab mob ntawm daim tawv nqaij, plaub hau, thiab rau tes. Tus kws kho mob no yuav raug hais kom saib pob pob lossis tawv nqaij mob ntawm tus menyuam hauv tsev khomob. Qee qhov xwm txheej, kws kho mob tawv nqaij yuav coj cov tawv nqaij ua qauv, hu ua me me. Tus kws kho kaus hniav yuav tseem ua hauj lwm nrog tus kws saib xyuas tus kws kho hniav kom nyeem txog qhov kuaj tau.

KEV LOJ HLOB ZOO LI NO

Tus kws kho menyuam yaus yog tus kws kho mob tau ua haujlwm tshwj xeeb los kuaj thiab saib xyuas cov menyuam mos uas muaj teeb meem ua dab tsi lwm tus menyuam yaus hnub nyoog tuaj yeem ua. Cov kws kho mob no feem ntau ntsuas cov menyuam yaus uas twb mus tsev lawm los ntawm NICU thiab yuav xaj lossis kuaj kev loj hlob. Tus kws kho mob tseem tuaj yeem pab koj nrhiav cov peev txheej nyob ze koj lub tsev uas muab kev kho mob los pab rau cov menyuam mos thiab menyuam yaus kom ua tiav cov phiaj xwm loj. Kev loj hlob ntawm cov kws kho menyuam yaus ua haujlwm sib raug zoo nrog cov kws saib mob neeg mob, tus kws kho mob ua haujlwm, tus kws kho lub cev, thiab qee zaum cov kws kho mob hlwb.

DIETITIAN

Tus kws qhia noj zaub mov muaj kev qhia paub tshwj xeeb hauv kev noj haus (pub mis). Tus neeg muab kev pab no tseem yuav ua tus saib xyuas me nyuam (cov me nyuam) cov khoom noj khoom haus zoo. Cov zaub mov pab txiav txim xyuas saib koj tus menyuam puas muaj zaub mov txaus, thiab tej zaum nws yuav qhia qee yam khoom noj zoo tuaj yeem muab tso rau hauv cov ntshav lossis lub raj mis pub mis.

ENDOCRINOLOGIST

Tus kws kho mob endocrinologist kws kho mob yog tus kws kho mob nrog kev qhia tshwj xeeb hauv kev kuaj mob thiab kho tus menyuam yaus nrog cov teeb meem hormone. Endocrinologist yuav raug nug kom pom cov menyuam yaus uas muaj teebmeem txog qib ntsev lossis suab thaj hauv lub cev, lossis tus uas muaj teebmeem txog kev txhim kho qee cov qog thiab kabmob.

GASTROENTEROLOGIST

Tus kws kho mob tsaj lij kws kho mob yog kws kho mob muaj kev cob qhia tshwj xeeb hauv kev kuaj mob thiab kho tus menyuam mos nrog cov teeb meem ntawm lub plab zom mov (plab thiab plab hnyuv) thiab mob siab. Tus kws kho mob no yuav raug nug kom pom tus menyuam uas lub plab zom mov lossis lub siab muaj teeb meem. Kev ntsuam xyuas, xws li ntsuas duab xoo, kuaj lub siab ua haujlwm, lossis kuaj lub plab, tuaj yeem ua.

NTUJ YEEJ

Tus kws kho mob caj ces yog tus kws kho mob muaj kev cob qhia tshwj xeeb hauv kev kuaj mob thiab kho cov menyuam mos nrog mob qog nqaij (yug los ntawm), suav nrog teeb meem chromosomal lossis syndromes. Kev ntsuam xyuas, xws li kev tsom qhia chromosome, kev tshawb fawb metabolic, thiab lwm yam, yuav ua tau.

HEMATOLOGIST-ONCOLOGIST

Tus kws kho mob hematologist-oncologist yog tus kws kho mob nrog kev qhia tshwj xeeb hauv kev kuaj mob thiab kho tus menyuam yaus cov ntshav tsis zoo thiab hom mob qog ntshav. Tus kws kho mob no yuav raug nug kom pom ib tus neeg rau teeb meem los ntshav vim ntshav tsawg los yog lwm yam ntshav txhaws. Kev kuaj mob, xws li ua kom tiav cov ntshav lossis txhaws ntshav, tej zaum yuav raug txiav txim.

LUS QHIA TXOG KEV KHWV TSHWJ XEEB

Tus kws paub txog kis mob yog tus kws kho mob muaj kev cob qhia tshwj xeeb hauv kev txheeb xyuas thiab kho tus mob. Tej zaum lawv yuav nug kom lawv pom tus menyuam uas muaj tus kabmob kis ua mob txawv lossis loj heev. Cov kab mob hauv cov menyuam yaus tuaj yeem suav nrog kev kis ntshav lossis mob rau lub hlwb thiab tus txha caj qaum.

TXUJ CI-FETAL MEDICINE TSHWJ XEEB CEEV

Tus kws kho mob-kws kho mob hauv plab - kws kho mob kws kho mob yug menyuam yog tus kws kho mob tshwj xeeb hauv kev saib xyuas cov poj niam cev xeeb tub pheej hmoo. Kev pheej hmoo loj txhais tau tias muaj kev pheej hmoo ntawm cov teeb meem. Tus kws kho mob no tuaj yeem saib xyuas cov poj niam uas muaj lub cev tsis tab seeb, ntau yam tes taw (ntxaib lossis ntau dua), ntshav siab, lossis ntshav qab zib.

NEJ COV NEEG NURSE LUB CEV (NNP)

Neonatal tus kws qhia neeg mob (NNP) yog cov kws saib xyuas neeg mob ua kom paub zoo nrog kev paub ntxiv hauv kev saib xyuas cov menyuam mos liab ntxiv rau kev ua tiav tus tswv lossis qib kev kawm qib siab. NNP ua hauj lwm nrog tus kws kho neonatologist kom kuaj thiab kho cov teeb meem kev noj qab haus huv hauv cov menyuam mos hauv NICU. NNP tseem ua cov txheej txheem los pab kuaj thiab tswj qee yam mob.

NEPHROLOGIST

Tus kws kho mob hlwb yog tus kws kho mob muaj kev qhia tshwj xeeb hauv kev kuaj mob thiab kho cov menyuam yaus uas muaj teeb meem ntawm lub raum thiab lub siab. Tus kws kho mob no yuav raug nug kom pom tus menyuam uas muaj teeb meem hauv kev loj hlob ntawm lub raum lossis pab saib xyuas tus menyuam uas lub raum tsis ua haujlwm zoo. Yog tias tus menyuam xav tau lub raum kev phais mob, tus kws kho mob hlwb yuav ua haujlwm nrog tus kws phais mob lossis urologist.

NEEG PHEM

Tus kws kho mob hlwb yog tus kws kho mob muaj kev kawm tshwj xeeb hauv kev kuaj mob thiab kho mob rau cov menyuam yaus uas muaj kev puas hlwb ntawm lub hlwb, cov leeg ntshav, thiab cov leeg. Tus kws kho mob no yuav raug nug kom pom tus menyuam yaus uas qaug dab peg lossis los ntshav hauv lub hlwb. Yog tias tus menyuam mos xav tau kev phais mob rau ib qho teeb meem hauv lub hlwb lossis tus txha caj qaum, tus kws kho mob hlwb yuav ua haujlwm nrog neurosurgeon.

NEUROSURGEON

Pediatric neurosurgeon yog kws kho mob kawm tiav los ua tus kws phais neeg ua haujlwm ntawm menyuam yaus lub hlwb thiab pob txha txha caj qaum. Tus kws kho mob no yuav raug nug kom pom tus menyuam uas muaj teeb meem, xws li tus txha caj qaum, txha taub hau txha taub hau, los yog hydrocephalus.

OB TUG NEEG

Tus kws kho mob yug menyuam yog kws kho mob uas kawm paub tshwj xeeb hauv kev saib xyuas poj niam cev xeeb tub. Cov kws kho mob zoo li no kuj tseem tuaj yeem pab cov poj niam uas xav tau cev xeeb tub thiab ua raws li cov poj niam muaj mob, xws li mob ntshav qab zib lossis qis menyuam hauv plab.

OPHTHALMOLOGIST

Tus kws kho qhov muag tshwj xeeb kws kho mob yog kws kho mob muaj kev cob qhia tshwj xeeb hauv kev kuaj thiab kho qhov muag ntawm cov menyuam yaus. Tus kws kho mob no yuav raug nug kom pom tus menyuam yaus muaj qhov tsis xws ntawm lub qhov muag.

Tus kws kho mob kho pob qhov muag yuav saib sab hauv ntawm tus menyuam lub qhov muag kom paub mob hlwb dua qub. Qee qhov xwm txheej, tus kws kho mob no yuav ua tau laser lossis lwm yam kev kho kom zoo ntawm lub qhov muag.

ORTHOPEDIC SURGEON

Tus kws phais menyuam yaus yog kws kho mob nrog kev qhia tshwj xeeb hauv kev kuaj mob thiab kho mob ntawm cov menyuam yaus uas muaj teeb meem nrog lawv cov pob txha. Tus kws kho mob no yuav raug nug kom pom tus menyuam uas muaj qhov tsis taus ntawm caj npab lossis txhais ceg, lub duav dislocation (dysplasia), lossis pob txha lov. Txhawm rau pom cov pob txha, cov kws phais neeg mob pob qij txha yuav yuam kom lub cev lossis xoo duab hluav taws xob. Yog tias xav tau, lawv tuaj yeem ua phais lossis tso pov tseg.

OSTOMY NURSE

Tus kws tu neeg mob ostomy yog tus kws tu neeg mob nrog rau kev cob qhia tshwj xeeb hauv kev saib xyuas cov nqaij mob thiab qhib nqaij hauv lub plab los ntawm qhov kawg ntawm txoj hnyuv lossis lub kaw lus sau lub raum tawm. Xws li qhov qhib hu ua ostomy. Ostomies yog qhov tshwm sim ntawm kev phais mob los kho ntau yam teeb meem hnyuv, xws li necrotizing enterocolitis. Hauv qee kis, kws kho mob ostomy tau sib tham los pab saib xyuas cov qhov mob nyuaj.

OTOLARYNGOLOGIST / EAR NOS THROAT (ENT) SPECIALIST

Tus kws kho mob otolaryngologist tshwj xeeb kuj tseem hu ua pob ntseg, qhov ntswg thiab caj pas (ENT) tshwj xeeb. Nov yog tus kws kho mob tau kawm tshwj xeeb hauv kev kuaj mob thiab kho cov menyuam yaus uas muaj teeb meem nrog pob ntseg, qhov ntswg, caj pas, thiab hlab pa. Tus kws kho mob no yuav raug nug kom pom tus menyuam uas muaj teeb meem ua pa lossis txhaws ntswg.

OCCUPATIONAL / PHYSICAL / SPEECH THERAPISTS (OT / PT / ST)

Cov kws qhia kev ua haujlwm thiab lub cev (OT / PT) yog cov kws tshaj lij kev kawm ua haujlwm nrog cov menyuam mos uas muaj kev xav tau. Qhov kev ua haujlwm no suav nrog kev ntsuas neurobehavioral (lub suab tom qab, rov qab ua dua, cov qauv txav, thiab cov lus teb rau kev tuav). Ib qho ntxiv, OT / PT cov kws tshaj lij yuav pab txiav txim xyuas tus menyuam kev pub mis noj thiab kev paub lub qhov ncauj. Cov Kws Kho Hais Lus tseem yuav pab qhia kev paub txog kev pub mis rau qee lub chaw haujlwm. Cov chaw muab kev pabcuam no tseem yuav raug nug kom muab tsev neeg kev kawm thiab txhawb nqa.

TXIJ NKAWM

Tus kws kho mob pathologist yog tus kws kho mob nrog kev kawm tshwj xeeb hauv kev kuaj sim thiab tshuaj xyuas cov ntaub so ntswg hauv lub cev. Lawv saib xyuas lub chaw kuaj mob thaum muaj ntau yam kev kuaj mob. Lawv kuj kuaj cov ntaub so ntswg hauv lub tshuab kuaj kab mob uas tau txais thaum phais lossis phais lub cev.

PEDIATRICIAN

Tus kws kho menyuam yaus yog tus kws kho mob nrog rau kev qhia tshwj xeeb hauv kev saib xyuas cov menyuam mos thiab menyuam yaus. Cov kws kho mob no yuav raug nug kom pom tus menyuam hauv NICU, tab sis feem ntau yog thawj tus kws saib xyuas mob rau tus menyuam yug tshiab muaj kev noj qab haus huv. Tus kws kho menyuam yaus tseem muab kev saib xyuas menyuam yaus rau menyuam yaus feem ntau tom qab lawv tawm hauv NICU.

PHLEBOTOMIST

Tus kws kho mob phlebotomist yog tus kws tshaj lij uas kawm tiav los coj koj cov ntshav. Tus kws kho mob no yuav nqa ntshav los ntawm txoj hlab ntshav los yog menyuam pob taws.

PULMONOLOGIST

Tus kws kho mob ntsws ntsws tshwj xeeb yog kws kho mob muaj kev qhia tshwj xeeb hauv kev kuaj mob thiab kho cov menyuam yaus uas muaj pa (ua pa) mob. Txawm hais tias neonatologist saib xyuas ntau tus menyuam mosliab uas muaj teebmeem ua pa, lub ntsws ntsig txog yuav hais kom pom lossis pab saib xyuas cov menyuam yaus uas muaj lub ntsws tsis zoo.

RADIOLOGIST

Kws xoo hluav taws xob yog kws kho mob nrog kev kawm tshwj xeeb hauv kev nrhiav thiab nyeem duab xoo hluav taws xob thiab lwm yam kev soj ntsuam duab, xws li barium enemas thiab lub suab nrov. Pediatric radiologist muaj kev qhia ntxiv hauv kev qog rau me nyuam.

KEV THEM NYIAJ YUG (RT)

Kws kho mob ntsws (RTs) raug cob qhia kom xa ntau yam kev kho mob rau lub plawv thiab lub ntsws. RTs koom tes nraim nrog menyuam mos uas muaj teebmeem kev ua pa, xws li mob ntsws ua pa nyuaj lossis mob bronchopulmonary dysplasia. Ib qho RT yuav dhau los ua tus tshaj lij ntawm cov pa roj carbon monoxide oxygenation (ECMO) tshwj xeeb nrog kev kawm ntxiv.

COV NEEG UA HAUJLWM SOCIAL

Cov neeg ua haujlwm pabcuam yog cov kws tshaj lij nrog kev kawm tshwj xeeb thiab kev cob qhia los txiav txim siab cov kev xav tau ntawm lub hlwb, lub siab ntsws, thiab nyiaj txiag. Lawv pab cov tsev neeg nrhiav thiab tswj cov kev pab hauv tsev kho mob thiab zej zog uas yuav pab tau lawv cov kev xav tau. Cov neeg ua haujlwm sib raug zoo kuj tseem pab nrog tso cov phiaj xwm pov tseg.

UROLOGIST

Tus kws kho mob hlwb yog tus kws kho mob muaj kev qhia tshwj xeeb hauv kev kuaj mob thiab kho tus mob ntsig txog mob txeeb zig rau cov menyuam yaus. Tus kws kho mob no yuav raug nug kom pom tus menyuam nrog tej yam mob xws li hydronephrosis lossis hypospadias. Nrog rau qee qhov xwm txheej, lawv yuav ua haujlwm nrog tus kws kho mob hlwb.

X-RAY TECHNICIAN

Tus kws yees duab xoo hluav taws xob tau kawm los ntawm kev xoo hluav taws xob. Kev xoo hluav taws xob tuaj yeem yog ntawm lub hauv siab, lub plab, lossis lub plab mog. Qee zaum, cov kev daws teeb meem tau siv los ua kom lub cev pom tau yooj yim, zoo li nrog barium enemas. Xoo hluav taws xob xoo pob txha kuj tseem tau ua rau cov menyuam yaus ntau yam.

Cov pab menyuam yug tshiab - cov kws pab tswv yim thiab txhawb cov neeg ua haujlwm; Neonatal qhov kev saib xyuas mob hnyav - cov kws pab tswv yim thiab txhawb cov neeg ua haujlwm

Hendricks-Muñoz KD, Prendergast CC. Kev saib xyuas ntawm tsev neeg thiab kev loj hlob hauv cov tsev zov menyuam me. Hauv: Polin RA, Spitzer AR, eds. Fetal thiab Neonatal SecretsCov. 3lawm ed. Philadelphia, PA: Elsevier Saunders; 2014: chap 4.

Kilbaugh TJ, Zwass M, Ross P. Pediatric thiab neonatal cov kev saib xyuas hnyav. Hauv: Miller RD, ed. Miller lub tshuaj loogCov. 8 tus ed. Philadelphia, PA: Elsevier Saunders; Xyoo 2015: chap 95.

Martin RJ, Fanaroff AA, Walsh MC, eds. Fanaroff thiab Martin's Neonatal-Perinatal Cov Tshuaj Kho Mob Ntawm Tus Mob Fetus thiab Menyuam MosCov. 10 tus ed. Philadelphia, PA: Elsevier Saunders; Xyoo 2015.