Kana iwe ukateerera kune izvo vanaamai vevana vacheche vachitaura pavanenge vachifamba vana vavo mupaki, unogona kuwana zvitatu zvakakurumbira: mhemberero dzekudzivirira uye kuberekwa - nguva ino, kudya zvimedu - izvi zviri zviviri uye kushanyira vana vepolyclinic - vatatu. Kune avo vanobva kumadzimai avo vanowanzovhiringidza vanorwara, avo vasina kumboita mugore rokutanga - zvose zvakakosha kuti vashanyire vanhu vari vakapfeka nguo dzakachena ... Saka kangani uye chii kune vana vachipikisana nachiremba zvinodiwa?
Chiremba wokutanga
Chiremba akangwarira, akaisa pachena pamba rekarapuzik padumbu reamai, achimudzidzisa kushanda kubhokisi, anoisa makumbo kutanga "kuongorora." Ndiani uyu chiremba? Neonatologist. Aripo ari pedyo namai vari muimba yekutakura panguva yekuzvarwa kwomwana (kana kuti muchina chekushanda munyaya yekasea yechikamu). Chiremba anoongorora mwana, achiongorora huwandu hwake hwose pakarepo mushure mekunge aberekwa (pamutambo wekutanga uye wechitanhatu), maererano nezviratidzo zvishanu zveApgar chikamu: ruvara rweganda, kufema, moyo wemhepo, mararamiro ekuzvimiririra uye mutsindo wekutema, pamwe chete nekukanda uye kuisa pfungwa kudanidzira. Nhamba yepamusoro yechiratidzo chimwe nechimwe 2 mapeji. Izvozvo zvinoreva, kana iyo yakagumburwa inowana 10 pfungwa paApgar, zvinoreva "rakanaka-rakanaka". Kunyange zvazvo 9, uye 8 uye kunyange 7 - zvakare yakanaka, asi mapfumbamwe matanhatu uye pasi ndeye chikonzero chechiremba, uyo anosarudza kana mwana achida kurapwa. Kana zvinhu zvose zvave zvakarongeka, ipapo mummai ane chigumbuso chinosara muimba yehuta kwemaawa maviri - apo mwana akarara pamubhedha wamai vake.
Munguva iyo mazuva 3-4 (kana anenge nevhiki mushure mekuchengetedza), iyo neonatologist imwechete ichaongorora mwana zuva rega rega mumusha wekuberekwa.
Munguva yemangwanani, chiremba anoongorora mwana, anopindura mibvunzo pamusoro pekuyamwisa nekuyamwisa, uye mukoti anorema mutswanda, anotora maronda ombilical, anogadzirisa maronda echando nemwana mafuta. Mwana ari muchipatara chekuberekwa achasungirwa uye "kuongorora" - phenylketonuria (congenital impairment ye amino acid exchange of phenylalanine) uye hypothyroidism (haikwanisi basa remushonga wekemikari). Ropa kubva chitsitsinho chemafuro ezvitsvuku richashandiswa kune pepa rinokosha uye rinotumirwa ku laboratory, zvigumisiro zvichaendeswa kumakiriniki ako eruwa.
Council. Kana uri mufambiro wecheche iwe uchava chimwe chinhu chokufunganya pamusoro - usamirira kuswedera mangwanani, taura nebazi revana kuti vabatsirwe chero nguva. Kana yava nguva yekudzoka nechokuputika kuchipatara, usakanganwa tsvina kubva munhoroondo yekuvandudzwa kwechecheche. Iwe uchapa chepachikoro kuvana vako vekumba, uye iwe unogona kutora kopipiko kana iwe uchida kuonana neunyanzvi mumakiriniki.
Kushanya kwechiremba wezvechiremba wedunhu
Asati asunungurwa kubva kuchipatara, mukoti anotsanangura kero iyo mhuri yevana ichagara. Izvi ndezvekuvimbisa kuti data pamusoro pemwana yakatumirwa kuchipatara cheruwa. Usashamisika kana, pazuva rakatevera mushure mokudzokera kumusha, chiremba wezvechiremba weruwa anouya kwauri - iye pachake, pasina pamba. Ndiyo basa rake - anofanirwa kushanyira mwana achangoberekwa pazuva rakatevera (mumamiriro ezvinhu akaipisisa, kwete mushure mechitatu) mushure mekubuda. Mwedzi wokutanga chiremba wezvechiremba weruwa achaongorora mwana kamwechete pavhiki - iyi ndiyo inonzi yekuchengetwa kwechechecheche. Chiremba paanoshanyira, achitaura chiremba, achabata chirongwa chepachipiri. Chinosanganisirei? Kuongororwa kwechiganda chemucheche, muromo wake, maziso, nhengo dzomukati dzomukati), kuteerera inzwi, kufema, kuvhara mimba, kugadzirisa zvinhu zvehutachiona uye mafungiro ehupenyu.
Council. Bvunza chiremba kuti chii chaunofanira kuita kana mwana akazvibata asinganzwisisiki: anoramba mazamu, anogomera, kunyange akazara uye akaoma, anonyatsoputira nemapeni nemakumbo.
Pakupembera!
Kana mwana wako achitendeuka mwedzi, iwe unofanira kushanyira polyclinic. Usatya kuti mwana wako anokosha anorapwa nemumwe mwana wechidiki - kubata vacheche mu polyclinic, zuva rinokosha rakapiwa kune vamwe vana vasingatori. Kana iwe ukangoerekana wauya kuchipatara pane zuva rakasarudzwa - hazvina basa, sezvo vanaamai nevana vachipotsa pasina mutsara. Chiremba rezvechiremba? Ndizvo, kana vanachiremba vachida kuenda nemwana kusvika kune gore, nguva dzose vachava muhofisi yedharachi yepamusoro, saka iwe haufaniri kumira mumabhuku. Saka iwe uri muhofisi yechiremba. Kwenguva yekutanga mushure mekunge chipatara, mwana achange akayerwa, akayera rutivi rwemusoro wake nechifuva, achaona kuti mwana akakura sei uye akawedzera kuwanda mumwedzi wokutanga. Ngarege kukuvhiringidza kuti mwana wacho haana kuyerwa kwemwedzi: kana muviri wekuberekwa kwaive wakakwana, saka hapana chikonzero chekuisa zvimedu pachiyero kamwe pavhiki. Iva ne "cheketi" yese yakapera here? Zvino chiremba wevana anonyora chirevo kune vanyori vashoma ...
Council. Paunenge uchigadzirira rwendo kuenda ku polyclinic, usakanganwa kuisa 2-3 diaper inokanganisa muhomwe, kutakura mwana mvura yakashambidza nemvura isina kuvhara mvura uye sliders spare kana slide.
Neurologist uye kambani
Mune yekutanga prophylactic kuongororwa kwezvokurapa (uye kuchava nemamwe maviri-mumwedzi mitatu uye gore) mwana ari kushanyira nyanzvi yezveuropi, chiremba wezvechiremba, an oculist, aor, cardiologist. Imwe nyanzvi yezvepfungwa ndeimwe yeyanzvi dzakashanyira zvikuru kana iri kuuya kumwana kusvika pagore. Zvakakosha kuti chiremba uyu agare achicherechedza kukura kwehutano hwemwana, kutaridzika kweunyanzvi hutsva uye kuparara kwe congenital reflexes pane dzimwe nguva. Nyanzvi inotarisa mamiriro ehutano hwemwana, kushushikana kwepfungwa, chiso chemaziso, kuchema, motokari, manzwiro ekutema, mamiriro emutambo mukuru, nezvimwewo. Kazhinji nokuda kwekunyatsodzidza, vana vanopiwa neuro-sonography (NSG) - ultrasound yeuropi kuburikidza neforaniel huru. Iyi nzira haifaniri kutyiwa, nokuti mwana haasi irradiated.
Mucherechedzo (chiremba) anoongorora kana musculoskeletal system yakanyatsogadzirwa mumwana, zvisungo zvake zvinokura zvakanaka. Nyaya inonyanya kukosha ndeyekuongororwa kwezviputi zvechiuno kuitira dysplasia inogona kuitika. Dzimwe nguva vana (vanowanzoberekwa vasati vataura) vanorayirwa ultrasound yezvibatanidzwa zvechiuno, pavanodzidza humiro uye huwandu hwezvinhu zvose zvekubatana, kuvapo kwekussification nuclei. Kana mwana ane zvinetso nemajoini, chiremba achaona nzira yakanakisisa yekurapa kana kudzidzisa gymnastics yakakosha yekudzivirira dysplasia. Mukuwedzera pane zvinotarisirwa kushanyira majoka, tarisa hofisi yake paunoona kuti mwana ari kugadzirira kugara, achiedza kumira pamakumbo. Chiremba achakubatsira kusarudza shangu dzakarurama kumwana wako, izvo zvichabatsira kugadzira chitsiko chetsoka, kukuudza kana uchida kuwedzerwa kuwedzera kwe calcium kana vitamini D.
Ophtalmologist achaongorora ganda reziso remwana kuti aratidze kana mabhuku emagetsi anogadzirwa zvakanaka, angave ane mitsetse ye strabismus, myopia, astigmatism, zvirwere zvepenital, matambudziko ane dhanzi rinoputika, rinogona kutyisidzira nekuvhara. Kazhinji vabereki vane hanya ne "ziso" kune vana mumwedzi yokutanga yehupenyu (iyo inobatanidza nehupenyu hwekugadzikana kwemarara). Izwi rekuongorora richakubatsira iwe kusarudza nzira yakanakisisa yekurapa.
Lor (kana mukati mevanhu "nzeve-throat-nose") inotsvaga muchero wemuchere uye nzeve dzomwana. Iko inonyanya kukosha nokukurumidza sezvinobvira kuti uone kusakanganiswa kwekunzwa mumakumbo, kana ukacherechedza kuti mwana haatauri nezwi rako, inzwi rakakoromora kana kubata pamagumo emwedzi wokutanga.
Nyanzvi yehupenyu ichateerera mwoyo wemwana kuitira kuti arege kushaya kukanganisa kwekupararira kweropa kana vice, iyo inofanirwa kubatwa mumwedzi yekutanga yeupenyu. Mwoyo wemunhu mukuru uye wemwana unorova zvakasiyana, naizvozvo haisi nguva yakakwana kuti nyanzvi yemwoyo iiteerere mwoyo nemaphonendoscope, sei achigona kugadzira ganda uye ECG - electrocardiogram.
Ona iwe nokukurumidza!
Zvakanaka, kuongororwa kwechiremba kwokutanga kwakapfuura, kwatinokurumbidza nayo! Asi zvakadini, nokuti zvakafanana nekutanga kubhabhatidza komoto! Iye zvino pachave nechimwe chinhu chokuudza vanasekuru uye vanaamai vasina ruzivo mupaki. Asi zvakanyanyisa - hazvina kukodzera kurega kufamba kune polyclinic. Mu "zabudddomovskih" ane hanya uye mabasa epamba, zvinogoneka, Mwari asingabvumirwi, kupotsa chirwere chakatanga mumwana kana kuputsa. Sei tichida matambudziko akadaro? Tinoda kuti mwana akure noutano hwakasimba uye hwakasimba! Uye saka zvichava-chokwadi! Uye nokuda kweizvi iwe unoda kuziva kuti vanachiremba vanodii kutora mwana kumakore 1, uye uzviite nguva dzose:
- kusvika kumwedzi 6 pamwedzi;
- kubva 6 kusvika ku12 - mwedzi miviri.