Apgar ci

Apgar gwaji ne mai sauri da aka yiwa jariri a minti 1 da 5 bayan haihuwa. Nunin minti 1 yana tantance yadda jariri ya haƙura da tsarin haihuwa. Sakamakon minti 5 ya gaya wa mai kula da lafiyar lafiyar lafiyar jaririn a wajen mahaifar uwa.

A wasu lokuta ma ba safai ba, za a yi gwajin minti 10 bayan haihuwa.

Virginia Apgar, MD (1909-1974) ta gabatar da ƙimar Apgar a cikin 1952.

Gwajin Apgar likita ne yake yin shi, ungozoma, ko kuma nas. Mai bayarwa yana bincika jaririn:

• Effortoƙarin numfashi
• Bugun zuciya
• Sautin tsoka
• Haske
• Launin fata

Kowane rukuni ana cin shi da 0, 1, ko 2, ya danganta da yanayin kiyayewa.

Effortoƙarin numfashi:

• Idan jariri baya numfashi, adadin numfashi 0 ne.
• Idan numfashin ya yi jinkiri ko mara tsari, jariri zai ci 1 don ƙoƙarin numfashi.
• Idan jariri yayi kuka da kyau, yawan numfashi shine 2.

Ana kimanta bugun zuciya ta hanyar stethoscope.Wannan shine mafi mahimmancin kima:

• Idan babu bugun zuciya, jariri ya ci 0 don bugun zuciya.
• Idan bugun zuciya bai kai 100 ba a minti daya, jariri zai ci 1 don bugun zuciya.
• Idan bugun zuciya ya fi karfin bugun zuciya sama da 100 a minti ɗaya, jariri zai ci 2 don bugun zuciya.

Sautin tsoka:

• Idan tsokoki suna kwance kuma suna shanyewa, jariri zai ci 0 don sautin tsoka.
• Idan akwai sautin tsoka, jariri zai ci 1.
• Idan akwai motsi mai motsi, jariri zai ci 2 don sautin tsoka.

Amsar girman kai ko nuna rashin jin daɗi lokaci ne da ke bayanin amsawa ga motsawa, kamar su ɗan ƙarami:

• Idan babu dauki, jariri zai ci 0 don nuna rashin jin dadi.
• Idan akwai bacin rai, jariri yana cin 1 don saurin fushin hankali.
• Idan akwai wani mummunan yanayi da tari, atishawa, ko wani kukan mai karfi, jaririn zai ci 2 don nuna rashin kuzari.

Launin fata:

• Idan launin fatar ta shuɗi ne, jariri zai ci 0 don launi.
• Idan jiki ruwan hoda ne kuma ƙarshen ya kasance shuɗi ne, jariri ya ci 1 don launi.
• Idan duk jiki ruwan hoda ne, jariri zai ci 2 da kala.

Ana yin wannan gwajin ne domin tantance ko jariri na bukatar taimakon numfashi ko kuma yana fama da matsalar zuciya.

Sakamakon Apgar ya dogara ne da jimillar kwatankwacin 1 zuwa 10. Mafi girman maki, mafi kyawun abin da jariri yake yi bayan haihuwa.

Sakamakon 7, 8, ko 9 daidai ne kuma alama ce cewa jariri yana cikin koshin lafiya. Kashi 10 ba abu ne mai ban mamaki ba, tunda kusan duk jariran sun rasa maki 1 na shuɗi hannu da ƙafa, wanda yake al'ada ne ga haihuwa.

Duk wani maki da bai kai 7 ba alama ce da ke nuna cewa jaririn na bukatar kulawar likita. Ananan maki, mafi taimako ga jariri yana buƙatar daidaitawa a waje da mahaifar uwar.

Mafi yawan lokuta rashin ƙarancin Apgar yana haifar da:

• Haihuwar wahala
• C-sashe
• Ruwa a cikin hanyar iska ta jariri

Jariri mai ƙarancin ciwan Apgar na iya buƙatar:

• Oxygen da share hanyar iska don taimakawa tare da numfashi
• Stimarfafa jiki don samun bugun zuciya cikin ƙoshin lafiya

Mafi yawan lokuta, ƙaramin ci a minti 1 yana kusa da al'ada da minti 5.

Matsakaicin ƙimar Apgar ba yana nufin yaro zai sami matsala mai tsanani ko na dogon lokaci ba. Ba a tsara maki na Apgar don hango koshin lafiyar yaro a nan gaba ba.

Sabon haihuwa; Isarwa - Apgar

• Kulawa da jarirai bayan haihuwa
• Jariri gwajin

Arulkumaran S. Kulawa da haihuwa a cikin aiki. A cikin: Arulkumaran SS, Robson MS, eds. Munro Kerr na aikin haihuwa. 13th ed. Philadelphia, PA: Elsevier; 2020: babi na 9.

Goyal NK. Jariri sabon haihuwa. A cikin: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Littafin koyar da ilimin yara. 21st ed. Philadelphia, PA: Elsevier; 2020: babi na 113.