Haihuwar jaririn da aka dade yana jiran uba da uba shine babban farin ciki. A cikin minti na farko na rayuwar yaron, likitoci da kuma ungozoma a cikin uwargidan mahaifiyar suna gudanar da bincike. Kuma bayan da aka duba ɗan yaron ne kawai aka bai wa mahaifiyarsa. Bayan sabon jariri ya ɗauki jaririn a hannunsa, ya fi farin ciki fiye da mutum a duk duniya don gano, tun lokacin haihuwar yaro shine mafi muhimmanci a rayuwar kowane mace. Amma kamar yadda yake da muhimmanci ga kowane mahaifiyar lafiyar jaririnta mai tsawo.
Amma duk da haka, muna tambayar kanmu abin da aka rago daga cikin ungozoma a lokacin haihuwar yaro kuma menene sikelin Apgar?
Apgar shine teburin da aka auna yanayin yanayin jariri. Bayanin da aka rubuta a cikin tebur Apgar yana da wajibi ne don kara sa ido kan lafiyar jariri da kuma yadda ake kula da su.
Ba kamar uwar ba, masu tsatstsauran ra'ayi suna tantancewa da kuma maganin numfashi na ciki, fata, lafazi da ƙwayoyin tsohuwar jiki. A cikin tebur Apgar, ana saran ƙira a sikelin daga sifilin zuwa maki biyu. Tsarin da gyaran bayanai na faruwa a cikin minti na farko da na biyar na rayuwar jariri, yayin da ƙidayar na biyu zai iya zama ƙarami fiye da na farko.
Yaya aka auna fasalin Apgar?
Idan yaron ya wuce dari dari a minti ɗaya, to an kiyasta shi a matsakaicin iyakar (2). Idan jaririn jaririn yana kasa da dari dari a minti daya, to an kiyasta shi a daya aya. Kuma idan buguwar ba ta samuwa ba, to, an saita ci gaba zuwa ƙananan maki.
Bugawa da kururuwa na jariri.
Idan numfashin yaro yana faruwa tare da saurin hamsin na 40-50 da minti daya, kuma kuka a lokacin haihuwar sauti ne da sokin, sannan ana karanta waɗannan ƙidaya a matakin maki biyu. An ƙididdige karatun muck tare da kashi 1. Idan ba a rage numfashi ba, saboda haka ta yi kuka a jariri, likitoci sun sanya kullun zuwa matakai.
Ƙwararren ƙwayar murya tana da ƙaddara ta matsayi na yaro a sararin samaniya, ƙungiyar motsi mai karfi na dukkan bangarorin da kai. Idan yaron yana aiki a haihuwa, to, an saita matsakaicin iyakar. Har ila yau, idan dukkanin ƙwayoyin yarin yaro suna damuwa a cikin tashin hankali, to hakan ana daukar wannan kyakkyawan sakamakon. Idan muryar tsohuwar jaririn ba aiki ba ne, to, kashi ɗaya daga cikin maki ɗaya an kafa. Kuma idan babu wani motsi a cikin jaririn, an saita mafi yawan ci gaba zuwa zane.
Ra'ayin tunani game da jariri a kan Apgar sikelin.
Yarinyar jariri yana da matukar muhimmanci ga hanyoyi masu haɗuwa da rayuwansa na gaba, wanda shine: a haɗiye da ƙuƙwalwa. A cikin minti na farko na yaro yaron ya riga ya haifar da hanyoyi na farko don shayarwa da haɗiye nono madara, da kuma hanzari don farawa da tafiya. Idan yunkurin yaron ya fito fili, yaron ya sami iyakar iyakar gwagwarmaya, kuma idan waɗannan hankulan sun kasance mafi haɗari ko ba a bayyana su ba, yaron ya sami kashi ɗaya. Babu iyakancewa a cikin yaron da aka kiyasta akan matakan zane.
Binciken fata na jariri.
Mafi mahimmanci a cikin wannan kimantawa ya cancanci launin fata na fata ko launin fata mai haske, fata, a matsayin mai mulkin, mai santsi ba tare da raguwa ba da kuma shuɗi. Idan fatar jiki ya yi launin ruwan hoda mai launin ruwan launi tare da yiwuwar launin shuɗi, sa'annan an saita ci gaba a aya ɗaya a kan sikelin Apgar. Kusan fatar jiki da kuma gani ba na muhimman alamu an kiyasta su ba.
Masu nuna alama a kan samfurin Apgar yana buƙatar kawai a farkon kwanakin haihuwar jariri. Don taimakawa yaro mai mahimmanci a lokaci don taimakawa, ana buƙatar sakamakon binciken da matakin yanayin lafiyar yaro. Idan jariri bai yi aiki a cikin minti na farko na rayuwarsa ba, to wannan bai nuna alamar anomaly ko pathology ba.