8f ;fa, lxhf] a]n’sf hlGdPsf] aRrf lgnf] / sfnf] eof]

To; lbg, @)&^–$–!& ut] d]/f] Odh]{G;L Duty lyof] . sl/a lbp;f]sf] !M)) ah] lt/ d]/f] kmf]gsf] l/Ë6f]g aHof] .

 

kmf]gdf va/ cfof], æ8f ;fa, lxhf] a]n’sf hlGdPsf] aRrf lgnf] / sfnf] eof] . xfdL lnP/ cfpb} 5f}+, cflw 306f h:tf] ;dodf .Æ

 

sl/a $% ldg6sf] kvf{O kl5, la/fdL af]s]sf] af]n]/f] ufl8 c:ktfn cfOk’Uof] . @) ;]s]G8 cjnf]sg ubf{ klg aRrfn] :jf; km]l//x]sf] e]l6Pg . Tactile stimulation lbbf klg ePg . Bag and Ventilation with 100% O2 ;’? uof}{+ , IV Epinephrine rnfof+} . Spontaneous Respiration ;’? eof] . Heart Rate 55 af6 dfyL psfnf] nfUof] . xfdL;+u O2 Hood lyPg, Nasal Cannula af6 nf] Înf]df clS;hg lbO/fVof+} . la/fdLsf] lx:6«L lnbf emg} Xbolabf/s dx;’; eof] . !^ jif{s} slnnf] pd]/df ;’gr/L /f]Nkf 3/ ePsL @! 306fls ;’Ts]/L, aRrf hlGdbf cfÎgf] :ofxf/ cfkm} u/]sL, >Ldfg ofzf{u’Daf l6Kg s]lx lbg klxn] g} km’ tkm{ uPsf / cfÎgf] dfG5] sf]lx gePsf sf/0f :yfgLosf] ;xof]udf c:ktfn cfPsL π

 

aRrfsf] tf}n 1.2 kg dfq lyof] .

 

 

xfdLn] x]bf{ aRrf xfOkf]yld{ofdf lyof] . s+uf? db/ -dfofsf] c“ufnf]_ s]o/sf] lalw / kmfObfsf] af/]df l;sfof+} . s]xL ;do kl5 tfks|d ;fwf/0f cj:yfdf cfof] . aRrf cfkm}n] cfdfsf] b’w vfg ;ls/x]sf] lyPg . NG feeding u/fpg kg{] b]lvof] t/ xfdL;+u NG tube lyPg . a]aL ;fOhsf] suction catheter nfO{ sf6]/ feeding tube agfof}+ / P:k|]:8 b”w –Expressed Milk_ v’jfof}+ . aRrf Hypoglycemia df lyof] . lgs} a]/sf] k|of; kl5 IV nfOg vf]Nof+} . Dextrose D10 lbof+} . dgfË lhNnfsf] ljB’t nfOg /fli6«o k|;f/0f nfOgdf ghf]l8Psf] sf/0f kof{Kt ef]N6]h cfpb}g. xfdL;+u ePsf] Ps dfq Radiant warmer n] ;f]lx sf/0f sfd u/]g . Electric Heater sf] ;xof]un] sf]7f Gofgf] agfof+} . s];sf af/]df :ofª\hf lhNnf c:ktfnsf afn /f]u ljz]if1 8f= cd[t kf]v|]n ;/ ;+u sG;N6 uof}{+ . CPAP / Ventilator ;lxtsf] ICU rflxg] / s]znfO{ /]km]/ ug]{ ;Nnfx kfof}+ . g]kfn ;/sf/åf/f ;+rflnt SNCU / 6]«lgË k|fKt 8f= k|tLssf] ;xof]udf Nasal Prongs s6]/ Dofg’cn CPAP sf] lgdf{0f uof}{+ .

 

xfdL;+u Septic Screening sf lglDt Nofa klg lyPg . hl6ntfx? cg]sf}+ lyP .

 

# dlxgf b]]lv dgfË / a];L;x/ hf]8\g] k’n ag]sf] lyPg .

 

olQs}df dfg;k6ndf g]kfn ;/sf/ dlxnf, afnalnsf tyf Ho]i7 gful/s dGqfnoaf6 k|sflzt xjfO{ p4f/ ;DalGw lgsflnPsf] ;’rgf emlNsof] .   ;f]lx dGqfnosf] j]A;fO6df cjnf]sg ubf{ dgfËklg k”0f{ p4f/sf] lhNnfdf kg]{ s’/f pNn]lvt e]l6of] . rfd], dgfË ufp“kflnsfsf cWoIf >L nf]s]Gb| axfb’/ 3n] Ho’sf] cWoIftfdf xjfO{ p4f/ ;dGjo ;ldltsf] cfktsflng a}7s /fVof+} / xjfO{ p4f/sf lglDt plNnlvt dGqfnodf l;kmfl/; ul/of] .

 

a]n’sfsf] sl/a $ ah] kf]v/faf6 x]nLsK6/ p8\of] t/ df};dsf] v/faLsf] sf/0f Nof08 x’g ;s]g . sxfnLnfUbf] /ftn] klv{/x]sf] cg’e”lt eof] . b’ef{Uoj; aRrfn] xft rnfpbf IV cannula lgl:Sof] . xfdL;+u ePsf sd{rf/Lsf] >f]t;fwgn] km]/L IV line vf]Ng c;kmn eof+} . On]lS6«s lxl6/, dlg6/df :ofr’/];g / kN;sf c+sx?, gldn]sf] ;fOhsf] Nasal Prongs ldg]6 ldg]6df gfssf] Kjfndf ldnfpb}, 6fOdln ;Gs;g\ ub{} , expressed feeding u/fpb}, clgb|fd}, /ftf] piffsf] kvf{Odf k”/f /ft laTof] . k|lt1f adf]lhd laxfgLsf] ( ah] x]lnsK6/ Nof08 eof] . xfdL;+u kf]6{]an clS;hg l;ln08/ lyPg . /0fbn u’Nd rfd];+u ;xof]u dfUof}+ . gfafns aRrf / ca’em cfdfnfO{ PSn} k7fpg d]/f] dgn] lbPg . d cfkm’ klg pgLx? ;+u} hfg] lg0f{o u/]+ / sl/a (M#) ah] kf]v/fsf] If]qLo klZrdf~rn c:ktfnsf] ICU.

Leave a Reply

Your email address will not be published. Required fields are marked *