Хорошая новость – открылся форум! Наверное месяц весит голосование о том нужен он или нет, и судя по счету 3:1 форум нужен. Регистрируйтесь, создавайте темы, пишите сообщения!
Форум развернул только что, поэтому скорее всего будет множество глюков, о которых, я надеюсь вы любезно сообщите в ветке «Замечания и предложения». К сожалению, не смог нормально интегрировать форум в сайт, и поэтому нужна отдельная регистрация на форуме и на сайте. Надеюсь, что это не вызовет неудобств, к тому же вы можете использовать одинаковый никнейм, как на форуме , так и на сайте.
Вход на форум под шапкой.
Discussion (193) ¬
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Представители петербургского ТФОМС считают притязания частных клиник необоснованными. По теории чиновников, частные диагностические центры хотят на 100% использовать свои возможности и устранить недостаток средств за счет квот ОМС. Однако ситуация получается обратная: клиникам надо за свой счет диагностировать больных, которые проходят МРТ и КТ в рамках ОМС, когда квота уже исчерпана. И по этическим, и профессиональным соображениям «частники» не позволяют себе отказать пациентам.
Разрешить вопрос несложно: необходимо разделять квоты не беспорядочным образом, а на основании действительных показателей функционирования каждой клиники. Комиссия должна учитывать техническую базу учреждения, исполнение учрежденного плана, сроки обслуживания больных, отзывы и т.д. Все это поможет обеспечить требуемый уровень финансирования самым лучшим клиникам и исключит из проекта «нарушителей»
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https://child-blog.ru — Беременность, роды, мама и дети. Календарь беременности по неделям
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___123___Блог паяльщика » Открылся форум___123___
Уход за новорожденным в первые дни жизни.
Дорогие мои читатели, сегодня я объявляю старт своей новой рубрике «Наши дети». Думаю, что вполне естественно было бы начать ее с самого начала — с момента рождения ребенка. Поэтому я начинаю свой рассказ про первые дни жизни новорожденного уход за ним в домашних условиях, родными и близкими. Конечно, основные заботы лягут на молодую маму, у которой нет еще опыта в этом деле, но она безумно любит своего малыша и ужасно боится навредить или сделать что-то неправильно.
В основу этой статьи положены книги, с которых я черпала информацию в то время, когда об интернете еще никто не знал, и мой опыт, а ему уже 25 лет, он работает программистом и имеет свою семью. На этой информации выросли дети моих соседей и друзей. И если она пригодится и вам, поверьте, я буду безумно счастлива, ведь наши дети — это маленькие ангелы, которые согревают нас своими добрыми улыбками.
Но сейчас они еще беспомощны, они только родились, это их первые дни жизни. Мы называем их новорожденными — новыми человечками на этой планете. Им сейчас очень нужно наше внимание и хороший уход.
Индивидуальность новорожденных детей.
Новорожденный малыш в первые дни жизни, с помощью взрослых осваивается в этом мире, к своим новым условиям обитания. Его организм работает на допустимом максимуме, еще бы, ведь нужно защититься и выстоять перед гигантским войском пагубных бактерий и микробов. Поэтому и аккумулирует он все свои силы для этой борьбы:
В крови находится повышенное содержание эритроцитов, а это значит, что в первые дни жизни у ребенка повышен гемоглобин, на котором лежит ответственность за транспортировку углекислого газа и кислорода. Повышенное количество лейкоцитов — именно он ведет борьбу с вредными микроорганизмами. Выброс крови сердцем маленький, а обмен веществ большой. Пульс в первые дни жизни достигает 120-150 ударов в минуту, он может прыгать, поскольку нервная система еще не научилась управлять организмом и сердечной деятельностью, в частности. Частота дыхания — 40 раз в минуту, сравните, к семилетнему возрасту оно становиться 23-26 раз в минуту. Мышечная масса еще плохо развита, но она интенсивно наращивает темпы развития, особенно тех, которые важны для жизни. Нормальная температура тела 35-37?, но у новорожденных в первые дни жизни она колеблется. При перегревании или переохлаждении может незначительно выходить за нормальные пределы.
С самых первых дней жизни организм новорожденного учится переваривать пищу, поддерживать стабильную температуру тела, реагировать на внешние раздражители. Он начинает видеть и слышать. В нем проявляются с рождения заложенная способность глотать, сосать, моргать. К концу первого месяца он уже хорошо начинает понимать в какой позе ему дают кушать, поэтому достаточно принять привычное положение, как малыш сразу начинает причмокивать губами, готовясь к очередному приему пищи. В первый месяц жизни ребенка развитие идет быстрыми темпами, спеша адаптироваться в новом для него мире.
Уход за малышом в первый месяц.
В начале своей жизни ребенок мочится 17-20 раз в сутки и 3-4 раза у него бывает стул, поэтому в первые дни жизни новорожденного уход особенно важен. Его кожа очень нежная и чувствительная, она легко размокает, травмируется и воспаляется. Остатки мочи и кала раздражают его кожу, поэтому уход за ней в этот период очень важный и ответственный момент.
А разделить его можно на три вида.
Утренний уход.
Сначала вымойте руки сами. Ватный тампон, смочите в кипяченной воде, протрите лицо. Полусухим тампон протрите глаза, по направлению от уха к носу. Для каждого глаза используйте разные тампоны. Чистим носик ватным жгутиком или тампоном. Если в нем накопились сухие корочки, смочите тампон в вазелиновом масле или в стерилизованном растительном масле. А слизь в носу, если такая появилась, можно отсосать маленькой резиновой грушей, которую можно купить в любой аптеке. Уход за ротиком новорожденного в первые дни жизни не нужен. Слизистая оболочка рта очень нежная и легко травмируется. Теперь просмотрите ушные раковины — нет ли на них царапин, покраснения за ушками. Эта область обязательно должна быть сухой, без опрелостей. Пупочная ранка должна осматриваться вами не мене пристально и подвергаться тщательному уходу. Обычно она заживает на 7-10 день жизни, на ее месте образовывается рубчик. Ее обязательно должны осматривать участковый педиатр и медсестра детской поликлиники. А ваша задача, дорогие мамы, держать пупочную ранку в чистоте и обрабатывать ранку. Не забудьте перед эти вымыть руки! Ну и, конечно же, следить за процессом заживления, а при первых признаках плохого заживления обратиться в поликлинику. Обязательно просмотрите область половых органов и заднего прохода — кожа должна быть сухой и не воспаленной.
Текущий уход.
Основная его задача заключается в подмывании младенца, после того как он сходит в туалет. Ну с памперсами, здесь все понятно и просто, снял, помыл ребенка, одел чистый. Но если вы используете пеленки или ползунки, несмотря на то, что моча новорожденного не пахнет и не оставляет пятен, их нужно простирнуть, чтобы смыть все соли, которые оставаясь на ткани, могут вызвать раздражение на коже.
Правила проведения текущего ухода.
В первые дни жизни новорожденного подмывать только кипяченной водой. Обмывать паховую область спереди назад. Это особенно важно при уходе за новорожденной девочкой. Вытирают ребенка сухой пеленкой, промакиванием. Это очень важно для нежной кожи! Когда высохнут паховые и ягодичные складки припудрить детской присыпкой. Если на коже появилось покраснение или раздражение, эти места нужно смазать детским кремом или стерилизованным растительным маслом. Использовать одновременно присыпку и крем нельзя. Могут образоваться комочки, которые тоже станут источником раздражения.
Вечерний уход.
Основой вечернего ухода за новорожденным является купание. Его желательно проводить перед последним кормлением . Для этой процедуры заранее нужно подготовить холодную и горячую воду. В первые дни она только кипяченная! Все принадлежности, которые вы планируете использовать для купания тщательно вымыть. Температурный режим должен быть таким:
Новорожденного карапуза аккуратно опускают в воду, оставляя головку над водой. Другой рукой, с помощью мягкой варежки или губки обмывают все тело, особенно тщательно эту процедуру нужно делать в районе складок и половых органов. Голову моют аккуратно, следя за тем, чтобы вода не попала в глаза и дыхательные пути. Детский шампунь используют 1-2 раза в неделю.
После купания малыша обливают теплой водой из кувшина по спинке. Температура воды должна быть на 1? меньше, чем во время купания, так вы начинаете закалять своего карапуза. Купание законченно, теперь мягкой пеленкой промакивают тело, пеленают или одевают ребенка. Ну вот и все, теперь покушать и баиньки.
А для молодых мам я подобрала замечательное видео, с очень ценными для вас, мои дорогие, советами, особенно если их дает профессионал: уход за новорожденным в первые дни жизни, пеленание «солдатиком» или «свободное».
Теперь, мои дорогие, вы знаете, что главным акцентом в первые дни жизни новорожденного уход за его кожей. Ведь чистая и здоровая кожа — это надежная защита ребенка от болезнетворных бактерий. Она является зеркалом, в котором отражается состояние организма новорожденного малыша в целом.
Я желаю вашим деткам здоровья, пусть они растут крепкими и жизнерадостными. А вам, дорогие читатели, предлагаю — оставляйте свои комментарии, делитесь своим опытом, он очень важен и ценен для молодых мам.
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