Ana sayfa ANNE ve BEBEK İlk 3 yılda 4 hayati kural

İlk 3 yılda 4 hayati kural

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Hâl böyle olunca yaşamları bazen bir pamuk ipliğine bağlı olabiliyor ama kesin olan şu ki, bakımları ihmale gelmiyor! Acıbadem Kadıköy Hastanesi Yenidoğan Yoğun Bakım Uzmanı Yrd. Doç. Dr. Atalay Demirel, anne karnında 37 haftayı tamamlamadan doğmuş olan bebeklere ‘prematüre’ denildiğini belirterek, dünyada olduğu gibi ülkemizde de çok sık rastlanan prematüre bebeklerin bakımında dikkat edilmesi gereken çok önemli kurallar olduğunu vurguluyor. Prematüre bebeklerin doğum haftalarına bağlı olarak hayati risk taşıyan sağlık sorunlarıyla karşılaşabildiklerini söyleyen Yrd. Doç. Dr. Atalay Demirel “Bu nedenle prematüre bebeklerin özellikle ilk 3 yıldaki bakımları hayati önem taşımaktadır” diyor. Yrd. Doç. Dr. Atalay Demirel, ihmale gelmez o kriterleri anlattı, önemli uyarılar ve önerilerde bulundu.

 

 

Hijyene çok dikkat etmek

Enfeksiyon riskleri diğer yenidoğanlara göre çok daha yüksek olduğundan bakımları hata kaldırmıyor. Riskler, hastanede doğum sonrası yenidoğan alanında uzmanlaşmış hekimlerin kontrolünde en aza indirilebilirken, bebek taburcu edildikten sonra, evde son derece özen gerektiren bir bakım şart! Eve gelen ziyaretçilerin ya da aile üyelerinden birinin hasta olması durumunda bebeğe yaklaşmamaları, odanın sık sık havalandırılması, kirli bebek bezinin hemen bir poşete konularak evden dışarı çıkarılması, ellerin sık ve düzenli yıkanması özellikle annenin her emzirme öncesi kişisel hijyenini sağlamış olması çok büyük önem taşıyor.

 

Bol bol emzirmek

Doğumdan sonraki en büyük mucize olan anne sütü, prematüre bebekler için hayat kurtarıcı özellik taşıyor. Yapılan çalışmalar, anne sütü ile beslenen prematüre bebeklerin fiziksel ve ruhsal gelişimlerinin çok daha hızlı olduğunu gösteriyor. Zira prematüre bebeği olan annenin sütü, onun ihtiyaçlarına cevap verecek içerikte oluyor. Hayati riske yol açabilen enfeksiyonlara karşı koruma sağlarken, bağırsak problemleri daha az yaşanıyor, anne ile bebeğin arasındaki bağ güçleniyor. Bu nedenle bebeğinizi bol bol emzirin. Anne sütünün yetersiz kaldığı durumlarda hekimin önerisiyle özel takviye besinler gerekiyor.

Düzenli muayene yaptırmak

Gerek prematüre gerekse vaktinde doğmuş tüm bebeklerin, muayenelerinin düzenli yapılması çok önemli. Bununla birlikte prematüre bebeklerin göz muayenesi, işitme muayenesi, nörolojik muayene ve fizyoterapi gibi periyodik olarak takip edilmesi gereken özel muayeneleri de bulunuyor. Yoğun bakım servisinden taburcu olurken planlanmış olan takiplerin zamanında ve yetkin yerlerde yapılması prematüre bebeklerin ömürlerini daha sağlıklı geçirmesi için çok önemli. Aşıları ise doğum yaşlarına uygun olarak yapılıyor.

 

Sorunlara hazırlıklı olmak

Yenidoğan Yoğun Bakım Uzmanı Yrd. Doç. Dr. Atalay Demirel “Doğum gerçekleştikten sonra karşılaşılabilecek sorunlara hazırlıklı olmak, vakitlice saptayıp düzeltici tedavileri yapabilmek ve kalıcı bir sorun olduğunda iyileştirici bakımı yapmak tedavinin ana basamaklarını oluşturur. Bu bakımdan prematüre bebeklerin deneyimli yenidoğan uzmanlarının, çocuk doktorlarının ve yoğun bakımdaki bebeklerin birebir bakımlarından sorumlu olan yenidoğan hemşirelerinin olduğu merkezlerde izlenmesi hayati önem taşımaktadır” diyor.

 

Solunumdan yutmaya ciddi sorunlar!

Prematüre doğan bebeklerde solunumdan enfeksiyona, beyin kanamasından kalp yetmezliğine ve ciddi bağırsak hastalıklarına dek pek çok sağlık sorunu görülebiliyor. En sık, solunum güçlüğü sorun yaratıyor. Akciğerlerimizin kolay açılmasını ve rahat nefes alıp vermemizi sağlayan surfaktan denilen madde bebekte yaklaşık 32. haftadan sonra üretilmeye başladığından bu haftadan önce doğan bebeklerde solunum sıkıntısı çok daha ciddi boyutlarda oluyor. Enfeksiyon riskleri diğer yenidoğanlara göre çok daha yüksek olurken, anne karnındaki bebeklerde emme, yutma ve nefes alıp verme ancak 34-35. haftalarda koordineli sağlanabildiğinden, daha önce dünyaya gelen bebeklerde ciddi sorun yaşanabiliyor.

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