dr. ellyana - pengaturan posisi & cahaya pada neonatus risiko tinggi

7/24/2019 Dr. Ellyana - Pengaturan Posisi & Cahaya Pada Neonatus Risiko Tinggi

1/41

Yljhgturgj p`sasa ngegyg

cgha jl`jgtus rasao` tajhha

kgdgm mljajhogtogj gsupgj

jutrasa

Lddygjg ^ujhogr

Cgjkujh, Blcrugra 3972


2/41

Jl`jgtus Sasao` [ajhha

Cgya rasao` tajhha ygjh survavl 6 4 35 mhh 6 33 ->2 majhhu 6 5% arrlvlrsacdl ampgarmlj

Sasao` 6 m`t`r klbanat, n`hjatavl & dgjhughlkldgy, ampgarmlj jlur`sljs`ram`t`r

plrmgjlj, dlgrjajh kasgcadatals, pr`cdlm

jlur`clegva`r & s`na`lm`ta`jgd

3


3/41

Mgsgdge cgya ka JAN\ tlrogatp`sata`jajh

Dajhoujhgj ygjh ourgjh jygmgj 6

Gdgt cgjtu L[ [ucl

Rljtadgt`r

[lrpgsgjh ajbus

Y`sasa olpgdg lostljsa / eaplrlostljsa

Bllkajh (gsupgj jutrasa )

Ajtlrvljsa plrolmcgjhgj kgpgt kamudga slfgo k

rugjh ajtljsavl (JAN\)

>


4/41

Admu

Olk`otlrgjBasao kgj

Slegcadatgsa

O`jslpbujhsa`jgd

Yr`slsplmcldgfgrgj

Ylrolmcgjhgj

Yljnlhgegjo`mpdaogsa

;


5/41


6/41

Ylmadaegjp`sata`jajh ygjh

slsugaolmgmpugj

mgogj, `r`m`t`r,

kgj bujhsa rlspargsa

`ptamgd

^ltagp cgyamlmcutueogj

pljadgagj p`sturmlmadae

olcutuegj ygjh

pgdajh slsuga kgj

pljtajhujtuopgsalj

Kljhgj mlmadae

sastlm ygjh`ptamgd

olmgmpugj kgj

bujhsa ygjh pgdajh

lblotab

2


7/41

Y`stur

Cgya Yrlmgtur Cgya J`rmgd

8


8/41

S`jhhg mudut 6 mlmcgjtu stgcadatgs dakgeo`mprlsa kgj kgyg asgp dlcae cgao

Dlelr6dlcae pljklo, stgcadatgs slngrggjgt`ma tlregkgp bgrajh & rgegjh

Dgryjx 6 slpljuejyg tlrdajkujha oltaog lpahd`tastlrgjhogt sldgmg mljldgj kgj clrjgpgsclrsgmggj

^unoajh pgks papa 6 mljhljngjhogj papa kgjmlmcgjtu stgcadasgsa rgd sggt mljhasgp

^tgcadatgs olpgdg, dlelr, kgj cgeu kacutueogj

ujtuo bujhsa r`-m`t`r ygjh ptamgd5


9/41

Ylrolmcgjhgj oltlrgmpadgj

mgogj

>-2 cudgj

1


10/41

Ylrolmcgjhgj oltlrgmpadgj

`r`m`t`r

Cgkgj olpgdg

Olpgdg

rgegjh

Xgfge rgegjhmgtg cacar

Sgegjh -dakge

Dakge

Cacar

Sgegjh

79


11/41

Ylrolmcgjhgj o`jtr`d hlrgo

77


12/41

Yr`sls mljhasgp pgkg cgya

^gkgrOlstgcadgj

p`stur

Slsp`j

tlregkgp

tgotad 6

rlbdlos `rgd

Dgtne `j Mljhasgp Mljldgj

Ajtlhrgsa

asgp-tldgj-

jgbgs

73


13/41

Basa`d`ha Mljhasgp

Mljhasgp

@rgd

Mljldgj

Mlmcgwg c`dus

mgogjgj ol ls`bghus

BgrajhlgdMljhegjtgrogjmgogjgj mgsuo oldgmcujh

Ls`bghlgd

7>


14/41

7;


15/41

Bgot`r ygjh mlmpljhgruea

pr`sls mljhasgp

Ylrslpsa, tgotad, vasugd Y`sturEucujhgj dgpgr-

oljygjh

Olsgkgrgj

O``rkajgsa mgtgtgjhgj

^tgcadatgs

Bujhsa r`m`t`rO``rkajgsa mljhasgp-

mljldgj-clrjgbgsOlgkggj e`ml`stgsas

79 mljat)

[akgo mgumljhasgp

Kr``dajh clrdlcae

Cgtuo / mujtge

Clrgt cgkgj takgojgao

Mlj`dgo mgogjgjygjh kaclraogj

^lsgo jgbgs sggtmgogj

Kdd

Gspargsa

Ajblosa sgdurgj jgbgs

Ourgjh haza/CC

ourgjh

Olsudatgj ajtlrgosa

s`sagd/ Hgjhhugjplradgou

78


18/41

Eucujhgjp`sata`jajh& egjkdajh

kljhgj bujhsa

Y`stur j`rmgd cgyap`sasa bdlosa gdgma

Bujhsa rlspargsa

Bujhsa `r`m`t`r

^tgcadatgs lm`sa

Ajeacasa hlrgogj kgj

rlbdlos gcj`rmgd

Y`sata`jajh

& egjkdajh

75


19/41

Y`sata`jajh[gtgdgosgjg

o`jtr`d p`stur& bujhsa hlrgo

Egjkdajh

^tgtao Kajgmas

Olmgmpugj gjgomlmplrtgegjogj

p`stur

Mljhgrgeogj hlrgo

gjgo

Cutue o`jtgo

^ljtuegj

Hlrgogj

Ngrg gsue

Yr`slkur mlkas

Ylmgogagj p`p`o

Mljhhgjta cgfu 71


20/41

Yljtajhjyg

p`sata`jajh

Y`sata`jajh

^lsuga

Slhudgsa kara

Bgsadatgsa pljhgdgmgj

^ljs`ram`t`rj`rmgd

[akgo slsuga

Hgjhhugj basa`d`has

Oltakgotlrgturgjplradgou

Lblo fgjhog pgjfgjhtlregkgp p`stur &m`t`rao (pgkg cgyakh oldgajgj NJ^)

Y`sata`jajh mlmpljhgruea

(+/-)

^astlm

`t`j`m

^astlm

jlur`m`t`r

Olmgmpugj

ajtlrgotab

Slhudgsa kara

39


21/41

Yrajsap umump`sata`jajh&

egjkdajhcgya

Olslhgrasgj tucue

Ylrslpsa & c`kygwgrljlss

O`jtr`d p`stur ujtuoolslamcgjhgj &

gotavatgs bujhsa`jgd

^tgcadatgs &m`cadatgs

37


22/41

Y`sasa cgya kljhgj o`jtr`d

olslhgrasgj tucue ygjh `ptamgd

Mljurujogj tudgjh rusuo

Sugjh gjtgrg rusuo &pldvas tlrtutup

^tgcadatgs ajta tucue ougt

Ylrolmcgjhgj `t`t-`t`tpgkg cghagj pr`osamgdtucue

33


23/41

[ufugj mlmplrcgaoap`sata`jajh

Y`stur samltras

Clrgt cgkgj tlrkastracusa

^tgcadatgs pr`osamgd ujtuomljylkagogj bujhsa kastgd

Lblo t`jus `t`t gcj`rmgd

Y`dg hlrgo gcj`rmgd

Hgyg gcj`rmgdpgkg tucue

Kahlsta kgj olnljklrujhgjrlbduos hgstr`-`ls`peghlgd

Sasao` gspargsa

Bgsadatgsa mgogj sljkaragtgupgrtasapgsa kgdgm pr`sls

mgogj

Bgsadatgsa plrhlrgogj mgtg kgjo`mujaogsa

3>


24/41

Y`sata`jajh Y`sasa astargegt

Y`sasa mljltlo kgj majumkljhgj c`t`d

Egjkdajh Clk`jh

Y`sasa Ogjhuru

3;


25/41

Y`sasa astargegt

Marajh sgtu sasa[ldljtgjh[ljhourgp

39


31/41

Y`sata`jajh pgkg cgya kgdgm plrgwgtgj ajtljsab jl`jgtus .

Dutut & pgjhhud bdlosa ol grge plrut

Cgeu bdlosa ol klpgj

[gjhgj ka gtgs kgkg/plrut

Dlelr bdlosa ol klpgj

Dljhgj & tujhoga samltras kljhgjolpgdg, tlrdltgo pgkg tljhge tucue

/mlj`dle ol sgtu sasa

Olujtujhgj

Y`sasa pgdajh gmgj

Mljnlhge olpgdg mljfgkahlpljh

Olougtgj `t`t plrjgpgsgj

Yljtajh ujtuo slfumdge

pr`slkur plrgwgtgj cgya

Olruhagj

Gr`usgd, hlrgogj gngo

Fgm takur

Clrolpgjfgjhgj,p`sturlostljsa & klb`rmatgsp`sata`jgd

>7


32/41


Ygjhhud & dutut bdlosa kacgwge pgjhhud

Dljhgj bdlosa kljhgjtgjhgj clrgkg klogt

olpgdg

[gjhgj ygjh clrgkg pgkgsasa wgfge egrus clrgkgkloggt mudut cgya (cadg

mlmujhoajogj)

Olujtujhgj

Ylrjgpgsgj & takur dlcae cgao

Yljhhujggj ljlrha 44

^tgtus basa`d`has dlcae cgao

ajsakljsa tlrolfut & hlrgogj tgmcgegj

Olruhagj

Y`stur olpgdggsamltras

>3


33/41


[akur marajh sgtu sasa

Ygjhhud & dutut cgya bdlosa

Cgeu ol klpgj

Dljhgj bdlosa ka klpgj tucue

Olpgdg & tucue kgdgm 7 hgras & slkaoat

bdlosa

Olujtujhgj

Y`dg bdlosa

^amltras

Ylradgou tgjhgj mgsuo mudut

Olruhagj

Dlcae takgo stgcad

>>

Gd a a a ka o


34/41

Gdgt p`sata`jajh ygjh kahujgogj

ka JAN\

[el cuttlrbdy padd`w

[el trgvld cuk

Cgjtgd pgsar

Hudujhgj egjkuo

>;


35/41

Egjkdajh

Clk`jh

>2


37/41

^tamudgsa Rasugd

[ufugj 6

Mljajhogtogj olmgmpugj cgya ujtuo

mljljgjhogj kara

Mlmcgjtu n`jtr`d olpgdg dlelr kgj olslhgrasgj

Fljas 6

Ngegyg

@cflo

Y`sasa

>8


38/41

Yljhgturgj ngegyg

^lsugaogj kljhgj wgotu takur cgya

Ygkg sggt takur, e`rm`j mldgt`jaj gogj

oldugr sggt hldgp,

Dajkujha mgtg kgra ngegyg sggt mlmclraogj

stamudgsa vasugd

^ggt tlrfghg pljue

Gtljsa ::& pr`sls cldgfgr sggt stgtl tljgjh (

mas6 clclrgpg fgm slcldum & slsukge

mgogj)>5


39/41

>1


40/41

[gol e`ml mlssghls..

Yljhgturgj p`sasa kgj ngegyg cgha cgya rasao` tajhhaYLJ[AJHkgj ^LKAJA mujhoaj kgdgm mljh`ptamgdogjplrtumcuegj olmgmpugj kgj bujhsa

Y`sasa stgjkgrk kgj pljhgturgj ngegyg cuogj sgtu-sgtujyg p`sasa gtgu stamudgsa tlrcgao cgha rasao` tajhha

Yljklogtgj M\D[AKA^AYDAJ (olrfg old`mp`o kgj

o`dgc`rgsa) pgkg tgtgdgosgjg cgya rasao` tajhha kaplrduogjujtuo mljngpga plrb`rmg ougdatgs eakup ygjh tlrcgao

;9


41/41

Lddygjg ujhogr

Admu Olk`otlrgj Basao kgj Slegcadatgsa S^\Y Kr.

Egsgj ^gkaoaj

[ld +23-33-39>;1/

dr. ellyana - pengaturan posisi & cahaya pada neonatus risiko tinggi

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