I-Meconium evamile, Ukuhluleka Ukudlula iMeconium, ne-Meconium Staining
Kuze kube nini izinsana zinama-black tarry nezitshalo ezinamathele okuthiwa i- meconium ? Lo mbuzo ovamile, ikakhulukazi ngoba izitshalo ze-meconium kunzima ukuzihlanza.
Yiziphi izithakazelo ze-meconium? Kusho ukuthini uma ingane yakho ingenayo izitshalo ze-meconium? Futhi kwenzekani uma ingane yakho idlula i-meconium ngaphambi kokuba izalwe?
Ziyini Izinto ZaseMeconium?
Izitokisi zeMeconium yizinto ezinkulu ezimnyama, ezimnyama noma ezihlaza okwesibhakabhaka, ezinzima, ezilindile, ezinamathele ezibelethweni ezinamazinsana ezinsana ezisenayo ezinsukwini ezimbili noma ezintathu zokuqala emva kokuzalwa.
I-Meconium yakhiwe ngamaseli nezinto ezithinta ipheshana lokugaya ngesikhathi sokukhulelwa.
Kuyinto inhlanganisela yalezi zichasiselo, ikakhulukazi 'ezinkulu,' 'ezinzima,' futhi 'okunamathelayo,' okwenza izithambile ze-meconium zikhuni ukuze ukuhlanza futhi ungenzi abazali abaningi abasha babheke phambili kulezi zinsipho ezingcolile .
Ngenhlanhla, izitshalo ze-meconium azizwakali kabi. Nakuba lokhu bekucatshangwa ukuthi ngenxa ye-meconium eyinyumba, izifundo zithole amabhaktheriya emeconium yezinsana ezinempilo.
Ukuguqula ezitsheni zezingane ezijwayelekile
Izitshalo zeMeconium zilandelwa ngokushesha izitokisi zesikhashana ngesikhathi ingane yakho ineminyaka eyizinsuku ezintathu kuya kwezinhlanu ubudala. Lezi zitofu zihamba kancane, zinamabala aluhlaza okwesibhakabhaka embala, futhi "ziyashintsha" kuzo zonke izitshalo zobisi cishe ngosuku lwesithupha.
Uma ingane yakho isenayo izitshalo ze-meconium ngemuva kwezinsuku ezintathu ubudala noma izitshalo zesikhashana ngemuva kokuba ezinsukwini ezinhlanu ubudala, Kubalulekile ukukhuluma nodokotela wezingane zakho.
Ukulibaziseka ekushintsheni kwe-meconium noma izitoli zesikhashana ezitsheni zobisi kungaba isibonakaliso sokuthi ingane yakho ayidli okwanele noma okunye okukhathazayo. (Funda kabanzi ngezibonakaliso okufanele uzibuke ukuze wazi uma ingane yakho ithola isifuba esifanele .)
Kuyini "evamile" futhi yini engekho? Ngokuvamile, ungalindela ukuthi ingane yakho izoba:
- Ukunyakaza kwezinyanga ezintathu ze-meconium ngosuku lwesibini okungenzeka ukuthi lukhulu, luhlale, lube lumnyama
- Ukunyakaza kwezintathu ezintathu ngosuku lwesithathu, izihlalo zibe zikhululekile futhi zihlaza okwesibhakabhaka zibe nombala ophuzi (izihlalo zesiguquko)
- Izintathu zokuhamba kwamathumbu ezinombala ophuzi, othuzi namanzi ngosuku lwesine
- Izinhlanzi ezintathu eziluhlaza okwesibhakabhaka, okuxekethile nokuvuleka ngosuku lwesishiyagalombili
- Izinkukhu ezintathu ezikhudlwana, eziphuzi, eziphambene nezinyosi ngosuku lwesishiyagalombili (ubisi noma izibilini zokuncelisa)
Futhi, qiniseka ukuthi ukhuluma nodokotela wakho wezingane uma ingane yakho ingalandeli leli phethini, kodwa, njengoba nje abadala behluka ngezindlela eziningi, abantwana bangashintsha ngesikhathi esithathayo ukuqhubeka kusuka esiteshini se-meconium kuya ezitsheni zobisi.
Ukuhluleka Ukudlula iMeconium
Nakuba abazali abaningi besaba ukuthi izingane zabo ngeke ziyeke ukugcwalisa ama-diapers abo nge-meconium, ezinye izinsana zinenkinga enye futhi ayinaso isitoreji se-meconium ngosuku lokuqala noma emibili yokuphila.
Iningi lezingane ezinempilo ephelele ephelele lidlula isitulo sabo sokuqala zingakapheli amahora angu-48 okuzalwa, kanti iningi liyoba nesitoreji se-meconium engakapheli amahora angu-24 okuzalwa. Uma ingane yakho ingenayo ukunyakaza kwamathumbu noma idlulise isitoreji se-meconium, kungaba uphawu lokuthi kukhona okungalungile.
Izimo ezingaholela ekuhlulekeni ukudlula i-meconium zihlanganisa ukuvimbela emathunjini, i-ileus ye-meconium (okungase ihlotshaniswe ne-cystic fibrosis,) isifo se-Hirschsprung, i-meconium plug syndrome, noma isifo se-anorectal, esingafaka phakathi i-anal stenosis (ukuvula okungavamile i-anus, noma i-anus engekho (i-anal atresia.)
Uma izinsana zingakwazi ukudlula i-meconium zingase zihlakulele isisu esasikhulelwe, zihlanza futhi azikho ukudla kahle. Ngaphandle kokuhlolwa ngokomzimba kanye nama-X-rays alula, ezinye izifundo nezivivinyo ze-radiologic kungadingeka kwenziwe ukuze kubone ukuthi yini ebangela umntwana osanda kuzalwa ukuba abe nokubambezeleka kokudlula i-meconium.
I-Meconium Staining
Okuvame kakhulu kunenkinga lapho umntwana engakwazi ukudlula noma iyiphi i-meconium, umntwana angadlula i-meconium ngaphambi kokuzalwa, okuholela emeconium eyenziwe i- amniotic fluid kanye ne-meconium-stained baby.
I-Meconium itholakala yodwa ayiyona eyingozi, nakuba ingasabisa ukubona ingane yakho ihlanganiswe meconium ngesikhathi sokuzalwa.
I-Meconium staining ingaba yinkinga, noma kunjalo, uma ingane ifuna i-meconium emaphashini akhe. I-Meconium aspiration pneumonia yisimo esibi kakhulu esidinga ukuqapha ngokucophelela ku-unit neonatal yokunakekelwa okukhulu.
Kungani ingane idlula i-meconium ngaphambi kokuba izalwe? Nakuba ukukhwa kwe-meconium kungase kwenzeke ngezinye izikhathi, ikakhulukazi ezinganeni ezidlulile, zingase zenzeke nengane enesimo sokucindezeleka. Abacindezeli bangase bahlanganise zombili izimo ezibandakanya umntwana, njengokungenwa yisifo, noma uma umama wengane ephethe umfutho wegazi ophezulu, isifo sikashukela esiphundu , preeclampsia , oligohydramnios (amniotic ephansi), noma uma ephuza kakhulu ugwayi.
Izinkombandlela ezenziwa yi-American Academy of Pediatrics kanye ne-American Heart Association ngo-2005 no-2015 ziye zachaza ngokuqhubekayo ukuphathwa okungcono kwezinsana ezine-meconium-stained amniotic fluid. Esikhathini esidlule, ukusondelana okukhulu komlomo nephunga kwakwenzelwe abantwana abanekhanda le-meconium ngemuva kokulethwa kwekhanda nangaphambi kokulethwa kwamahlombe. Ezinganeni ezinamandla ngezwi elihle le-muscle nomzamo wokuphefumula, lokhu kulandela akubonakali ukwenza umehluko futhi akusasetshenzisiwe. Ngokuphambene nalokho, izinsana ezinemizamo yokuphefumula empofu noma i-tone muscle embi, intubation (ukubeka ithubhu endotracheal) nokusebenzisa ukuncibilika ngaphansi kwe-glottis kunconywa ngesikhathi sokuzalwa, kulandela ukulandelwa okulandelayo. Manje kunconywa ukuthi ochwepheshe bezokwelapha abangakwazi ukunikeza intubation nokuluthwa kube khona lapho i-meconium-ibalazwe amniotic fluid ibonakala ngaphambi kokuzalwa.
Uma i-meconium isinyene kakhulu futhi ithola ngaphambi noma ekuqaleni kokusebenza, inqubo eyaziwa ngokuthi i-amnioinfusion ngezinye izikhathi iphakanyiswa. Kule nqubo, isisombululo salori esiyinyumba singenwa esibhedlela ukuze kuhlanjululwe i-meconium.
Ngaphansi
Iningi lezinsana lizoba nezitembu ze-meconium phakathi nosuku lokuqala lokuphila, okuyinto kancane kancane ihlala kancane futhi iqine ngesonto lokuqala lokuphila. Nakuba lezi zihlalo zivame ukungcola futhi kunzima ukuzihlanza, ukusebenzisa isamba esincane samafutha emgodini wengane yakho kuzokwenza ukuthi i-diaper ishintshe kakhulu.
Ukuhluleka ukudlula i-meconium emahoreni angu-24 okuqala kungase kube uphawu lwesimo sezokwelapha ezifana nokuvimbela emathunjini futhi udokotela wakho wezingane kufanele axhumane naye. Ngokuvamile, izinsana zidlula isitokisi sokuqala se-meconium ngaphambi kokubeletha okubangelwa ukukhwabanisa kwe-meconium. Ngokwakhe, lokhu akusibi kakhulu, ikakhulukazi uma umntwana ewela kuphela "meconium" ekukhanyeni. Uma i-meconium ikhululekile futhi ingane icindezelekile ekuzalweni, noma kunjalo, kunconywa (futhi mhlawumbe i-amnioinfusion) kunconywa ukunciphisa ithuba lokuthi umntwana uzophefumula e-meconium futhi athuthukise i-meconium aspiration syndrome.
> Imithombo:
> Ikomidi Lokuzivocavoca Okungavamile. I-Committee Opinion No 689: Ukulethwa Kwesana Esinezikhukhula Zama-Amniotic E-Meconium. I-Obstetrics ne-Gynecology . 2017. 129 (3): e33-e34.
> Cunningham, F. Gary., NoJohn Whitridge Williams. Williams Obstetrics. ENew York: McGraw-Hill Medical Medical, 2014. Phrinta.
> Kliegman, uRobert M., uBonita Stanton, uSt Geme III uJoseph W., uNine Felice. Schor, uRichard E. Behrman, noWaldo E. Nelson. UNelson Bookbook of Pediatrics. I-20th Edition. Philadelphia, PA: Elsevier, 2015. Phrinta.