I-Meconium kunye neengxaki ngexesha loLuntu

I-Meconium yinto enobunzima, eluhlaza, efana ne-tar-like ebeka amathumbu emntwaneni wakho ngexesha lokukhulelwa. Ngokuqhelekileyo le nto ayinakhululwa kwiintshukumo zentsana yakho emva kokuzalwa. Nangona kunjalo, ngamanye amaxesha uya kufumanisa ukuba umntwana wakho uya kubakho intshukumo ngaphambi kokuba azalwe, aphumelele i-meconium kwi-amniotic fluid.

IMeconium eMsebenzini

Ukuba i-meconium ikhona ngexesha lakho lokubamba kunye nokuzalwa, uya kujongwa ngokukodwa malunga neempawu zokuxinzezeleka komntwana .

Eyodwa, ukutshatyalaliswa kwe-meconium yamniotic fluid ayithethi ukuba umntwana wakho uvalelwa ngumonde. Nangona kunjalo, kuba luphawu olunye, iqela lakho labasebenzi kunye neqela lokuzalwa liza kubheka abanye.

I-Meconium elula ayikho ingozi kumntwana wakho, kwaye akunakwenzeka ukuba ube ngumqondiso wokukhathazeka komntwana, kodwa kunoko ukukhula komntwana wakho. Kukho ubuninzi beemeconium ezinokuthi zibekhona, kubandakanywa nenqanaba elilodwa elincinci kakhulu, libhekisela kuyo njengento yesobho, kokubili ngokuhambisana kunye nangenxa yomthunzi ohlaza okwenziwa meconium. Oku kuyingozi yentsana yakho.

Ukuba kukho i-meconium ekhoyo kwizabasebenzi, ngaphezu kokubukela iimpawu zokuxinzezeleka komntwana, njengokongamela ngokugqithiseleyo, ugqirha okanye umbelethisi unokugqiba nokuthatha i-amnioinfusion kwiimeko apho kukho ukunyamekela kokunyamekela umntwana. I-Amnioinfusion yilapho i-fluid oyinyumba ifakwa ngaphakathi kwesibeletho nge-catheter ukukunceda ukucutha i-meconium.

Ingasetyenziselwa ukungeza kwi-amniotic volume volume. Oku kunokwenziwa ngaphezu kwexesha elilodwa xa kuyimfuneko kwaye kunokwandisa ukunyamezela kwengane yakho.

Ukuba umntwana wakho engagxininisi kakuhle abasebenzi okanye ubonisa ezinye iimpawu zokubandezeleka kwentlungu engazange zilungiswe, ugqirha okanye umbelethisi wakho unokugqiba isigqibo sokuba kufuneka uxoxe ngokunikezelwa kweenkonzo ngokuxhomekeka kwindlela ode uvela kuyo .

Oku kungabandakanya i-forceps, i -extraction extraction okanye icandelo le- laarean .

I-Meconium iyaxhaphaka xa usuphelile umhla wakho . Enye yezinto ezixhalabisayo, xa kukho imeconium ekhoyo kwi-amniotic fluid, kukuba umntwana uya kufisa i-meconium ngexesha lomsebenzi okanye ukuzalwa. Le njongo ye-meconium ithathwa ngokunyamekela ngokukhawuleza ekuzaleni kwentloko yakho yintsana, nangaphambi kokuba umzimba uzalwe. Oku kunokunciphisa inani le-meconium efumanekayo ukuba umntwana akho afise.

I-Meconium inokuginywa, leyo ayisoloko iyingxaki, okanye inokungenelela kwimiphunga yomntwana wakho. Oku kungabangela ingxaki, kuthiwa yi-Meconium Aspiration Syndrome. I-Meconium yinto enobunzima, inamatye inokubangela iingxaki umntwana wakho ekuphepheni imiphunga emva kokuzalwa. Ingakhokelela ekuphepheni kwe-meconium epneumonia. Ezi zombini zingabangela iingxaki ezinzulu ezibangelwa ukuhlala kwikliniki yokunakekelwa kwe-neonatal enkulu (iNICU) kwintsana yakho unyango olubandakanya iintsuku eziliqela ukuya kwiiveki kuxhomekeke kubukhulu beengxaki.

Ukuba umntwana wakho akanakho i-meconium ngaphambi kokuzalwa, uya kuwubona kwimihla yokuqala yobomi. Oku akuyona ingxaki. Nangona kunjalo, kuhlambalaza kwaye kunzima ukucoca kwinqanaba lomntwana wakho.

Isicatshulwa esikhulu sokwenza utshintsho olusandul 'ukuzalwa olulula, uvele wambathe ngezantsi umntanini kunye neoli okanye ioli emva kokuba uhlambulule ngexesha lokutshintsha kwe-diaper. Oku kuvimbela i-meconium ukuba inganamatheli!

> Imithombo:

Abu-Shaweesh JM. Izifo zokuphefumula kwi-preterm kunye neentsana zexesha. Ku: UMartin RJ, Fanaroff AA, Walsh MC, eds. U-Fanaroff kunye noMnumzana kaMartin we-Neonatal-Perinatal Medicine. 9th. St. Louis, Mo: Mosby Elsevier; 2010: isahluko 44.

Hofmeyr G, Xu H, Eke AC. Amnioinfusion ye-meconium-utywala obunobunzima. I-Cochrane Database yeeNkqubo eziPhezulu zoViwo-2014, Inkcazo 1. Ubugcisa. Hayi: CD000014. INGXELO: 10.1002 / 14651858.CD000014.pub4

Singh Singh, Clark RH, Amandla RJ, iSpitzer AR. I-Meconium aspiration syndrome ihlala ingxaki ebalulekileyo kwi-NICU: iziphumo kunye neepatheni zonyango kwi-neonates ezidlulileyo zivunyelwe ukunyamekela ngononophelo ngexesha leminyaka elishumi. J Perinatol. 2009; 29: 497-503.