I-Meconium eqhelekileyo, Ukungaphumeleli ukudlula iMeconium, kunye neMeconium Staining
Kuze kube nini iintsana zinaloo mnyama omnyama kunye nezihlalo ezithi zibizwa ngokuthi i- meconium ? Lo ngumbuzo oqhelekileyo, ngokukodwa kuba izitishi ze-meconium kunzima ukuzihlambulula.
Ziyintoni na izitishi ze-meconium? Kuthetha ukuthini xa umntwana wakho engenazo izitulo ze-meconium? Kwaye kwenzeka ntoni ukuba umntwana wakho udlula i-meconium ngaphambi kokuba azalwe?
Ziziphi i-Meconium Stools?
Izitulo zeMeconium zibomnyama, zibomnyama okanye ziluhlaza-mnyama, zinyama, zihlala, zihamba ngokunyakaza kwintsholongwane ezinokuzalwa ezinentsana ezinokuqala ezinsukwini ezimbini okanye ezintathu emva kokuzalwa.
I-Meconium yenziwe ngamaseli kunye nezinto ezihamba ngecandelo lokugaya ngexesha lokukhulelwa.
Kudibeneyo kwezi zichazi, ngokukodwa 'ezinkulu,' 'ezinqamlekileyo,' kunye 'ne-sticky', ezenza izitoli zeMeconium nzima hlambulula kwaye abenzi abazali abaninzi abatsha bajonge phambili kule mibala ecocekileyo .
Ngethamsanqa, izitulo ze-meconium azivumi kakubi. Nangona oko bekuye kucatshangelwa ukuba ngenxa ye-meconium engumzimba, uphando lufumene ibhaktheriya kwimeconium yabantwana abasempilo.
Ukutshintshela kwiiNtshontsho zeMntwana
Izikhundla zeMeconium zilandelwa ngokukhawuleza ngamatye esesigxina ngeli xesha umntwana wakho eneminyaka emithathu ukuya kwemihlanu ubudala. Ezi zitofu zincinci, i-brown-brown inombala, kwaye "yinguqu" kwisitya sobisi rhoqo malunga neyesithandathu.
Ukuba umntwana wakho usenemigodi ye-meconium emva kokuba eneminyaka emithathu ubudala okanye izitishi zenguqu emva kokuba eneminyaka emihlanu ubudala, kubalulekile ukuthetha nodokotela wezilwanyana.
Ukulibaziseka ekutshintsheni kwe-meconium okanye izitulo zentshintsho kwisitishi somso kungabonakalisa ukuba umntwana wakho akasadli okwaneleyo okanye ezinye izinto ezixhalabisayo. (Funda kabanzi malunga nemimiselo yokubukela ukuze ukwazi ukuba umntwana wakho ufumane ibele .)
Yintoni "eqhelekileyo" kwaye into engekho? Ngokuqhelekileyo, unokulindela ukuba umntwana wakho uya kuba:
- Ukunyuka kweempawu ze-meconium ezintathu ngosuku lwesibini ezinokuthi zinyamekile, zithele, zibe zimnyama
- Ukunyuka kwezilwanyana ezintathu ngosuku lwesithathu, kunye nezihlalo zibe zikhulu kwaye ziluhlaza okwesibhakabhaka ngombala (izitishi zenguqu)
- Ezintathu eziphuzi, ezithambileyo kunye nokuhamba kwamathumbu ngosuku lwesine
- Izilwanyana ezintathu eziphuzi, ezikhululekileyo kunye nezilwanyana ezinomhlaza ngosuku lwesithandathu
- Izilwanyana ezintathu ezinkulu, eziphuzi, eziluhlaza kunye nezilwanyana ngosuku lwesisixhenxe (ubisi okanye isisu sokuncelisa)
Kwakhona, qiniseka ukuthetha nomntwana wakho xa umntwana wakho engalandeli le pateni, kodwa, njengokuba abadala behluka ngeendlela ezininzi, iintsana ziyahluka ngexesha elithathayo ukuqhubekela phambili kwiimigodi ze-meconium ukuya kwisitulo sobisi.
Ukungaphumeleli ukudlula iMeconium
Nangona abazali abaninzi banenkxalabo yokuba iintsana zabo aziyi kuyeka ukuzalisa i-diapers nge-meconium, ezinye iintsana zinengxaki enye kwaye ayinaso isitoli se-meconium ngosuku lokuqala okanye ezimbini zobomi.
Ininzi yeentsana ezizeleyo ezempilo zidlula i-stool yazo yokuqala kwiiyure ezingama-48 zokuzalwa, kwaye ininzi iya kuba ne-meconium kwisithuba seeyure ezingama-24 zokuzalwa. Ukuba umntwana wakho akanalo intshukumo yesibilini okanye adlulise isitulo se-meconium, kunokuba uphawu lokuba into ephosakeleyo.
Iimeko ezingabangela ukuhluleka ukudlula i-meconium kubandakanya ukukhutshwa kwamathumbu emathunjini, i-ileus ye-meconium (enokuthi idibene ne-cystic fibrosis,) isifo seHirschsprung, i-meconium plug syndrome, okanye i-analysisal malformation, enokubandakanya i-anal stenosis. i-anus, okanye i-anus engekhoyo (i-atresia yangaphambili.)
Ukuba iintsana azikwazi ukudlula i-meconium zingahlakulela isisu esiswini, sihlanza, kwaye asixhaphali ngokubanzi. Ukongezelela ekuhloleni ngokomzimba kunye ne-X-rays elula, ezinye iimvavanyo ze-radiologic kunye neemvavanyo zingafuneka zenziwe ukuba zibone okokubangela ukuba umntwana osandul 'uzalwe kukulibaziseka ukudlula imeconium.
Meconium Saving
Okuqhelekileyo kunokuba neengxaki apho umntwana engaphumeleli ukudlula nayiphi na i-meconium, umntwana usenokudlula i-meconium ngaphambi kokuba azalwe, ekhokelela kwimeconium ephazamise i- amniotic fluid kunye ne-baby meconium.
I-Meconium ithena ngokwayo ayiyingozi, nangona inokutshatyalaza ukubona umntwana wakho ehlanganiswe kwimeconium ekuzalweni.
I-Meconium staining ingaba yingxaki, nangona kunjalo, ukuba i-asp aspum (iphefumula) kule meconium kwimiphunga yakhe. I-Meconium i-aspiration pneumonia yimeko ebalulekileyo efuna ukubeka iliso ngokucophelela kwinqununu yokunakekelwa kwengqondo.
Kutheni umntwana edlula imeconium ngaphambi kokuba azalwe? Nangona i-meconium staining ingahle iyenze ngokuqhelekileyo, ngokukodwa kwiintsana ezidlulileyo, inokuthi ivele kwintsana enokukhathazeka. Abaxinzelelekileyo bangabandakanya zombini iimeko ezibandakanya umntwana, njengentsholongwane, okanye ukuba unina wengane unomfutho ophezulu wegazi, isifo sikashukela sesifo sikashukela , i- preeclampsia , i- oligohydramnios (i-amniotic ephantsi yamanzi) okanye ukuba utshaya i-cigarettes kakhulu.
Izikhokelo ezibekwe yi-American Academy of Pediatrics kunye ne-American Heart Association ngo-2005 kunye no-2015 sele zichaze ngakumbi ukuphathwa kakuhle kweintsana kunye ne-meconium-stained amniotic fluid. Kwixesha elidlulileyo, ukunyamezela komlomo kunye neempumlo kwenzelwe iintsana nge-meconium ibala emva kokunikezelwa kwentloko nangaphambi kokunikezelwa kwamagxa. Kwiintsana ezinamandla kunye neetoni ezimnandi kunye nomzamo wokuphefumula, oku kulandelwayo akubonakali kwenza umehluko kwaye akusaphakanyiswa. Ngokwahlukileyo, kwiintsana ezinemizamo yokuphefumula engafanelekanga okanye i-tone muscle ephosakeleyo, intubation (ukubeka i-tube endotracheal tube) kunye nokusebenzisa ukuthobela ngaphantsi kwe-glottis kukhuthazwa ekuzalweni, kulandelwa ukulandelwa okufutshane. Ngoku kuyacetyiswa ukuba oogqirha bezokwelapha abangakwazi ukubonelela nge-intubation nokuxhamla ukuba kubekho xa i-meconium-ibala le-amniotic fluid iqatshelwe ngaphambi kokuzalwa.
Xa i-meconium inkulu kakhulu kwaye ifunyenwe ngaphambi okanye ekuqaleni kwexesha lomsebenzi, inqubo eyaziwa ngokuthi amnioinfusion ngamanye amaxesha ikhuthazwa. Kule nqubo, isisombululo se-saline esinyumba singeniswe kwisibeleko ukuze kunciphise i-meconium.
Okukwintsusa
Uninzi lwabantwana luya kuba nezitulo ze-meconium ngaphakathi kwosuku lokuqala lobomi, oluye lwaba lucinci kwaye lugqithise ngaphezu kweveki yokuqala yobomi. Nangona ezi zihlalo zihlala zihlamba kwaye kunzima ukuhlambulula, ukusebenzisa isincinci samathambo kumgangatho wengane yakho kuya kwenza ukuba i-diaper ibe yinto elula kakhulu.
Ukungaphumeleli ukudlula i-meconium kwiiyure ezingama-24 zokuqala kunokuba ngumqondiso wemo yezokwelapha ezifana nesithintelo somathumbu kunye nomntwana wakho kufuneka adibane. Ngokuqhelekileyo, iintsana zidlula isisithi sokuqala se-meconium ngaphambi kokuba kuzalwe kubangelwa ukubola kwe-meconium. Ngokwabo, oku akuyona ingxaki, ingakumbi ukuba umntwana usuka kuphela "ukukhanya" meconium. Ukuba i-meconium inqabile kwaye umntwana uxinzelelekile ekuzalweni, noko ke, ukucuthwa (kwaye mhlawumbi i-amnioinfusion) kunconywa ukunciphisa ithuba lokuba umntwana aphefumule kwimeconium kwaye aphucule i-meconium aspiration syndrome.
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> Cunningham, F. Gary, noJohn Whitridge Williams. Williams Obstetrics. ENew York: iMicrora-Hill Hill Medical, 2014. Print.
> Kliegman, uRobert M., uBonita Stanton, uSt Geme III uJoseph W., uNine Felice. Schor, uRichard E. Behrman, kunye noWaldo E. Nelson. Ncwadana yeeNzululwazi. 20 Edition. Philadelphia, PA: Elsevier, 2015. Print.