Nea ɛsɛ sɛ wuhu fa wo ba no popo a edi kan ho! (Meconium) .

Sɛ woyɛ maame foforo a, ade ketewaa biara a wo ba yɛ no ma wo ho dwiriw wo, na ɛtɔ mmere bi mpo a ehu ka wo kakra. Titiriw sɛ wosesa wo ba no mpaboa a edi kan a, akyinnye biara nni ho sɛ wo ho bedwiriw wo kakra. Dɛn ne ade tuntum tuntum a ɛte sɛ tar, a ɛyɛ den yi? Ɛnte sɛ ‘poop’ a wɔyɛ no daa! Mma ɛnhaw wo, eyi ne nea yɛfrɛ no wɔ aduruyɛ mu sɛ ‘meconium’. Sɛ yɛbɛka no tiawa a, eyi ne wo ba no popa a edi kan. Enti, momma yenhu no yiye, ɛnte saa?

Dɛn ankasa ne meconium?

Meconium ne wo ba no nsu a edi kan. Ɛyɛ soronko koraa wɔ nkokoaa poop a ɛyɛ daa a yehu no ho. Ɛyɛ tuntum tuntum anaa ahabammono tuntum , ɛyɛ den te sɛ tar , na ɛyɛ nnam yiye . Ade foforo a ɛwɔ ho ne sɛ ɛnyɛ huam te sɛ poop a ɛyɛ daa.

Afei ebia woresusuw ho sɛ, ɔkwan bɛn so na eyi ba ansa na wo ba no atumi anom nufusu mpo? Ɛyɛ mmerɛw yiye. Sɛ wo ba no wɔ w’awotwaa mu a, nsu bi atwa akokoaa no ho ahyia, ɛnte saa? Yɛfrɛ no ‘Amniotic Fluid’. Akokoaa no kɔ so mene saa nsu yi. Nea ɛka saa nsu yi ho no, akokoaa no honam ani nkwammoaa, nwi a ɛyɛ fɛ (lanugo), ne nsu a ɛyɛ nwini kɔ akokoaa no dwensɔtwaa mu. Bere a dwensɔtwaa no twetwe nsu a ɛwɔ saa nsu yi mu no bi akyi no, wɔboaboa nneɛma a ɛyɛ den na ɛyɛ nnam a aka no ano wɔ dwensɔtwaa no mu sɛ meconium. Sɛ wɔwo akokoaa no a, meconium yi hyɛ akokoaa no dwensɔtwaa kɛse no ma koraa.

Enti, ɛdenam saa meconium yi a yɛde bɛma wɔ nnɔnhwerew 24-48 a edi kan wɔ awo akyi no so no, yebetumi ahwɛ ahu sɛ akokoaa no aduan mu nneɛma reyɛ adwuma yiye.

Sɛ akokoaa no fa meconium mu bere a ɔda so ara wɔ awotwaa mu a, so asiane wom?

Eyi yɛ asɛm a awofo pii bisa. Ɛtɔ mmere bi a, ansa na awo no, bere a akokoaa no da so ara wɔ awotwaa no mu no, wotumi de meconium fa mu. Sɛ eyi ba a, meconium no ne amniotic nsu a atwa akokoaa no ho ahyia no fra. Wɔfrɛ eyi sɛ ‘Meconium Staining’. Sɛ́ anka ɛtaa yɛ nea emu da hɔ no, awotwaa mu nsu no dan kɔla ahabammono anaa bruu.

Saa tebea yi ba wɔ awo 12% kosi 20% mu, titiriw wɔ nyinsɛn a ɛboro so mu.

Afei ma yɛnhwɛ asiane a ɛwɔ eyi mu.

• Meconium a wɔmene: Mpɛn pii no, nsu a meconium ayɛ mu ma a wɔmene bere a akokoaa no wɔ awotwaa mu no nsɛe ade kɛse .
• Inhaling/Aspiration of Meconium: Ɛha na ɔhaw ankasa no fi ase. Sɛ akokoaa no home saa nsu a ɛyɛ den na ɛyɛ nnam a ɛte sɛ meconium yi, a ɛkyerɛ sɛ sɛ ɛkɔ ahurututu mu a , ebetumi ayɛ aniberesɛm.

Yɛfrɛ tebea yi Meconium Aspiration Syndrome (MAS) . Ebetumi ama ɔhome mu ayɛ den kɛse, ahurututu mu yare, na ɛntaa mma koraa, owu mpo. Nanso mma ɛnhaw wo, nnuruyɛfo ne ayaresabea adwumayɛfo asiesie wɔn ho ama tebea yi bere nyinaa.

Sɛ akokoaa home meconium a, dɛn na nnuruyɛfo yɛ?

Sɛ wohu meconium wɔ awotwaa mu nsu mu bere a wɔrewo a, nnuruyɛfo kuw no bɛhwɛ akokoaa no yiye. Wobetumi ahu sɛ akokoaa no wɔ awotwaa mu ahokyere biara mu denam nneɛma te sɛ nsakrae a ɛba akokoaa no koma a ɛbɔ mu no so.

Sɛ wɔwo akokoaa no ara pɛ a, .

• Sɛ akokoaa no yɛ nnam na osu yiye a: Mpɛn pii no, ayaresa titiriw biara ho nhia. Ɛkyerɛ sɛ akokoaa no reyɛ yiye.
• Sɛ akokoaa no dinn na ɛyɛ den ma no sɛ ɔbɛhome a: Aduruyɛ kuw no ayɛ krado sɛ wɔbɛyɛ ho biribi ntɛm ara. Ade a edi kan a wɔyɛ ne sɛ wɔtwe akokoaa no hwene, n’ano, ne ne menewa , a ɛkyerɛ sɛ wɔde afiri teateaa bi hyɛ mu de yi meconium no.
• Sɛ tebea no mu yɛ den a: Ɛtɔ mmere bi a, ebia ɛho behia sɛ wɔde afiri a ɛyɛ tratraa bi hyɛ akokoaa no mframa afiri (intubation) mu na ama wɔatwe meconium no afi mu. Afei wobetumi de oxygen akataso ahyɛ akokoaa no so na aboa no ma wahome ntɛmntɛm.

Wɔyɛ eyinom nyinaa de tew akokoaa no ahurututu mu ntɛm ara na ama akokoaa no home yiye.

Na sɛ akokoaa no antwa meconium wɔ nna abien a edi kan no mu nso ɛ?

Mpɛn pii no, ɛsɛ sɛ akokoaa fa meconium mu wɔ nnɔnhwerew 24 kosi 48 akyi wɔ awo akyi. Afei, sɛ wufi ase ma wo ba nufusu (titiriw colostrum) anaa nufusu a wɔde ma no a, wo ba no nsu kɔla bɛsesa nkakrankakra. Ɛbɛfi tuntum so akɔ ahabammono so, afei ayɛ kɔkɔɔ. Eyi kyerɛ sɛ wo ba no dwensɔtwaa reyɛ adwuma yiye na wo ba no renya nufusu a ɛdɔɔso.

Nanso, sɛ wo ba no nnyaa meconium wɔ nnɔnhwerew 48 akyi a , ebetumi ayɛ akwahosan ho haw ho sɛnkyerɛnne. Enti, ɛho hia sɛ wobɔ wo duruyɛfo amanneɛ ntɛm ara. Tebea horow pii wɔ hɔ a ebetumi de eyi aba.

Oduruyɛfo no bɛhwɛ sɛ wowɔ saa tebea yi anaa na ɔde wo akɔma ayaresa a ɛho hia. Enti, ɛho hia sɛ wommɔ hu na wohwehwɛ aduruyɛ mu afotu wɔ bere ano.

So meconium a wɔhome betumi ama amemene no asɛe?

Eyi nso yɛ biribi a nnipa pii suro. Meconium a wɔhome no betumi ama akokoaa no ahome ayɛ den kɛse. Sɛ eyi ba a, mframa pa dodow a akokoaa no nipadua nya no betumi atew. Very rarely , sɛ oxygen a enni hɔ no kɔ so kyɛ a, ebetumi aba sɛ amemene no bɛsɛe bi (Hypoxia). Nanso, sɛnea madi kan aka no, nnuruyɛfo akuw asiesie wɔn ho yiye ama tebea a ɛte saa, na wɔma akokoaa no mframa pa ntɛm ara sɛnea wobetumi na ɛkame ayɛ sɛ woyi asiane yi fi hɔ koraa. Enti, nsuro eyi a ɛho nhia.

So wobetumi de meconium ayɛ nnubɔne ho nhwehwɛmu?

Yiw, eyi nso yɛ biribi a ɛfata sɛ wuhu. Wobetumi asɔ meconium nhwɛsode ahwɛ sɛ ɛna no de nsa, tawa, anaa nnubɔne foforo adi dwuma bere a wanyinsɛn anaa. Meconium nhwehwɛmu betumi ama wɔanya nsɛm a edi mu a ɛkyerɛ sɛ ebia ɛna no de aduru bi adi dwuma adapɛn anaa asram pii sen nsu mu nhwehwɛmu.