Nā mea e pono ai ʻoe e ʻike e pili ana i ka ʻōpala mua o kāu pēpē! (Meconium)

I kou wā he makuahine hou, ua kahaha ʻoe i nā mea liʻiliʻi a pau a kāu pēpē e hana ai, a i kekahi manawa ua makaʻu iki paha. ʻOiai ke hoʻololi ʻoe i ka diaper mua o kāu pēpē, e pūʻiwa iki ʻoe. He aha kēia mea ʻeleʻele ʻeleʻele, e like me ke kēpau, mānoanoa? ʻAʻole ia e like me ka 'poop' maʻamau! Mai hopohopo, ʻo kēia ka mea a mākou e kapa nei ma ke ʻano lapaʻau he 'meconium'. I ka ʻōlelo maʻalahi, ʻo ia ka poop mua a kāu pēpē. No laila, e ʻike maikaʻi kākou iā ia, ʻeā?

He aha maoli ka meconium?

ʻO ka meconium ka ʻōpala mua a kāu pēpē. He ʻokoʻa loa ia mai ka ʻōpala pēpē maʻamau a mākou e ʻike ai. He ʻeleʻele ʻeleʻele a ʻōmaʻomaʻo ʻeleʻele paha , mānoanoa e like me ke kēpau , a pipili loa . ʻO kekahi mea e pili ana i ia mea, ʻaʻole ia e honi e like me ka ʻōpala maʻamau.

I kēia manawa, ke noʻonoʻo nei paha ʻoe, pehea lā e hana ai kēia ma mua o ka hiki ʻana o kāu pēpē ke inu i ka waiū? He mea maʻalahi loa ia. Ke noho kāu pēpē i loko o kou ʻōpū, aia kahi wai e hoʻopuni ana i ka pēpē, ʻeā? Kāhea mākou iā ia ʻo 'Amniotic Fluid'. Hoʻomau ka pēpē i ka moni ʻana i kēia wai. Me kēia wai, hele nā ​​​​​​ʻili o ka pēpē, ka lauoho maikaʻi (lanugo), a me ka mucus i loko o nā ʻōpū o ka pēpē. Ma hope o ka omo ʻana o nā ʻōpū i kekahi o ka wai i loko o kēia wai, hōʻiliʻili ʻia ke koena mānoanoa a pipili i loko o nā ʻōpū ma ke ʻano he meconium. Ke hānau ʻia ka pēpē, ua piha ka ʻōpū nui o ka pēpē me kēia meconium.

No laila, ma ka hoʻopuka ʻana i kēia meconium i loko o nā hola 24-48 mua ma hope o ka hānau ʻana, hiki iā mākou ke hōʻoia i ka hana maikaʻi ʻana o ka ʻōnaehana hoʻoheheʻe o ka pēpē.

He mea weliweli anei inā e kahe aku ka meconium i loko o ka ʻōpū o ke keiki?

He nīnau kēia a nā mākua he nui e nīnau ai. I kekahi manawa, ma mua o ka hānau ʻana, ʻoiai ke pēpē i loko o ka ʻōpū, hiki ke hoʻokuʻu ʻia ka meconium. Ke hana ʻia kēia, hui pū ka meconium me ka wai amniotic e hoʻopuni ana i ka pēpē. Ua kapa ʻia kēia ʻo 'Meconium Staining'. Ma kahi o ka moakāka maʻamau, huli ka wai amniotic i ke kala ʻōmaʻomaʻo a ʻeleʻele paha.

ʻIke ʻia kēia ʻano ma waena o 12% a me 20% o nā hānau ʻana, ʻoi aku hoʻi i nā hāpai ʻana ma mua o ka lā hānau.

I kēia manawa, e nānā kākou i ka pilikia o kēia.

• Ke ale ʻana i ka meconium: ʻO ka ale ʻana i ka wai amniotic i piha i ka meconium i ka wā e noho ana ke pēpē i loko o ka ʻōpū, ʻaʻole ia e hōʻeha nui .
• Ka hanu ʻana/ka hanu ʻana i ka Meconium: Maanei e hoʻomaka ai ka pilikia maoli. Inā hanu ka pēpē i kēia wai meconium mānoanoa a pipili, ʻo ia hoʻi inā komo ia i loko o nā māmā , hiki ke koʻikoʻi.

Ua kapa mākou i kēia maʻi ʻo Meconium Aspiration Syndrome (MAS) . Hiki iā ia ke hoʻoulu i nā pilikia hanu nui, nā maʻi māmā, a me ka make pinepine ʻole. Akā, mai hopohopo, ua mākaukau mau nā kauka a me nā limahana o ka haukapila no kēia kūlana.

He aha ka hana a nā kauka inā hanu kahi pēpē i ka meconium?

Ke ʻike ʻia ka meconium i loko o ka wai amniotic i ka wā hānau, e makaʻala loa ke kime lapaʻau i ka pēpē. Hiki iā lākou ke ʻike inā pilikia ka pēpē i ka fetal ma o nā mea e like me nā loli i ka puʻuwai o ka pēpē.

I ka wā e hānau ai ke pēpē,

• Inā ʻeleu ka pēpē a uē maikaʻi: ʻAʻole pono ka mālama kūikawā. ʻO ia hoʻi, ke ola maikaʻi nei ka pēpē.
• Inā noho mālie ke pēpē a paʻakikī i ka hanu ʻana: Ua mākaukau ke kime lapaʻau e hana koke. ʻO ka mea mua a lākou e hana ai , ʻo ia ke omo i ka ihu, ka waha, a me ka ʻāʻī o ke pēpē , ʻo ia hoʻi ke hoʻokomo nei lākou i kahi ʻōmole lahilahi e wehe i ka meconium.
• Inā koʻikoʻi ke kūlana: I kekahi manawa, pono paha e hoʻokomo ʻia kahi ʻōmole lahilahi i loko o ka ʻōpū makani o ka pēpē (intubation) e omo i waho i ka meconium. A laila hiki ke kau ʻia kahi pale maka oxygen ma luna o ka pēpē e kōkua iā lākou e hanu maʻalahi.

Hana ʻia kēia mau mea a pau e hoʻomaʻemaʻe i nā māmā o ka pēpē i ka wikiwiki loa a hiki i ka pēpē ke hanu maikaʻi.

He aha inā ʻaʻole e holo ka meconium i loko o ke keiki i nā lā ʻelua mua?

ʻO ka maʻamau, pono i kahi pēpē ke hoʻopuka i ka meconium i loko o 24 a 48 mau hola o ka hānau ʻana. A laila, ke hoʻomaka ʻoe e hāʻawi i kāu pēpē i ka waiū umauma (ʻoi aku ka colostrum) a i ʻole ka waiū waiū, e loli mālie ke kala o ka ʻōpala o kāu pēpē. E hele ia mai ka ʻeleʻele a i ka ʻōmaʻomaʻo, a laila melemele. ʻO ke ʻano kēia e hana maikaʻi ana nā ʻōpū o kāu pēpē a ke loaʻa nei i kāu pēpē ka waiū lawa.

Eia nō naʻe, inā ʻaʻole i puka aku kāu pēpē i ka meconium ma hope o 48 mau hola , he hōʻailona paha ia o kahi pilikia olakino. No laila, he mea nui e hoʻomaopopo koke i kāu kauka . Aia kekahi mau kūlana e hiki ai ke hana i kēia.

E nānā ke kauka inā loaʻa iā ʻoe kēia maʻi a kuhikuhi iā ʻoe no ka lāʻau lapaʻau e pono ai. No laila, he mea nui e pale aku i ka hopohopo a e ʻimi i ke kōkua lapaʻau i ka manawa kūpono.

Hiki i ka hanu ʻana i ka meconium ke hōʻino i ka lolo?

He mea kēia e makaʻu ai ka poʻe he nui. Hiki i ka hanu ʻana i ka meconium ke hoʻopilikia nui i ka pēpē i ka hanu ʻana. Inā hana ʻia kēia, hiki ke emi ka nui o ka oxygen i loaʻa i ke kino o ka pēpē. He mea kākaʻikahi loa , inā hoʻomau ka nele o ka oxygen no ka manawa lōʻihi, aia kahi hiki ke hōʻino ʻia ka lolo (Hypoxia). Eia naʻe, e like me kaʻu i ʻōlelo ai ma mua, ua mākaukau maikaʻi nā hui lapaʻau no ia ʻano kūlana, a hāʻawi lākou i ka pēpē i ka oxygen i ka wā hikiwawe loa a aneane hoʻopau loa i kēia pilikia. No laila, mai makaʻu pono ʻole i kēia.

Hiki ke hoʻohana ʻia ka meconium no ka hoʻāʻo ʻana i nā lāʻau lapaʻau?

ʻAe, he mea pono nō hoʻi kēia e ʻike. Hiki ke hoʻāʻo ʻia kahi hāpana meconium e ʻike inā ua hoʻohana ka makuahine i ka waiʻona, ka paka, a i ʻole nā ​​​​lāʻau lapaʻau ʻē aʻe i ka wā hāpai. Hiki i kahi hoʻāʻo meconium ke hāʻawi i ka ʻike pololei e pili ana inā ua hoʻohana ka makuahine i kahi lāʻau lapaʻau no nā pule a i ʻole nā ​​​​mahina ma mua o kahi hoʻāʻo mimi.