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?
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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.
E noʻonoʻo e pili ana i ia mea, ua maikaʻi ke inu ʻana i kahi wai liʻiliʻi, akā inā komo kahi wai liʻiliʻi i loko o nā māmā (a i lalo i ka ʻāʻī) me kou hanu ʻana, pehea ka paʻakikī o ko kākou hanu ʻana? Pēlā nō kēia. No ka mea, he mea mānoanoa a pipili ka meconium, hiki iā ia ke paʻa i loko o nā ala ea palupalu o ka pēpē, kokoke e ālai loa i ka hanu ʻana.
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.
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Check Availability →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.
| Kūlana olakino hiki ke loaʻa | He wehewehe maʻalahi |
|---|---|
| ʻIleus Meconium | Ke ālai ʻia ʻana o nā ʻōpū no ka mea he mānoanoa loa ka meconium a he pipili. I kekahi manawa he hōʻailona kēia o kahi maʻi i kapa ʻia ʻo cystic fibrosis . |
| Ka Pale ʻana o ka ʻōpū | Ua ālai ʻia kahi ʻāpana o ka ʻōpū ma muli o ka wili ʻana, ka haiki ʻana, a i ʻole nā kumu ʻē aʻe. |
| Maʻi Hirschsprung | ʻAʻole hiki mai nā ʻūmiʻi e pono ai no ka neʻe ʻana o ka ʻōpū ma muli o ka ulu kūpono ʻole o nā hunaola nerve ma kekahi mau ʻāpana o ka ʻōpū nui. |
| ʻAʻole i ulu pono ka rectum | ʻAʻole i hoʻomohala pono ʻia ka rectum a i ʻole ka anus. |
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.
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- ʻAʻohe mea e hopohopo ai no ka meconium: ʻo ia ka ʻōpala mua a kāu pēpē. Mai hopohopo i kona ʻeleʻele ʻeleʻele a me kona ʻano mānoanoa.
- Pono e puka i loko o 48 mau hola: Pono e puka ka meconium i loko o nā lā ʻelua mua ma hope o ka hānau ʻana. Inā ʻaʻole, e haʻi koke i kāu kauka.
- ʻO ka pilikia nui ka hanu ʻana: ʻOi aku ka weliweli ma mua o ka moni ʻana i ka meconium ke hanu ka pēpē iā ia i loko o nā māmā i loko o ka ʻōpū (Meconium Aspiration).
- Ua mākaukau nā kauka: Inā loaʻa ka meconium i ka wā hānau, ua mākaukau mau nā hui lapaʻau e hāʻawi i ka lāʻau e pono ai.
- Hoʻōla koke ka hapa nui o nā pēpē: ʻOiai inā e hanu lākou i ka meconium, me ka mālama kūpono, hoʻōla koke ka hapa nui o nā pēpē me ka ʻole o nā hopena ʻaoʻao lōʻihi.
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