Mapapu emwana wako akambokanganiswawo nekukosora kwekutanga here? (Meconium Aspiration Syndrome) Ngatitaurei nezvazvo!

Semubereki, unotya zvakadii paunoona mwana achangoberekwa achinetseka kufema? Dzimwe nguva chinokonzera dambudziko iri mukufema kwemwana itsvina yekutanga yemwana, inonzi meconium, ichipinda mumapapu emwana. Nhasi, tichataura nezvechirwere ichi chinonzi `(Meconium Aspiration Syndrome)`.

Chii chinonzi meconium? Chii chinoitika kana ikapinda mumapapu emwana?

Zvichitaurwa zviri nyore, meconium ndiyo tsvina yekutanga yemwana wako, kana kuti tsvina. Haina kufanana netsvina yenguva dzose. Ichinhu chakakora, chinonamira, chine girini dema-dema, chakaita setara. Chinoumbwa nezvinhu zvinomedzwa nemwana wako ari mudumbu. Izvi zvinoreva kuti chinoumbwa nemasero eganda remwana, tsvina (senge tsvina), bvudzi rakatetepa remwana (lanugo), nyongo, nezvimwe zvinhu.

Vacheche vanowanzo pfuura meconium mukati memaawa makumi mana nemasere ekuzvarwa. Zvisinei, dzimwe nguva, kunyanya kana mwana ari kusangana nekumanikidzwa kana kusagadzikana mudumbu (`(Fetal Distress)`), mwana anogona pfuura meconium iyi asati aberekwa, kureva kuti, achiri mudumbu. Kana ikapera, meconium iyoyo inowedzerwa muamniotic fluid yakakomberedza mwana.

Meconium Aspiration Syndrome (MAS) chirwere chinotadzisa mwana kufema nekuda kwekuti meconium yakasanganiswa nemvura yeamniotic inopinda mumapapu emwana. Mvura iyi yeamniotic yakasanganiswa nemeconium inogona kupinda mumapapu emwana kana mwana achifema, kungave asati aberekwa kana kuti pakuzvarwa.

Fungidzira zvinoitika kana meconium yakakora, inonamira yakaita setara ikapinda muweti nemumapapu emwana.

• Zvinogona kuvhara nzira yekufema yemwana .
• Mapapu anogona kukuvara .
• Meconium inogonawo kuvharira kushanda kwechinhu chakakosha chinonzi ``Surfactant'', icho chinobatsira mapapu kuti afuridzike uye ashande zvakanaka.

Izvi zvinoita kuti zviomere mwana kufema. Dzimwe nguva, chirwere ichi chinogona kutoisa upenyu panjodzi . Saka, zvakakosha kuziva izvi.

Dambudziko iri rakajairika zvakadii?

Paavhareji, vana vanosvika gumi nevaviri kusvika makumi maviri pavana zana vanosanganiswa meconium muamniotic fluid. Tinoidaidza kuti "meconium-stained amniotic fluid." Dambudziko iri rinowanzoitika muvana vanozvarwa kwenguva refu (mavhiki makumi mana) uye mushure memavhiki makumi mana nemaviri.

Asi hechino chimwe chinhu chaunogona kufunga nezvacho. Havasi vana vese vanozvarwa nemvura ine meconium-stained vanova ne "MAS". Chikamu chidiki chete, pakati pe2% ne10% yevana vakadaro, ndicho chinova ne "MAS" iyi.

Ndezvipi zviratidzo zvemwana ari kusvuta meconium?

Tava kuziva kuti meconium inogona kuva nengozi kana ikapinda mumapapu. Saka, kana mwana wako akafema meconium, anogona kuratidza zviratidzo zvakaita se:

• Kuoma kufema:Mwana wacho anoita seari kunetseka kufema.
• Kurova kwemwoyo kwemwana kuderera: Kurova kwemoyo kwemwana kunoderera.
• Ganda rebhuruu (Cyanosis): Ganda remwana, kunyanya miromo nezvigunwe, rinova bhuruu. Izvi zvinokonzerwa nekuti muviri hauwani oxygen yakakwana.
• Kufema nekukurumidza: Dzimwe nguva mwana anofema nekukurumidza.
• Kufema nekurira kwekungoridza: Ruzha rwakaita sekuti "Huh... Huh..." runogadzirwa kana uchifema.
• Kunyura kwechipfuva: Chifuva chinoita sechinonyura mukati kana uchifema.
• Haana hupenyu: Mwana wacho anoita seasina hupenyu uye asina hupenyu.

Kana ukaona zviratidzo zvakaita seizvi, zvakakosha zvikuru kuzivisa vashandi vezvehutano nekukasika.

Sei izvi zvichiitika? Chikonzero chacho ndechei?

Chikonzero chikuru chinoita kuti meconium ipinde mumapapu idambudziko rinosangana nemwana ari mudumbu kana panguva yekuzvarwa . Kune zvikonzero zvakasiyana-siyana zvedambudziko iri. Semuenzaniso:

• Kuva nehutachiona muna amai kana mwana.
• Kuderera kwemweya wekufema kwemwana.

Mumamiriro ezvinhu akadai anonetsa, mwana anongoerekana afema zvakadzika uye nekukurumidza. Sekunge tabata mweya wedu patinotya zvikuru. Panguva iyoyo, mvura yakakora (uye meconium kana iripo) inopinda mumapapu emwana. Ipapo meconium yakakora inonamira mumapapu emhepo (`(Alveoli)`), zvichiita kuti zviome kufema.

Unoziva sei kana meconium iri mumvura?

Mvura yeamniotic inowanzova yakachena. Zvisinei, kana meconium ikaiswa mairi, mvura inobuda kana mvura yapwanyika inova neruvara rwegirini-brown . Zvakare, vacheche vanobatwa nemeconium vanogona kunge vaine ganda reyero nenzara pakuzvarwa. Asi musazvidya moyo, vanachiremba vako nevanamukoti vanoziva izvi. Vari kutsvaga zviratidzo zvakaita seizvi.

Dambudziko here kana mwana akamedza meconium?

Iri idambudziko rinosanganawo naamai vazhinji. Zvakajairika kuti mwana amedze mvura yeamniotic ari mudumbu. Zvinodiwawo pakukura kwemwana. Saka, kana meconium diki ikasanganiswa nemvura yeamniotic uye mwana akaimedza, hazvizove dambudziko guru. Chine njodzi kufemera meconium mumapapu, kwete kumedza.

Vanachiremba vanoongorora sei chirwere ichi? Ndezvipi zvinorapwa?

Kana mvura yako ikatsemuka wobva waona meconium muamniotic fluid yako, vanachiremba vachatarisa mwana wako nokungwarira kuti vaone zviratidzo zve "MAS" mushure mekuzvarwa. Sezvambotaurwa, havasi vacheche vese vanowana chirwere ichi nekuda kwemeconium.

Zviratidzo zvikuru ndeizvi:

• Kutarisa mamiriro emwana: Kufema kwemwana, ruvara rwemuviri wake, uye mashandiro ake zvinotariswa.
• Kuteerera chipfuva: Chipfuva chemwana chinoteererwa ne stethoscope kuti chione kana paine ruzha rusina kujairika.
• X-ray yechipfuva:Izvi zvinogona kuona zvakajeka kana meconium yakamira mumapapu kana kuti mvura yaungana.
• Kuongororwa kweGasi reRopa: Kuongororwa uku kunobatsira kuona huwandu hweokisijeni nekabhoni dhayokisaidhi muropa remwana uye huwandu hwekutambudzika kwekufema.

Kurapwa kwacho kuri sei?

Kurapwa kunoenderana nekuti mwana anwa meconium yakawanda sei, kuti yakakora sei, uye kuti mwana ari kufema zvakaoma sei.

• Kana mwana akachema zvakanaka pakuzvarwa uye ari munhu akasimba, kazhinji haadi kurapwa kwakakosha.
• Kusveta: Iri ndiro danho rekutanga. Sirinji diki inoshandiswa kubvisa meconium mumuromo, mumhino, nepahuro pemwana. Dzimwe nguva, chubhu diki inopinzwawo mupaipi yemhepo yemwana (trachea) kubvisa meconium chero ipi zvayo inenge yanamira ipapo.
• Kupa okisijeni: Kana mwana achiri kunetseka kufema, ipa okisijeni nekuisa mask yeokisijeni pachiso.

Vamwe vacheche vane MAS yakanyanya vangada kuendeswa kuNeonatal Intensive Care Unit (NICU) kuti vabatsirwe zvakanyanya. Izvi zvinosanganisira:

• Kubatanidza nemudziyo wekufema: Kana mwana achinetseka kufema ari ega, muchina uyu unobatsira.
• Kurapa neSurfactant: Chinhu chinonzi surfactant chinopihwa nenzira yekugadzira kuti mapapu avhurike.
• Mishonga inorwisa mabhakitiriya: Kana paine hutachiona mumapapu, inopihwa kuti irapwe.
• ECMO (Extracorporeal Membrane Oxygenation): Uyu mushonga wekurapa unoshandiswa kana paine zvirwere zvakanyanya. Mwoyo nemapapu emwana zvinopihwa zororo, uye muchina unoshandiswa kuwedzera oxygen muropa.
• Radiant Warmer: Inobatsira kudzora tembiricha yemuviri wemwana.
• Muchina weCPAP (Continuous Positive Airway Pressure): Unobatsira kuchengetedza mapapu emwana akavhurika.

Rangarirai kuti mishonga yese iyi inoitirwa kubatsira mwana wenyu kuti apore nekukurumidza. Vanachiremba nevanamukoti ndivo vachapa rubatsiro rwakanakisisa kumwana wenyu.

Kuda meconium kunogona kudzivirirwa here? Ndezvipi zvinhu zvinokonzera njodzi?

Kutaura chokwadi, hapana nzira yekudzivirira zvachose meconium aspiration mumwana. Nekuti chinhu chinoitika nekushushikana kwemwana. Zvisinei, vanachiremba vanogara vachitarisa kana meconium iri muamniotic fluid uye kana mwana ari mu "Fetal Distress". Kana chirwere ichi chikaonekwa nekukurumidza, zvinokwanisika kudzivirira meconium aspiration yakanyanya uye kutanga kurapwa nekukurumidza.

Kune zvimwe zvinhu zvinogona kukonzera meconium aspiration syndrome:

• Pamuviri mushure menguva yakatarwa:Izvi zvinoreva kuwedzera nguva yekuzvitakura kupfuura mavhiki makumi mana nemaviri.
• Amai vane chirwere cheshuga kana kuti BP yakakwira.
• Basa rinotora nguva refu kana kuti rakaoma.
• Kuderera kweokisijeni mumuviri wemwana panguva yekuzvitakura.
• Kudzora Kukura Kwemwana Asina Kuzvarwa (FGR).

Vanachiremba vanonyanya kutarisisa vana vanozvarwa naamai vane zvinhu izvi zvine njodzi.

Ndezvipi zvinetso zvinogona kuitika? Zvinotora nguva yakareba sei kuti upore?

Matambudziko enguva refu eMAS haawanzoitiki uye anogona kugadziriswa uye kurapwa mukati memazuva mashoma.

Zvisinei, vacheche vane "MAS" vanogona kunge vari panjodzi yakakura zvishoma yekubatwa nezvirwere izvi kupfuura vamwe vacheche:

• Pneumonia ( chirwere chemapapu)
• Asima
• Kukwira Kweropa Kwemwana Achangoberekwa (PPHN)
• Kudonha kwemapapu `(Pneumothorax)`
• Kushaikwa kweokisijeni `(Hypoxia)`

Asi yeukai, havasi vana vese vanomedza meconium vanova ne `(MAS)`, uye havasi vana vese vane `(MAS)` vanova nematambudziko aya. Kana zvikaonekwa uye zvikarapwa nekukurumidza, chirwere ichi chinorapika zvakanyanya.

Vacheche vazhinji vanopora mushure mekunwa meconium aspiration mumaawa mashoma. Muzviitiko zvakakomba, mwana angada kugara muNICU kwemazuva kana mavhiki akati wandei, kana kuti angada kushandisa oxygen yekuwedzera.

Zvatinofanira kurangarira (Mharidzo Yekuenda Kumba)

Meconium Aspiration Syndrome chirwere chakakomba, asi chinorapika, chinogona kuitika muvana vacheche. Chiremba wako achaongorora mvura yemwana wako yeamniotic fluid kuti aone kana paine meconium pakuzvarwa. Kana mwana wako akaratidza zviratidzo zvekushungurudzika, anobva atora matanho ekubvisa meconium mumhino nemuromo wake.

Chinhu chinonyanya kukosha kuziva chirwere ichi nekukurumidza uye kuchirapa nekukurumidza. Nenzira iyi, mikana yematambudziko ishoma kwazvo. Vacheche vazhinji vanopora zvachose mukati memazuva mashoma, uye migumisiro yenguva refu haiwanzoitiki.

Uyewo, yeuka kuti havasi vacheche vese vane meconium muamniotic fluid yavo vanozotanga chirwere chemeconium aspiration. Saka usatye zvisina kufanira. Vimba nechikwata chako chekurapa. Vachakupa rubatsiro rwakanakisisa iwe nemwana wako.

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