Xa ungumama omtsha, uyamangaliswa yinto yonke eyenziwa ngumntwana wakho, kwaye ngamanye amaxesha ude woyike kancinci. Ingakumbi xa utshintsha i-napkin yokuqala yomntwana wakho, ngokuqinisekileyo uza kothuka kancinci. Yintoni le nto imnyama emnyama, efana ne-tar, nengqindilili? Ayifani 'nendle' eqhelekileyo! Ungakhathazeki, le yinto esiyibiza ngokwezonyango ngokuthi 'i-meconium'. Ngamafutshane, le yindle yokuqala yomntwana wakho. Ngoko ke, masiyazi ngcono, akunjalo?
Yintoni kanye kanye i-meconium?
I-Meconium sisitulo sokuqala somntwana wakho. Sahluke kakhulu kwindle eqhelekileyo yomntwana esiyibonayo. Simnyama okanye siluhlaza okotshani , sityebile njengetha , kwaye sinamathela kakhulu . Enye into ngayo kukuba ayinuki njengendle eqhelekileyo.
Ngoku usenokuba uzibuza ukuba, oku kwenzeka njani ngaphambi kokuba umntwana wakho akwazi nokusela ubisi? Kulula kakhulu. Xa umntwana wakho engaphakathi kwesibeleko sakho, kukho ulwelo olujikeleze umntwana, akunjalo? Silubiza ngokuba yi-'Amniotic Fluid'. Umntwana uqhubeka nokuginya olu lwelo. Kunye nolu lwelo, iiseli zolusu lomntwana, iinwele ezincinci (i-lanugo), kunye ne-mucus ziya emathunjini omntwana. Emva kokuba amathumbu efunxa amanzi athile kolu lwelo, izinto eziqinileyo nezinamathelayo eziseleyo ziqokelelwa emathunjini njenge-meconium. Xa umntwana ezelwe, amathumbu amakhulu omntwana azaliswa ngokupheleleyo yile meconium.
Ngoko ke, ngokudlulisa le meconium kwiiyure zokuqala ezingama-24-48 emva kokuzalwa, sinokuqinisekisa ukuba inkqubo yokwetyisa yomntwana isebenza kakuhle.
Ingaba kuyingozi ukuba umntwana aphulukane ne-meconium esesesibelekweni?
Lo ngumbuzo obuzwa ngabazali abaninzi. Ngamanye amaxesha, ngaphambi kokuba umntwana azalwe, ngelixa umntwana esesesibelekweni, i-meconium inokudluliselwa. Xa oku kusenzeka, i-meconium ixubana nolwelo lwe-amniotic olujikeleze umntwana. Oku kubizwa ngokuba yi-'Meconium Staining'. Endaweni yokuba icace ngokuqhelekileyo, ulwelo lwe-amniotic lujika lube luhlaza okanye lube mdaka.
Le meko yenzeka phakathi kwe-12% kunye ne-20% yokuzalwa, ingakumbi xa ukhulelwe ngaphambi kwexesha.
Ngoku makhe sibone ukuba yintoni ingozi kule nto.
- Ukuginya i-meconium: Ukuginya ulwelo lwe-amniotic olufakwe i-meconium ngelixa umntwana esesibelekweni akudli ngokubangela monakalo mkhulu .
- Ukuphefumla/Ukuphefumla kweMeconium: Kulapho ingxaki yokwenyani iqala khona. Ukuba umntwana uphefumla olu lwelo luqinileyo nolunamathelayo olufana nemeconium, oko kuthetha ukuba ukuba lungena emiphungeni , lunokuba yingozi.
Cinga ngayo, kulungile ukusela amanzi amancinci, kodwa ukuba amanzi amancinci angena emiphungeni (nasemqaleni) ngokuphefumla kwakho, kuya kuba nzima kangakanani kuthi ukuphefumla? Le yinto efanayo. Ngenxa yokuba i-meconium yinto etyebileyo, enamathelayo, inokunamathela kwiindlela zomoya zomntwana ezithambileyo, iphantse ivale ukuphefumla ngokupheleleyo.
Le meko siyibiza ngokuba yiMeconium Aspiration Syndrome (MAS) . Inokubangela ubunzima obukhulu bokuphefumla, usulelo lwemiphunga, kwaye kunqabile ukuba kubekho nokufa. Kodwa ungakhathazeki, oogqirha kunye nabasebenzi basesibhedlele bahlala bekulungele oku.
Benza ntoni oogqirha xa umntwana ephefumla i-meconium?
Xa i-meconium ifunyenwe kwi-amniotic fluid ngexesha lokubeleka, iqela lezonyango liya kumnyamekela kakhulu umntwana. Banokubona ukuba umntwana unengxaki yosana ngenxa yezinto ezifana notshintsho kwisantya sentliziyo yomntwana.
Kwangoko nje umntwana ezelwe,
- Ukuba umntwana ukhuthele kwaye ukhala kakuhle: Ngokwesiqhelo akukho nyango lukhethekileyo olufunekayo. Oku kuthetha ukuba umntwana uphilile.
- Ukuba umntwana akasapheli kwaye kunzima ukuphefumla: Iqela lezonyango likulungele ukwenza into ngoko nangoko. Into yokuqala abayenzayo kukufunxa impumlo yomntwana, umlomo, nomqala , oko kuthetha ukuba bafaka ityhubhu encinci ukuze basuse i-meconium.
- Ukuba imeko imbi kakhulu: Ngamanye amaxesha, kusenokufuneka kufakwe ityhubhu encinci kumbhobho womoya womntwana ukuze kufunxwe i-meconium. Emva koko umntwana angabekwa imaski yeoksijini ukuze amncede aphefumle lula.
Konke oku kwenzelwa ukucoca imiphunga yomntwana ngokukhawuleza kangangoko kunokwenzeka nokuvumela umntwana ukuba aphefumle ngcono.
Kuthekani ukuba umntwana akadluli kwi-meconium kwiintsuku ezimbini zokuqala?
Ngokwesiqhelo, umntwana kufuneka adlulise i-meconium kwiiyure ezingama-24 ukuya kwezingama-48 emva kokuzalwa. Emva koko, xa uqala ukunika umntwana wakho ubisi lwebele (ingakumbi i-colostrum) okanye ubisi lwefomyula, indle yomntwana wakho iya kutshintsha umbala kancinci kancinci. Iya kutshintsha ukusuka kumnyama ukuya kuluhlaza, ize ibe mthubi. Oku kuthetha ukuba amathumbu omntwana wakho asebenza kakuhle kwaye umntwana wakho ufumana ubisi olwaneleyo.
Nangona kunjalo, ukuba umntwana wakho akakadluli kwi-meconium emva kweeyure ezingama-48 , oko kungaba luphawu lwengxaki yempilo. Ngoko ke, kubalulekile ukwazisa ugqirha wakho ngoko nangoko. Kukho iimeko ezahlukeneyo ezinokubangela oku.
| Imeko yempilo enokwenzeka | Ingcaciso elula |
|---|---|
| I-Meconium Ileus | I-meconium ityebile kakhulu kwaye inamathela, nto leyo ebangela ukuvaleka kwamathumbu. Oku ngamanye amaxesha kunokuba luphawu lwesifo esibizwa ngokuba yi-cystic fibrosis . |
| Ukuvaleka Kwamathumbu | Inxalenye yamathumbu ivalekile ngenxa yokujijeka, ukuncitshiswa, okanye ezinye izizathu. |
| Isifo seHirschsprung | Ukufinyela okufunekayo ekushukumeni kwamathumbu akwenzeki ngenxa yokukhula okungafanelekanga kweeseli zemithambo-luvo kwiindawo ezithile zamathumbu amakhulu. |
| I-Rectum engaphuhliswanga kakuhle | I-rectum okanye i-anus ayikhuliswanga kakuhle. |
Ugqirha uza kujonga ukuba unale meko aze akuthumelele unyango olufunekayo. Kungoko ke, kubalulekile ukuba ungoyiki kwaye ufune iingcebiso zonyango ngexesha.
Ngaba ukuphefumla i-meconium kungabangela umonakalo engqondweni?
Oku kuyinto abantu abaninzi abayoyikayo. Ukuphefumla iMeconium kunokubangela ubunzima obukhulu bokuphefumla kumntwana. Ukuba oku kuyenzeka, ubungakanani beoksijini efunyanwa ngumzimba womntwana bunokwehla. Amaxesha amaninzi , ukuba ukunqongophala kweoksijini kuqhubeka ixesha elide, kukho ithuba lomonakalo othile engqondweni (iHypoxia). Nangona kunjalo, njengoko benditshilo ngaphambili, amaqela ezonyango akulungele kakuhle imeko enjalo, kwaye anika umntwana ioksijini ngokukhawuleza kwaye phantse ayiphelise ngokupheleleyo le ngozi. Ngoko ke, musa ukoyika oku ngokungeyomfuneko.
Ngaba i-meconium ingasetyenziselwa ukuvavanya iziyobisi?
Ewe, oku kuyinto efanelekileyo ukukwazi. Isampulu ye-meconium ingavavanywa ukuze kubonwe ukuba umama usebenzise utywala, icuba, okanye ezinye iziyobisi ngexesha lokukhulelwa. Uvavanyo lwe-meconium lunokubonelela ngolwazi oluchanekileyo malunga nokuba umama ebesebenzisa iyeza kangangeeveki okanye iinyanga kunovavanyo lomchamo.
Umyalezo Wokuya Ekhaya
- I-Meconium ayifanele ixhalatyiswe: sisitulo sokuqala somntwana wakho esiqhelekileyo. Musa ukothuka ngumbala wayo omnyama nokuqina kwayo.
- Kufuneka idlule kwiiyure ezingama-48: Umntwana kufuneka adlule kwi-meconium kwiintsuku ezimbini zokuqala emva kokuzalwa. Ukuba ayidluli, xelela ugqirha wakho ngoko nangoko.
- Ingozi ephambili kukuphefumla: Ingozi engaphezulu kunokuginya i-meconium kuxa umntwana eyiphefumlela emiphungeni esesibelekweni (i-Meconium Aspiration).
- Oogqirha bakulungele: Ukuba kukho i-meconium ngexesha lokubeleka, amaqela ezonyango ahlala ekulungele ukubonelela ngonyango olufunekayo.
- Uninzi lweentsana luyaphola ngokukhawuleza: Nokuba ziphefumla i-meconium, ngonyango olufanelekileyo, uninzi lweentsana luyaphola ngokukhawuleza ngaphandle kwemiphumo emibi yexesha elide.
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