Ngenxa yokuba kunokwenzeka ukuba umhla wokuhanjiswa udlulile sinokuba nokungaqiniseki ukuba umntwana ongaphakathi kwesibeleko uya kukhupha isitulo sokuqala, ke sinokuthetha malunga noxinzelelo lwesisu. Ezi zihlalo zibizwa ngokuba yi-meconium kwaye nangona i-prognosis imele igxothwe emva kokuzala, maxa wambi iphumela ekwenzeni oko ngaphambi kwexesha.
Ngenxa yoko, ndingazifumana iingxaki ukuba umntwana unokuphefumla into kwaye enze iingxaki, Kungenxa yoko le nto ibizwa ngokuba yi-meconium aspiration syndrome. Nangona kunjalo, kufuneka sizole kuba i-meconium isenokungabi mnyama ngokugqithisileyo kwaye akukho bungozi bokuba umntwana angaba yingozi.
Yintoni iMeconium?
I-Meconium yinto emnyama eluhlaza okwesibhakabhaka, eyenziwe ngeeseli ezifileyo kunye neemfihlo ezivela esiswini kunye nesibindi. Zizo zonke ezo zinto usana lwalufunxa esibelekweni ngalo lonke ixesha lokukhulelwa, ezifana nencindi, iiseli zesikhumba ezikhutshelwa emanzini, kunye ne-amniotic fluid ngokwayo.
Ngaphakathi umntwana uyenzeka ngamathumbu akho ukuba ugxothwe njengesihlalo Ngexesha lokuhanjiswa sele kwenzekile, laya lincipha kwaye lincangathi kancinci.
Le nkunkuma igxothwa kwiiyure ezimbalwa emva kokuzalwa yosana okanye nangexesha lokuzalwa. Kodwa xa ukuzalwa kulibazisekile, i-meconium inokukhutshwa ngaphakathi kwesibeleko, ibangele ingxaki yempilo kumntwana.
Meconium ngaphambi kokuziswa
Ukuba ngexesha leseshoni yonikezelo oogqirha bafumanisa ukuba kukho i-meconium ngaphakathi kwesibeleko, Usana luya kujongwa ngakumbi ukujonga iimpawu zoxinzelelo lomntwana. Okwangoku umntwana ngaphambi kokuzalwa usenokuba ukhe wafumana uxinzelelo oluncinci olumenze wakhupha le nto exubana ne-amniotic fluid.
I-meconium emnyama kunye neyona nto iyingozi. Kuqikelelwa ukuba ama-25 ekhulwini eentsana akalindi ukuba aphume amathumbu ngaphambi kokuba azalwe. Wonke umntu oqeqeshiweyo kufuneka enze uphononongo ukuze abone ukuba akukho naziphi na iingxaki.
IMeconium Aspiration Syndrome
I-Meconium Aspiration Syndrome ivela xa usana Inqwenelele i-meconium embindini wesibeleko sikamama. Oku kuhlala kwenzeka xa ukuhanjiswa kudlulile kumhla (weeveki ezingama-40 zokumitha) okanye xa kukho uxinzelelo lomntwana ngexesha lokuhanjiswa. Ngexesha labasebenzi uya kuba nomnqweno.
Meconium umunce umlomo kwaye amaxesha amaninzi inokufikelela kwi-trachea, kodwa ukuba yinto exineneyo kunye ne-viscous if ingena emiphungeni inokubangela iingxaki ezinkulu.
Ukufikelela kwimiphunga iya kuxhomekeka kwinani olifumeneyo kwaye iya kudala ukuphazamiseka okungakumbi okanye hayi. Inokuchaphazela ukuphefumla kosana ngokwamanqanaba ahlukeneyo, kubangele ukucaphuka kwemichiza yamathambo emiphunga, ukuphazamiseka kwendlela yomoya, usulelo okanye ukubandakanyeka komntu osebenza emanzini, into yendalo enceda imiphunga ukuba ikhule.
Iintsana ezizalwe zine-Aspiration Syndrome zinokuba nazo:
- Isikhumba esiluhlaza okanye esiluhlaza ngenxa yebala le-meconium.
- Iingxaki zokuphefumla, ukuba nzima, ngokukhawuleza okukhulu okanye ukungabikho.
- Intliziyo encinci (bradycardia)
- Ukukhuhla emzimbeni wakho okanye kwiimpawu zokuba umntwana uzelwe emva kwexesha).
- Amanqaku asezantsi kwinqanaba le-Apgar.
Unyango
Ukwazi ngokuqinisekileyo ukuba ungenise i-meconium Iindlela zomoya ziyakucocwa ngokukhawuleza. Umbhobho we-endotracheal uya kufakwa emlonyeni okanye empumlweni ukuze unqwenele lonke ulwelo. Iintsana kufuneka ibekwe esweni iintsuku ezininzi okanye iiveki Kuxhomekeke kubukhali komnqweno.