I-Meconium iyinhlangano ukuthi umntwana uzoxoshwa emahoreni okuqala okuzalwa kwakhe. Le nto yakheke ngesikhathi sokumitha kwayo ohlelweni lokugaya ukudla nalapho ibingeyona ingxenye yokudla kwayo. Kodwa ngesizathu esithile kukhona izingane ezixosha le nto ngaphambi kokuzalwa futhi yingakho sihlola hlobo luni lwama-sequel ingane esanda kuzalwa inalo ogwinya i-meconium ngaphambi kokubeletha.
Le nto uma exoshwa ngaphambi kokuzalwakungadala isimo sobungozi. Ziningi izithiyo ezingaholela ekutheni usana olusanda kuzalwa lukwazi ukufinyelela hlupheka uhlobo oluthile lokulandelanisa uma lungabonakali futhi uphathe lesi simo ngesikhathi.
Iyini i-meconium?
Njengoba sesichazile kakade ukukhululwa kwe-meconium kufanele ikhiqizwe ngaphandle kokumitha hhayi ngaphakathi. Uma kwenzeka ngaphandle kungenxa yokuthi kukhona uhlobo oluthile lokuhlehla futhi nakakhulu uma ukulethwa kwenzeka. Ngokuvamile ukuxoshwa kwe-meconium kuqala lapho kukhona a uphawu lokucindezeleka kwe-fetus. Ngokuvamile kuyobangelwa ukufinyela kwesibeletho sikamama, njengoba kwenza kube nzima kuye ukuphefumula nokuntula umoya-mpilo.
Ukudlula ngaphambi kwesikhathi kwe-meconium nakho kungenzeka uma kukhona inkinga ngomzuzu wokugcina. Kungakhathaliseki ukuthi umntwana une-breche, inkaba iboshiwe, noma yisiphi isenzakalo esenzekayo esishintsha inqubo. Uma i-meconium ikhishelwa esiswini futhi itholwa, ukulethwa kufanele kucasulwe ngokushesha futhi ngokuhlinzwa, ngoba ngeke amunce ingane.
I-sequelae yengane esanda kuzalwa egwinya i-meconium
Lapho umntwana ezwa ukuphefumula nokucindezeleka kwe-fetus, ngokungazi lutho i-amniotic fluid. Ngalesi sikhathi uma iqukethe i-meconium ingafinyelela lokhu kuthathwa kugcina nge-hiccup encane noma ku-meconium aspiration syndrome ngokusebenzisa umoya wakho kanye nesistimu yokugaya ukudla.
Ukungena kwayo kungabangela ingane a ukucindezeleka kokuphefumula. Isimiso sokuphefumula somntwana singakwazi kuholela ekuhlehleni okumele kubhekwe ngokujulile. Kuya ngokuthi yini oyifisayo nokuthi usunesikhathi esingakanani ngaphakathi kuyo, kufanele wenze ukuhlola.
Ngisho umgudu wesisu ungase uthinteke futhi lokhu kuzodala ukuthi uhlelo lwakho lokugaya ukudla lugcine ukwehluleka nokungalingani. Ingane izoba nobunzima ekubekezeleni ubisi lwebele noma ifomula, futhi kulezi zimo ingahlanzwa. Uma ingane ifisa i-meconium eningi, izokwenziwa iphampu yesisu futhi ulinde izinsuku ezimbalwa ukuze isifiso sakho sokudla siqale ukubuya.
I-Meconium aspiration ngokuvamile ayibi kakhulu lapho kungakapheli amahora angama-48. Nokho, kuyindaba engadluli futhi ukugadwa kuvame ukweqisa. Umntwana angahlushwa ukucasuka komgudu wokuphefumula futhi alimaze izicubu zamaphaphu. Ngaphezu kwalokho, i-meconium ingalimaza lokho i-surfactant isebenza ngaphakathi emzimbeni wakho, njengoba iyinto esiza ukuvula amaphaphu ngemva kokuzalwa.
Ngemuva kokuzalwa, umntwana kufanele avuselelwe futhi sula imigudu yokuphefumula neyesisu. Kwezinye izimo, ukuthathwa kwama-antibiotic kuyadingeka. Uchungechunge lokuhlolwa luzokwenziwa lapho kuzodingeka khona ukugxila emgudwini wokuphefumula nalapho kungenzeki khona inkinga yenhliziyo noma inyumoniya.
Ngamaphesenti angu-12 okudiliva umntwana udlule i-meconium futhi ayikwazi ukulangazelela. Bambalwa kakhulu abafinyelela icala elibucayi kakhulu lapho I-Meconium aspiration syndrome (SAM), nakuba umphumela wayo uzoncika enanini, ukungaguquguquki ngisho nesikhathi esisele.
Uma inkinga ibinzima, ingane kufanele ihlale ekunakekelweni okukhulu, njengoba uzoba nobunzima bokuphefumula izinsuku ezimbalwa. Kwezinye izimo, i-aspiration pneumonia, ukulimala kwengqondo ngenxa yokuntuleka komoya-mpilo, umfutho wegazi ophakeme wamaphaphu, kanti kwezinye, ukufa komntwana kungase kwenzeke. Kusukela ekuzalweni komfana noma intombazane enalolu hlobo lokungahambi kahle kuyohlale kukhona ekulawuleni kwabo udokotela wengane ozokunakekela.