Kazhinji Meconium, Kusakwanisa Kudarika Meconium, uye Meconium Staining
Inguva yakareba sei vana vacheche vane iyo yakasviba inotarisa uye zvimiti zvakashata zvinonzi meconium ? Uyu mubvunzo unojairika, kunyanya nokuti zvigaro zvemeconium zviri nyore kuchenesa.
Ndezvipi chaizvo zvigaro zveMeconium? Zvinorevei kana mwana wako asina meconium zvitubu? Uye chii chinoitika kana mwana wako achipfuura meconium asati aberekwa?
Chii Chinonzi Meconium?
Meconium zvigaro ndezverima guru, rima kana kuti ruvara-ruvara, rwakasviba, rukazorora, hutachiona hutachiona hunenge huchangoberekwa nevana pavanotanga kuberekwa mazuva maviri kana matatu.
Meconium inoumbwa nemasero uye zvinhu zvinowedzera chirwere chekudya panguva yekuzvitakura.
Iko kusanganiswa kwezvipikisheni izvi, kunyanya 'guru,' 'uwandu,' uye 'kunyanya,' izvo zvinogadzira meconium zvigaro zvakaoma kuti kuchenesa uye usingaiti vabereki vakawanda vatsva vanotarisira kune mapepa ane tsvina .
Nenzira yakanaka, meconium zvigaro hazvinhuhwi zvakaipa. Kunyange zvazvo izvi zvaimbofungidzirwa kuti ndezvikonzero zvemeconium zvisingabereki, zvidzidzo zvakawana mabhakitiriya mu meconium yevana vakagwinya.
Kuchinjira kuVachigaro Vechidiki Vechidiki
Meconium zvigaro zvinokurumidza kuteverwa nemapito ezviitiko panguva iyo mwana wako ari mazuva matatu kusvika mashanu. Izvo zvibato zvishoma zvishoma, zvakasvibirira zvakasvibirira muvara, uye i "shanduko" yekugara nguva dzose mumukaka pamusoro pezuva rechitanhatu.
Kana mwana wako achiri kutora meconium zvitubu mushure mekunge ava nemazuva matatu akare kana kuti masendimu ekutsvaga mushure memazuva mashanu apera, Zvakakosha kutaura nemwana wako.
Kuzononoka pakuchinja kwemeconium kana zviputi zvemukati kune zvigaro zvemukaka kunogona kuva chiratidzo chokuti mwana wako haasi kudya zvakakwana kana zvimwe zvinetso. (Dzidza zvakawanda pamusoro pezviratidzo kuti uchenjere kuziva kana mwana wako ari kuwana zvakakwana zvechifuva .)
Ndezvipi "zvakajairika" uye zvisiri izvo? Munowanzo, iwe unogona kutarisira kuti mwana wako ave ne:
- Matatu meconium matumbo kufamba pazuva repiri iro ringave rakasviba, rinonoka, uye rima
- Zviratidzo zvitatu zvemazuva masere, uye zvigaro zvichisununguka uye zvinotapira kune zero muvara (transitional stools)
- Utatu hutete, hutete uye hunobuda mumashure pazuva rechina
- Utatu huri jena, kusununguka uye kubhururuka kwemakumbo pazuva rechishanu
- Zvitsva zvitatu, zvakasvibirira, zvakasununguka uye zvinokonzera mbeu mumusi wechinomwe (mukaka kana kunwisa mazamu)
Zvakare, iva nechokwadi chokuti utaure nevana vako kana mwana wako asiri kutevera muenzaniso uyu, asi, sezvo vanhu vakuru vachisiyana munzira dzakawanda, vacheche vanogona kusiyanana munguva inotora kuti vafambe kubva pamakiti emeconium vachienda kune mukaka.
Kukundikana Kupfuura Meconium
Kunyange zvazvo vabereki vakawanda vari kunetseka kuti vana vavo havangamboregi kuzadza mavara avo ne meconium, vamwe vana vane rimwe dambudziko uye havana meconium chigaro musi wavo wekutanga kana maviri ehupenyu.
Vakawanda vehutano vacheche vese vanopedza chigaro chavo chekutanga mukati maawa 48 ekuzvarwa, uye vazhinji vachave nechigaro chemeconium mukati maawa makumi maviri nemaviri ekuberekwa. Kana mwana wako asina chikwata chemuviri kana kupfuura meconium chigaro, zvinogona kuva chiratidzo chokuti chimwe chinhu chakaipa.
Mamiriro ezvinhu anogona kuita kuti kusakwanisa kupfuurira meconium kunosanganisira kubatwa kwepachivi, meconium ileus (iyo inogona kubatanidzwa ne cystic fibrosis,) chirwere cheHirschsprung, meconium plug syndrome, kana chirwere chisina kufanira, chinogona kusanganisira anal stenosis (an openly small open at anus, kana kusina anus (anal atresia.)
Kana vana vasingakwanisi kudarika meconium vanogona kukura mudumbu, kusuruvara, uye havakwanisi kudya zvakanaka. Mukuwedzera kune kuongorora mumuviri uye nyore X-rays, zvimwe zvidzidzo zveudhidhiki uye miedzo zvinogona kudiwa kuti zvione kuti chii chiri kuita kuti mwana achangoberekwa ave nechinono pakupfuura meconium.
Meconium Staining
Zvizhinji zvinowanzoonekwa kupfuura kuva nechinetso umo mwana asingakwanisi kudarika chero meconium, mwana angapfuura meconium asati aberekwa, zvichiita kuti meconium inosvibiswa amniotic fluid uye meconium-yakasvibiswa mwana.
Meconium inogadzira pachayo haina ngozi, kunyange inogona kutyisa kuona mwana wako akavharwa meconium paanenge aberekwa.
Meconium staining inogona kuva dambudziko, zvisinei, kana mwana anoda aspiratory (anofema mukati) iyi meconium mumapapu ake. Meconium aspiration pneumonia chirwere chakakomba chinowanzoda kuchenjerera kuongororwa muineonatal yakasimba yekuchengetedza unit.
Sei vana vachipfuura meconium vasati vaberekwa? Kunyange zvazvo kuora kwemeconium kunogona kuitika dzimwe nguva, kazhinji pamucheche anenge apera, zvinogonawo kuitika mumucheche ari kutarisana nemhando yekushungurudzika. Kushungurudzika kunogona kusanganisira zvinhu zviviri zvinosanganisira mwana, zvakadai sehutachiona, kana kuti amai vomwana vane ropa rakanyanya, gestational diabetes , preeclampsia , oligohydramnios (low amniotic fluid) kana kuti anosvuta fodya zvikuru.
Mirayiridzo inotungamirirwa neAmerican Academy of Pediatrics uye American Heart Association muna 2005 uye 2015 yakave yakatsanangura zvakanakisisa kutarisira kwevana ne meconium-stained amniotic fluid. Munguva yakapfuura, kushanda nesimba kwemukanwa uye nemhino kwakagadzirwa kune vacheche vane meconium kudonha mushure mokuberekwa kwemusoro uye vasati vasununguka pamapfudzi. Mumucheche ane simba nehutano hwakanaka uye kushanda nesimba, uku kutevera hazviiti kuita mutsauko uye hausisina kukurudzirwa. Kusiyana neizvi, kune vacheche vane urombo husina simba hwekufuridzira kana kushaya mutsara mutema, intubation (kuisa endotracheal tube) uye kushandura kunyorera pasi peglottis kunorudzirwa pakuberekwa, kuteverwa nekutevererwa. Iko zvino inokurudzirwa kuti vashandi vezvokurapa vanogona kupa intubation nekuyamwisa kuvapo apo meconium-inoita amniotic fluid inozivikanwa musati yaberekwa.
Apo meconium yakareba zvikuru uye ichionekwa kare kana kuti kutanga kwebasa munguva yebasa, chirongwa chinonzi amnioinfusion dzimwe nguva chinokurudzirwa. Mune nzira iyi, simbe yakagadziriswa yakagadziriswa muhuro kuitira kuti iwedzere meconium.
Pasi Pasi
Ruzhinji rwevana ruchava nezvigamba zvemeconium mukati mezuva rokutanga rehupenyu, izvo zvishoma nezvishoma zvinopera zvishoma uye zvinopfuvura pamusoro pevhiki yekutanga yeupenyu. Kunyange zvazvo zvigaro izvi zvinowanzosvibiswa uye zvakaoma kuchenesa, kushandisa huwandu hwemafuta kumucheche wemwana wako kuchaita kuti diaper ichinjeke nyore nyore.
Kukundikana kudarika meconium mumaawa 24 ekutanga kunogona kuva chiratidzo chechipatara chakadai sechidziviriro chemuviri uye chiremba wevana vako anofanira kuonana. Zvimwe zvinowanzoitika, vana vanopfuura mbambo yavo yekutanga ye meconium vasati vaberekwa vachiita meconium staining. Pamusoro payo, izvi hazvisi zvakanyanya, kunyanya kana mwana achangopfuura "chiedza" meconium. Kana meconium yakaoma uye mwana achishungurudzwa pakuberekwa, zvakadaro, kunwa (uye zvichida amnioinfusion) kunorudzirwa kuderedza mukana wekuti mwana achafema meconium uye kuwedzera meconium aspiration syndrome.
> Sources:
> Komiti yeUtsika Dzidziso. Komiti Gwaro No 689: Kuendeswa kwechecheche Meconium-Stained Amniotic Fluid. Obstetrics uye Gynecology . 2017. 129 (3): e33-e34.
> Cunningham, F. Gary., Uye John Whitridge Williams. Williams Obstetrics. New York: McGraw-Hill Dzidzo yeMari, 2014. Print.
> Kliegman, Robert M., Bonita Stanton, St Geme III Joseph W., Nina Felice. Schor, Richard E. Behrman, uye Waldo E. Nelson. Nelson Nhamba yeBhuku rePediatrics. 20th Edition. Philadelphia, PA: Elsevier, 2015. Print.