I-Meconium: iyini nokuthi isho ukuthini
-Delile
IMeconium ifana nendle yokuqala yengane, enombala omnyama, oluhlaza okotshani, obukhulu futhi obukhali. Ukuqedwa kwendle yokuqala kuyinkomba enhle yokuthi amathumbu engane asebenza kahle, kepha lapho umntwana ezalwa ngemuva kwamasonto angama-40 ekhulelwe, kunengozi enkulu yokufisa i-meconium, okungaholela ezinkingeni ezinkulu.
I-Meconium ikhishwa emahoreni angama-24 okuqala ngemuva kokuzalwa ngenxa yokugqugquzela ukuncelisa kokuqala. Ngemuva kwezinsuku ezi-3 kuye kwezingu-4, ukushintsha kombala nokuguquguquka kwesitulo kungabonakala, okukhombisa ukuthi amathumbu akwazi ukwenza umsebenzi wawo ngendlela efanele. Uma kungekho ukuqedwa kwe-meconium kungakapheli amahora angama-24, kungahle kubonise ukuvinjelwa noma ukukhubazeka kwamathumbu, futhi kufanele kwenziwe ezinye izivivinyo ukuqinisekisa ukuxilongwa.
Kuyini ukucindezeleka kwesisu
Ukucindezeleka kwe-Fetal kwenzeka lapho i-meconium ikhishwa ngaphambi kokubeletha ku-amniotic fluid, okuvame ukwenzeka ngenxa yezinguquko ekunikezelweni komoya-mpilo wengane nge-placenta noma ngenxa yezinkinga ezikhona enkabeni.
Ukuba khona kwe-meconium ku-amniotic fluid nokungazalwa kwengane, kungaholela ekufuneni kuketshezi ngumntwana, okunobuthi obedlulele. Ukufuthwa kwe-meconium kuholela ekwehlisweni kokukhiqizwa kwe-surfactant ye-pulmonary, okuwuketshezi olukhiqizwa ngumzimba oluvumela ukushintshaniswa kwegesi okwenziwa emaphashini, okungaholela ekuvukeleni kwemigwaqo yomoya futhi, ngenxa yalokho, kube nzima ukuphefumula. Uma ingane ingaphefumuli, kukhona ukushoda komoya-mpilo ebuchosheni, okungaholela ekulimaleni okungenakulungiswa.
Yelashwa kanjani
Ngemuva nje kokuzalwa, uma kutholakala ukuthi ingane ayikwazi ukuziphefumlela yodwa, odokotela basusa uketshezi emlonyeni, emakhaleni nasemaphashini futhi banikeze i-surfactant ukwandisa i-alveoli yamaphaphu nokuvumela ukushintshaniswa kwegesi. Kodwa-ke, uma kukhona ukulimala kobuchopho okubangelwa ukuhogela i-meconium, ukuxilongwa kwenziwa kuphela ngemuva kwesikhathi esithile. Thola ukuthi yini i-surfactant ye-pulmonary nokuthi isebenza kanjani.