Omphalitis anabadwa, monga lamulo, amapezeka pa msinkhu wokwana mwezi umodzi. Ana okalamba komanso akuluakulu amadwala nthawi zina, koma milandu yotereyi ndi yosavuta. Omphalitis ndi imodzi mwa matenda omwe amapezeka mwa ana m'masabata atatu oyambirira a moyo. Ngati mutayamba kuchiza nthawiyo, matendawa adzatha msanga ndipo sadzasiya zotsatira.
Kodi omphalitis ndi chiyani?
Uku ndiko kutukusira kwa umbilical chingwe ndi umbilical chingwe, zomwe zimakhudza khungu ndi subcutaneous minofu. Vuto limayambitsa kusokonezeka kwa zochitika za epithelialization ndipo zikuphatikizidwa ndi zizindikiro zosasangalatsa. Pochita mantha, pamene omphalitis amapezeka m'zinthu zatsopano, sikofunika, komabe sikoyenera kutulutsa matendawo. Kuchedwa kwa nthawi yoyamba ndi kulemba ndikofunika kwambiri kuti mwanayo apulumuke mwamsanga.
Zifukwa za omphalitis
Chifukwa chachikulu chokhalira omphalitis mwa ana ndikulowa muzilonda za tizilombo toyambitsa matenda. Izi zimachitika, monga lamulo, ndi chisamaliro choyenera cha mwanayo. Kutenga kumatha kupatsirana kudzera m'manja osasuka a makolo kapena ogwira ntchito zamankhwala. Itanani omphalitis kwa ana obadwa ndi zina:
- kubereka msanga;
- thupi lofooka la mwanayo;
- kukhalapo kwa matenda a intrauterine;
- Kukhalapo kwa matenda opatsirana okhudzana ndi matenda.
Zizindikiro za omphalitis
Mawonetseredwe a matendawa amasiyana pang'ono malinga ndi mawonekedwe a omphalitis. Zizindikiro zonse zimagawidwa kukhala zenizeni ndi zam'deralo. Zomalizazi ndizo zizindikiro zomwe zimawonetsedwa mwachindunji kumadera ozungulira phokosoli. Izi zikuphatikizapo:
- kuchotsa pa chilonda (zikhoza kukhala zojambula mu mitundu yosiyanasiyana, nthawizina kutuluka kwa madzi kumakhala ndi zopanda magazi);
- fungo losasangalatsa;
- wofiira ndi khungu la hyperthermia;
- khungu la khungu pafupi ndi phokoso;
- maonekedwe a magulu ofiira pa epidermis.
Zizindikiro zodziwika ndi zizindikiro zosadziwika zomwe zimasonyeza kukhalapo kwa matenda ndi kutupa thupi m'thupi:
- kutentha kwakukulu;
- kupweteka;
- chiwonetsero;
- kuwonongeka ndi kusowa kwathunthu kwa njala;
- kuchepa kwa kuchepa kwa kulemera.
Catarrhal omphalitis
Fomu iyi imapezeka nthawi zambiri ndipo imaonedwa kuti ndi yabwino kwambiri. Catarrhal omphalitis mwa ana obadwa amatchedwanso kuti ducking navel. Mwamtheradi, chingwe cha umbilical chimangokhala chokha m'masiku oyambirira a moyo. Pano palibenso chilonda chochepa, chomwe chimamangirizidwa masiku 10-15. Catarrhal omphalitis m'zinthu zowonjezera zimapangitsa kuti phokoso liwonongeke ndipo limayambitsa kutuluka kwa mphukira.
Ngati kuthira kwa nthawi yaitali - milungu iwiri kapena yambiri - sikuchoka, kukula kwa matenda a granulation akhoza kuyamba - kutupa kumafalikira kumatenda abwino. Zizindikiro za matendawa pamene zatsala sizitchulidwa. Nthawi zina kokha kumawonjezeka kutentha. Omphalitis ndi catarrhal mu neonates popanda mavuto, ndipo atangoyamba kumene mankhwala am'deralo mwanayo mwamsanga akuchira.
Zamatsenga omphalitis
Mtundu uwu wa matendawa, monga lamulo, ndilo vuto la catarrhal. Mphungu ya omphalitis mwa ana obadwa imabweretsa kuwonjezereka kwa dera ndi madera. Matendawa amakhudza zotengera za mitsempha, zomwe zimayambitsa tsaya lofiira padziko lonse lapansi, lomwe limawoneka ngati jellyfish kapena octopus. Zigawo zimakhala zopanda magazi komanso nthawi zambiri zimakhala fungo losasangalatsa. Zamkatimu omphalitis mu zizindikiro zatsopano komanso ena ali:
- kutentha kwakukulu ;
- kuwomba;
- kuchepa kwa njala.
Omphalitis - zovuta
Ngati zizindikiro za omphalitis zimanyalanyazidwa, izi zingachititse mavuto. Ndizovuta, sizili zosavuta kuti muziyenda monga momwe zimakhalira ndi matendawa. Kuonjezera apo, sizingowonjezera umoyo wa moyo, koma nthawi zina zimayambitsa thanzi la mwanayo. Matenda a reflux omphalitis angathe kukhala awa:
- phlegmon wa khomo lamkati la m'mimba;
- kupuma kwa chiwindi;
- kukhudzana ndi peritonitis;
- kufalikira kwa tizilombo toyambitsa matenda ndi kuthamanga kwa magazi kukudza ndi chitukuko cha sepsis;
- osteomyelitis;
- chibayo chowononga;
- enterocolitis .
Mavuto ambiri amachititsa kuti thanzi la mwana liwonongeke bwino, iye amakhala ndi khalidwe lodziletsa ndikusiya chifuwa chake. Kutentha kumatha kukwezedwa ku madigiri 39 kapena kuposa. Vuto pamphuno limasanduka chilonda chotseguka, nthawi zonse chonyowa chifukwa cha purulent. Pa milandu yoopsa kwambiri, minofu ya necrosis imayamba.
Omphalitis omwe ali ana amakhanda - mankhwala
Vuto limakula mofulumira, koma msinkhu ukhoza kuimitsidwa ngati matenda a omphalitis akuyamba panthaŵi yake. Kuzindikira kutupa kumayambiriro koyamba kudzathandiza katswiri wazomwe amagwiritsa ntchito mankhwalawa. Kuti mutsimikizire kuti mukudwala matendawa, muyenera kuyesedwa. Kulimbana ndi mtundu wa catarrhal wa matendawo ukhoza kukhala pakhomo nthawi zonse kuyang'aniridwa ndi dokotala wa ana. Chithandizo cha purulent omphalitis ndi mitundu yambiri ya matendachi chiyenera kuchitika kokha kuchipatala. Apo ayi, zingakhale zovuta kupewa zotsatira zoopsa.
Kuchiza kwa bala la umbilical ndi omphalitis
Pazigawo zoyamba, malo otupa ayenera kuchitidwa kangapo patsiku. Njira yothetsera vutoli ndi omphalitis ndi yosavuta: choyamba, malo otsekemera amafunika kutsukidwa ndi hydrogen peroxide, ndipo ikauma - ndi mankhwala osokoneza bongo. Pogwiritsa ntchito, gwiritsani ntchito wosabala cotton ubweya. Poyambirira ndi bwino kuti muzisamalira khungu pokhapokha mkati mwake. Kusamba mwana panthawi ya mankhwala kungakhale m'madzi ofunda ndi potassium permanganate kapena decoctions. Ndi mitundu yambiri ya matendawa mutatha kuchizidwa, compress imagwiritsidwa ntchito khungu ndi mankhwala odana ndi kutupa.
Omphalitis - mafuta
Kugwiritsidwa ntchito kwa mafuta odzola n'kofunika kokha m'mavuto ovuta, chifukwa ophthalitis amachiritsidwa ndi antiseptics. Agwira ntchito mwakhama amagwiritsidwa ntchito, monga lamulo, kuti agwirizane. Mafuta otchuka kwambiri, omwe kawirikawiri amaperekedwa chifukwa cha kutupa kwa phokoso:
- mafuta odzola Vishnevsky ;
- Polymyxin;
- Bacitracin.
Kupewa omphalitis
Kutupa kwa chilonda cha umbilical ndi chimodzi mwa mavuto omwe ndi ovuta kupewa kusiyana ndi kuchiza.
Musalole omphalitis ndi kuteteza mwanayo kuvutika kungakhale, kusunga malamulo osavuta:- Gulu la umbilical liyenera kuchitidwa 2 mpaka 3 pa tsiku, mpaka ilo lichiritsidwa. Ngakhale ngati pali zida zochepa zomwe zimasiyidwa, simungathe kuimitsa.
- Choyamba, phokosolo liyenera kupukutidwa ndi yankho la peroxide, ndipo khungu likauma, limakonzedwa ndi greenery kapena 70% mowa.
- Nkhonya za chilondacho siziletsedwa. Ziribe kanthu momwe zingamveke zodabwitsa, nkhanambo ndi bandage yodalirika kwambiri. Zimathandiza kuti tizilombo tizilombo tizilombo tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda.
- Nkhumba sayenera kuyikidwa ndi chikhomo, chosindikizidwa ndi band-aid kapena bandaged. Ngati chilondacho chatsekedwa, chikhoza kuswa ndi kupsa. Kuonjezerapo, nkhaniyi ikhoza kugwira pa nkhanambo ndikuyikhalitsa, yomwe imabweretsa zovuta zambiri, ndikuwonetsa phukusi losakhalamo komanso kutseguka kwa mabakiteriya ndi tizilombo toyambitsa matenda.
- Ngati pali phulusa kapena phokoso losasangalatsa, tikulimbikitsidwa kuti tipeze thandizo la dokotala wa ana kapena dokotala wa opaleshoni.