Ndi matenda monga chiwindi cha bere, amayi ambiri amayenera kuthana nawo. Ndizofunikira kwa ana a zaka zoyambirira za moyo omwe satha kuthetsa mphamvu za thupi. Momwe mungasamalire bwino matendawa, komanso momwe mungapewere, tidzakambirana zambiri.
Dermatitis ya Diaper - Zimayambitsa
Dermatitis ya ana mwa ana ndi zotupa zotupa za khungu lomwe limakhudzana ndi nyansi zakutchire, kumalo olankhulana ndi chikhomo kapena chala. Kugonjetsedwa kumachitika chifukwa cha zinthu zingapo:
- Ntchito zochepa zothandizira khungu la ana , poyerekeza ndi zikopa za ana akuluakulu komanso akuluakulu (m'matumbo, epidermis ndi yopapuka kwambiri, yodzaza ndi chinyontho, ndipo ili ndi stratum corneum yomwe ilibe bwino kwambiri, komanso zing'onozing'ono zowonongeka.
- Magazidwe a epidermis chifukwa cha kukangana kwa chiwombankhanga, chotupa kapena matupi ena pafupi ndi thupi la mwanayo.
- Kusokonezedwa kwa malamulo a chisamaliro cha mwana - Kusintha mosasunthika kwa kansalu konyowa kapena kansalu kofikira chifukwa cha zomwe zili ndi kutupa ndi maceration a pamwamba pa zikopa za khungu.
- Zotsatira za mankhwala omwe amachititsa mkaka ndi ndowe za mwanayo (makamaka ndi kuchuluka kwa acidity wa nyansi zochokera ku nyansi) - urea ndi mankhwala ake, mankhwala a chiberekero, mavitamini a m'mimba, otsekedwa ndi matumbo a m'mimba ndi zina zotero.
- Zinthu zakuthupi - kutentha kwapamwamba ndi kutentha kwa mpweya mu chipinda, kutsekemera kochulukira, kuchititsa kutuluka thukuta.
- Chinthu chopatsirana - zotsatira za mankhwala osokoneza bongo ndi a colonic.
Kuonjezera apo, tingathe kuzindikira zifukwa zingapo zomwe zimayambitsa matenda ndi matenda:
- kutsekula m'mimba ;
- dysbiosis;
- dermatitis ya atopic ;
- mchimakulire;
- kugwiritsa ntchito bwino mankhwala opangira khungu;
- chotsitsa chosadziwika;
- Kutalika kwa nyengo yochapa.
Fungal diaper dermatitis
Ngozi ndiwotchi, yomwe imapangidwa pamene nkhungu za mtundu wa Candida zikugwira ntchito. Matenda a fungal amaphatikizapo ndi poizoni pa thupi la ana, zomwe ndizochokera ku ntchito yofunikira ya tizilombo toyambitsa matenda. Kugonjetsa kungathe kufalikira kumadera ena a thupi, makamaka kumene kuli makwinya.
Bacterial diaper dermatitis
Mtundu uwu wa matendawa, monga tizilombo toyambitsa matenda a bakiteriya m'matumbo, amawoneka ngati vuto, ndipo nthawi zambiri amakhudzana ndi kuchitidwa kwa matenda a staphylococcal kapena streptococcal. Nthawi zina kutupa kwa khungu la bakiteriya kumayamba chifukwa cha matenda a umbilical cord. Ngati mumtundu wa tizilombo timakhala ndi staphylococcus ya golide ya mtundu wachiwiri, pali bullous impetigo .
Kodi amawoneka bwanji?
Dermatitis yachitsulo kwa ana obadwa amakhala ndi chithunzi chotere:
- Hypereremia (redness) ya khungu la perineum, mabowo, ziwalo za m'mimba, zingwe za m'magulu, m'mimba pamunsi (nthawi zina malo okhudzidwawo amapezeka kumalo a sacrum, m'chiuno, m'chiuno).
- Kusayenerera kwa ma hyperemia, kusowa malire omveka pakati pa zinyama zowonongeka ndi zowonongeka (malo ounikira ndi zizindikiro zazing'ono za kutupa ndi kubwezeretsanso chizindikiro pazitsulo zazitoliro, m'malo amtundu wothamanga, pafupi ndi anus akhoza kuwonedwa).
- Kupweteka ndi kukhumudwa kumadera okhudzidwa.
- Nthawi zina - kupezeka kwa kuthamanga kwazing'ono, kuoneka ngati kuuma, kuyang'ana, kutsetsereka m'malo otupa.
- Ndi chitukuko cha mvula - maonekedwe a malo ovuta, malo opweteka, omwe amadzaza ndi mafinya otentha ngati akuchiritsa.
- Ngati diaper dermatitis candidiasis, kupezeka kwa pinki papules ndi mapepala omwe amawoneka ngati ofiira owala pamwamba pa khungu la chikopa ndi ndondomeko yoyera, kukhudzana ndi kutentha, komwe kumawonekera pamphepete mwa khungu lathanzi komanso kumatenda opangidwa ndi khungu.
- Poika bakiteriya microflora - kuoneka kwa khungu lofiira lofiira lopanda mafinya, ndipo nthawi zambiri limakhala limodzi ndi kuwonjezeka kwa kutentha kwa thupi komanso malaise.
Dermatitis ya diaper - mankhwala
Momwe mungachitire matenda a diaper m'mimba mwa mwana, adokotala ayenera kudziwa pambuyo pofufuza ndi kufotokoza mtundu wa matendawa. Njira yoyamba ndi yofunika kwambiri ndiyo kuyang'anira khungu koyenera kwa khungu, zomwe sizikuphatikizapo momwe zingathere kukhudzana kwa khungu lamoto ndi irritant, yomwe imathandizanso kuti pakhale chithandizo chachikulu.
Zotsatira zotsatirazi ziyenera kuchitika:
- Kusamba madzi ofunda ndi zinyenyeswazi tsiku ndi tsiku komanso nthawi iliyonse mutatha kuyenda.
- Pambuyo pa njira zamadzi, khungu limapukuta louma ndi chofewa chofewa (popanda kugaya).
- Mipira imayenera kusinthidwa osachepera maola atatu, mosasamala kanthu kokwanira.
- Kawirikawiri achokani mwanayo popanda zovala - kukonzekera zomwe zimatchedwa mpweya wosambira.
- Simungathe kuvala mwana wotentha kwambiri, kupweteka kwambiri thukuta.
Udzu wa ana m'matenda a ana amaperekanso mankhwala - kudzera m'madera omwe amachititsa kuthetsa kutupa, kuthetsa matendawa ndikuthandizira kubwezeretsanso mankhwala osokoneza bongo. Saloledwa kuchiteteza khungu lokhala ndi greenery, ayodini, yankho la potaziyamu permanganate, ndi mawonekedwe ofanana omwe angapangitse kuti matendawa apitirire.
Cream for dermatitis ya diaper
Mu funso la momwe angachiritse matenda a diaper, mankhwala a khungu omwe alipo ndi ofunika. Ngati malo owonongeka amadziwika kuti ndi owuma, ndi zomveka kugwiritsa ntchito mankhwala a diaper dermatitis ngati mawonekedwe a kirimu omwe angaperekenso chinyezi m'matumbo. Tilembera mankhwala omwe amagwiritsidwa ntchito pochizira khungu la mwana kangapo patsiku.
- Bepanten;
- Bepantol;
- Chithunzi;
- Pantestine (gel);
- Kukonza;
- Kuthamanga.
Ndi mankhwala othandizira odwala ndi othandizira omwe amagwiritsidwa ntchito kuchokera kwa opanga awa:
- Bubchen;
- Mwana wa Johnson;
- Mustela.
Mafuta a diaper dermatitis
Kusankha chithandizo cha mankhwala a diaper dermatitis kwa ana obadwa, motsogoleredwa ndi kuthira madzi ndi maceration, muyenera kuyimitsa kusankha kokonzekera mwa mawonekedwe a mafuta odzola:
- mafuta a zinki;
- salicylic-zinc mafuta;
- Sungani.
Pamene mabakiteriya amatha kupatsa mafuta odzola ndi antibacterial:
- Levomekol;
- Chiwonetsero;
- Sungani.
Mafuta monga Nystatin, Diflucan, Clotrimazole, ndi diaper dermatitis amagwiritsidwa ntchito pa matenda a fungal. Pazoopsa kwambiri, glucocorticosteroids zapakhomo amapatsidwa mankhwala, pakati pawo - mafuta oyenera a Advantan .
Njira zachipatala za mankhwala a diaper dermatitis
Ngati pali dermatitis ya ana obadwa, mankhwala amatha kuwonjezeredwa ndi njira zosiyana siyana. Ochiritsa amalimbikitsa kuwonjezera mankhwala omwe amawagwiritsira ntchito mankhwala kuti asambe madzi:
- chamamile;
- kutsatana;
- kalendula;
- makungwa a oak.
Pokonzekera, kutsanulira supuni 2 zowonjezera ndi galasi la madzi otentha, kuumirira theka la ola, kupsyinjika ndikuwonjezera kukusamba ndi madzi.
Mapepala okhala ndi dermatitis ya diaper
Ngati nthawi yayitali sichidutsa dermatitis ya diaper, ndi bwino kulingalira za kusintha mtundu wa mankhwala ogwiritsidwa ntchito. Osati amalangizi othandizira, zimalimbikitsa kugula khalidwe losungunuka "masentimita", momwe madziwo amasungidwa pakati pazitali. Kuonjezera apo, pofuna kuteteza matenda a diaper, ndikofunika kusankha bwino mankhwalawa malinga ndi kukula kwake, komwe sikuyenera kupanikizidwa kapena kuzungulidwa.