Omphalitis kwiintsana: ziyabangela, unyango. Ukuhlamba inveli kwiintsana

Iintsana ezininzi enyangeni yokuqala yobomi zinokutshabalala. Le ngxaki iyenzeka malunga nantoni nganye yeshumi ye-crumb. Abazali abaninzi, bejamelene nale meko, bexhala kakhulu. Abanye, ngokuchasene noko, banciphise ngokupheleleyo ingxaki. Kanti ke le nto yokukhubazeka - i-omphalitis ezisanda kuzalwa - idinga unyango olufanelekileyo kunye nexesha elifanelekileyo. Ukunganakwa okanye ukulibaziseka kunokubangelwa yimiphumo emibi.

Iimpawu zentsholongwane

Inxeba ye-umbilical yindawo enobungozi kwintsana. Ngaloo mzimba ungena emzimbeni we-crumb unokungena kalula kulo sulelo. Kule meko, ukuvuvukala komgca wenqanawa kukhula. I-Pathology inokuthi idibanise nezicubu ezikufutshane. Ngokuqhelekileyo ukuvuvukala kusasazeka kwindandatho yomlomo kunye neenqanawa eziseduze, izicubu ezinamafutha angaphantsi. Yile ndlela i-omphalitis ikhula ngayo kwiintsana.

Ngokuqhelekileyo isifo sibonakalisa kwiveki yesi-2 yobomi. Njengomthetho, kwiintsana ezininzi, isilonda siphulukisa ngomhla wesi-7. Kodwa xa kwenzeka ukhuseleko, alukhupheli ngexesha lemiqathango. URanka uqala ukukhupha. Ukongeza, ukuphuhliswa kwezilwanyana kubonisa ulusu olubomvu olusondeleyo kwintonga. Iimfucu zinyamezele ngokwaneleyo ukuchukumisa, izitya ziyacinywa. Kwaye kwilonda ngokwayo, i- pus ingabonwa.

Izizathu

Kutheni uhlakulele i-omphalitis kwiintsana? Isizathu esisodwa sokubonakala kwentsholongwane kukungena kwintsholongwane emzimbeni ngokusebenzisa isilonda esivulekileyo senveli. Kwiimeko ezininzi, izigulane zentsholongwane zi-streptococci kunye ne-staphylococci. Kodwa ngamanye amaxesha ukuvutha kungakhula ngenxa yokungena kweebhaktheriya ezingenayo i-gram-negative, njenge-diphtheria okanye i-E. coli.

Izinto eziphambili ezibangela ukuphuhliswa kwezifo zi:

1. Ukusetyenziswa okungafanelekanga okanye okungalunganga kwintonga.
2. Ukungathobeli imimiselo yococeko xa unyamekela umntwana. Isizathu sokuvuvukala sinokuba unyango lwesilonda kunye nezandla ezingcolileyo okanye ukuhlamba ngokungenakuqhambuka kweemvumba emva kwesitulo.
3. Ukubonakala kwe- diaper dermatitis. Xa umntwana esele edele kwi-diapers, engcolileyo ngamanqatha okanye umchamo, ulusu lukhupha ngokugqithiseleyo. Ukuba loo nto ingathathi nto inqabileyo i-air kunye namanzi okuhlambela, le meko iyancipha.
4. Ukuthunyelwa kwe-droplet yombane. Usulelo luyakwazi ukungena kumntwana kumntu ogulayo onakekela umntwana.
5. Usulelo lwesifo esiphathekayo. U-Omphalitis unokuhlakulela ngokumelene ne-folliculitis okanye i-pyoderma.
6. Usulelo ngexesha lokunikezelwa. Ngamanye amaxesha usulelo lwengane lwenzeka xa udibanisa intambo.

Ngokuqhelekileyo, i-omphalitis yomzimba iyabonwa kwiintsana ezingaphambi kwexesha, kunye nasezintsaneni ezingazalwanga kwiimeko zesibhedlele (ngexesha lokuzalwa kwasekhaya). Ngokuqhelekileyo esi sifo siba neentlanzi, apho kukho izifo zentsholongwane ezingavamile.

Ezahlukeneyo izifo

Kwintsana enempilo, intambo yomlomo iwela kwiintsuku eziyi-3-4 zobomi. Emva koko, isilonda siqiniswe yintlupheko yamagazi. Ikhula kancane. Ukuphilisa okupheleleyo kuyenzeka ngomhla we-10-14 wokuphila. Kwiveki yokuqala kukho inxalenye encinane yokukhutshwa kwilonda. Kodwa ngexesha lokuphilisa okupheleleyo kwimbalo, kufuneka ukuba yome. Ukuba ngeli xesha iilonda alizange liphilise, kukho izizathu zokucinga ukuba i-omphalitis ikhula kwiintsana.

Amathambo amaninzi ayimpawu yokugula. Ngokuxhomekeke kwinqanaba lobunzima, ukugula kubalwa:

• Catarrhal;
• EVukileyo;
• I-Phlegmonous;
• Necrotic.

Ukongeza, isifo sinokuthi:

• IziPrayimari (ukuba zenziwe ngenxa yokusuleleka kwintonga);
• ISekondari (xa isigulo sisenzeka ngokumalunga nemvelaphi yeempazamo ezikhoyo).

Uhlobo ngalunye lwesifo lubonakaliswe yimpawu zalo. Yingakho kufuneka uqwalasele zonke iifom ngokwahlukileyo.

Catarrhal omphalitis

Esi sisifo esilula. Kubantu kuthiwa "inkinobho yamanzi esiswini".

Ukukhubazeka kubonakaliswe ziimpawu ezilandelayo:

1. Ukukhutshwa okufutshane kwilonda. Njengomthetho, yile ndlela ukuphuhliswa kwesi sifo kuqala. Ulwabiwo lunokuba ngumncedisi. Ngamanye amaxesha inamba yokuphuma kwintsana ezalwayo iqulethe iziqhekeza. Ulwabiwo luyakubonakala luye luphele.
2. I-Edema yendandatho yomlomo. Esi sibonakaliso sisoloko sigqitywa ekuphuhlisweni kwentsholongwane, kodwa akukho mfuneko. Ingqungquthela yokujikeleza ijika ebomvu, ikhube. Isikhumba sigcina ukukhanya kunye nokwelula.
3. Iifungus ibonakala (ifana ne-mushrooms-like out-down). Olu luhlobo oluluhlaza obomvu obomvu. Kwiimeko ezininzi, ayinakucaphukisa intsana, kodwa iyakwazi ukuhluthwa kalula ngentsholongwane. Usulelo luya kwenzeka xa i-fungus ibonakaliswe ngexesha lokukhwabanisa okanye ukutshintsha iimpahla.

Ngokuphuhliswa kwefayili yesifo sesi sifo umntwana uvakalelwa. Ulala ngokugqibeleleyo, udla ngokutya, ufumane isisindo kakuhle.

Kodwa unyango lwesifo kufuneka luqale ngokukhawuleza. Ukuba awukwazi ukulwa nesifo kule nqanaba, i-pathology iya kuqala.

I-omphalitis enobuchule

Ukuba unyango aluzange luqhutywe kwisigaba esichazwe ngasentla, okanye ukuba unyango olungalunganga lwenziwa, eso sifo siqala ukuqhubela phambili. Kule meko, i-patulent pathology ikhula.

Kule nqanaba, iimpawu zi:

1. Kubonakala i-pus. Ikhupha ukusuka kwilonda elibi. Ukufihla kubonakaliswa ngumnikelo ovuthayo.
2. Le meko ibuhlungu. Umntwana unesifo somkhuhlane, isondlo sesinciphisa kakhulu. Ingane ayilali kakuhle, iqhutywe, ihlala ikhupha imilenze kwisisu. Kukho ukuhlaziywa, ukunyanzelisa.
3. Ukungena kwesikhumba, ubuqhophololo. Kwimimandla yenamba, ubomvu buyanda kakhulu. Kukho ukwandiswa kweemvini.
4. Intshukumo yentsholongwane esandula kuzalwa kwesikhumba sesikhumba. Ngendlela yalo kufana nesonya. Umnxeba ushushu.

Kule meko, kubalulekile ukubonakalisa umntwana kumgogqirha ngokukhawuleza.

I-omphalitis yePhlegmonous

Ngokuqhubela phambili kwesi sifo, inkqubo yokuvuvukala ihlanganisa imithwalo yegazi - iirriyiti kunye neemvini. Kule meko, i-omphalitis i-phlegmonous iyabonwa.

Ubonakaliswe ziimpawu:

1. Umbuso womntwana uhla kakhulu. Ulahla isifuba sakhe, ulahlekelwa isisindo. UKroha uxhalabele kakhulu, unesifo sokugula. I-Pathology ihamba kunye neqondo lokushisa eliphezulu, ngezinye amaxesha lifikelela kuma-degree angama-40.
2. Ukuvuvukala kuthiwa. Intshukumo yomntwana osana usana obomvu, uvumba. Kutshisa kumgca, uhlale umanzi, ngokukhawuleza ukukhuphaza phezu kwezikhuselo.
3. Ugxininiso lokuvuvuka landa. Kujikelezwe kwinqwaba enomthunzi kunezicubu ezinobomvu obomvu. Ekuqwalaselweni kwabo, bafana nomlo we-octopus okanye i-jellyfish.
4. Kwilonda le-purulent, ikhosi ukuya kwisilonda inqunywe. Ngoxinzelelo kumaphephelo asondeleyo kukhulisa ukwanda kwe-pus.

Ngaloo ntsholongwane, ingozi yokusasaza i-phlegmon kwiisisu zomzimba iphakamileyo.

Necrotic omphalitis

Esi sisigaba esibi kakhulu sesifo.

Kubonakaliswa yimpawu ezilandelayo:

1. I-Phlegmon ithola umbala obomvu obomvu okanye obomvu.
2. Imbobo ibonakala kwintonga. Ngaloo nto, isisu singashenxisa.
3. Ukuxutywa kwee-tissue kubonakala. Ngaphantsi kwabo inxeba elikhulu elisezantsi.
4. Umntwana akanamdla, akanakucatshulwa. Iqondo lokushisa liyakwehla ngokukhawuleza.

Inecrotic omphalitis kubantwana ingakhokelela kwiinkathazo ezinobungozi, enye yazo i-sepsis.

Ukuxilongwa kwesi sifo

Inkcazo ye-pathology ayibangeli ubunzima. Ugqirha uya kufaka i-diagnostic yokuqala ngoko nangoko, ngokukhawuleza xa ejonga i-nevel bleeding of the newborns.

Ukukhuphela ukuphuhliswa kweengxaki, iimviwo ezongezelelweyo ziya kwenziwa:

• I-ultrasound ye-peritoneum, izicubu ezithambileyo;
• I-X-ray kunye novavanyo lwesifundo.

Usana luya kuthunyelwa ekuboniswaneni kunye nodokotela wezilwanyana.

Ukongezelela, ibelwe i-bakposev. Oku kukuvumela ukuba uqaphele i-arhente yokudala isifo. Olu hlalutyo luya kunika ithuba lokukhetha unyango oluchanekileyo lwe-antibacterial.

Omphalitis: unyango lwefom ye-catarrhal

Ekhaya, unokulwa nale nqanaba yesifo.

Ulwaphulo luquka imisebenzi elandelayo:

1. Iilonda le-umbilical kufuneka liphathwe amaxesha amane ngosuku.
2. Ekuqaleni, igaxa isisombululo se-hydrogen peroxide - 2-3 amaconsi. Emva koko, usebenzisa intonga yokucoceka, iziqulatho ziyasuswa.
3. Emva kwenkqubo, isilinganisi sokuxhatshazwa sisenziwa. Inxeba iphathwa ngezobisi ezifana ne "Furacilin", "Chlorophyllipt", "Dioxydin". Ungasebenzisa uhlaza.
4. Kubaluleke kakhulu ukuba ukwazi ukuhlamba umntwana. Akufanele lilibale ukuba umntwana uswele kakhulu imigaqo yamanzi. Nangona kunjalo, ngenxa yale ngozi, oogqirha bancomela ukuba ngaphambi kokuhlamba iimvumba, faka i-permanganate encinci kwi-bath. Amanzi kufuneka abe ngumthunzi obomvu obomvu.

Unyango lwezigaba ezinzima

Ngesifo esiqhubekayo sihlala sisilwa esibhedlele.

Amanyathelo alandelayo athatyathwa unyango:

1. Injongo yamafutha okuhlambulula i-antiseptic. Kunconywe "iBaneocin", iingubo zeVishnevsky. Zisetyenziselwa ukugqoka kwilonda.
2. Unyango lwe-antibiotic. Ngamanye amaxesha kunqunywe ukuba kunqunywe i-foci ye-inflammation. I-antibiotics ikhethwe ngokwemiqathango yebhassovava.
3. I-Cauterization yefungus. Ngenxa yesiganeko esinjalo, i-nitrate yesilivere isetyenziswa.
4. Ukutyalwa kwesilonda. Itheyibhile ekhethekileyo efakwe kwiveliti inika ukuphuma kakuhle kwepus.
5. Ukuba kuyimfuneko, umntwana usulelwe unyango lwe-vitamin kunye neyeza ezikhuthaza ukukhuseleka.

Kwezinye iimeko, utyando lucatshangelwa ukususa izicubu zesisu.

Isiphelo

Abazali bafanele baqwalasele ngokunyamekela nangokunyamekela ukunyamekelwa kwintsana. Yaye ukuba intsholo ingapheli iintsuku ezili-10 emva kokuzalwa, kubalulekile ukubonisa ugqirha. I-Omphalitis ingakhokelela kwimiphumo emibi kakhulu. Kodwa unyango olufanelekileyo ngexesha elifanelekileyo lukuvumela ukuba uphewule ngokukhawuleza ukuphilisa i-pathology, ezayo ayiyi kubachaphazela impilo okanye umntwana.