Ua loaʻa anei ka maʻi i ke kaula umbilical o kāu pēpē? E kamaʻilio kākou e pili ana i ka Omphalitis!

Ke hoʻi mai kahi pēpē hānau hou i ka home, ua piha ka hale holoʻokoʻa i ka hauʻoli, ʻeā? Akā i ka manawa like, ma ke ʻano he mau mākua, pono ʻoe e mālama pono i nā mea liʻiliʻi loa. ʻOi loa ke kaula umbilical o ka pēpē. I kekahi manawa e noʻonoʻo paha ʻoe, "Auē, e ola pono anei kēia? Ua hana ʻia kekahi mea?". I mea e kōkua iā ʻoe i kēlā mau manawa, i kēia lā ke kamaʻilio nei mākou e pili ana i kēia maʻi i kapa ʻia ʻo Omphalitis.

He aha ka Omphalitis?

I ka ʻōlelo maʻalahi, ʻo ka Omphalitis kahi maʻi o ka ʻāpana liʻiliʻi o ke kaula umbilical o kāu pēpē (stump) a me ka ʻili palupalu a puni ia. ʻIke ʻoe, ma hope o ka hānau ʻana o ke pēpē, ʻoki ke kauka a kahu maʻi paha i ke kaula umbilical, e waiho ana i kahi ʻāpana liʻiliʻi. ʻO kēia ka mea a mākou e kapa nei ʻo ka hopena o ke kaula umbilical (umbilical cord stump).

ʻO ka maʻamau, maloʻo ke koena o ke kaula umbilical a hāʻule iho ia ma kona iho, me ka ʻeha ʻole, ma kahi o ʻekolu pule ma hope o ka hānau ʻana. Eia naʻe, he mea kakaikahi loa, hiki i ka bacteria ke komo a lilo i ka maʻi ma mua o ka hāʻule ʻana. ʻO kēia ka mea a mākou e kapa nei he omphalitis. He maʻi koʻikoʻi kēia e hiki ai ke alakaʻi i nā pilikia inā ʻaʻole e mālama koke ʻia.

ʻO ka maʻamau, ʻike ʻia ka omphalitis a puni ka hopena o ke kaula umbilical. Hiki ke komo pū me ka ʻulaʻula, ka mānoanoa o ka ʻili, a i ʻole ka wai melemele . ʻIke pinepine ʻia kēia mau hōʻailona i loko o nā pule ʻelua mua ma hope o ka hānau ʻana.

Inā manaʻo ʻoe he maʻi kaula umbilical kāu pēpē, a inā he maʻamau ke kaula umbilical akā ʻaʻole i hāʻule ma hope o ʻekolu pule, e ʻike pono i kāu pediatrician. Hiki iā ia ke loiloi i ke kūlana a, inā pono, e mālama iā ia e kōkua i ke ola pono ʻana o ke kaula umbilical o kāu pēpē.

He mea maʻamau kēia?

ʻO kaʻoiaʻiʻo, ma nā ʻāina i hoʻomohala ʻia e like me ʻAmelika, he mea kākaʻikahi loa ka Omphalitis. ʻAʻole i hiki i ka 1% o nā pēpē i hoʻopilikia ʻia e kēia maʻi. Eia nō naʻe, ma nā ʻāina e ulu ana e like me kā mākou, ʻoi aku ka kiʻekiʻe o kēia helu, malia paha he 6%. No laila, he mea nui loa ia iā mākou e makaʻala i kēia.

He aha nā hōʻailona o ka maʻi ʻōpū?

I ka wā o ka omphalitis, hiki ke ʻike ʻia nā hōʻailona penei:

• ʻUlaʻula a ʻeleʻele paha ka ʻili a puni ka hopena o ke kaula umbilical.
• Ke hoʻopā ʻoe i ka ʻili a puni ke kaula umbilical, he mānoanoa a paʻa ia.
• He wai (e like me ka pus) e kahe ana mai ke kaula umbilical. He melemele paha kēia a i kekahi manawa he ʻala maikaʻi ʻole.
• E ʻeha ana ke pēpē ke hoʻopā ʻia. E uē paha ke pēpē ke hoʻopā ʻoe i ke kaula umbilical a i ʻole ka ʻili a puni ia.

Ma waho aʻe o kēia mau hōʻailona, ​​​​hiki i kekahi mau pēpē ke loaʻa i kēia mau mea:

• Uē mau ʻo ia, ʻaʻole inu waiū, a me he mea lā ua hoʻomaha ʻole.
• He nui ka hiamoe a me ke kino make.
• He kuni koʻu.

ʻO kēia mau hōʻailona hope loa ke ʻano ua laha paha ka maʻi i nā ʻāpana ʻē aʻe o ke kino. No laila, inā loaʻa i kāu pēpē hānau hou kekahi o kēia mau hōʻailona , ​​e kāhea koke aku i kāu kauka keiki. ʻOiai inā he kuni wale nō me ka ʻole o nā hōʻailona ʻē aʻe, he mea ia e haʻi aku ai i kāu kauka. E nānā ke kauka no kahi maʻi. ʻOiai hiki i nā maʻi e like me ka omphalitis ke laha koke i nā pēpē hānau hou, hiki ke kuhikuhi pololei ʻia ʻoe i ka haukapila no ka hoʻāʻo koke ʻana a me ka mālama ʻana.

ʻO ka ʻokoʻa ma waena o ke kaula umbilical maʻamau a me ke kaula umbilical i loaʻa i ka maʻi

ʻO ka maʻamau, pono e maloʻo ka hopena o ke kaula umbilical o kāu pēpē a hāʻule iho ma hope o ʻekolu pule. I loko o kēia manawa, e emi mālie ka hopena o ke kaula umbilical a loli ke kala. E ʻike mua ʻia he melemele-ʻōmaʻomaʻo, a laila ʻeleʻele, a ma hope he ʻeleʻele ma mua o ka hāʻule ʻana. Ma hope o ka hāʻule ʻana, e koe wale nō kahi ʻeha liʻiliʻi. Pono ka ʻili a puni ke kaula umbilical e like me ke kala o ke koena o ka ʻili o kāu pēpē (ʻaʻohe ʻulaʻula a hoʻololi paha).

Eia nō naʻe, ʻokoʻa ke kaula umbilical i loaʻa i ka maʻi. Hiki iā ʻoe ke ʻike i ka ʻulaʻula a i ʻole kahi loli o ke kala ma ke kumu o ke kaula. Hiki nō hoʻi ke kahe ʻana o ka wai (hiki paha me kahi ʻala ʻino). ʻAʻole kēia e hana pinepine ʻia ke maloʻo ke kaula umbilical a mākaukau e hāʻule.

No ke aha e kū mai ai ka omphalitis?

He maʻi bacteria ka omphalitis. ʻO ia hoʻi, ua hoʻokumu ʻia e kahi ʻano germ i kapa ʻia he bacteria. ʻO ke ʻano bacteria maʻamau ke kuleana no kēia ʻo Staphylococcus aureus. Hiki i kēia bacteria ke noho ma luna o ka ʻili o ko kākou ʻili, akā i kekahi manawa hiki iā ia ke hoʻoulu i nā maʻi e like me kēia.

He aha nā kumu pilikia e hoʻonui ai i ka omphalitis?

Hiki i kekahi mau kumu ke hoʻonui i ka pilikia o ka loaʻa ʻana o ka omphalitis i kahi pēpē. ʻO kēia mau mea:

• Ka haki mua ʻana o nā membrane: Inā haki nā membrane ma mua o ka hānau ʻana o ke pēpē a haki nui ka wai.
• Ka hānau lōʻihi ʻana: Inā lōʻihi ka manawa e hānau ai ka pēpē .
• Nā catheters umbilical: Nā paipu lōʻihi i hoʻokomo ʻia ma ke kaula umbilical i ka wā e pilikia nui ai kahi pēpē hānau hou (hoʻohana ʻia kēia mau mea e hāʻawi i nā lāʻau lapaʻau a hana i nā hoʻokolohua).
• Loaʻa i ka makuahine kahi maʻi: Inā loaʻa i ka makuahine kahi maʻi i ka wā hāpai a hānau keiki paha.
• Ka hānau ʻana ma ka home: Inā ʻoe e hānau ana ma ka home, pono ʻoe e makaʻala loa i ka maʻemaʻe, a i ʻole e kiʻekiʻe ka pilikia o ka maʻi.
• ʻO ka nele o ka hoʻomaʻemaʻe kūpono o ke kaula umbilical: ʻO kēia ke kumu maʻamau. Inā ʻaʻole mālama ʻia ke kaula umbilical i ka maʻemaʻe, he mea maʻalahi i nā germs ke komo.
• Kaumaha hānau haʻahaʻa: Inā hānau ʻia kahi pēpē me ke kaumaha hānau haʻahaʻa, hiki iā lākou ke maʻalahi i nā maʻi ma muli o ka palekana haʻahaʻa.
• Ka hānau ʻana o Lotus:ʻO ke ʻano kēia, ʻaʻole i hoʻokaʻawale ʻia ke kaula umbilical mai ka placenta ma hope o ka hānau ʻana o ke pēpē, akā ua waiho ʻia me ka placenta. Manaʻo ka ʻoihana lapaʻau he ʻoi aku ka nui o ka pilikia o ka maʻi i kēia ʻano hana.

Hiki i kēia kūlana ke hoʻoulu i nā pilikia?

Ma nā ʻāina e like me ʻAmelika Hui Pū ʻIa, he mea kākaʻikahi nā pilikia mai ka omphalitis. Eia naʻe, ʻaʻole ia he manaʻo ʻaʻole ia e hana ʻia. ʻO kekahi o nā pilikia e hiki ke hana ʻia:

• Ke komo nei nā bacteria i ke koko (Bacteremia).
• Sepsis: He kūlana weliweli loa kēia.
• He maʻi ʻili koʻikoʻi e laha koke ana (necrotizing fasciitis): Hiki i kēia ke hoʻopau i ka ʻili a me nā ʻiʻo ma lalo.
• Peritonitis (ka maʻi o ka uhi o ka ʻōpū).

He koʻikoʻi loa kēia mau kūlana a hiki ke lilo koke i mau pilikia olakino. No laila, inā he kānalua kāu e loaʻa ana i kāu pēpē kekahi mea e like me kēia, e ʻike koke i ke kauka.

Pehea e ʻike ʻia ai ka omphalitis?

Hoʻoholo nā kauka i ka omphalitis ma ka nānā pono ʻana i ka pēpē. Hoʻokomo pū ʻia kēia:

• Ke nānā ʻana i nā hōʻailona koʻikoʻi o ke pēpē: ke kuni, ka wikiwiki o ka hanu ʻana, ka wikiwiki o ka puʻuwai, a pēlā aku.
• Ke loiloi ʻana i ka hanu ʻana.
• Ua nānā pono ʻia ka hopena o ke kaula umbilical no nā hōʻailona o ka omphalitis a i ʻole nā ​​​​pilikia ʻē aʻe.

Ma muli o ka mea i ʻike ʻia i ka wā o kēia hoʻokolohua, hiki i ke kauka o kāu pēpē ke kauoha i nā hoʻokolohua moʻomeheu bacteria . Pili kēia i ka lawe ʻana i kahi laʻana o ka pus mai ke kaula umbilical e ʻike i ke ʻano o ka bacteria i loko. Hiki iā lākou ke hana i nā hoʻokolohua koko a me ka mimi e ʻike inā ua pālahalaha ka maʻi i nā wahi ʻē aʻe a i ʻole aia kekahi maʻi ʻē aʻe.

I kekahi manawa pono paha i ka pēpē kahi ultrasound e nānā i kekahi mau pilikia me ka ʻāpana ma waena o ka hopena o ke kaula umbilical a me ka ʻōpū mimi (urachus).

Pehea ʻoe e mālama ai i ka maʻi umbilical cord?

Hiki ke mālama pono ʻia ka omphalitis me nā antibiotics. Hoʻopau kēia mau lāʻau i ka maʻi bacteria a hōʻemi i ka pilikia o nā pilikia. Pono nā pēpē he nui e noho ma ka haukapila no kekahi mau lā, e loaʻa ana i nā antibiotics intravenous (IV). E kōkua kēia i ka hoʻomalu koke ʻana i ka maʻi. E haʻi aku ke kauka o kāu pēpē iā ʻoe e pili ana i kēia, me ke ʻano o nā antibiotics e hāʻawi ai a me ka lōʻihi o ka hāʻawi ʻana iā lākou.

He kakaikahi loa nā pēpē e pono ai ke ʻoki ʻana no nā pilikia o ka omphalitis. Inā hana ʻia kēia, hana ʻia kahi ʻoki liʻiliʻi, a wehe ʻia a hoʻomaʻemaʻe ʻia nā ʻiʻo i hōʻino ʻia a maʻi ʻia.

He aha ka mea e hana ai inā loaʻa ka omphalitis i kaʻu pēpē?

ʻO ke kauka o kāu pēpē ke kanaka kūpono loa e haʻi pololei iā ʻoe i ka mea e manaʻo ai. Ua ʻike ʻo ia i ka mōʻaukala olakino o kāu pēpē a me nā kikoʻī o ko lākou kūlana i kēia manawa.

Akā ma keʻano laulā, ʻoiai ma Sri Lanka, hoʻōla maikaʻi ka hapa nui o nā pēpē mai ka omphalitis. He maʻi maʻalahi kēia e mālama pinepine ʻia me nā antibiotics. He mea kākaʻikahi loa nā pilikia olakino lōʻihi ma muli o ka maʻi umbilical cord, ʻoiai inā mālama koke ʻia.

Hiki ke pale ʻia ka omphalitis?

Hana nā kauka a me nā limahana o ka haukapila i nā ʻanuʻu he nui e pale aku ai i nā maʻi e like me ka omphalitis i nā pēpē hānau hou. No ka laʻana, hahai lākou i nā ʻano hana maʻemaʻe loa (nā ʻano hana aseptic) i ka wā hānau, hoʻohana i nā ʻokiʻoki sterilized e ʻoki i ke kaula umbilical o ka pēpē, a aʻo i nā mākua pehea e mālama ai i ka hopena o ke kaula umbilical maʻemaʻe i ka haukapila a mālama iā ia ke hoʻi lākou i ka home.

Eia nō naʻe, i kekahi manawa hiki ke loaʻa nā maʻi, ʻoi aku hoʻi i nā pēpē me nā kumu pilikia. ʻO ka ʻike mua ʻana i nā hōʻailona o kahi maʻi a me ka ʻimi ʻana i ke aʻo lapaʻau e hiki ke kōkua i kāu pēpē e hoʻōla me ka ʻole o nā hopena lōʻihi. E hahai pono i nā ʻōlelo a kāu kauka e pili ana i ke ʻano o ka mālama ʻana i ke kaula umbilical o kāu pēpē. Mai makaʻu e nīnau inā he mea āu i maopopo ʻole ai. E hauʻoli ʻo ia e wehewehe i kāu mea e pono ai e hana e pale aku i ka ulu ʻana o kahi pilikia koʻikoʻi.

ʻO ka mea nui loa, ʻo ia ka mālama ʻana i ka hopena o ke kaula umbilical i maʻemaʻe a maloʻo. ʻO ka maʻamau, ʻaʻole pono ʻoe e hoʻomaʻemaʻe me nā wai kūikawā, ʻoi aku ka maikaʻi o ka mālama ʻana i ka maloʻo. Eia naʻe, inā ʻōlelo mai kāu kauka iā ʻoe e hana i kahi mea ʻē aʻe (no ka laʻana, holoi me ka wai i hoʻolapalapa ʻia a i ʻole kahi mea hoʻomaʻemaʻe kūikawā), e hana pēlā. I ke kau ʻana i ka diaper o kāu pēpē, e pelu iā ia ma lalo o ke kaula umbilical, ʻaʻole ma luna. E ʻae kēia iā ia e ea a maloʻo wikiwiki, a e emi iki ka loaʻa ʻana o ka mimi a i ʻole nā ​​​​mea ʻē aʻe ma luna. He mea nui hoʻi e holoi pono i kou mau lima me ke kopa a me ka wai ma mua o ka hoʻopā ʻana i ke kaula umbilical o kāu pēpē.

Āhea wau e ʻimi ai i ke aʻo lapaʻau?

Pono ʻoe e ʻike i ke kauka ma kēia kūlana:

• Inā he mau hōʻailona o ka omphalitis.
• Inā loaʻa ke kuni o kāu pēpē ma luna o 100.4 degere Fahrenheit (38 degere Celsius), ʻoiai me ka ʻole o nā hōʻailona ʻē aʻe.
• Inā ʻaʻole i hāʻule ka hopena o ke kaula umbilical i ʻekolu pule ma hope o ka hānau ʻana o ka pēpē.
• Inā hoʻomau ke kahe ʻana o ke koko a i ʻole kekahi wai ʻē aʻe mai ka hopena o ke kaula umbilical.

Hiki i ka mālama ʻana i kahi keiki hānau hou ke lilo i mea hopohopo i kekahi manawa, a ʻaʻole lākou e hele mai me kahi puke kuhikuhi. No laila, inā ʻoe e hopohopo nei no kekahi mea, mai makaʻu e kamaʻilio me kāu kauka. Malia paha ua ʻike ʻoe he ʻano ʻē ke ʻano o ke kaula umbilical o kāu pēpē. A i ʻole paha e uē nui ana kāu pēpē a ʻaʻole hānai waiū. ʻOiai ke ʻano, mai manaʻo he "mea liʻiliʻi wale nō kēia" i ka wā e hōʻoia ai ua maikaʻi kāu pēpē.

E hoʻomanaʻo i hoʻokahi mea hou aʻe: Ua lohe nā kauka i nā ʻano mea like ʻole e like me kēia. E hauʻoli ʻo ia e lohe mai iā ʻoe, ʻoiai inā he mea liʻiliʻi ia iā ʻoe, akā pono ia i ka mālama lapaʻau. E kamaʻilio ʻo ia me ʻoe e pili ana i kou mau hopohopo a haʻi iā ʻoe inā pono ʻoe e lawe mai i kāu pēpē no kahi nānā a i ʻole inā pono ka lāʻau lapaʻau.

ʻO ka mea hope loa, e hoʻomanaʻo i kēia.

He mea nui loa ka mālama ʻana i ke kaula umbilical o kāu keiki hānau hou. He maʻi koʻikoʻi paha ka omphalitis, akā inā ʻike mua ʻia a mālama koke ʻia, hiki ke ho'ōla loa ʻia.

• E mālama i ka hopena o ke kaula umbilical maʻemaʻe a maloʻo.
• E nānā i nā hōʻailona o ka maʻi (ʻulaʻula, pehu, pus, ʻala ʻino, kuni).
• Inā he kānalua kāu, e ʻike koke i kāu pediatrician.

Makemake nā mākua a pau i kā lākou keiki liʻiliʻi e olakino a hauʻoli. Inā loaʻa iā ʻoe ka ʻike a me ka mālama e hana pēlā, ʻaʻohe kumu e makaʻu ai!

ʻO ka maʻi ʻōpū, omphalitis, bursitis, nā pēpē hānau hou, olakino pēpē, mālama ʻana i ke kaula ʻōpū, kuni pēpē