Ingaba i-umbilical cord yomntwana wakho inesi sifo? Makhe sithethe nge-Omphalitis!

Xa usana olusandul’ ukuzalwa lufika ekhaya, yonke indlu izaliswa luvuyo, akunjalo? Kodwa kwangaxeshanye, njengabazali, kufuneka nizinyamekele kakuhle nezona zinto zincinci. Ingakumbi intambo yomntwana. Ngamanye amaxesha unokucinga, "Owu, ingaba oku kuya kuphola kakuhle? Ngaba kukho into eyenzekileyo?". Ukuze sikuncede ngamaxesha anjalo, namhlanje sithetha ngale meko ibizwa ngokuba yi-Omphalitis.

Yintoni i-Omphalitis?

Ngamafutshane, i-Omphalitis lusulelo lwenxalenye encinci ye-umbilical cord (isiphunzi) somntwana wakho kunye nolusu oluthambileyo olujikelezileyo. Uyazi, emva kokuba umntwana ezelwe, ugqirha okanye umongikazi usika i-umbilical cord, eshiya iqhekeza elincinci. Oku sikubiza ngokuba sisiphelo se-umbilical cord (isiqu se-umbilical cord).

Ngokwesiqhelo, inxalenye eseleyo yentambo yomlomo iyoma ize iwele yodwa, ngaphandle kwentlungu, malunga neeveki ezintathu emva kokuzalwa. Nangona kunjalo, kunqabile kakhulu, iintsholongwane zinokungena zize zosuleleke ngaphambi kokuba ziwe. Oku sikubiza ngokuba yi-omphalitis. Olu lusulelo olunzima olunokukhokelela kwiingxaki ukuba alunyangwa ngokukhawuleza.

I-Omphalitis idla ngokuvela ngasekupheleni kwe-umbilical cord. Ingabandakanya ukubomvu, ukuqina kwesikhumba, okanye ukuphuma kolwelo olutyheli . Ezi mpawu zihlala zibonakala kwiiveki ezimbini zokuqala emva kokuzalwa.

Ukuba ucinga ukuba umntwana wakho unentsholongwane ye-umbilical cord, okanye ukuba i-umbilical cord iqhelekile kodwa ayikaphumi emva kweeveki ezintathu, qiniseka ukuba ubona ugqirha wakho wezingane. Unokuyivavanya imeko kwaye, ukuba kuyimfuneko, ayinyange ukuze ancede i-umbilical cord yomntwana wakho iphiliswe kakuhle.

Ingaba oku kuqhelekile?

Enyanisweni, kumazwe aphuhlileyo afana neMelika, i-Omphalitis ayifumaneki lula. Ngaphantsi kwe-1% yeentsana ezichaphazeleka yile meko. Nangona kunjalo, kumazwe asaphuhlayo afana nelethu, eli nani liphezulu kancinci, mhlawumbi lifikelele kwi-6%. Ke ngoko, kubaluleke kakhulu ukuba sikuqaphele oku.

Zithini iimpawu zosulelo lwe-umbilical cord?

Kwimeko ye-Omphalitis, ungabona iimpawu ezifana nezi:

• Ulusu olujikeleze isiphelo sentambo yomlomo lubonakala lubomvu okanye lutshintshe umbala.
• Xa uchukumisa ulusu olujikeleze i-umbilical cord, luvakala luqinile kwaye luqinile.
• Kuphuma ulwelo (olufana nobovu) kwi-umbilical cord. Oku kungaba nombala otyheli kwaye ngamanye amaxesha kungaba nevumba elibi.
• Umntwana uya kuba buhlungu xa echukunyiswa. Umntwana angakhala xa uchukumisa intambo yosana okanye ulusu oluyijikelezileyo.

Ukongeza kwezi mpawu, abanye abantwana banokufumana oku kulandelayo:

• Uhlala ekhala, akaseli ubisi, kwaye ubonakala engonwabanga.
• Kukho ukozela kakhulu kunye nomzimba ongenabomi.
• Bendinomkhuhlane.

Ezi mpawu zokugqibela zithetha ukuba usulelo lusenokuba lusasazeke kwamanye amalungu omzimba. Ngoko ke, ukuba umntwana wakho osandul’ ukuzalwa unezinye zezi mpawu , fowunela ugqirha wakho ngoko nangoko. Nokuba kukho umkhuhlane kuphela ongenazo ezinye iimpawu, oko kuseyinto ekufuneka uyixelele ugqirha wakho. Ugqirha uza kujonga usulelo. Ekubeni usulelo olufana ne-omphalitis lunokusasazeka ngokukhawuleza kwiintsana ezisandul’ ukuzalwa, ungathunyelwa ngqo esibhedlele ukuze ufumane uvavanyo kunye nonyango ngoko nangoko.

Umahluko phakathi kwentambo yesisu eqhelekileyo kunye nentambo yesisu enesifo

Ngokwesiqhelo, isiphelo sentamo yomntwana wakho kufuneka some size siwele sodwa emva kweeveki ezintathu. Ngeli xesha, isiphelo sentamo yomntwana siya kuncipha kancinci kancinci size sitshintshe umbala. Siza kuqala sibonakale sityheli-luhlaza, size sibe mdaka, size ekugqibeleni sibe mnyama ngaphambi kokuba siwele. Emva kokuba siwile, kuya kusala isilonda esincinci kuphela. Ulusu olujikeleze intamo yomntwana kufuneka lube nombala ofanayo nolusu lomntwana wakho (akufuneki kubekho bomvu okanye umbala otshintshayo).

Nangona kunjalo, intambo yesisu enesifo yahlukile. Ungabona ububomvu okanye utshintsho kumbala ezantsi kwentambo. Kunokubakho nokukhupha amanzi (mhlawumbi anevumba elibi). Oku akwenzeki xa intambo yesisu yomile kwaye ilungele ukuwa.

Kutheni kukho i-omphalitis?

I-Omphalitis yintsholongwane ebangelwa yintsholongwane. Oko kukuthi, ibangelwa luhlobo lwentsholongwane ebizwa ngokuba yintsholongwane. Uhlobo oluqhelekileyo lwentsholongwane ebangela oku yiStaphylococcus aureus. Le ntsholongwane ingaphila phezu kolusu lwethu, kodwa ngamanye amaxesha inokubangela izifo ezifana nale.

Ziziphi izinto ezinokubangela umhlaza we-omphalitis?

Izinto ezithile zinokunyusa umngcipheko wokuba umntwana abe ne-omphalitis. Ezi ziquka:

• Ukuqhekeka kwe-membrane ngaphambi kwexesha: Ukuba i-membrane iyaqhekeka ngaphambi kokuba umntwana azalwe kwaye amanzi ayaqhekeka kakhulu.
• Ukuzala ixesha elide: Ukuba umntwana uthatha ixesha elide ukuzalwa .
• Ii-catheter ze-Umbilical: Iityhubhu ezinde ezifakwa ngentambo ye-umbilical (ezisetyenziselwa ukunika amayeza nokwenza uvavanyo) xa usana olusandul’ ukuzalwa lukwimeko embi kakhulu.
• Umama unentsholongwane: Ukuba umama unentsholongwane ngexesha lokukhulelwa okanye lokubeletha.
• Ukubelekela ekhaya: Ukuba uzalela ekhaya, kufuneka ulumke kakhulu malunga nococeko, kungenjalo umngcipheko wosulelo uphezulu.
• Ukungabikho kococeko olufanelekileyo lwe-umbilical cord: Le yeyona nto ixhaphakileyo. Ukuba i-umbilical cord ayigcinwanga icocekile, kulula ukuba iintsholongwane zingene.
• Ubunzima bokuzalwa obuphantsi: Ukuba umntwana uzelwe enobunzima obuphantsi, usenokuba semngciphekweni omkhulu wokufumana usulelo ngenxa yokungabikho komzimba oqinileyo.
• Ukuzalwa kweLotus:Oku kuthetha ukuba intambo yomntwana ayihlukaniswanga ne-placenta emva kokuba umntwana ezelwe, kodwa ishiywa ne-placenta. Uluvo lwezonyango luthi le ndlela inomngcipheko omkhulu wokosuleleka.

Ngaba le meko ingabangela iingxaki?

Kumazwe afana ne-United States, iingxaki ezibangelwa yi-omphalitis azixhaphakanga. Nangona kunjalo, akuthethi ukuba azifumaneki. Ezinye zeengxaki ezinokubakho zezi:

• Iibhaktheriya ezingena egazini (iBacteremia).
• I-Sepsis: Le yimeko eyingozi kakhulu.
• Usulelo olukhulu lolusu olusasazeka ngokukhawuleza (necrotizing fasciitis): Oku kunokutshabalalisa ulusu kunye nezicubu ezingaphantsi.
• I-Peritonitis (usulelo lwesisu).

Ezi meko zinzima kakhulu kwaye zinokuba yingxaki yezonyango ngokukhawuleza. Ngoko ke, ukuba unesikrokro sokuba umntwana wakho unento efana nale, bonana nogqirha ngokukhawuleza.

Ifunyanwa njani i-Omphalitis?

Oogqirha baxilonga i-omphalitis ngokuvavanya umntwana ngononophelo. Oku kuquka:

• Ukujonga iimpawu ezibalulekileyo zomntwana: umkhuhlane, izinga lokuphefumla, izinga lokubetha kwentliziyo, njl.
• Ukuvavanya ukuphefumla.
• Isiphelo sentambo yomlomo sijongwa ngononophelo ukuze kubonwe iimpawu ze-omphalitis okanye ezinye iingxaki.

Ngokuxhomekeke kwinto ebonwayo ngexesha lovavanyo, ugqirha womntwana wakho unokuyalela uvavanyo lokukhula kwebhaktheriya . Oku kuquka ukuthatha isampuli yobofu obuvela kwi-umbilical cord ukuze babone ukuba loluphi uhlobo lwebhaktheriya oluqulathe kuyo. Banokwenza uvavanyo lwegazi nomchamo ukuze babone ukuba usulelo lusasazeke kwezinye iindawo okanye ukuba kukho enye imeko engaphantsi.

Ngamanye amaxesha umntwana usenokufuna i-ultrasound ukujonga naziphi na iingxaki kwindawo ephakathi kwesiphelo sentambo yomlomo kunye nesinyi (urachus).

Uyinyanga njani intsholongwane ye-umbilical cord?

I-Omphalitis inokunyangeka ngempumelelo ngee-antibiotics. La mayeza ayayibulala intsholongwane kwaye anciphise umngcipheko weengxaki. Iintsana ezininzi kuya kufuneka zihlale esibhedlele iintsuku ezimbalwa, zifumana ii-antibiotics ezifakwa kwimithambo (IV). Oku kuya kunceda ukulawula intsholongwane ngokukhawuleza. Ugqirha womntwana wakho uya kukuxelela okungakumbi ngale nto, kuquka uhlobo lwe-antibiotics omawuyinike kunye nexesha elingakanani omawuyinike.

Zimbalwa kakhulu iintsana eziya kufuna utyando ngenxa yeengxaki ze-omphalitis. Ukuba oku kuyenzeka, kwenziwa umsike omncinci, kwaye izicubu ezonakeleyo nezisulelekileyo ziyasuswa zize zicocwe.

Kuthekani ukuba umntwana wam une-Omphalitis?

Ugqirha womntwana wakho ngumntu ongcono ukukuxelela into omawuyilindele. Uyayazi imbali yempilo yomntwana wakho kunye neenkcukacha zemeko yakhe yangoku.

Kodwa ngokubanzi, kwanaseSri Lanka, uninzi lweentsana luyaphila kakuhle kwi-omphalitis. Olu luhlobo losulelo olulula noluhlala lunyangwa ngamayeza okubulala iintsholongwane. Iingxaki zempilo ezihlala ixesha elide ngenxa yosulelo lwe-umbilical cord azixhaphakanga, ingakumbi ukuba zinyangwa ngokukhawuleza.

Ngaba i-Omphalitis ingathintelwa?

Oogqirha kunye nabasebenzi basesibhedlele bathatha amanyathelo amaninzi ukuthintela usulelo olufana ne-omphalitis kwiintsana ezisandula ukuzalwa. Umzekelo, balandela iindlela ezicocekileyo kakhulu (iindlela zokungasebenzisi iintsholongwane) ngexesha lokubeleka, basebenzisa izikere ezicociweyo ukusika i-umbilical cord yomntwana, kwaye bafundisa abazali indlela yokugcina isiphelo se-umbilical cord sicocekile esibhedlele kwaye bayinyamekele xa besiya ekhaya.

Nangona kunjalo, ngamanye amaxesha usulelo lunokubakho, ingakumbi kwiintsana ezineengozi. Ukuqonda iimpawu zosulelo kwangethuba nokufuna iingcebiso zonyango kunokunceda umntwana wakho aphile kwakhona ngaphandle kwemiphumo yexesha elide. Landela imiyalelo kagqirha wakho ngqo malunga nendlela yokunyamekela i-umbilical cord yomntwana wakho. Ungoyiki ukubuza ukuba kukho into ongayiqondiyo na. Uya kukuvuyela ukukuchazela into ekufuneka uyenze ukuthintela ingxaki enkulu ekukhuleni.

Eyona nto ibalulekileyo kukugcina isiphelo sentambo yomntwana sicocekile kwaye somile. Ngokwesiqhelo, akufuneki uyicoce ngezinto ezikhethekileyo, kungcono ukuyigcina yomile. Nangona kunjalo, ukuba ugqirha wakho ukucebisa ukuba wenze enye into (umzekelo, uyisule ngamanzi abilayo okanye isibulali-ntsholongwane esikhethekileyo), yenza njalo. Xa ufaka i-napkin yomntwana wakho, yisonge phantsi kwentambo yomntwana, ungayifaki phezu kwayo. Oku kuya kuyivumela ukuba iphume kwaye yome ngokukhawuleza, kwaye kuya kuba lula ukuba ifumane umchamo okanye ezinye izinto kuyo. Kubalulekile ukuhlamba izandla zakho kakuhle ngesepha namanzi ngaphambi kokuba uchukumise intambo yomntwana wakho.

Ndingalufuna nini uncedo lwezonyango?

Ngokuqinisekileyo kufuneka ubone ugqirha kule meko:

• Ukuba kukho naziphi na iimpawu ze-Omphalitis.
• Ukuba umntwana wakho unomkhuhlane ongaphezulu kwe-100.4 degrees Fahrenheit (38 degrees Celsius), nokuba akanazo ezinye iimpawu.
• Ukuba isiphelo sentambo yomntwana asikawi kwiiveki ezintathu emva kokuba umntwana ezelwe.
• Ukuba igazi okanye olunye ulwelo luqhubeka luphuma esiphelweni sentambo yomlomo.

Ukunyamekela umntwana osandul’ ukuzalwa kunokuba luxinzelelo ngamanye amaxesha, kwaye azihambi nencwadi yemiyalelo. Ngoko ke, ukuba ukhathazekile ngento ethile, ungoyiki ukuthetha nogqirha wakho. Mhlawumbi uqaphela ukuba i-umbilical cord yomntwana wakho ibonakala ingaqhelekanga. Okanye mhlawumbi umntwana wakho ukhala kakhulu kwaye akancancisi. Nokuba imeko injani na, musa ukucinga ukuba "le yinto encinci" xa kufikwa ekuqinisekiseni ukuba umntwana wakho uphilile.

Khumbula enye into: Oogqirha baye beva zonke iintlobo zezinto ezinje. Uya kukuvuyela ukuva kuwe, ingakumbi xa kubonakala ngathi yinto encinci kuwe, kodwa ifuna unyango. Uya kuthetha nawe ngezinto ezikuxhalabisayo aze akuxelele ukuba kufuneka umzise umntwana wakho ukuze ahlolwe okanye ukuba unyango luyafuneka.

Okokugqibela, khumbula oku.

Kubaluleke kakhulu ukunyamekela i-umbilical cord yosana lwakho. I-Omphalitis lusulelo olunokuba yingozi kakhulu, kodwa ukuba lufunyenwe kwangethuba kwaye lunyangwa ngokukhawuleza, lunokunyangeka ngokupheleleyo.

• Gcina isiphelo sentamo sicocekile kwaye somile.
• Lumka xa kukho iimpawu zosulelo (ububomvu, ukudumba, ubomvu, ivumba elibi, umkhuhlane).
• Ukuba unamathandabuzo, bonana nogqirha wabantwana ngaphandle kokulibazisa.

Wonke umzali ufuna umntwana wakhe abe sempilweni kwaye onwabe. Ukuba unolwazi kwaye unenkathalo yokwenza njalo, akukho sizathu sokoyika!

Usulelo lweNtambo yoMbilical , i-omphalitis, i-bursitis, iintsana ezisandul' ukuzalwa, impilo yomntwana, ukhathalelo lweNtambo yoMbilical, umkhuhlane womntwana