Ingabe i-umbilical cord yengane yakho ithelelekile? Ake sixoxe nge-Omphalitis!

Uma umntwana osanda kuzalwa efika ekhaya, indlu yonke igcwele injabulo, akunjalo? Kodwa ngesikhathi esifanayo, njengabazali, kufanele ninakekele ngisho nezinto ezincane kakhulu. Ikakhulukazi intambo yomntwana. Ngezinye izikhathi ungase ucabange, "O, ingabe lokhu kuzophola kahle? Ingabe kukhona okwenzekile?". Ukuze sikusize ngezikhathi ezinjalo, namuhla sikhuluma ngalesi simo esibizwa ngokuthi i-Omphalitis.

Kuyini i-Omphalitis?

Kalula nje, i-Omphalitis iwukutheleleka kwengxenye encane ye-umbilical cord (isiphunzi) sengane yakho kanye nesikhumba esibucayi esizungezile. Uyazi, ngemva kokuzalwa kwengane, udokotela noma umhlengikazi usika i-umbilical cord, ashiye ingxenye encane. Lokhu yilokho esikubiza ngokuthi ukuphela kwe-umbilical cord (isiqu se-umbilical cord).

Ngokuvamile, ingxenye esele yentambo yomlomo iyoma bese iwela yodwa, ngaphandle kobuhlungu, cishe emasontweni amathathu ngemva kokuzalwa. Kodwa-ke, akuvamile kakhulu ukuthi amabhaktheriya angene futhi atheleleke ngaphambi kokuba iwele. Lokhu yilokho esikubiza ngokuthi i-omphalitis. Lokhu ukutheleleka okungathi sína okungaholela ezinkingeni uma kungelashwa ngokushesha.

I-omphalitis ivame ukwenzeka ngasekupheleni kwentambo yomlomo. Kungase kuhlanganise ukubomvu, ukuqina kwesikhumba, noma ukuphuma koketshezi oluphuzi . Lezi zimpawu zivame ukuvela emavikini amabili okuqala ngemva kokuzalwa.

Uma ucabanga ukuthi ingane yakho inegciwane le-umbilical cord, noma uma i-umbilical cord ijwayelekile kodwa ingakawi ngemva kwamasonto amathathu, qiniseka ukuthi ubona udokotela wezingane. Angahlola isimo futhi, uma kudingeka, asiphathe ukuze asize i-umbilical cord yengane yakho iphole kahle.

Ingabe lokhu kuvamile?

Eqinisweni, emazweni athuthukile njengeMelika, i-Omphalitis ayivamile kakhulu. Ngaphansi kuka-1% wezingane ezithinteka yilesi simo. Kodwa-ke, emazweni asathuthuka njengelethu, leli nani liphakeme kancane, mhlawumbe lifinyelele ku-6%. Ngakho-ke, kubaluleke kakhulu ukuthi sikuqaphele lokhu.

Ziyini izimpawu zokutheleleka kwe-umbilical cord?

Uma kwenzeka i-omphalitis, izimpawu ezilandelayo zingabonakala:

• Isikhumba esizungeze ingxenye yokugcina yenkaba sibonakala sibomvu noma sinombala oshintshile.
• Uma uthinta isikhumba esizungeze intambo yesisu, sizwakala siqinile futhi siqinile.
• Kuphuma uketshezi (njengobomvu) entanjeni yesisu. Lokhu kungaba nombala ophuzi futhi ngezinye izikhathi kungaba nephunga elibi.
• Ingane izozwa ubuhlungu uma ithintwa. Ingane ingakhala uma uthinta intambo yomlomo noma isikhumba esizungezile.

Ngaphezu kwalezi zimpawu, ezinye izingane zingase zibhekane nalezi zimpawu ezilandelayo:

• Uhlala ekhala, akaphuzi ubisi, futhi ubonakala engahlaliseki.
• Kukhona ubuthongo obukhulu kanye nomzimba ongenampilo.
• Nginomkhuhlane.

Lezi zimpawu zokugcina zisho ukuthi ukutheleleka kungenzeka ukuthi sekusakazekele kwezinye izingxenye zomzimba. Ngakho-ke, uma ingane yakho esanda kuzalwa inanoma yiziphi zalezi zimpawu , shayela udokotela wakho wezingane ngokushesha. Ngisho noma kukhona umkhuhlane kuphela ongenazo ezinye izimpawu, lokho kuseyinto okufanele uyitshele udokotela wakho. Udokotela uzohlola ukutheleleka. Njengoba ukutheleleka okufana ne-omphalitis kungasakazeka ngokushesha kakhulu ezinganeni ezisanda kuzalwa, ungathunyelwa ngqo esibhedlela ukuze uhlolwe futhi welashwe ngokushesha.

Umehluko phakathi kwentambo evamile yesisu kanye nentambo yesisu ethelelekile

Ngokuvamile, ingxenye engezansi yentamo yengane yakho kufanele yome futhi iwele yodwa ngemva kwamasonto amathathu. Phakathi nalesi sikhathi, ingxenye engezansi yentamo izoncipha kancane kancane futhi ishintshe umbala. Izoqala ibonakale iphuzi-luhlaza okotshani, bese kuba nsundu, bese ekugcineni imnyama ngaphambi kokuwa. Ngemva kokuwa, kuzosala isilonda esincane kuphela. Isikhumba esizungeze intamo kufanele sibe nombala ofanayo nowesikhumba sengane yakho (akufanele kube khona ukubomvu noma ukushintsha kombala).

Kodwa-ke, intambo yesisu ethelelekile ihlukile. Ungase uqaphele ukubomvu noma ushintsho lombala phansi kwentambo. Kungase kube nokukhipha amanzi (mhlawumbe kube nephunga elibi). Lokhu akuvamile ukwenzeka uma intambo yesisu isomile futhi isilungele ukuwa.

Kungani i-omphalitis ikhula?

I-Omphalitis igciwane elibangelwa amagciwane. Okusho ukuthi, libangelwa uhlobo lwegciwane elibizwa ngokuthi amagciwane. Uhlobo oluvame kakhulu lwamagciwane olubangela lokhu yi-Staphylococcus aureus. La magciwane angaphila ebusweni besikhumba sethu, kodwa ngezinye izikhathi angabangela izifo ezinjengalezi.

Yiziphi izinto ezibangela ingozi yokuthola i-Omphalitis?

Izici ezithile zingandisa ingozi yokuba umntwana abe ne-omphalitis. Lezi zifaka:

• Ukuqhekeka kwezicubu ngaphambi kwesikhathi: Uma izinhlayiya ziqhekeka ngaphambi kokuba umntwana azalwe futhi amanzi eqhekeka kakhulu.
• Ukubeletha isikhathi eside: Uma umntwana ethatha isikhathi eside ukuzalwa .
• Ama-catheter e-umbilical: Amashubhu amade afakwa ngentambo ye-umbilical lapho umntwana osanda kuzalwa esesimweni esibucayi (lawa asetshenziselwa ukunikeza imithi nokwenza izivivinyo).
• Umama unesifo: Uma umama enesifo ngesikhathi sokukhulelwa noma sokubeletha.
• Ukubeletha ekhaya: Uma ubelethela ekhaya, kudingeka uqaphele kakhulu ngokuhlanzeka, ngaphandle kwalokho ingozi yokutheleleka iphezulu.
• Ukuntuleka kokuhlanzeka okufanele kwe-umbilical cord: Lena yimbangela evame kakhulu. Uma i-umbilical cord ingagcinwa ihlanzekile, kulula ukuthi amagciwane angene.
• Isisindo sokuzalwa esiphansi: Uma umntwana ezalwa enesisindo esiphansi, angase abe sengozini enkulu yokutheleleka ngenxa yokuzivikela komzimba okuphansi.
• Ukuzalwa kwe-lotus:Lokhu kusho ukuthi intambo yesisu ayihlukaniswa ne-placenta ngemva kokuzalwa komntwana, kodwa ishiywa ne-placenta. Umbono wezokwelapha uwukuthi le ndlela inengozi enkulu yokutheleleka.

Ingabe lesi simo singadala izinkinga?

Emazweni afana ne-United States, izinkinga ezibangelwa yi-omphalitis azivamile. Kodwa-ke, akusho ukuthi aziveli. Ezinye zezinkinga ezingaba khona yilezi:

• Amabhaktheriya angena egazini (i-Bacteremia).
• I-Sepsis: Lesi yisimo esiyingozi kakhulu.
• Ukutheleleka okukhulu kwesikhumba okusabalala ngokushesha kakhulu (i-necrotizing fasciitis): Lokhu kungabhubhisa isikhumba kanye nezicubu ezingaphansi.
• I-Peritonitis (ukutheleleka kolwelwesi lwesisu).

Lezi zimo zimbi kakhulu futhi zingaba yizimo eziphuthumayo zezokwelapha ngokushesha. Ngakho-ke, uma usola ukuthi ingane yakho inalesi simo, xhumana nodokotela ngokushesha.

I-Omphalitis itholakala kanjani?

Odokotela baxilonga i-omphalitis ngokuhlola umntwana ngokucophelela. Lokhu kufaka phakathi:

• Ukuhlola izimpawu ezibalulekile zomntwana: umkhuhlane, izinga lokuphefumula, izinga lokushaya kwenhliziyo, njll.
• Ukuhlola ukuphefumula.
• Isiphelo sentambo yomgogodla sihlolwa ngokucophelela ukuze kutholakale izimpawu ze-omphalitis noma ezinye izinkinga.

Kuye ngokuthi yini ebonwayo phakathi nalokhu kuhlolwa, udokotela wengane yakho angase acele ukuhlolwa kokukhula kwamagciwane . Lokhu kuhilela ukuthatha isampula yobomvu obuvela entanjeni ukuze abone ukuthi buqukethe hlobo luni lwamagciwane. Bangase futhi benze ukuhlolwa kwegazi nomchamo ukuze babone ukuthi ukutheleleka sekusakazekele kwezinye izindawo noma uma kukhona esinye isimo esiyisisekelo.

Ngezinye izikhathi umntwana angadinga futhi ukuhlolwa nge-ultrasound ukuze kuhlolwe noma yiziphi izinkinga endaweni ephakathi kokuphela kwentambo yesisu kanye nesinye (urachus).

Ukwelapha kanjani ukutheleleka kwe-umbilical cord?

I-Omphalitis ingelashwa ngempumelelo ngama-antibiotic. Le mithi iyabulala ukutheleleka ngamagciwane futhi inciphise ingozi yezinkinga. Izingane eziningi kuzodingeka zihlale esibhedlela izinsuku ezimbalwa, zithole ama-antibiotic e-intravenous (IV). Lokhu kuzosiza ekulawuleni ukutheleleka ngokushesha. Udokotela wengane yakho uzokutshela okwengeziwe ngalokhu, okuhlanganisa ukuthi hlobo luni lwama-antibiotic okufanele uwanikeze nokuthi uwanike isikhathi esingakanani.

Zimbalwa kakhulu izingane ezizodinga ukuhlinzwa ngenxa yezinkinga ze-omphalitis. Uma lokhu kwenzeka, kwenziwa ukusika okuncane, bese izicubu ezonakele nezinegciwane zisuswa bese zihlanzwa.

Kwenzekani uma ingane yami ine-Omphalitis?

Udokotela wengane yakho ungumuntu ongcono kakhulu ukukutshela ngqo ukuthi yini ongayilindela. Uyazi umlando wezokwelapha wengane yakho kanye nemininingwane yesimo sayo samanje.

Kodwa ngokuvamile, ngisho naseSri Lanka, iningi lezinsana liyalulama kahle ku-omphalitis. Lokhu ukutheleleka okulula okuvame ukwelashwa ngama-antibiotic. Izinkinga zempilo zesikhathi eside ngenxa yokutheleleka kwe-umbilical cord azivamile, ikakhulukazi uma zelashwa ngokushesha.

Ingabe i-Omphalitis ingavinjelwa?

Odokotela nabasebenzi basesibhedlela bathatha izinyathelo eziningi zokuvimbela izifo ezifana ne-omphalitis ezinganeni ezisanda kuzalwa. Isibonelo, balandela amasu ahlanzekile kakhulu (amasu angenamagciwane) ngesikhathi sokubeletha, basebenzisa izikele ezihlanziwe ukusika intambo yengane, futhi bafundisa abazali ukuthi bangagcina kanjani ukuphela kwentambo yengane kuhlanzekile esibhedlela futhi bayinakekele lapho beya ekhaya.

Kodwa-ke, ngezinye izikhathi ukutheleleka kungavela, ikakhulukazi ezinganeni ezinezici eziyingozi. Ukuqaphela izimpawu zokutheleleka kusenesikhathi nokufuna iseluleko sezokwelapha kungasiza ingane yakho ukuthi ilulame ngaphandle kwemiphumela yesikhathi eside. Landela imiyalelo kadokotela wakho ngqo mayelana nendlela yokunakekela i-umbilical cord yengane yakho. Ungesabi ukubuza ukuthi kukhona yini ongakuqondi. Uzokujabulela ukuchaza ukuthi yini okudingeka uyenze ukuze uvimbele inkinga enkulu ukuthi ivele.

Into ebaluleke kakhulu ukugcina ingxenye yokugcina yenkaba ihlanzekile futhi yomile. Ngokuvamile, awudingi ukuyihlanza ngoketshezi olukhethekile, kungcono ukuyigcina yomile. Kodwa-ke, uma udokotela wakho ekweluleka ukuthi wenze okunye (isibonelo, uyisule ngamanzi abilayo noma isibulala-magciwane esikhethekile), yenza kanjalo. Uma ufaka inabukeni yengane yakho, yigoqe ngaphansi kwenkaba, hhayi phezu kwayo. Lokhu kuzoyivumela ukuthi iphume futhi yome ngokushesha, futhi ngeke kube lula ukuthi ithole umchamo noma ezinye izinto kuyo. Kubalulekile futhi ukugeza izandla zakho kahle ngensipho namanzi ngaphambi kokuthinta inkaba yengane yakho.

Kufanele ngifune nini iseluleko sezokwelapha?

Kufanele nakanjani ubone udokotela kulesi simo:

• Uma kukhona izimpawu ze-Omphalitis.
• Uma ingane yakho inomkhuhlane ongaphezu kwama-degrees Fahrenheit angu-100.4 (ama-degrees Celsius angu-38), ngisho noma ingenazo ezinye izimpawu.
• Uma ukuphela kwentambo yesisu kungaphumi emavikini amathathu ngemva kokuzalwa komntwana.
• Uma igazi noma olunye uketshezi luqhubeka nokuphuma kusukela ekugcineni kwenkaba.

Ukunakekela usana olusanda kuzalwa kungaba yinto ekucindezelayo ngezinye izikhathi, futhi azihambi nencwadi yemiyalelo. Ngakho-ke, uma ukhathazekile ngokuthile, ungesabi ukukhuluma nodokotela wakho. Mhlawumbe uqaphela ukuthi intambo yengane yakho ibukeka ingajwayelekile. Noma mhlawumbe ingane yakho ikhala kakhulu futhi ayincelisi. Kungakhathaliseki ukuthi kwenzekani, ungacabangi ukuthi "lokhu kuyinto encane nje" uma kuziwa ekuqinisekiseni ukuthi ingane yakho iphilile.

Khumbula into eyodwa futhi: Odokotela sebezwile zonke izinhlobo zezinto ezinjengalezi. Uzojabula ukuzwa kuwe, ikakhulukazi uma kubonakala sengathi kuyinto encane kuwe, kodwa idinga ukunakekelwa kwezokwelapha. Uzokhuluma nawe ngezinto ezikukhathazayo futhi akutshele ukuthi kufanele yini ulethe ingane yakho ukuze ihlolwe noma uma kudingeka ukwelashwa.

Ekugcineni, khumbula lokhu.

Kubaluleke kakhulu ukunakekela i-umbilical cord yosana lwakho. I-omphalitis iyisifo esingaba yingozi kakhulu, kodwa uma sitholakala kusenesikhathi futhi selashwa ngokushesha, singalapheka ngokuphelele.

• Gcina ingxenye yenkaba ihlanzekile futhi yomile.
• Qaphela izimpawu zokutheleleka (ububomvu, ukuvuvukala, ubomvu, iphunga elibi, umkhuhlane).
• Uma unemibuzo, bona udokotela wezingane ngokushesha.

Wonke umzali ufuna ingane yakhe encane ibe nempilo futhi ijabule. Uma unolwazi futhi unakekela ukwenza kanjalo, asikho isizathu sokwesaba!

Ukutheleleka kwe - umbilical cord, i-omphalitis, i-bursitis, izinsana ezisanda kuzalwa, impilo yengane, ukunakekelwa kwe-umbilical cord, umkhuhlane wengane