Bowa m'michombo mu akhanda: zimayambitsa, chithandizo, zithunzi

Newborn - gulu la anthu amene thanzi pamafunika kutetezedwa. Kuti zimenezi zitheke, madokotala anaona kuti ana okha anaonekera apadera bungwe zachipatala (perinatal malo), ndipo kenako kugwira zothandizira mipingo yawo m'mwezi woyamba wa moyo. Pa pang'ono zizindikiro matenda akhanda m'chipatala m'chipatala. Izi zikutsimikizira kuti makolo osati mwana ali ndi chidwi mu thanzi lawo, komanso ilo otetezedwa ndi boma. The matenda ambiri mu masiku oyambirira ndi milungu ya moyo wa mwana ndi mafangayi m'michombo ndi omphalitis. Iwo akhoza matenda ngakhale mu chipatala. Nthawi zambiri amapezeka mkati mwa mwezi woyamba wa moyo.

Kodi mafangayi umbilical?

Bowa m'michombo mu akhanda ndi wamba. matenda padziko lonse lapansi mwa anyamatawa ndi atsikana omwe. Kawirikawiri, makolo mungazindikire, pamene kumusambitsa ndi kuthera processing umbilical zotsalira. Mkulu zochitika za gawo ili la thupi neonates chifukwa chakuti malo awa nthawi yaitali womangidwa mayi ndi mwana ndipo anathandizapo zakudya. Mu mphindi zoyamba za moyo, chingwe umbilical Kadulidwa, kusiya malo ake mwambo. Mwachibadwa, mwamsanga uphwetsa ndi kusiyiratu. Koma nthawi zina, zifukwa anachedwa kwa nthawi yaitali, monga matenda afika mu izo. Bowa m'michombo akuimira kuchuluka kwa granulation minofu. Kumachitika kawirikawiri omphalitis. Nthawi zina, granulation akhoza kukhala ndi kachilombo. Ichi ndi chifukwa malowedwe mabakiteriya mu nsalu. Ndiye pali mavuto a matenda.

Bowa m'michombo mu akhanda: zimapangitsa

Kuchuluka kwa granulation minofu ndi zosagwirizana ndi njira opatsirana. M'malo mwake, amaona kuti kukhala munthu mbali dziphunzitsiranso wa chamoyo. Zina zimayambitsa mafangayi kulibe. Kuchuluka kwa granulation nthawi zambiri kugwirizana ndi lonse umbilical mphete mwanayo. Pambuyo chitsa akugwa kutali, danga ayamba kudzaza mafangayi. Chifukwa china pakuwonekera kwake kungakhale lonse umbilical chingwe. Ziŵirizo sali ofanana ndi zinthu pathological, ndipo makhalidwe a chamoyo. Komabe, kuchuluka kwambiri granulation minofu si yachibadwa. Choncho mafangayi m'michombo apatsidwe thandizo. Ngakhale kuti matenda imatengedwa ngati chabwinobwino, zosokonezeka ake ndi oopsa thanzi mwana.

Kodi akufotokozera umbilical mafangayi?

Bowa chitukuko ndi zikamera wa owonjezera granulation minofu kuti akuyamba kukula kwa otsala umbilical. Zinanso zinthu monga lalikulu kubadwa kulemera, prematurity. chifukwa chachikulu - lonse umbilical mphete. granulation chitukuko lidzayamba pambuyo pa chitsa wasoŵa. The yachibadwa umbilical zotsalira msanga kusiyiratu. Ndi chitukuko cha mafangayi ku ikhala mbali yaing'ono. Izi kukhetsa umbilical zotsalira zinagwira granulation minofu kuti ayamba kudzaza mphete. Dongosololi akhoza kusiya paokha, popanda okhudza mwana. Komabe izi si nthawi zonse. Nthawi zina, granulation kwathunthu mudzaze mphete umbilical ndi kuyamba kupitirira izo. Izi zimachititsa osati chilema zodzikongoletsera, koma kumabweretsanso chiopsezo. Pamene inu agwirizane matenda akufotokozera kutupa mphete umbilical - omphalitis. Chifukwa cha zimenezi, mabakiteriya amatha kulowa mu wolumikizira magazi ndi chifukwa septicemia.

Zizindikiro mafangayi Mchombo

The matenda chithunzi mafangayi m'michombo zimadalira mlingo wa kuchuluka kwa granulation. Pa siteji koyamba zizindikiro matenda ndi pafupifupi kwina. ndi chimaonekadi yekha pang'ono kuwonjezeka mu zotsalira za mphete umbilical. Ndi kuchuluka zina za granulation minofu ndi ananena chotupa mapangidwe. Choyamba, mmenemo mphete umbilical kenako kosaoneka izo. Chifukwa ndi Chitsanzo chachikulu tingachipeze powerenga za mafangayi - ndi bowa kukula kwa granulation. mapangidwe The zimachokera ku mphete umbilical, ndipo mwina zimakhala padziko yofunika kwambiri zapambuyo khoma m'mimba. Kuwonjezera chizindikiro ichi, mafangayi matenda ndi ofooka. Nthawi zina, pangakhale kuwonjezeka thupi kutentha ndi kuwonongeka pang'ono. Makanda, zizindikiro izi m'kukoma adzangokumvera pamene processing Mchombo, kugona osauka, kusiya pamtima. Zizindikiro zimenezi ayenera kuchenjeza makolo, chifukwa nthawi zambiri anamuona pa chitukuko omphalitis.

Matenda a mafangayi mu akhanda

Bowa kawirikawiri kusokonezedwa ndi matenda ena a bala umbilical. Pakati pawo catarrhal ndi purulent omphalitis, hernial protrusion, lipoma. Pamene matenda ndi zofunika kuchita kafukufuku bwino makolo a mwanayo. Muyenera kudziwa nthawi yaitali bwanji zapitazo anayamba kuchuluka kwa granulation minofu, kaya mafangayi umakhala kukula mwanayo kuyankha kusamba ndi wolunjika umbilical dera. N'kofunikanso kuti tipeze pamaso pa zizindikiro zina. The kuwonongeka lakuthwa chikhalidwe mwanayo nthawi zambiri limakamba za mavuto amene anayamba pa maziko a mafangayi. Ngati inu apanga kutukusira, pamodzi ndi zizindikiro zotsatirazi mu bala umbilical:

1. Maonekedwe a kumaliseche serous kapena purulent.
2. Hyperemia ndi edema.
3. Mwachikondi pa kuthamanga m'chigawo cha mafangayi. Kulankhula ndi kulira, aakulu kuyenda kwa mwana.
4. Kuchuluka thupi kutentha.
5. Kukana kuyamwitsa.

zizindikiro ndi owopsa kwa ana akhanda. Akapezeka ayenera kupeza thandizo pangozi. Chipatala anachita mayesero zasayansi. Mu wopepuka mafangayi mu KLA ndi kusintha OAM anali anaona. Ngati pali kutupa (leukocytosis, inapita erythrocyte sedimentation mlingo), ndiye zikutanthauza kuti olemera omphalitis. Pankhaniyi kuwunika linachokera ku umbilical secretions bala kudziwa wothandizila causative kutupa ndi kutengedwera. Nthawi zina, mafangayi angakhale osokonezeka ndi mabungwe ena. Ngati dotolo akukayikira, anachita ultrasound wa zimakhala zofewa wa pamimba. Nthawi zambiri, dokotala mwamsanga matenda mafangayi m'michombo mu akhanda. Photos of kudwala izi anayikidwa mu mabuku wapadera mankhwala pa neonatology. Komabe, makolo sayenera kutengapo maganizo paokha. Pamene granulation ayenera kukaonana ndi dokotala.

Bowa m'michombo akhanda: mmene tiyenera kuchitira matenda?

Bowa kusankha njira yoperekera chithandizo kumatengera ndi kukula kwa mapangidwe ndi chikhalidwe ambiri a mwanayo. Pakuti granulation yaing'ono, zomwe si amakonda kukula, tikulimbikitsidwa anaziika. Ngati ukuwonjezeka mafangayi kufunika kuchotsa iye. Nthawi zambiri chaichi moxibustion kubala granulations ndi asafe, lapis siliva. Ngati pali mafangayi m'michombo mu akhanda, chithandizo (opaleshoni) ikuchitika mu Dipatimenti ya Dokotala Opaleshoni. Mwanayo ayenera m'chipatala ndi kuchita kafukufuku pamaso alowererepo pa. ntchito amatenda kuchotsa granulation minofu ndi umbilical njira mphete kusamba mankhwala.

Kuteteza mafangayi mu akhanda

Bowa m'michombo n'zosatheka kuneneratu pasadakhale, monga maonekedwe umadalira pa munthuyo. Komabe, mungathe kuteteza zotupa yotupa kuti kukhala pa maziko. Kuti tichite zimenezi, kuyan'ana mkhalidwe wa mwana tsiku lililonse kusamba wakhanda ndi pokonza bala umbilical ndi njira ya hydrogen peroxide. Mu zochitika yotupa ayenera kukaonana ndi dokotala.

Zovuta ndi madokotala ananena zawo za matendawa

Bowa ndi vuto omphalitis. Kutukusira kwa chilonda umbilical ndi zoopsa kwambiri, chifukwa chochititsa chachikulu cha chitukuko sepsis. Popeza mavuto mafangayi si matenda ndipo samasankha bwanji boma la mwanayo. Komabe, ndi kukula mofulumira granulation minofu mapangidwe ayenera kuchotsedwa.