U-Omphalitis osanda kuzalwa, njengombuso, kwenzeka eneminyaka engaphezulu kwenyanga. Izingane ezindala kanye nabantu abadala bayagula ngezikhathi ezithile, kodwa amacala anjalo ajwayelekile. I-Omphalitis ingenye yezifo ezivame ukutholakala ezinganeni ezivikini ezintathu zokuqala zokuphila. Uma uqala ukuyiphatha ngesikhathi, lesi sifo sizosiyeka ngokushesha futhi singashiyi imiphumela.
Kuyini i-omphalitis?
Lokhu ukuvuvukala kwentambo ye-umbilical kanye nentambo ye-umbilical, echaphazela isikhumba kanye nezicubu ezingaphansi. Inkinga ibangela ukuphazanyiswa kwezinqubo ze-epithelialization futhi ihambisana nezimpawu ezingathandeki. Ukwesaba, uma i-omphalitis itholakala ezinsana, akudingekile, kodwa akukhuthazwa ukuba uvumele lesi sifo sihambe. Ukuqala ukwelashwa kokufunda okuyisikhathi kuyisihluthulelo sokwamukelwa okuphumelelayo futhi okusheshayo kwengane.
Izimbangela ze-omphalitis
Isizathu esiyinhloko sokuthuthukisa i-omphalitis ezinganeni kufinyelela ekilweni lomzimba wezinyoni ezincane ze-pathogenic. Lokhu kwenzeka, njengomthetho, ngokunakekelwa okungenakufaneleka kwezingane. Ukutheleleka kungadluliselwa ngezandla ezingcolile zabazali noma abasebenzi bezokwelapha. Shayela i-omphalitis ezinsana kanye nezinye izici:
- ukulethwa ngaphambi kwesikhathi;
- izitho ezibuthakathaka zomntwana;
- ukutholakala kwezifo zangaphakathi kwe-intrauterine;
- ukutholakala kwezifo ezithathelwanayo ezithathelwanayo.
Izimpawu ze-omphalitis
Ukubonakaliswa kwesifo kufana kancane kuye ngokuthi isimo se-omphalitis siphila kanjani. Zonke izibonakaliso zihlukaniswe zibe jikelele kanye nendawo. Lezi zinsuku ziyizimpawu eziboniswa ngqo endaweni ezungeze inkaba. Lokhu kufaka:
- ukukhishwa esilonda (kungenziwa ngopende ngemibala ehlukene, ngezinye izikhathi ukuphuma kwamanzi okugeleza kunamanzi);
- iphunga elimnandi;
- ubomvu nesikhumba se-hyperthermia;
- ukuvuvukala kwesikhumba esiseduze nenkaba;
- ukubukeka kwamaqembu abomvu ku-epidermis.
Izimpawu ezivamile yizibonakaliso ezingekho ngqo ezibonisa ukuthi kukhona ukutheleleka kanye nenqubo yokuvuvukala emzimbeni:
- ukushisa okuphakeme;
- ukudabuka;
- ukuxhuma;
- ukuwohloka nokulahlekelwa okuphelele kwesifiso;
- ukwehla okubonakalayo kokuthola isisindo.
Catarrhal omphalitis
Leli fomu litholakala ezimweni eziningi futhi libhekwa njengelihle kakhulu. I-Catarrhal omphalitis ezisanda kuzalwa isabizwa ngokuthi i-ducking navel. Okungcono, intambo yomzimba ihlala ihlala yodwa ezinsukwini zokuqala zokuphila. Kule ndawo kuhlala isilonda esincane se-scab, esiqinisiwe izinsuku ezingu-10-15. I-Catarrhal omphalitis ku-neonates iqinisa isikhathi se-epithelization futhi ibangele ukubukeka kokukhishwa kwimbalo.
Uma ukugcoba isikhathi eside - amasonto amabili noma ngaphezulu - akusho, ukukhula kwama-granulation tissue kungaqala - ukuvuvukala kwanda kumathisini enempilo. Izimpawu zalesi sifo ngenkathi zisasele zingabonakali. Kwamanye amacala kuphela ukunyuka okuncane kokushisa. I-Omphalitis i-catarrhal i-neonates ngaphandle kokucindezeleka, futhi ngemva kokuqala kokwelashwa kwendawo ingane isheshe ithole.
I-omphalitis enobudlova
Leli fomu lesi sifo, njengombuso, kuyinkinga ye-catarrhal. I-omphalitis ephuthumayo ezinsana iholela ekwandeni kwendawo ye-edema ne-hypermia. Lesi sifo sithinta izitsha ze-lymphatic, okubangela ibala elibomvu elizungeza inkaba, elibukeka njenge-jellyfish noma i-octopus. Ukunikezwa kube yinto ehlanzekile futhi ngokuvamile iphunga ngendlela engafaneleki. I-omphalitis enobuqili emabonakalweni asanda kuzalwa kanti abanye banezi:
- ukushisa okuphezulu okuphakeme ;
- i-whims;
- ukuwohloka kwesifiso.
Omphalitis - izinkinga
Uma izimpawu ze-omphalitis zinganakwa, lokhu kungaholela ezinkingeni. Ngalokhu okugcina, akulula ukuphatha njengendlela evamile yesifo. Ukwengeza, akugcini nje ngokubhebhethekisa izinga lempilo, kepha ngezinye izikhathi kuyingozi engozini yengane. Izinkinga ze-Reflux omphalitis zingaba nalezi:
- i-phlegmon yodonga lwangaphakathi lwesisu;
- i-abscess yesibindi;
- xhumana ne-peritonitis;
- ukusabalalisa kwe-pathogen ngegazi lokugeleza kubhekene nokuthuthukiswa kwe-sepsis;
- i-osteomyelitis;
- i-pneumonia ebulalayo;
- enterocolitis .
Izinkinga ezimweni eziningi ziholela eqinisweni lokuthi impilo yengane ihlahloka ngokuphawulekayo, iziphatha ngokuzenzekelayo futhi ishiya isifuba sakhe. Ukushisa kungadluliselwa kuma-degrees angu-39 noma ngaphezulu. Inxeba kuleveli iyaguquka ibe isilonda esivulekile, ihlale imanzi ngenxa yokukhishwa kwegazi. Ezimweni ezimbi kakhulu, i-necrosis yezicubu iqala.
Omphalitis ezisanda kuzalwa - ukwelashwa
Inkinga iqala ngokushesha, kodwa intuthuko ingabekwa uma ukutholakala kokwelashwa kwe-omphalitis kuqala ngesikhathi esifanele. Ukuqaphela ukuvuvukala ezinkathini zokuqala kuzosiza i-neonatologist yezobuchwepheshe. Ukuqinisekisa ukuxilongwa, udinga ukuhlolwa. Ukulwa nesifo se-catarrhal lesi sifo kungaba ekhaya ngaphansi kokuqondiswa njalo kwengane yezingane. Ukwelashwa kwe-omphalitis ehlanzekile kanye nezinye izinhlobo zesifo kumele kwenziwe kuphela esibhedlela. Uma kungenjalo, kuyoba nzima ukugwema imiphumela embi.
Ukwelashwa kwesilonda sembilical nge-omphalitis
Ezigaba zokuqala, isayithi sokuvuvukala kufanele siphathwe izikhathi eziningana ngosuku. I-algorithm yokwelapha isilonda somzimba nge-omphalitis ilula: okokuqala, isayithi lesilonda kufanele lihlanzwe nge-hydrogen peroxide, futhi uma limile - ngesisombululo se-antiseptic. Ngenkambiso, sebenzisa uboya obomvu ukotini. Ekuqaleni kunconywa ukuphatha isikhumba nxazonke leveli futhi kuphela ngaphakathi. Ukugeza ingane ngenkathi ukwelashwa kungaba emanzini afudumele nge-potassium permanganate noma ama-decoctions we-herbal. Ngezimo ezimbi kakhulu zesifo ngemva kokwelashwa, i-compress isetshenziswa esikhumbeni ngezidakamizwa eziphikisayo.
Omphalitis - amafutha
Ukusetshenziswa kwamafutha okugcoba kuyadingeka kuphela ezimweni ezinzima, ngoba i-ophthalitis iphathwa nge-antiseptics. Ama-agent agxilile asetshenziswa, njengomthetho, wokucindezela. Amafutha athandwa kakhulu, ngokuvamile avunyelwe ukuvuvukala kwenkaba:
- amafutha e-Vishnevsky ;
- I-polymyxin;
- Bacitracin.
Ukuvimbela i-omphalitis
Ukuvuvukala kwesilonda esisodwa kungenye yalezizinkinga ezilula ukuvimbela kunokwelapha.
Ungavumeli u-omphalitis futhi uvikele ingane ekuhluphekeni kungaba, ukugcina imithetho elula:- Inxeba elimnyama kufanele liphathwe izikhathi ezimbili kuya kwezi-3 ngosuku, kuze kube yilapho liphilisa ngokuphelele. Ngisho noma kunezinhlayiya ezimbalwa ezisele kulo, awukwazi ukuyeka inqubo.
- Okokuqala, inkaba kufanele isuswe ngesisombululo se-peroxide, futhi uma isikhumba soma, senziwa nge-greenery noma 70% utshwala.
- Amagundane avela kwilonda ayenqatshelwe. Kungakhathaliseki ukuthi kungase kumangale kangakanani, isikhumba siyi-bandage enokwethenjelwa kakhulu. Ivimbela ukungena kwamagciwane ezincane ze-pathogenic kwilonda bese uyawayeka lapho isikhumba singasadingi ukuvikelwa.
- Inkaba ayifanele ihlanganiswe ne-diaper, ifakwe uphawu nge-band-aid noma eboshiwe. Uma isilonda sesivaliwe, singaphula futhi sishaye. Ngaphezu kwalokho, lolu daba lungabamba isikhala bese lusikhipha, oluzoletha ukuzwa okungajabulisi, ukudalula inkaba engabiwa muntu nokufinyelela okuvulekile kuwo amabhaktheriya namagciwane.
- Uma kukhona ukukhishwa okuhlanzekile noma iphunga elimnandi, kunconywa ukuba ufune ngokushesha usizo lwezingane zakudala noma udokotela ohlinzayo wezingane.