Omphalitis mu akhanda: amachititsa, chithandizo. Magazi m'michombo mu akhanda

ana ambiri m'mwezi woyamba wa m'michombo kutupa moyo anaona. Vuto limeneli limapezeka pafupifupi nyenyeswa chakhumi. Makolo ambiri, anakumana ndi vuto limeneli, ndi mantha aakulu. Ena M'malo mwake, ndi kuderera vuto. Ndipo komabe ili kudwala - omphalitis mu akhanda - akusowa mankhwalawa yake. Kunyalanyaza kapena kuchedwa akhoza mavuto aakulu.

kudwala khalidwe

bala Umbilical ndi mwachilungamo ofooka malo mu akhanda. Mayi matenda thupi nyenyeswa mosavuta adzalowerera. Pankhaniyi, kutupa pansi m'michombo lapansi. Kudwala ingayale ndi minofu ozungulira. Nthawi zambiri kutupa chimafikira kwa mphete umbilical ndi ziwiya moyandikana, ndi subcutaneous mafuta minofu. Choncho omphalitis akufotokozera mu akhanda.

Nthawi zambiri, matenda kumaonekera mu sabata 2 wa moyo. Monga ulamuliro, ambiri a ana chilonda tsiku 7 machiritso. Koma mu nkhani ya matenda si tiloŵe mawu awa. bala akuyamba chimatuluka. Komanso chitukuko cha kudwala limasonyeza khungu kufiira pafupi m'michombo lapansi. Pa zowawa za nsalu mokwanira wandiweyani zipangizo palpated. Ndipo bala lenilenilo mwina pyorrhea.

zimayambitsa

Chifukwa omphalitis akufotokozera mu akhanda? Chokhacho chomwe chimayambitsa matenda - ili ndi malowedwe matenda m'thupi kudzera lotseguka bala m'michombo. Nthawi zambiri, matenda a culprits ndi streptococci ndi staphylococci. Koma nthawi zina kutupa angathe chifukwa cha malowedwe a mabakiteriya galamu-oipa, monga diphtheria kapena E. coli.

Zinthu zazikulu zimene imautsa chitukuko cha matenda ndi:

1. Osakwanira kapena zosayenera akuchitira m'michombo.
2. Kulephera kutsatira malamulo a ukhondo pochita Kamwana. Chifukwa cha kutupa akhoza chilonda mankhwala ndi manja yakuda kapena mwadzidzidzi kusamba nyenyeswa pambuyo kayendedwe matumbo.
3. Maonekedwe a thewera dermatitis. Akapeza ntchito mwana thewera zakhudzana ndi ndowe kapena mkodzo, thukuta khungu kwambiri. Ngati mwana ali kawirikawiri amalandira mpweya ndi madzi osamba, ndiye boma ndi woipa kwambiri.
4. Airborne HIV. The matenda amatha kulowa mu thupi la mwana wodwala munthu kusamalira mwanayo.
5. Opatsirana khungu matenda. Omphalitis angathe pa maziko a folliculitis kapena pyoderma.
6. Infection nthawi yobereka. Nthawi zina matenda mwana kumachitika pamene zingwe ndi chingwe umbilical.

Nthawi zambiri, umbilical omphalitis anati makanda msanga ndi makanda amene anabadwa osati pokhazikitsa kuchipatala (pa kubadwa kwawo). Kawirikawiri akudwala zinyenyeswazi matenda amene pali nthenda kobadwa nako kuvutika.

mitundu ya matenda

A mwana wathanzi ndi umbilical chingwe akugwa kutali kwa tsiku 3-4 moyo. Kenako, chilonda anachedwa wamagazi kutumphuka. Pang'onopang'ono uphwetsa. Adzachiritsa chikuchitika pa masiku 10-14 moyo. pang'ono ngalande bala zingaoneke mu sabata loyamba. Koma ayenera kukhala mouma ndi nthawi ya machiritso wathunthu wa m'michombo lapansi. Ngati pofika nthawi ino bala alibe wachiritsidwa, pali chifukwa chomveka chokhulupirira kuti kukhala omphalitis mu akhanda.

Pakuti kudwala amakhala ndi mitundu yambiri. Malinga azikhala siteji matenda zimagawidwa m'magulu:

• catarrhal;
• purulent;
• abscess;
• necrotizing.

Komanso, matenda zingakhale:

• chachikulu (ngati kupangika chifukwa cha matenda Mchombo);
• sekondale (mu mwambo matenda pa maziko a anomalies alipo).

Mtundu uliwonse wa matenda amakhala ndi zizindikiro zake. Choncho n'kofunika kuganizira mitundu yonse payokha.

catarrhal omphalitis

Izi ndi mtundu yosavuta matenda. Mu anthu umatchedwa "kulira umbilicus."

Pakuti kudwala amakhala ndi zizindikiro zotsatirazi:

1. kumaliseche pang'ono kuchokera pabalapo. Monga ulamuliro, kotero iwo amayamba kukula kwa matendawa. Kumaliseche kungakhale serous. Nthawi zina m'mimba mwa ana akhanda lili ngakhale zamafinya zinangoti zidutswa. Nyimbo zikhoza kuoneka ndi kutha.
2. Kutupa umbilical mphete. Chizindikiro chimenechi zambiri anamuona pa chitukuko cha kudwala, koma si kuvomerezedwa. Umbilical mphete blushes kutupikana. Kusenda chonyezimira ndipo anatambasula.
3. Bowa kungakhale (kuti akufanana bowa). Izi wotumbululuka pinki olimba mapangidwe. Nthawi zambiri, zilibe kupulumutsa mwana kusapeza, koma mosavuta fester pokhudzana ndi matenda. Infection zambiri kumachitika pamene kuonongeka mafangayi pa thewera kusintha kapena kuvala nyenyeswa.

Ndi chitukuko cha mitundu ya matenda bluetongue mwana amamva bwino. Ndi amagona kwambiri, amadya ndi chosangalatsa, ayamba kulemera bwino.

Koma mankhwala a matenda ayenera anayamba nthawi yomweyo. Ngati simuchita nkhondo ndi matenda panthawi imeneyi, kudwala wayamba patsogolo.

purulent omphalitis

Ngati mankhwalawo kucitika mu chithandizocho pamwambapa kapena wolakwika, matenda ayamba patsogolo. Pankhaniyi, osauka purulent kudwala.

Mbali imeneyi amakhala ndi zizindikiro amenewa:

1. Pali mafinya. Wasefukira ku bala umbilical. Kuti zimatulutsa fungo khalidwe.
2. Kuwonjezeka. The mwana watentha thupi, izo yafupika kwambiri kudya. Mwana si kugona, capricious, nthawi zonse othandiza miyendo ndi mimba ya. Pakhoza kukhala regurgitation, dyspepsia.
3. Kusalola khungu, kutupa. Mchombo ali kwambiri kuchuluka redness. Pali mitsempha.
4. Mchombo akhanda mutuluka pamwamba pa khungu chimakwirira. Mu mawonekedwe izo akufanana ndi phirilo. Zowawa amakhala otentha.

Pankhaniyi m'pofunika kusonyeza mwana dokotalayo posachedwapa.

phlegmonous omphalitis

Ndi kupitirira zina za matendawa ndi ndondomeko yotupa kumafuna Mitsempha - mitsempha ndi mitsempha. Pankhaniyi, pali abscess omphalitis.

Iwo amakhala ndi zizindikiro amenewa:

1. chikhalidwe mwana chatsitsa kwambiri. Iye wakana bere, kuonda. Patalipatali wosakhazikika kwambiri, anaona kudzimbidwa. The kudwala kugwirizana ndi kutentha, nthawi zina madigiri 40.
2. Kutupa limachulidwa. The umbilicus ofiira wakhanda, kutupa. Ndi otentha kukhudza, nthawi zonse kutenga chonyowa kwambiri pamwamba chimakwirira.
3. Kumawonjezera kutupa. Mozungulira otukukira kunja m'michombo anati wofiira edematous minofu. Ndi kasinthidwe ake, iwo amafanana mtundu wa nyamayi kapena modabwitsa.
4. M'kupita kwa purulent bala anatsimikiza kuti zilonda. Tikamapitiriza chimakwirira pafupi nakweza pyorrhea.

Ndi chiopsezo ngati mkulu wa kufalitsa matenda phlegmon pa minofu m'mimba.

necrotizing omphalitis

Ichi ndi gawo chachikulu kwambiri matenda.

Iwo akuwonetseredwa ndi zizindikiro zotsatirazi:

1. Abscess amakhala buluu wofiira kapena wofiirira mtundu.
2. dzenje limapezeka m'michombo lapansi. Kudzera matumbo mwina lofufuma kwambiri mbali imodzi.
3. Ukuchoka zimakhala. Pansipa iwo ndi yaikulu gaping bala.
4. Mwana listless, aulesi. The Kutentha kusiya zikuchepa.

Necrotizing omphalitis ana kungachititse kuti mavuto oopsa, mmodzi amene - sepsis.

matenda a matenda

Khama la matenda sayambitsa mavuto. matenda a Pulayimale dokotala wanena mwamsanga tione Mchombo magazi mu akhanda.

mayesero zina ndi nkhani osati mavuto:

• Ultrasonography wa peritoneum, ndi zimakhala zofewa;
• X-ray ndi phunziroli scoping.

Kamwana kwenikweni anatumiza upo kuti dokotala Dokotala.

Komanso, anatumizidwa bakposev. Zimenezi zimathandiza kudziwa wothandizila opatsirana. kusanthula izi chimathandiza kusintha kwambiri yeniyeni mankhwala opha tizilombo.

Omphalitis: mankhwala a mitundu catarrhal

Kunyumba, inu mukhoza kulimbana ndi gawo ili la matenda.

Therapy zikuphatikizapo zinthu zotsatirazi:

1. bala Umbilical ayenera kulandira chithandizo nthawi 4 tsiku.
2. Poyamba izo yagwera njira ya hydrogen peroxide - 2-3 akutsikira. Kenako, pogwiritsa ukhondo timitengo zili woyera.
3. Pambuyo njirayi imagwiridwa kanthu antiseptic. Bala ankachitira ndi mankhwala monga "Furatsilinom", "Chlorophillipt", "Dioksidin". Mwina ntchito chakudya wobiriwira.
4. M'pofunika kwambiri kudziwa momwe kumusambitsa. Tisaiwale kuti mwana akufunikira njira madzi. Komabe, mu chikhalidwe ichi, madokotala amalangiza musanapite kusamba nyenyeswa, kuwonjezera pang'ono potaziyamu permanganate kusamba. Madzi ayenera kukhala wotumbululuka pinki mtundu.

Chithandizo cha magawo aakulu

Ndi matenda mwapang'onopang'ono nthawi zambiri amalephera ku chipatala.

Kuchipatalako kukhwimitsa monga:

1. Kusankha mafuta m'dera antiseptic. Analimbikitsa "Baneotsin" Vishnevsky liniment. Iwo ntchito kwa kuvala pa chilonda.
2. Mankhwala mankhwala. Nthawi zina anatumizidwa obkalyvanie yotupa kwambiri. Maantibayotiki amasankhidwa chifukwa cha bakiteriya inoculation mayeso.
3. Bowa moxibustion. Pakuti zinthu zimenezi pogwiritsa ntchito nitrate siliva.
4. Ngalande mabala. A chubu wapadera anaikapo m'mimba amatipatsa lochuluka la mafinya.
5. Ngati ndi kotheka, mwana amagwira ntchito vitamini mankhwala ndi mankhwala kuti kusintha chitetezo chokwanira.

Nthawi zina, ankaona opaleshoni kuti achotse minofu necrotic.

Pomaliza

Makolo ayenera kusamala ndi udindo kwambiri njira m'manja mwa ana akhanda. Ndipo ngati m'michombo alibe anachiritsidwa atapita masiku 10-14 atabadwa, m'pofunika kusonyeza dokotala nyenyeswa. Omphalitis kungayambitse mavuto aakulu kwambiri. Koma panthawi yake ndiponso mokwanira mankhwala mwamsanga kuchiritsa kudwala, lomwe m'tsogolo sikungawononge kapena matenda kapena umoyo wa mwana.