Kupeza khungu kwa akhanda

Khungu la khanda lobadwa kumene limasintha masinthidwe onse mawonekedwe ndi mawonekedwe.

Khungu la mwana wakhanda wathanzi pakubadwa lili ndi:

• Khungu lofiira kwambiri kapena lofiirira komanso manja ndi mapazi abuluu. Khungu limachita mdima khanda lisanapume koyamba (akalira koyamba mwamphamvu).
• Katundu wonenepa, wonyezimira wotchedwa vernix wokuta khungu. Izi zimateteza khungu la mwana kuchokera ku amniotic fluid m'mimba. Vernix iyenera kutsukidwa nthawi yoyamba kusamba kwa mwana.
• Tsitsi labwino, lofewa (lanugo) lomwe limatha kuphimba khungu, mphumi, masaya, mapewa, ndi kumbuyo. Izi zimafala kwambiri khanda likabadwa tsiku lisanafike. Tsitsili liyenera kutha m'milungu ingapo yoyambirira yamwana wakhanda.

Khungu lobadwa kumene limasiyana, kutengera kutalika kwa mimba. Makanda asanakwane amakhala ndi khungu lowonda komanso lowonekera. Khungu la khanda lathunthu ndilolimba.

Pofika tsiku lachiwiri kapena lachitatu la mwanayo, khungu limayamba kupepuka pang'ono ndipo limatha kukhala louma komanso lofooka. Khungu limakhalabe lofiira khanda likalira. Milomo, manja, ndi mapazi atha kusanduka amtundu wabuluu kapena wamawangamawanga (wamawangamawanga) mwanayo akazizira.

Zosintha zina zingaphatikizepo:

• Milia, (yaying'ono, yoyera-yoyera, yolimba idakweza mabampu kumaso) omwe amatha okha.
• Ziphuphu zamkati zofewa zomwe nthawi zambiri zimachotsedwa m'masabata angapo. Izi zimachitika chifukwa cha mahomoni ena a mayi omwe amakhala m'magazi a mwana.
• Erythema toxicum. Uku ndikutuluka kofala, kopanda vuto komwe kumawoneka ngati pustules pang'ono pamunsi wofiira. Amakonda kuwonekera pankhope, thunthu, miyendo, ndi mikono pafupifupi masiku 1 kapena 3 mutabereka. Imasowa sabata limodzi.

Makina obadwira achikuda kapena zikopa zimatha kuphatikiza:

• Nevi yobadwa ndi timadontho (timadontho tating'onoting'ono ta khungu) tomwe titha kukhalapo pakubadwa. Amayambira kukula kuyambira kakang'ono ngati nsawawa mpaka zazikulu zokwanira kuphimba mkono wonse kapena mwendo, kapena gawo lalikulu kumbuyo kapena thunthu. Nevi wokulirapo amakhala ndi chiopsezo chachikulu chokhala khansa yapakhungu. Wopereka chithandizo chamankhwala ayenera kutsatira nevi yonse.
• Madontho a ku Mongolia ndi amtundu wa buluu kapena wotuwa. Amatha kutuluka pakhungu la matako kapena kumbuyo, makamaka mwa ana akhungu lakuda. Ayenera kuzirala pasanathe chaka.
• Malo a Café-au-lait ndi opepuka, mtundu wa khofi ndi mkaka. Nthawi zambiri amapezeka pobadwa, kapena amatha kukula mzaka zoyambilira. Ana omwe ali ndi malo ambiri, kapena malo akulu, atha kukhala ndi vuto lotchedwa neurofibromatosis.

Zizindikiro zofiira zofiira zingaphatikizepo:

• Madontho a vinyo wa Port - zophuka zomwe zimakhala ndi mitsempha yamagazi (zopitilira muyeso). Iwo ndi ofiira kutulutsa mtundu. Amawoneka pankhope kawirikawiri, koma amatha kupezeka paliponse m'thupi.
• Hemangiomas - mndandanda wama capillaries (mitsempha yaying'ono yamagazi) yomwe imatha kuwonekera pobadwa kapena miyezi ingapo pambuyo pake.
• Stork analuma - zigamba zazing'ono zofiira pamphumi, zikope, kumbuyo kwa khosi, kapena milomo yakumtunda. Zimayambitsidwa ndikutambasula kwa mitsempha yamagazi. Nthawi zambiri amapita pakadutsa miyezi 18.

Makhalidwe obadwa kumene a khungu; Makhalidwe a khungu la makanda; Neonatal care - khungu

• Erythema toxicum pamapazi
• Makhalidwe akhungu
• Milia - mphuno
• Cutis marmorata pa mwendo
• Miliaria crystallina - pafupi
• Miliaria crystallina - chifuwa ndi mkono
• Miliaria crystallina - chifuwa ndi mkono

Balest AL, Riley MM, Bogen DL. Neonatology. Mu: Zitelli, BJ, McIntire SC, Nowalk AJ, eds. Zitelli ndi Davis ’Atlas of Pediatric Physical Diagnosis. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2018: mutu 2.

Bender NR, Chiu YE. Kufufuza kwa khungu kwa wodwalayo. Mu: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, olemba. Nelson Textbook of Pediatrics. Wolemba 21. Philadelphia, PA: Elsevier; 2020: chap 664.

Narendran V. Khungu la akhanda. Mu: Martin RJ, Fanaroff AA, Walsh MC, olemba., Eds. Fanaroff ndi Martin's Neonatal-Perinatal Medicine. 11th ed. Philadelphia, PA: Elsevier; 2020: chap 94.

Walker VP. Kuwunika kwatsopano. Mu: Gleason CA, Juul SE, olemba. Matenda a Avery a Mwana Wongobadwa kumene. 10th ed. Philadelphia, PA: Elsevier; 2018: chap 25.