Kuzindikira ndi Kuchiza Chingwe Cha Umbilical Chodwala

Zamkati

• Zithunzi za chitsa cha umbilical chopanda kachilombo
• Momwe mungazindikire matenda a umbilical cord
• Nthawi yoti mupemphe thandizo
• Ndi mankhwala ati omwe alipo?
• Zimatenga nthawi yayitali bwanji kuti achire?
• Momwe mungasamalire chitsa cha umbilical
• Maganizo ake ndi otani?

Chingwe cha umbilical ndichingwe cholimba, chosinthika chomwe chimanyamula michere ndi magazi kuchokera kwa mayi wobadwa kupita kwa mwana panthawi yapakati. Pambuyo pobadwa, chingwe, chomwe sichikhala ndi mitsempha, chimatsekedwa (kuti asiye kutaya magazi) ndikucheka pafupi ndi mchombo, ndikusiya chiputu. Chinyengocho chimagwa pakatha sabata limodzi kapena atatu chibadwire.

Pa nthawi yobadwa komanso pomata ndi kudula, majeremusi amatha kulowerera chingwe ndikupangitsa matenda. Matenda a chitsa cha umbilical amatchedwa omphalitis.

Omphalitis ku United States, United Kingdom, ndi mayiko ena kumene anthu amakhala ndi zipatala mosavuta.

Pemphani kuti muphunzire momwe mungadziwire ndikuchiza matenda a umbilical cord.

Zithunzi za chitsa cha umbilical chopanda kachilombo

Momwe mungazindikire matenda a umbilical cord

Zimakhala zachilendo kuti chingwe cholumikizidwa chikhale ndi nkhanambo kumapeto kwake. Mwinanso ukhoza kutuluka magazi pang'ono, makamaka kuzungulira tsinde la chitsa chikakonzeka kugwa. Kutuluka magazi kuyenera kukhala kopepuka ndipo kuyima msanga mukamagwiritsa ntchito kuthamanga pang'ono.

Ngakhale kutuluka pang'ono ndikwabwinobwino ndipo nthawi zambiri kulibe nkhawa, zizindikilo za matenda zimaphatikizapo:

• khungu lofiira, lotupa, lofunda, kapena lofewa kuzungulira chingwe
• mafinya (madzi obiriwira achikasu) otuluka pakhungu mozungulira chingwe
• fungo loipa lomwe likuchokera mchingwe
• malungo
• mwana wovuta, wosasangalala, kapena wogona kwambiri

Nthawi yoti mupemphe thandizo

Chingwe cha umbilical chimatha kulowa mwachindunji m'magazi, kotero ngakhale matenda ofatsa amatha kukhala owopsa mwachangu. Matendawa akalowa m'magazi ndikufalikira (otchedwa sepsis), amatha kuwononga ziwopsezo zathupi ndi ziwalo zathupi.

Lumikizanani ndi dokotala wa ana a mwana wanu nthawi yomweyo ngati muwona chimodzi mwazizindikiro pamwambapa za matenda a umbilical chingwe. Matenda a umbilical cord amapha pafupifupi ana omwe ali ndi kachilombo ka umbilical, choncho zimawoneka ngati zachipatala.

Ana asanakwane amakhala pachiwopsezo chachikulu chotenga matendawa chifukwa ali ndi chitetezo chamthupi chofooka.

Ndi mankhwala ati omwe alipo?

Kuti mudziwe chithandizo choyenera kwambiri cha matenda amwana wanu, akatswiri azachipatala nthawi zambiri amatenga swab ya dera lomwe lili ndi kachilomboka. Swala imeneyi itha kuyesedwa mu labu kuti kachilombo koyambitsa matendawa kadziwike. Madokotala akadziwa kuti ndi kachilombo koyambitsa matendawa, amatha kudziwa bwino maantibayotiki oyenera kuti amenyane nawo.

Zomwe zimayambitsa matendawa zikadziwika, chithandizo chimadalira kukula kwa matendawa.

Kwa matenda ang'onoang'ono, dokotala wa mwana wanu angakulimbikitseni kugwiritsa ntchito mafuta opha maantibayotiki kangapo patsiku pakhungu lozungulira chingwe. Chitsanzo cha matenda ang'onoang'ono ndi ngati pali mafinya ochepa, koma mwana wanu amawoneka bwino.

Matenda ang'onoang'ono amatha kukhala ovuta kwambiri ngati sanalandire chithandizo, komabe, ndikofunikira kukaonana ndi dokotala nthawi iliyonse yomwe matenda a umbilical chingwe akuganiziridwa.

Pa matenda oopsa kwambiri, mwana wanu amafunika kuti agonekedwe mchipatala ndikupatsidwa maantibayotiki olimbana ndi matendawa. Mitsempha ya maantibayotiki yotumiza minyewa imaperekedwa kudzera mu singano yolowetsedwa mumtsempha. Mwana wanu akhoza kukhala mchipatala masiku angapo pomwe akulandira maantibayotiki.

Makanda omwe amapatsidwa mankhwala obaya m'makina amalandira kwa masiku pafupifupi 10. Atha kupatsidwa mankhwala owonjezera kudzera pakamwa pawo.

Nthawi zina, matendawa amafunika kuchitidwa opaleshoni.

Ngati nthendayo yachititsa kuti minofu ifa, mwana wanu angafunikirenso kuchitidwa opaleshoni kuti achotse ma cell akufa.

Zimatenga nthawi yayitali bwanji kuti achire?

Matendawa akagwidwa msanga, ana ambiri amachira m'milungu ingapo. Koma nthawi zambiri amafunika kukhala mchipatala pomwe amalandila mankhwala obaya maantibayotiki.

Ngati mwana wanu anachitidwa opareshoni kuti athetse matendawa, kutsegulako mwina "kunadzaza" ndi gauze. Chovalacho chimapangitsa kudulidwako kutseguka ndikulola mafinya kukhetsa. Kukhetsa kukasiya, gauze limachotsedwa ndipo bala limapola kuchokera pansi.

Momwe mungasamalire chitsa cha umbilical

Zaka zingapo zapitazo, zipatala zinali kuphimba chitsa cha chingwe cha mwana ndi mankhwala opha majeremusi (mankhwala amene amapha majeremusi) akangomangidwa ndi kudulidwa. Komabe, masiku ano, zipatala zambiri ndi madokotala a ana amalangiza "chisamaliro chouma" cha zingwe.

Chisamaliro chouma chimaphatikizapo kusunga chingwe chouma ndikuchipanga mphepo kuti chithandizire kuti chisatenge matenda. Malinga ndi kafukufuku wofalitsidwa munyuzipepala ya Medicine, chisamaliro cha chingwe chowuma (poyerekeza ndi kugwiritsa ntchito mankhwala opha tizilombo) ndi njira yotetezeka, yosavuta, komanso yothandiza yothandizira kupewa zingwe m'matenda a ana athanzi obadwira muzipatala m'malo otukuka.

Malangizo owuma osamalira chingwe:

• Sambani m'manja musanakhudze chingwe cha mwana.
• Pewani kutsitsa chitsa momwe mungathere. Gwiritsani ntchito malo osambira siponji kutsuka mwana wanu mpaka chitsa chigwe, ndipo pewani kupopera malo ozungulira chitsa. Chitsa chikakhala chonyowa, pewani bwinobwino ndi chovala chofewa.
• Sungani thewera la mwana wanu kuti lipindidwe pansi pa chitsa mpaka chigwe m'malo momaika kansalu kamphezi patsinde. Izi zimathandiza kuti mpweya uziyenda ndikuthandizira kuuma chitsa.
• Pewani pang'ono pokha pee kapena phokoso lililonse lomwe limasonkhanitsa chitsa ndi chovala chosungunuka ndi madzi. Lolani kuti m'deralo mpweya uume.

Ngakhale kulibe malangizo osamalira payekha, njira zina zingathandizenso kuchepetsa chiopsezo cha matenda a umbilical, monga kukhala ndi khungu pakhungu kapena kuyamwitsa mwana wanu.

Mwa kuyika mwana wanu wopanda chifuwa pachifuwa chanu, chomwe chimadziwika kuti kukhudzana ndi khungu, mutha kuwonetsa mwana wanu kubakiteriya wabwinobwino pakhungu. Malinga ndi kafukufuku wa 2006 wa ana obadwa kumene ku Nepal omwe adasindikizidwa mu American Journal of Epidemiology, makanda omwe adalumikizana pakhungu ndi khungu anali ocheperako 36% kukhala ndi kachilombo ka umbilical kuposa makanda omwe alibe khungu lotere.

Kuyamwitsa kumakupatsani mwayi wopatsira mwana wanu ma antibodies (zinthu zomwe zingathandize kulimbana ndi matenda), zomwe zitha kuthandiza chitetezo chamthupi ndikulimbitsa.

Maganizo ake ndi otani?

Ku United States, United Kingdom, ndi mayiko ena ambiri, matenda a umbilical cord amapezeka kawirikawiri mwa ana athanzi, obadwa mokwanira mzipatala. Koma matenda amtundu wa zingwe amatha kuchitika, ndipo akatero, amatha kukhala owopsa ngati sagwidwa ndikuchiritsidwa msanga.

Lumikizanani ndi dokotala nthawi yomweyo mukawona khungu lofiira, lofewa kuzungulira chingwe kapena mafinya akutuluka pachitsa. Muyeneranso kulumikizana ndi dokotala ngati mwana wanu watentha thupi kapena zizindikilo zina za matenda. Mwana wanu amatha kuchira bwino atachira mwachangu.