Iyiphi indlela engcono kakhulu yokunakekela intambo yomntwana wakho? Uma uzwile ukuphikisana okuvela "ukunakekelwa okomile" ukusebenzisa utshwala, cishe uyazibuza ukuthi ungenzani njengomzali.
Ukuphikisana kwe-Umbilical Cord Care
Kungenzeka ukuthi utshelwe ukufaka utshwala (70% isopropyl utshwala noma ukuxubha utshwala) emthonjeni womntwana wakho kuze kube yilapho ushona, kodwa kungenzeka ukuthi utshelwe ukuthi ungasebenzisi utshwala nhlobo.
Kungenzeka watshelwa ukuthi ungayinakekela kanjani intambo yomzimba ngendlela eyodwa nengane yakho yokuqala, futhi enye indlela manje.
Kungani Kutjhuguluka?
Abanye ochwepheshe bacabanga ukuthi utshwala obuningi lungenza ukuthi isiqu sezintambo zihlale isikhathi eside, okuyinto abazali abaningi abayifuni neze. Futhi ucwaningo luye lwabonisa ukuthi utshwala awunawo umthelela omkhulu wokuzivikela ekubhekaneni nokutheleleka ngaphezu kokuvumela insimbi yomzimba ukuba yome ngokwayo (ukunakekelwa okumile).
Idayi kathathu vs Hexachlorophene vs. No Treatment
Ngokushesha ngemva kokuzalwa, isayithi lensiza yomntanakho lingase liphathwe ngesisindo noma kungenjalo, ukuze linciphise ingozi yokutheleleka. Ezinye izibhedlela zisebenzisa idayi kathathu emgqeni womntwana osanda kuzalwa. (Uma ubuke izinto ezibomvu ezungeze intambo yomntanakho, yilokho okubangela lokhu.) Ezinye izibhedlela zisebenzisa i-chlorhexidine. Ezinye izibhedlela zisebenzisa ezinye izinto ezifana ne-bacitracin, i-sulfadiazine yesiliva, ne-hexachlorophene.
Yikuphi okungcono kakhulu? Ngokusobala, kunezinzuzo nezinkinga endleleni ngayinye - ejwayelekile ukuthi zinganciphisa inani lama-bacterium akhona eduze komthambo. Ngesikhathi esifanayo, ukwelashwa ngokuvamile kuholela esikhathini esiningi ngaphambi kokuba intambo yomzimba ivele.
Ukubuyekezwa kwamuva kwazingcwaningo kuze kube yimanje kwatholakala ukuthi i-chlorhexidine yehlisa ingozi yesifo somzimba ( omphalitis ) nokufa kwezinsana, kodwa ukuthi lezi zikhathazo cishe zikhulu kakhulu ekuthuthukisweni kunamazwe athuthukile.
Ukuphatha
Lapho ufika ekhaya, udokotela wakho angase noma angasikhuthazi ukusebenzisa isiphuzo esitsheni somntanakho. Uma usebenzisa utshwala ukuze unakekele intambo yomntanakho, ngokuvamile kungcono ukuyisebenzisa nge-swab yekotini noma ibhola likotini ngezikhathi ezimbalwa ngosuku.
Ngokuvamile ngalezi zinsuku, ungatshelwa ukuthi uweqe utshwala. Abazali abatshelwa ukuthi akudingeki basebenzise utshwala ngokuvamile bathatha lesi seluleko kude kakhulu, noma kunjalo. Kungenzeka bangalokothi bahlanze, noma ngisho bathinte, intambo yomntwana wabo nhlobo. Khumbula ukuthi nge-cord umbilical ukunakekelwa owomile, empeleni kufanele ugeze intambo nge insipho namanzi lapho epholile, usule nge-drybott swab eyomile, bese uyivumela ukuba yome.
Okudingeka Ukwazi
Naphezu kocwaningo oluthile ngalolu daba, sisenalo ukuqonda okucacile imikhuba yokunakekela intambo enhle. Ngenhlanhla, ukwelashwa kwe-umbilical cord akuvamile kakhulu futhi kuvame ukuphathwa kalula lapho kuboniswa ngokushesha. Kuze kube yilapho kwenziwa ucwaningo oluningi, cela udokotela wezingane zakho ukuthi uyancoma ngani ngokuphathelene nokunakekelwa kwentambo.
Ngomuntu siqu, ngithanda ukuphuza utshwala emgqeni wezintambo ngokuphindwe kabili ngosuku. Lokhu kusiza ukususa noma yikuphi ukukhishwa okuqoqiwe eduze kwesiqu, kugcina kuhlanzekile, futhi akunakwenzeka ukuthi intambo ihlale isikhathi eside kunokuba nje ungenzi lutho.
Khumbula ukuthi utshwala akufanele lusize intambo ivele ngokushesha. Kumelwe nje ukuvimbela noma yikuphi ukutheleleka okuvela ekuthuthukiseni kuze kube yilapho kuvela khona, futhi kungase kwandise isikhathi kuze kufike.
Ukunakekela Isibambo Se-Umbilical Cord Ekhaya
Isiqu somntanakho kufanele siwile ngesikhathi esesinye kuya emasontweni amane ubudala. Ezinye imithombo zincoma ukubiza udokotela wakho uma intambo isinamathele emasontweni amane, kanti abanye batusa amasonto ayisishiyagalombili. Buza udokotela wezingane ukuthi yini ayincomayo, bese uphambukisa ohlangothini lokubizela ngokushesha kunokuhamba kwesikhathi nanoma yikuphi ukukhathazeka onakho njengomzali.
Uma uguqula, faka ama-diapers ukuze angafihli isitshalo sembilical. Ungathenga ama-diapers ngezinsana. noma ukusika izinsila ngakho lesi sifunda asikugubisi esitsheni. Uma nje kufudumele ngokwanele, ukushiya isifunda esivulekile emoyeni kungasisiza ukuthi some ngokushesha. Hlola lezi zithombe ezichaza ngokucacile ukuthi intambo yomzimba ifana kanjani nokuqala ngokugubha, nokuphela uma iwa.
Kuze kube yilapho umthamo womntanakho usuka, qiniseka ukuwugcina uhlanzekile futhi usomile. Khumbula ukuthi ingane yakho izodinga kuphela ukugeza okusesiponini kuze kube yilapho intambo yakhe iwa khona nokuthi isitshalo somzimba asifanele sifakwe emgodini kuze kube yilapho sekuvele khona. Kungase kube namaconsi ambalwa wegazi omisiwe eduze kwesiqu uma ewa, kepha noma yikuphi ukuphuma kweqiniso kufanele kukuxwayise ukuthi ushayele ingane yakho ingane ngokushesha.
Umbilical Cord Izifo noma i-Omphalitis
Izimpawu zomuthi wokutheleleka komzimba zihlanganisa ubomvu ezungeze indawo, iphunga elimnandi, nokukhishwa, noma ukungathandeki uma uthinta indawo ezungeze intambo yomzimba. Shayela udokotela wezingane ngokushesha uma kukhona noma iyiphi yalezi zimpawu noma izimpawu kufanele zithuthuke.
I-Umbilical Cord I-Granulomas
Ngesinye isikhathi i-granuloma - i-nodule ebonakalayo ebomvu ephuma emanzini okwehla okuluhlaza okwesibhakabhaka - kungenzeka ngemuva kokuba intambo ivele. Lokhu kuvamile futhi ngokuvamile kuxazulula phakathi nesonto. Uma iphikelela udokotela wezingane yakho ingase ihambise indawo nge nitrate yesiliva.
> Imithombo:
I-American Academy of Pediatrics. Healthychildren.org. Ukunakekelwa kwentambo ye-umbilical. Kubuyekezwe 11/21/15. https://www.healthychildren.org/English/ages-stages/baby/bathing-skin-care/Pages/Umbilical-Cord-Care.aspx.
Mullany, L., Darmstadt, G., noJ. Tielsch. Indima yezinhlelo zokulwa namagciwane e-anti-microbial cord in neonates ukuvimbela ukoloni lwamabhaktheriya nokutheleleka: ukubuyekezwa kobufakazi. I-Journal ye-Pediatric Infectious Diseases . 2003. 22 (11): 996-1002.
Palazi, D., noMnuz Brandt. Ukunakekela umbilicus nokuphathwa kwezinkinga zomzimba. Kusesikhathini. Kubuyekezwe 12/02/15. http://www.uptodate.com/contents/care-of-the-umbilicus-and-management-of-umbilical-disorders.
Sinha, A., Sazawal, S., Pradhan, A., Ramji, S., noN. Opiyo. I-chlorhexidine isikhumba noma intambo yokunakekela ukuvimbela ukufa nokutheleleka ku-neonates. I-Cochrane Database yezibuyekezo ezihleliwe . 2015. 3: CD007835.
Ilabhulali Kazwelonke Yezokwelapha yase-US. I-Medline Plus. Ukunakekelwa kwentambo ye-umbilical ezinsana. Kubuyekezwe 12/04/13. https://www.nlm.nih.gov/medlineplus/ency/article/001926.htm.