Lapho ezalwa, udokotela ubeka ama-clamps amabili enkabeni ukuze anqamule ukujikeleza kwegazi, ngaphambi kokuyisika. Izosikwa okwesibili ngesentimitha elilodwa ukusuka ku- inkaba ngesikhathi sosizo lokuqala futhi ebanjwe i-clamp, i-clamp ekhethekile, ezosuswa ngosuku lwe-2 noma lwe-3 lokuphila komntwana.
Wazi kanjani ukuthi intambo inegciwane? Indlela yokwazi uma intambo inkaba yengane unegciwane ?
- Ukukhipha okuphuzi, okunuka kamnandi cordon inkaba.
- Ukushintsha kombala obomvu kwesikhumba ezizungeze cordon .
- Ukuvuvukala kwendawo ezungeze inkaba.
- Si ingane yakho iyakhala uma uyithinta cordon , okuchaza qu 'yena kuyinto iyazwela noma iyacasuka.
Indlela yokuhoxisa inkaba yakho ngaphandle kokuhlinzwa?
Kukhona amasu emithi yobuhle eyenza kube nokwenzeka ukuhlobisa inkaba ngaphandle kokuhlinzwa, kodwa izinkomba zilinganiselwe. Ukuhlinzwa inkaba abizwa ngokuthi umbilicoplasties. Leli khasi libhalwe nguDokotela Valeria Romano efakwe eParis, useneminyaka eminingi enza lolu hlobo lwesenzo.
Indlela yokuphatha i-umbilical bud?
Le inkaba
Iphathwa ngokufaka i-nitrate yesiliva ukuvikela isikhumba esizungezile.inkaba. Ukuphulukisa ngokuvamile kufinyelelwa emavikini angu-2 kuya kwangu-3.
Indlela yokuphatha inkaba enkulu?
I-Hawthornia, esetshenziselwa izimpawu zokuqala ezibonakalayo, ikhawulela ukukhula kwe-hernia ye-umbilical.
Kungani inkaba isopha?
Kungenxa yokuhlukaniswa kwemithambo yegazi. Uma ukopha kuningi, kuhambisana nokubomvu, iphunga elibi, noma ubomvu, bonana nodokotela wakho wezingane. Uzokunikeza ukwelashwa okufanele.
Ingabe kungokwemvelo ukuthi isisu somntwana siphose?
Kungase kube nenani elincane legazi egazini inkaba. VS 'kuyinto ngokuphelele evamilengoba imithambo yegazi iyahlukana. ... Kanye intambo kuyinto yawa kuyinto kungenzeka ukuthi i- yopha inkaba kancane bese uqhubeka ukhihliza kancane. Lokhu kubizwa ngokuthi i-umbilical granuloma.
Nini ukubonisana nenkaba?
Akudingekile uthintane uchwepheshe ukuthi uma cordon ukopha njalo, akomi, unuka kabi futhi uma engakawa ngesikhathi umntwana enezinyanga ezimbili ubudala. Ukuba khona kwe "bud inkaba », Ibhola elincane elibomvu elimanzi kakhulu noma elingaphansi kwenkaba, alikhathazi ngempela.
Kungani ungathinti inkaba yakho?
Le inkaba kungaba isidleke samagciwane sangempela. Ukuqonda lokhu, il beka nje wakhe umunwe wokukhomba kuwo awuzwe. Umphumela: kunuka kabi. "I inkaba, iyindawo ekahle yokwakha umhume wamagciwane ”, ulinganisela uDkt. Saldmann.
Indlela yokuletha inkaba yakho ngemva kokubeletha?
- ukuphakamisa okuncane kwesisu, ukuhlinzwa kwangempela okukuvumela ukuthi uqinise isikhumba esihlukanisiwe engxenyeni engezansi yesisu futhi mhlawumbe ulungise ibhande le-muscular kanye ne-umbilical hernia. Le nqubo ishiya isibazi esivundlile ngaphezu kwe-pubis.
Ungaba kanjani nenkaba eqondile?
Indlela yesibili ye-vacuum. Ukulala phansi, imilenze igobile, donsa umoya, kodwa kulokhu ngokuletha isisu sakho. Eyakho inkaba kufanele kufiswe futhi kuhlanganiswe ngesikhathi sesigaba sokuphefumula. Gcina ukufinyela isikhathi eside ngangokunokwenzeka ngenkathi uphefumula ngokuzolile kakhulu ngekhala lakho.
Ungayifaka kanjani i-nitrate ku-umbilical bud?
Ukukhuthaza ukuphulukiswa kwesilondaumbilicus, udokotela wezingane uzohlinzeka ngokunakekelwa okukhethekile. Uzosebenzisa isixazululo esekelwe i-nitrate isiliva maphakathi nenkaba ukuze yome ihlumela. Qaphela ukuthi le nqubo ingaphinda uma i ihlumela ungawi.
Indlela yokukhulisa i-nitrate?
Sikhuluma ngakho ihlumela inyama. Kufanele-ke sisebenzise okokugqokisa okunqanda ukuvuvukala sisebenzisa i-compress emanzi efakwe ku-2,5% we-hydrocortisone (isibonelo i-Corticotulle®) noma sigcobe ipeni lokugqoka nsuku zonke. i-nitrate yemali ezobhubhisa i ihlumela inyama.
Iyini ihlumela elinenyama?
Le ihlumela inyama uhlobo lwe-scaffolding olubekwe enxebeni ukuze kulungiselelwe ukuvuselelwa kwezicubu ezilimele. Ngesikhathi esifanayo, ama-keratinocyte (amangqamuzana esikhumba) e-epidermis nezinwele eziseduze ayanda futhi afudukele enxebeni, ashibilike phakathi kwe-exudate ne-exudate. ihlumela lenyama.
Indlela yokwenza i-hernia ye-umbilical inyamalale?
Ukwelashwa okuwukuphela kweI-hernia ye-umbilical uyahlinzwa. Inhloso ukubuyisela amathumbu endaweni yawo evamile, bese uvala ukuvuleka odongeni lwemisipha yesisu ngokufaka i-suturing elula noma ngokubeka i-prosthesis, ukuze kuvinjwe amathumbu ukuthi aphume futhi.
Ungayelapha kanjani i-hernia enguinal ngaphandle kokuhlinzwa?
Akudingekile ukusebenza! Ngokufana nomlenze odabukile noma ukulimala, i- hernia inguinal izoziphilisa yodwa ngemuva kokuthi umgodi ubekwe kahle. Lokhu kungafezwa ngoshintsho lokudla kanye nokusetshenziswa kwe-bandage. i-hernia ezenhlalo.
Indlela yokuvimbela inkaba entanyeni?
Ngempela, lokhu kungabakhathaza abazali ngokungadingekile. Ekuzalweni, u-Anna Roy uchaza ukukhohlisa okwenziwa umbelethisi uma ingane izalwa nengane intambo entanyeni : "Uma iqinile, siyayibamba bese siyisika. Futhi uma ixega, siyidlulisela ekhanda, njengesikhafu.
Ixhunywe kanjani inkaba?
Kuyintokuyinto ukubonakaliswa kwenhlalakahle yomntwana.
KuyintoNgabe lokho se kudlule, isibonelo, lapho senza i-doppler yemithambo ye-umbilical, ngesikhathi se-ultrasound. Khona-ke ukuphikiswa kwemikhumbi kuyabhekwa.
Indlela yokwelapha i-Omphalitis?
Ukwelashwa kwei-omphalitis wengane esanda kuzalwa ngokuvamile ilula kakhulu: ukusetshenziswa kwamafutha e-antibiotic asekelwe ku-fusidic acid ngokuvamile kwanele ukunciphisa ukutheleleka. Abazali nabo kufanele baqhubeke nokunakekela intambo kuze kube yilapho siwe isiphunzi futhi inkaba iphola.
Kungani inkaba yengane yami iphumela ngaphandle?
I-umbilical hernia iveza njengebhola lokho entwasahlobo du inkaba a usana. Ngokuvamile kwenzeka ngemva kokuzalwa kwe- ingane. Lokhu kukhula kuvame ukubangelwa ukuvaleka okungafanele kwe-umbilical orifice.
Kungani inkaba yengane ivuvukele?
I-Umbilical hernia iwukukhubazeka okuvamile ezinyangeni zokuqala zokuphila. Ibonakala ngokukhula ezingeni lenkaba okuthi ichichima nini'ingane khala. Kubangelwa imbobo phakathi kwemisipha ye-rectus odongeni lwesisu.
Kungani uketshezi luphuma enkabeni yami?
Uketshezi olucacile lungaphakamisa ukuba khona kwe-cyst, nodule noma i-fistula, ukuxhumana okungavamile phakathi kwamathumbu kanye nesisu. inkaba Ngokwesibonelo. Lokhu kuhlala kuyivelakancane kodwa uma inkaba iyageleza, kumelwe sithathe isinyathelo ngokushesha. Kubantu abakhuluphele noma abakhuluphele, inhlanzeko ye inkaba kubaluleke kakhulu.
Ingabe kuyingozi ukuhlanza inkaba yakho?
Big ukhohliwe ngensipho eshaweni, the inkaba i kodwa indawo yangempela yokuzalela amagciwane. Ukungahlanzeki kahle kule ndawo kungabangela iphunga elibi noma ngisho, esimweni esibi kakhulu, ukutheleleka. Ngokufanayo, kuyadingeka ukucabanga ngokuyomisa ngendlela efanele, ngoba umswakama kuyinto evuna ukuthuthukiswa kwamagciwane.
Kungani uma ngithinta inkaba yami?
ukutheleleka kwesikhumba (i-dermatosis); ukuqunjelwa kungase futhi kubangele ubuhlungu benkaba kwezinye izimo. Ukwanda kwengcindezi esiswini kubangela ubuhlungu obungaphumela esiswini futhi ikakhulukazi ezingeni le- inkaba ; i-appendicitis eyingozi.