Omphalitis vachangoberekwa: chinokonzera, kurapwa. Ropa guvhu vachangoberekwa

vacheche Vazhinji rokutanga romwedzi upenyu guvhu kuzvimba vakacherechedza. dambudziko iri rinowanikwa muna anenge ose chegumi nokuvhuvha. Vabereki vakawanda, akasangana nemamiriro ezvinhu, rakakomba kutya. Vamwe, nekusiyana, ndiko kuti kurerutsa dambudziko. Asi zvokurwara ichi - omphalitis vachangoberekwa - inoda zvakakodzera uye nenguva kurapwa. Kuregeredza kana kunonoka aigona kuva nemigumisiro yakaipa.

zvokurwara mamirire

Vanga achiine rukuvhute iri kumbonyanya simba gwapa achangozvarwa. Kuburikidza muviri mafufu utachiona vanogona nda nyore. Panyaya iyi, chokutsva pasi guvhu. Zvokurwara rifukidze uye rwakapoteredza tishu. Kazhinji chokutsva asiwo achiine rukuvhute rin'i ine pedyo nemidziyo, subcutaneous mafuta tishu. Saka omphalitis ikabuda vachangoberekwa.

Kakawanda, hosha kunooneka pachayo iri 2nd vhiki upenyu. Kazhinji, ruzhinji vacheche muchikuvadza achiporesa zuva 7. Asi kune chirwere haisi kukwezverwa mazwi aya. The ronda inotanga ooze. Uyezve, kukura zvokurwara anoratidza tsvuku ganda pedyo guvhu. Panguva kubatwa rejira zvakakwana gobvu palpated midziyo. Uye kubva ronda zvinogona pyorrhea.

zvinokonzera

Sei omphalitis ikabuda vachangoberekwa? The chete kukonzera chirwere - ndiwo kupinda chirwere kupinda muviri kuburikidza rakavhurika ronda guvhu. Kazhinji, utachiona pakati honzeri vari streptococci uye staphylococci. Asi dzimwe nguva chokutsva angatanga somugumisiro kupinda nokuda giremu negative utachiona, zvakadai diphtheria kana E. coli.

Huru zvinoita kuti kutsamwisa kukura chirwere vari:

1. Kukwana kana kukodzera kukurukurwa guvhu.
2. Kutadza kutevedza mitemo utsanana apo kutarisira kukambaira. Chinokonzera kuzvimba anogona muchikuvadza kurapwa namaoko tsvina kana kukurumidza yokugeza mafufu pashure bowel masangano.
3. Nechitarisiko mutambo dermatitis. Kana kuwana basa mwana manapukeni kwakasvibiswa mutsvina yadzo weti kana, ziya ganda zvakanyanyisa. Kana mwana vasingawanzova anogamuchira mhepo uye kugeza nemvura, ipapo mamiriro zvakatoipa.
4. Kuenda neherikoputa hutachiwana. The chirwere unogona kupinda mukati mumuviri mwana munhu anorwara pakutarisira mwana.
5. Chirwere chamaperembudzi. Omphalitis anogona kuva pamusoro pakanyorwa folliculitis kana pyoderma.
6. Chirwere panguva yokuzvarwa. Dzimwe nguva mwana utachiona kunoitika apo dzokubatanidza ari achiine rukuvhute tambo.

Kakawanda, achiine rukuvhute omphalitis kuchengetwa vakurumidze vacheche uye vana vacheche vakaberekwa kwete muchipatara marongero (panguva kumba kuzvarwa). Vanowanzotambura kubva chirwere mafufu uko vari kusaririra vachiberekwa abnormalities.

mhando nechirwere

mwana A utano kuti achiine rukuvhute tambo inowira kure kusvikira 3-4 zuva roupenyu. Zvadaro, vanga ari kunonoka ropa goko. Zvishoma nezvishoma unoomesa. Complete kuporesa paruchaitika pamazuva 10-14 oupenyu. shoma abudise kubva ronda anogona kuonekwa vhiki yokutanga. Asi zvinofanira kuva yaoma parutivi nguva nokuporesa guvhu zvakakwana. Kana nguva iyi ronda haana kupora, pane chikonzero chiri chose chokudavira kuti dzichiri omphalitis vachangoberekwa.

Nokuti zvokurwara kunoratidzwa akawanda mhuka. Zvichitsamira kwokuomerwa pachikuva hosha Classified mu:

• catarrhal;
• purulent;
• pute;
• necrotizing.

Mukuwedzera, chirwere angava:

• chikuru (kana hunovapo somugumisiro kweguvhu chirwere);
• yechipiri (ari chiitiko chirwere pamusoro pakanyorwa zviripo anomalies).

Mumwe mufananidzo hosha kunoratidzwa zviratidzo zvayo. naizvozvo zvakafanira kuti kufunga kwose voga.

catarrhal omphalitis

Izvi kwezvirwere rudzi nyore. In vanhu rinonzi "achichema umbilicus."

Nokuti zvokurwara kunoratidzwa anotevera zviratidzo:

1. Zvishomanana zvinoerera kubva ronda. Kazhinji, saka anotanga kukura chirwere. Buditsa kungava serous. Dzimwe nguva ropa dumbu iri achangoberekwa rine kunyange chinoda kugadziriswa zvimedu. Kuzviparadzanisa nevamwe kunogona kuonekwa uye kupera.
2. Kuzvimba mhete achiine rukuvhute. chiratidzo ichi kazhinji kuchengetwa kukura zvokurwara, asi hazvisi fanira. Achiine rukuvhute mhete blushes unozvimba. Ganda kupenyerera uye rwakatambanudzwa.
3. Chakuvhe kungava (afanane munhu chakuvhe). Izvi akacheneruka vaaleanpunainen chakasimba inotungamirwa. Kazhinji hazvina kununura mwana kusanzwa, asi anogona akaora nyore neVadzidzi chirwere. Chirwere rinowanzoberekera kana kukuvaradzwa chakuvhe panguva mutambo changed kana kupfeka nokuvhuvha.

With pokumuka akasiyana bluetongue chirwere mbudzana anonzwa zvakanaka. Zviri anorara makuru, anozvidya zvinonakidza, ari kuwedzera uremu zvakanaka.

Asi pakurapa chirwere anofanira chatangwa. Kana musingadi kutora kurwa vaine chirwere Panguva iyi, zvokurwara anotanga mberi.

purulent omphalitis

Kana kurapwa akanga ashandiswe ari pamusoro kurapa chaigadzirwa kururama, chirwere inotanga mberi. Muchiitiko chino, dzichiri purulent zvokurwara.

Danho iri kunoratidzwa zviratidzo zvakadai:

1. Pane pus. Inoyerera kubva achiine rukuvhute ronda. Kuti tiite mamirire kwakanaka.
2. Kuipa. Mwana aine fivha, izvozvo ipfupi zvikuru kudya. The mbudzana hazvirevi hope, capricious, nguva dzose it makumbo kusvika padumbu. Pangava regurgitation, dyspepsia.
3. Infiltration ganda, kuzvimba. The guvhu iri yekudyidzana kwakawedzera akatsvuka. Pane mutsinga.
4. Guvhu achangoberekwa makabuda pamusoro ganda rinofukidza. In chimiro afanane munhu cone. The kubata anova kupisa.

Muchiitiko ichi zvakakodzera kuratidza nembudzana chiremba nokukurumidza.

phlegmonous omphalitis

Mimwe kuchiita hosha kushoma kunosanganisira ropa midziyo - arteries uye mutsinga. Muchiitiko chino, pane pute omphalitis.

It kunoratidzwa zviratidzo zvakadai:

1. Yomwana Mamiriro kuipa yekudyidzana. Iye anoramba chityu, uremu. Chishoma zvikuru kunzvaira, akacherechedza fufune. The zvokurwara chokuita mukuru tembiricha, dzimwe nguva kusvika 40 inegumi.
2. Kuzvimba anotaurwa. The umbilicus akanga achangoberekwa dzvuku, kuzvimba. Kuchipisa kuti kubata, nguva dzose kuwana akanyorova, yekudyidzana pamusoro cover.
3. Anowedzera kuzvimba. Around convex guvhu vakachengeta tsvuku edematous tishu. By ayo configuration, akafanana mhando octopus kana muramba.
4. Nokufamba purulent paronda akatsunga nemaronda. By chinokutsimbirirai cover pedyo yakakura pyorrhea.

Yakadaro yakakwirira mukana yokuparadzira phlegmon chirwere pamusoro abdominal tishu.

necrotizing omphalitis

Ndicho wakakura zvikuru pavaipfuura chirwere.

It kunoratidzwa anotevera zviratidzo:

1. Pute anova zvitema-tsvuku kana shava ruvara.
2. buri rinowanikwa guvhu. Kuburikidza muura anogona anobuda.
3. Peeling munyama. Below wavo gaping ronda rakakura.
4. Mwana asisina tariro, usimbe. The tembiricha inogona kushayiwa zvikuru.

Necrotizing omphalitis muvana kungaita kuti zviome ngozi, mumwe icho - sepsis.

chirwere chirwere

Kutsunga chirwere haakonzeri zvinetso. Primary chirwere chiremba ava sezvo nokukurumidza kuongorora guvhu ropa vachangoberekwa.

mamwe miedzo ichapiwa achisiya yematambudziko:

• Ultrasonography of peritoneum, iyo nyoro munyama;
• Maekisirei kubva scoping kudzidza.

Toddler hazvo akadana kubvunzana kuti chiremba anovhiya.

Uyewo, basa bakposev. Izvi zvinobvumira iwe kuziva rwarisa mumiririri. Ongororo iyi chichabatsira zvikuru chaiyoiyo kugadziridzwa kwezvinhu asingaurayiwi mishonga.

Omphalitis: nokurapa catarrhal siyana

Kumba, unogona chete kurwa Danho iri zvirwere.

Zvipatara zvinosanganisira zvinotevera mabasa:

1. ronda achiine rukuvhute vanofanira kubatwa 4 kanomwe pazuva.
2. Pakutanga zvakanga akadonhedza mhinduro rehydrogen peroxide - 2-3 anosiya. Zvadaro, muchishandisa Utsanana chopusitiki mukati yakachena.
3. Pashure nzira iyi akaita akambozvishandisa kuuraya utachiona chiito. Ronda kubatwa zvinodhaka akadai "Furatsilinom", "Chlorophillipt", "Dioksidin". Zvichida kushandisa zvakasvibirira zvokudya.
4. Zvinokosha zvikuru kuziva sei kundoshamba mwana. Hatifaniri kukanganwa kuti mwana anoda mvura maitirwe ezvinhu. Zvisinei, mune ichi, vanachiremba vanoti, iwe pamberi kushambidza nokuvhuvha, wedzera zvishoma kugeza potassium permanganate. Mvura inofanira kuva rakachenuruka vaaleanpunainen ruvara.

Treatment chakakomba nzendo

Mberi chirwere kazhinji vanorwisana muchipatara.

Nokuti mushonga kutora matanho akadai:

1. Kugadzwa vomunharaunda akambozvishandisa kuuraya utachiona nezvizoro. Akakurudzira "Baneotsin" Vishnevsky liniment. Kushandiswa nokuda kupfeka pamusoro ronda.
2. Kurapa nemishonga inorwisa mabhakitiriya. Dzimwe nguva basa obkalyvanie anogumbura kukoshesa. Mishonga vanosarudzwa pamusana kwemabhakitiriya inoculation bvunzo.
3. Chakuvhe moxibustion. Nokuti mabasa akadai vachishandisa sirivha nitrate.
4. Abudise maronda. A chubhu chaiyo akaiswa mudumbu, inopa zvibereko pus zvakanaka.
5. Kana zvakakodzera, mwana ari basa vhitamini kurapa uye mishonga kuti kuvandudza kutapata.

Mune zvimwe zviitiko, vaiona kuvhiya kubvisa necrotic tishu.

mhedziso

Vabereki vanofanira kungwarira uye kwazvo basa yokusvika kutarisirwa achangozvarwa. Uye kana guvhu asina kupora pashure pemazuva 10-14 aberekwa, zvakakodzera kuratidza chiremba mafufu. Omphalitis kungaita kuti zvikuru zvakakomba. Asi nenguva uye zvakakwana mushonga unogona kukurumidza kurapa zvokurwara, izvo mune ramangwana hakumbokanganisi kana hutano kana zvakanaka mwana.