Ndeipi nzira yakanakisisa yokutarisira mwana wembilical cord? Kana iwe wakanzwa kupopotedzana kubva pane "kunyatsoomeswa" kunwa doro, iwe unenge uchida kuziva zvaunofanira kuita semubereki.
Umbilical Cord Care Controversy
Iwe unogona kunge wakaudzwa kuti uise doro (70% isopropyl alcohol kana kubhadhara doro) pamuviri wako wembilical kusvikira yawa, asi iwe unogona kunge wakanzi urege kushandisa doro zvachose.
Iwe unogona kunge wakamboudzwa maitiro ekutarisira tambo yembilical imwe nzira nevana vako vekutanga, uye imwe nzira iyo ikozvino.
Nei Kuchinja Kwacho?
Dzimwe nyanzvi dzinofunga kuti doro rakawandisa rinogona kunyatsoita kuti mutsara wembambo ugadzikane kwenguva refu, iyo vabereki vakawanda vasingadi zvechokwadi. Uye zvidzidzo zvakaratidza kuti doro harina huwandu hwekudzivirirwa hunopesana nehutachiona pamusoro pokubvumira kuti mutezi wenyuchi uome pachawo (wakaomeswa).
Triple Dye vs Hexachlorophene vs. No Treatment
Pakarepo mushure mokuberekwa, nzvimbo ye mwana wako yembilical cord inogona, kana kuti isingaiti, inobatwa nechinhu kuderedza dambudziko rehutachiona. Zvimwe zvipatara zvinoshandisa dhayi katatu pamutsara wembilical. (Kana iwe wakatarira zvinhu zvepepuru pamucheto wembilical yemwana wako, ndizvo zvinokonzera izvi.) Dzimwe zvipatara zvinoshandisa chlorhexidine. Dzimwe zvipatara zvinoshandisa zvimwe zvinhu zvakadai seBacitracin, Sirifi sulfadiazine, uye hexachlorophene.
Ndeipi yakanaka? Sezviri pachena, pane zvakakosha uye zvisingabatsiri munzira imwe neimwe - iyo yakajairika ndeyekuti inogona kuderedza nhamba yebhakitiriya iripo yakapoteredza umbilical cord. Panguva imwecheteyo, kurapwa kunowanzoita kuti nguva yakawanda isati yasati yasvika.
Kuongororwa kwemazuva ano kwekutsvakurudza kusvika kuzuva kwakawanikwa kuti klorhexidine yakaderedza ngozi ye umbilical cord zvirwere ( omphalitis ) uye kufa kwevana, asi kuti izvo zvinonetsa zvingangodaro zvakanyanya mukurasika kudarika munyika dzakabudirira.
Kudzora
Paunodzokera kumusha, chiremba wako anganganisa kana kuti haafaniri kukurudzira kushandisa doro kune tsvimbo yemwana wako. Kana ukashandisa doro kuti uchengetedze mutsara wemwana wako, kazhinji zvakanaka kuti uishandise nekotoni swab kana kamba yekotoni kashoma pazuva.
Kunyanya kakawanda mazuva ano, unogona kutaurirwa kuti ude doro. Vabereki vanoudzwa kuti havafaniri kushandisa doro kazhinji vanotora zano iri kure, kunyange zvakadaro. Vangave vasina kumbochenesa, kana kunyange kugunzva, micheche yomwana wavo zvachose. Ramba uchitarira kuti nembilical cord yakaoma, iwe unofanirwa kushambidza tsambo nesipo nemvura kana inenge yakasvibiswa, iipukute nekapu yakasvibiswa swab, uye wozoita kuti iome.
Zvaunoda Kuziva
Pasinei nedzimwe tsvakurudzo panyaya iyi, isu tisati tine ruzivo rwakajeka rwemhando yakanakisisa yekuchengetedza michina. Nenzira yakanaka, umbilical tsvimbo zvirwere hazviwanzowanzo uye zvinowanzotarisirwa kana zvichizivikanwa nokukurumidza. Kusvikira zvimwe tsvakurudzo zvaitwa, bvunza chiremba wevana vako zvaanorayira pamusoro pemusambo wekuchengeta.
Pamwe, ndinoda kushandisa doro pamusana wembilical tsvimbo kaviri pazuva. Izvi zvinobatsira kubvisa kusunungura chero kupi zvako kwakagadzirirwa kumativi ose echitsipa, kuchichengetedza ichi chakanatswa, uye hazvibviri kuita kuti tambo igare pane imwe nguva kwenguva refu kupinda kungoita chinhu zvachose.
Ramba uchiyeuka kuti doro harifaniri kubetsera tambo inouya nokukurumidza. Izvo zvinongotarisirwa kudzivirira chero zvirwere kubva pakukura kusvikira zvingabva pane zvayo, uye zvinogona kutowedzera nguva kusvikira yawa.
Kutarisira Mutambo weUmbilical Stump Pamba
Mwana wako wembilical mucheche anofanira kuwira paanenge ari imwechete kune mavhiki mana. Mamwe magwaro anopa kukurudzira kudana chiremba wako kana cambo ichi chichiri kuiswa pavhiki ina, asi vamwe vanokurudzira vhiki masere. Kumbira chiremba wevana vako zvaanokurudzira, uye uende kune rumwe rutivi rwekudana nokukurumidza pane mberi nezvose zvinonetsa iwe semubereki.
Paunosvina, peta mapepa kuitira kuti arege kuvhara muchero wembilical. Iwe unogona kutengesa diapers kune vecheche. kana kucheka mahara mahara kuitira kuti nzvimbo ino isasanhire pachigamba. Chero bedzi ichidziya zvakakwana, kusiya mutezo wemukati wakazaruka kumhepo inogona kuibatsira ikaoma nokukurumidza. Tarisa mifananidzo iyi inorondedzera zvakajeka izvo mutsara wembilical wakafanana nekutanga nekugunzva, uye kuguma painowa.
Kusvikira muromo wemwana wako wakagumburwa, tsvaga kuichengeta yakachena uye yakaoma. Yeuka kuti mwana wako achangoda bedzi kushambidza kusvikira tambo yake ichiwa uye kuti tumiti yembilical haifaniri kuvharwa mumubhati kusvikira izvo zvaitika. Ikoko kunogona kunge kune madonhwe mashoma edopa rakapoteredza dutu paanowa, asi chero kubuda kwechokwadi kunofanira kukurudzira kuti utumidze mwana wako pakarepo.
Umbilical Cord Zvirwere kana Omphalitis
Zviratidzo zvemubilical cord utachiona zvinosanganisira kuchena kumativi ose, kunhuhwirira kwakashata, uye kubuda, kana kunetseka paunobata nzvimbo yakakomberedza mutsara wembilical. Dana mwana wako pakarepo kana chimwe chezviratidzo izvi kana zviratidzo zvichifanira kuitika.
Umbilical Cord Granulomas
Dzimwe nguva granuloma - chinenge chinopenya chinenge chichibuda mudutu chinopisa zvishoma zvemaoko-tsvuku-zvinogona kuitika mushure mekunge tambo inotevera. Izvi zvakajairika uye zvinowanzogadzirisa mukati mevhiki. Kana ikaramba ichichiremba vana vako inogona kukonzera nzvimbo yacho nesirivha ye nitrate.
> Sources:
American Academy of Pediatrics. Healthychildren.org. Umbilical cord kutarisirwa. Updated 11/21/15. https://www.healthychildren.org/English/ages-stages/baby/bathing-skin-care/Pages/Umbilical-Cord-Care.aspx.
Mullany, L., Darmstadt, G., uye J. Tielsch. Basa remaawa antimicrobial kushandiswa kumutsara wembilical mu neonates kudzivirira mabhakitiriya ukoni uye utachiona: kuongorora kwehuchapupu. Magazini Inonzi Infedious Infectious Diseases Journal . 2003. 22 (11): 996-1002.
Palazi, D., uye M. Brandt. Kutarisira kwemubilicus uye kutungamirirwa kwembilical matambudziko. Kusvika pari zvino. Updated 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., naN. Opiyo. Chlorhexidine ganda kana tambo yekuchengetedza kuvhara kwekufa uye zvirwere mune neonates. Cochrane Database yekuongorora kwakarongeka . 2015. 3: CD007835.
US National Library of Medicine. Medline Plus. Umbilical cord inotarisira muchecheche. Updated 12/04/13. https://www.nlm.nih.gov/medlineplus/ency/article/001926.htm.