Iyiphi indlela efanelekileyo yokunyamekela intambo yomntwana wakho? Ukuba uvile ukuphikisana okuvela "ukunyamekela" ukusetyenziswa kotywala, mhlawumbi uyazibuza ukuba wenze ntoni njengomzali.
I-Umbilical Cord Care Controversy
Usenokuba utshelwe ukuba utywala (u-70% isopropyl alcohol okanye utywala utywala) kwintambo yomntwana wakho kuze kube yinto ewa, kodwa mhlawumbi unokuxelelwa ukuba ungasebenzisi utshwala.
Usenokuba utsheliwe indlela yokunyamekela intambo yomlomo ngenye indlela kunye nomntwana wakho wokuqala, nangenye indlela ngoku.
Kutheni Kutshintsho?
Ezinye iingcali zicinga ukuba utywala oluninzi lunokwenza ukuba intambo yesigxina ihlale ixesha elide, eninzi abazali abayifunayo. Kwaye uphando lubonisa ukuba utywala awunawo umphumo okhuselekileyo wokukhusela izifo phezu kokuvumela ukuba intambo yomnxeba iyomile ngokwawo (ukunakekelwa okomileyo).
I-Triple Dye ne-Hexachlorophene ngokungekho Nonyango
Ngokukhawuleza emva kokuzalwa, isayithi lomntwanzana wakho womntwana, okanye ungekho, uphathwe ngento ukuze unciphise umngcipheko wokusuleleka. Ezinye izibhedlele zisebenzisa idayi ephindwe kabini kwintambo entsha. (Ukuba ubonile izinto ezibomvu kwintambo yomntwana wakho, yintoni ebangela ukuba oku.) Ezinye izibhedlele zisebenzisa i-chlorhexidine. Ezinye izibhedlele zisebenzisa ezinye izinto ezifana ne-bacitracin, i-silver sulfadiazine kunye ne-hexachlorophene.
Yiyiphi efanelekileyo? Kubonakala ukuba kukho inzuzo kunye nokungahambi kakuhle kwindlela nganye - eqhelekileyo kukuba banokunciphisa inani leebhaktheriya ezikhoyo ngapha kwentambo. Ngexesha elifanayo, unyango luvame ukuphumela kwisixa esiphezulu sexesha ngaphambi kokuba intambo yomlomo iwele.
Ukuphononongwa kwangoku kwezifundo ukuya kutsho kwatholakala ukuba i-chlorhexidine yanciphisa umngcipheko weentambo zentsholongwane ( omphalitis ) kunye nokufa kwabantwana, kodwa ukuba ezi nkxalabo zikhulu kakhulu ekuphuhliseni kunamazwe athuthukile.
Lawulo
Xa usuka ekhaya, ugqirha wakho unakho okanye akanakucebisa ukusetyenziswa kotywala kwisitambo somntanakho. Ukuba utywala ukunyamekela intambo yomntwana wakho, ngokuqhelekileyo ukulungele ukuwusebenzisa nge-cotton swab okanye ibhola yekotoni ngamanye ambalwa ngosuku.
Ngokuphindaphindiweyo kule mihla, unokuxelelwa ukuba unqumle utywala. Abazali abaxelelwa ukuba abanakusebenzisa utywala badla ngokuthatha le ngcebiso kakhulu, nangona kunjalo. Akunakuze bahlambulule, okanye badibanise, intambo yomntwana wabo. Gcina ukhumbule ukuba ngocingo olumileyo lunyameko, unyanzelekile ukuba uhlambe intambo kunye nesepha kunye nemanzi xa ihlambulukile, uyisuse nge-swab eyomileyo, uze uyivumele ukuba yome.
Oko Kufuneka Ukwazi
Nangona uphando oluthe ngqo ngalo mbandela, asikwazi ukuqonda ngokucacileyo iinkqubo zokunyamekela intambo. Ngethamsanqa, intambo ye-intlolical infections ayiqhelekanga kwaye iphathwa ngokukhawuleza xa ibonwa ngokukhawuleza. Kuze kubekho uphando oluthe lwenziwa, cela umntwanantwana wakho oko akucebisayo malunga nokunakekelwa kwentambo.
Ngokomntu, ndiyakuthanda ukusebenzisa utywala kwisitambo somkhonto wesibini malunga nomhla ngosuku. Oku kunceda ukususa naluphi na ukukhutshwa okuqokelelwe ngaphantsi kwesiqu, ugcine ucocekile, kwaye akunakwenzeka ukuba intambo ihlale kuyo yonke into ngaphandle kokungenzi nto nhlobo.
Gcina ukhumbule ukuba utywala akufuneki ukukunceda intambo ifike ngokukhawuleza. Kuphela kuthintela ukuthintela naziphi na izifo ukusuka ekuhlaleni kude kube yedwa, kwaye inokwandisa ixesha de liwe.
Ukunyamekela iCord Umbilical Stump ekhaya
Isisu sakho somntwana kufuneka siphume ngexesha elilodwa ukuya kwiiveki ezine ubudala. Ezinye iimithombo zincoma ukuba ubizele ugqirha wakho ukuba intambo idibeneyo kwiiveki ezine, ngelixa ezinye ziphakamisa iiveki ezisibhozo. Buza udokotela wakho wezilwanyana oko akucebisayo, kwaye ulahleke kwicala lokubiza ngokukhawuleza kunokuba kukho naziphi na iinkxalabo unomzali.
Xa udibanisa, tyalela i-diapers ukuze bangafihla isigxobhozo. Ungathenga i-diapers iintsana. okanye unqumle i-diapers ukuze lo mmandla ungagxobhozi kwisiqu. Ngethuba nje lifudumala ngokwaneleyo, ukushiya indawo evulekile emoyeni inokukunceda ukuba yome ngokukhawuleza. Hlola le mifanekiso echaza ngokucacileyo ukuba intambo yomthamo unjani ukuqala ngokubamba, nokuphela xa iwa.
Kuze kube yintshontsho yentambo yakho yomntwana, qiniseka ukuba uyigcinile kwaye iyomile. Khumbula ukuba umntwana wakho uzakufuna kuphela ukuhlamba i-sponge kuze kube yintambo yakhe yokuwa kunye nokuba umquba awufanele ungeniswe ngaphakathi kwisibhaka de kube yenzekile. Kungase kube namaconsi amancinci egazi elomileyo malunga nesigxina xa liwa, kodwa nawuphi na ukuphuma kwegazi kufuneka uqaphele ukuba ubize unobantwana besifo sakho.
I-Umbilical Cord Infections okanye i-Omphalitis
Izibonakaliso zentsholongwane yentsholongwane zibandakanya ubomvu malunga nommandla, inkohlakalo engcolileyo, kunye nokukhupha, okanye ukuphazamiseka xa uthintela indawo ejikeleze intambo. Biza udokotela wezilwanyana ngokukhawuleza ukuba ngaba kukho naziphi na iimpawu okanye iimpawu kufuneka ziphuhlise.
I-Umbilical Cord iGranulomas
Ngamanye amaxesha i-granuloma - i-nodule ebonakalayo ebomvu ekhupha isamba esincinci sezinto eziluhlaza okwesibhakabhaka-inokwenzeka emva kokuba intambo ilandele. Oku kuyinto eqhelekileyo kwaye ihlala isombululo kwisonto. Ukuba iqhubeka nomntwana wakho unokwenza i-cauterize indawo leyo nge nitrati yesiliva.
> Imithombo:
I-American Academy yePediatrics. Healthychildren.org. Ukunakekelwa kwentambo ye-umbilical. Ukuhlaziywa 11/21/15. https://www.healthychildren.org/English/ages-stages/baby/bathing-skin-care/Pages/Umbilical-Cord-Care.aspx.
Mullany, L., iDarmstadt, G., kunye noJ. Tielsch. Inxaxheba yezicelo ze-antimicrobial kwi-cord umbilical kwi-neonates ukukhusela i-bacterial colonization kunye nosulelo: ukuhlaziywa kobungqina. I-Journal ye-Infectious Diseases Journal . 2003. 22 (11): 996-1002.
Palazi, D., kunye noMn. Brandt. Ukunyamekela umbilicus kunye nokulawulwa kweengxaki zomzimba. Isemgangathweno. Ukuhlaziywa ngo-12/02/15. http://www.uptodate.com/contents/care-of-the-cal--management-of-umbi-disorders.
Sinha, A., Sazawal, S., Pradhan, A., Ramji, S., no-N. Opiyo. I-klorhexidine isikhumba okanye intambo yokunyamekela ukuthintela ukufa kunye nokusuleleka kwezifo. I-Cochrane Database yeeNkqubo eziPhezulu . 2015. 3: CD007835.
ILayibrari yeSizwe ka-US yamayeza. Medline Plus. Intambo ye-Umbilical ukunakekelwa kwintsana. Ukuhlaziywa ngo-12/04/13. https://www.nlm.nih.gov/medlineplus/ency/article/001926.htm.