If you don't do this well, be careful that your child suffers from omphalitis, which can seriously lead to sepsis

time:2022-12-09 07:35:36source:monlittlebaby.com author:Make one's mouth water
If you don't do this well, be careful that your child suffers from omphalitis, which can seriously lead to sepsis

As we all know, the umbilical cord is the channel for the exchange of blood and substances between the mother and the fetus. After the newborn falls to the ground, although the umbilical cord is cut and separated from the mother's body, the healing of the umbilical cord stump takes a certain amount of time. Since the immunity of newborns is not perfect, it is very easy to be infected by various bacteria from the outside world, causing various diseases, and omphalitis is the first to bear the brunt. In order to ensure the healthy and strong growth of children and avoid the occurrence of omphalitis, parents or caregivers need to have some in-depth understanding of omphalitis.

What is omphalitis?

Omphalitis is a bacterial infection of the umbilical cord stump. For newborns, there are many possibilities for omphalitis. For example, when the fetus is still in the mother, the umbilical cord is infected by bacteria, the mother's birth canal has pathogenic bacteria, and the umbilical cord stump is not disinfected according to the regulations after birth. , Negligence and irregularity of neonatal umbilical cord care. If the child's immunity is poor, and the inflammation in the umbilical cord and surrounding area is not dealt with in time, it may develop into abdominal wall cellulitis, resulting in a large area of ​​abdominal wall infection. When the disease develops to a severe degree, it may even cause peritonitis, liver swelling, and toxic shock. According to the pathological process, omphalitis can be divided into acute and chronic. Acute omphalitis usually causes inflammation of the abdominal tissue around the umbilical cord. If parents do not pay attention to it and the treatment is not timely, it may lead to peritonitis or septicemia. Although chronic omphalitis is not as serious as acute omphalitis, if you miss the best time for treatment, the umbilical cord stump will not heal for a long time or cause chronic inflammation, which will bring great pain to children. Parents should not take it lightly.

Judgment and treatment of omphalitis

1. Judging the initial symptoms of omphalitis in neonates: after the umbilical cord falls off, the wound on the umbilical cord stump does not heal slowly, There will also be occasional discharge. If you look closely around the umbilical cord, you will often see redness, small granulations, or purulent discharge. When the symptoms are severe, there will be redness, swelling, heat, pain and other symptoms. If you gently press around the umbilical cord with your hands, there will be foul-smelling pus out. Therefore, new parents or caregivers can make a preliminary judgment based on "redness and swelling of the umbilicus, secretions, sometimes granulation swelling, and continuous exudation of secretions". 2. When going to the hospital for medical treatment, the first choice is pediatrics, pediatric surgery, or general surgery. In the process of visiting a doctor, in order to confirm the specific situation of omphalitis, the doctor usually recommends blood examination and bacteriological examination. The purpose of blood test is to observe the changes of white blood cells and neutrophils in order to understand the specific situation of infection. The purpose of bacteriological examination is to determine the type of bacteria that is causing the infection, and then prescribe the right medicine. Doctors may also take wound secretions for smear staining or bacteriological culture, or blood cultures if sepsis is suspected.

Treatment and prevention of omphalitis

1. The treating doctor usually cleans, disinfects, and sterilizes around the umbilicus. In severe cases, it is treated with systemic anti-infective drugs. For newborns, the main thing is to change diapers frequently to prevent secondary infection of bacteria on the diapers. When treating the affected area, you can use a less irritating topical medication, such as iodophor, two or three times a day on the affected area. To keep the umbilicus clean and dry to avoid secondary infection. In the selection of anti-infective drugs to be extra cautious, the preferred drug is penicillin or ampicillin. Because omphalitis usually causes swelling, the treatments for swelling are: heat therapy or light therapy. The main purpose is to improve blood circulation and promote absorption. Once most omphalitis occurs, local treatment is required as soon as possible, and surgery may be required once the disease begins to become serious. 2. Prevention of bacterial infection of the umbilical cord stump due to omphalitis. Therefore, prevention work mainly focuses on two aspects: keeping the living environment of newborns clean and tidy, and disinfecting not only clothes but also the environment regularly. Caregivers should disinfect the umbilical cord with iodophor daily and keep the umbilical cord stump and surrounding areas dry. In view of the hidden dangers due to non-standard umbilical cord disinfection during delivery, professional doctors are requested to cut the umbilical cord again, and perform secondary disinfection of the umbilical cord stump according to the correct nursing standard to avoid bacterial erosion. When using diapers for children, adjust the height of the diapers to avoid stimulating the umbilical cord stump when the child moves, which is not conducive to its healing. When bathing, you can also cover the area around the umbilical cord with gauze or towel to prevent water from entering. No one can predict the occurrence of a disease, but high attention and active intervention can effectively control the disease. For children, it is more necessary for parents to carefully observe and take care of them in order to give them a healthier body.
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