Navel disease in newborn symptoms
Mar 05, 2018
Normally the umbilical remainder is mummified and falls off on the 5th-7th day, the umbilical wound heals on the 10th-14th day. When infected, these processes are delayed, and the gangrene of the umbilical cord, the collapsing navel, fungus, and omphalitis can develop. In addition, there may be congenital changes - umbilical fistula and a hernia of the umbilical cord.
The cordate residue acquires a greenish-brown color, an unpleasant odor develops, the general condition is disturbed. The process can spread and cause peritonitis.
Treatment. Begin immediate treatment with broad-spectrum antibiotics and a systematic umbilical cord rest;surgically remove necrotic areas.
The umbilical wound heals slowly, there is a serous or serous-nasal discharge.
Treatment. Careful systematic processing of the umbilical wound with hydrogen peroxide and cauterization with a 5% solution of silver nitrate. It is necessary to refrain from hygienic baths;the skin is treated with patches.
With prolonged non-healing umbilical wound, there is an excessive development of granulation tissue, which is protruded from the wound by a cone.
Treatment. Careful treatment of the umbilical wound and cauterization of granulations with a 5% solution of silver nitrate.
Omphalitis is a purulent inflammation of the umbilical wound, skin and subcutaneous tissue around the navel. The child thus is disturbed, does not add in weight, regurgitates, at it the temperature rises. Purulent contents are separated from the umbilical wound, the skin around is swollen, red. It is necessary to plant the flora and diphtheria bacillus.
Treatment. Washing of the umbilical wound with 3% hydrogen peroxide solution followed by treatment with 5% alcohol solution of silver nitrate. In the future, dressings with furatsilinom or hypertonic sodium chloride solution. In severe course, antibiotics of a wide spectrum of action and stimulating therapy are prescribed-gamma globulin, vitamin therapy.
Umbilical fistula is a congenital disease;is formed with partial or complete excretion of the yolk-intestinal or urinary duct. From the umbilical wound, respectively, constantly excrete either stool or urine. Umbilical wound does not heal. A probe is easily inserted into the available hole.
Treatment. At full nezarashchenii treatment only surgical, at partial - careful leaving and processing of an umbilical wound. If the fistula has not closed independently within 3-5 months, surgical intervention is indicated.
With a small size of the hernial sac in the navel area, only the epiploon comes out, while it is easily refilled.
Treatment is conservative, applying special bandages, usually with the help of adhesive plaster. It is necessary to eliminate flatulence. In severe cases, not only the epiploon falls into the large hernial sac, but also the intestine, liver, and spleen. The size of the hernia sometimes can reach the size of the baby's head. In these cases urgent surgical intervention is indicated.
Umbilical diseases - periarteritis of the umbilical artery and phlebitis of the umbilical vein - develop if the rules of antiseptic are violated during the treatment of the umbilical cord and replacement blood transfusions.
Symptoms. The general condition of the child is broken, the temperature rises. Inflammation in the navel may be absent, but with palpation of the abdominal wall, tightened vessels in the form of strands at a distance of 1.5-2 cm from the navel are determined. When pressing down from above or from the bottom up, a drop of pus can be released from the unhealed umbilical wound. Inflammation of blood vessels can be latent and complicated by phlegmon, peritonitis, diffuse hepatitis with abscessed liver, sepsis.
Treatment. Breastfeeding, broad-spectrum antibiotics Actions, gamma globulin. Locally - bandages with hypertonic sodium chloride solution.