Mālama mālama kaula Umbilical i nā keiki hānau hou

Ke hānau ʻia kāu pēpē ʻokiʻoki ka umbilical cord a aia kahi kumu i koe. Pono e maloʻo ke kumu a hāʻule i ka manawa o kāu pēpē i 5 a 15 mau lā. E hoʻomaʻemaʻe i ka ʻōpuʻu me ka ʻeke a me ka wai wale nō. Holo ʻo Sponge i ke koena o kāu pēpē, pū kekahi. MAI hoʻokomo i kāu pēpē i loko o ka pahu wai a hiki i ka hāʻule ʻana o ka ʻōiwi.

E hāʻule kūʻē ka ʻōiwi. Mai hoʻāʻo e huki iā ia, ʻoiai e kau wale ʻia ana e kahi pae.

E nānā i ka ʻōpuʻu umbilical no ka maʻi. ʻAʻole pinepine kēia. Akā inā hana ia, hiki ke pālahalaha koke ka maʻi.

ʻO nā hōʻailona o kahi maʻi kūloko ma ka ʻōmole i:

• ʻAʻala ʻaʻala, hoʻoheheʻe melemele mai ke kumu
• ʻUlaʻula, pehu, a palupalu paha o ka ʻili a puni ke kumu

E makaʻala i nā hōʻailona o ka maʻi ʻoi aku ka hewa. Kāhea koke aku i kāu kahu mālama ola inā he pēpē kāu:

• ʻAi hānai maikaʻi ʻole
• Fever o 100.4 ° F (38 ° C) a ʻoi aku paha
• Lethargy
• Floppy, leo nāwaliwali nāʻiʻo

Inā huki koke ʻia ke kumu kaula, hiki iā ia ke hoʻomaka i ke kahe ʻana, ʻo ia hoʻi i kēlā me kēia manawa ke holoi ʻoe i kahi kulu koko, ʻike ʻia kahi kulu ʻē aʻe. Inā hoʻomau ke kahe o ke kaula i ke koko, e kāhea koke i kāu mea hāʻawi pēpē.

I kekahi manawa, ma kahi o ka hoʻomaloʻo loa ʻana, e hana ke kaula i ka ʻili maka poni i kapa ʻia he granuloma. Hoʻopau ka granuloma i kahi wai māmā-melemele. E hala pinepine kēia ma kahi o hoʻokahi pule. Inā ʻaʻole ia, e kāhea i ka mea hāʻawi i kāu pēpē.

Inā ʻaʻole i hāʻule ke ʻōiwi o kāu pēpē i 4 mau pule (a ʻoi aku paha ka wikiwiki), e kāhea iā ʻoe he mea hāʻawi pēpē. Aia paha he pilikia me ka anatomy o ka pēpē a i ʻole ka ʻōnaehana pale.

Kaula - umbilical; Mālama neonatal - kaula umbilical

• Ke hoʻōla ola umbilical
• ʻAuʻau Sponge

ʻO Nathan AT. ʻO ka umbilicus. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 125.

ʻO Taylor JA, Wright JA, Woodrum D. Mālama kahu hānai hānau. I: Gleason CA, Juul SE, eds. Nā maʻi o Avery o ke keiki hānau. 10 o ka lā. Piladelapia, PA: Elsevier; 2018: chap 26.

Wesley SE, Allen E, Bartsch H. Mālama i ka hānau hou. I: Rakel RE, Rakel DP, eds. Puke aʻo o ka lāʻau lapaʻau ʻohana. 9th ed. Piladelapia, PA: Elsevier Saunders; 2016: chap 21.