Dermatitis ya diaper ndi kutupa kwa khungu la mwana woyamwitsa, imapezeka pamene imakhudzidwa ndi mabakiteriya, mankhwala (mankhwala omwe ali mumtsuko ndi nyansi), thupi (kutentha kwambiri ndi chinyezi), mawonekedwe (zovala zamkati) zinthu zomwe zimayambitsa matenda, zowononga ndi zowopsya zimakhudza khungu la mwanayo.
Mpaka chaka chimodzi khungu la mwanayo ali ndi thupi lochepa kwambiri (mophiphiritsira) wosanjikiza, chifukwa cha zomwe zimasiyanitsidwa ndi chiopsezo chowonjezeka komanso mosavuta. Ndipo chitetezo chosadziwika koma chapachilumba (chitetezo cha khungu) chimapangitsa kufalitsa kofulumira kwa matenda m'malo mwa microtrauma. Palinso ubwino pakhungu la makanda: ndi chithandizo cha panthaŵi yake ndi chisamaliro choyenera chifukwa cha magazi abwino khungu, kusintha konse kumapita msanga.
Ambiri amavutika ndi matenda oterewa ndi ana omwe amatha kudwala matenda enaake kapena ali ndi zakudya zokwanira.
Zizindikiro za nthendayi.
Dermatitis ya diaper ikhoza kuchitika mosiyana kwambiri. Ngati digiriyi ili yochepa, pakhungu la mwanayo pali zizindikiro za kudzikuza, kufiira komanso kuthamanga komwe kulibe malire m'mabowo, pamimba, m'munsi.
Ngati simukuchotseratu chifuwa cha dermatitis, ndiye kuti mkati mwa khungu la khungu pali zochepa zazing'ono, ming'alu ya pamwamba. Awa ndi mlingo wa chifuwa chachikulu.
Pa milandu yoopsa, pamatenda osanyalanyaza, khungu limakhala ndi macerated kwambiri (maceration - kutupa ndi maceration ya minofu), kutayika, motero kumapanga malo otentha okhudzidwa ndi zolemba zosagwirizana.
Nthawi zambiri zimachitika kuti ndi chiwerengero chachikulu cha chifuwa chachikulu, matenda (fungal, staphylococcal, streptococcal, ndi ena). Kwa mwana wamng'ono izi ndi zoopsa kwambiri.
Kuchiza kwa dermatitis.
Malinga ndi chithandizo cha kuopsa kwa matendawa. Ngati mawonekedwewa ndi owala, ndiye kuti ndibwino kusamalira khungu la mwanayo: kutsuka pambuyo pa kusintha kwa ma diapers, kutentha kwa magawo ofiira ndi mafuta a kirimu kapena mafuta a masamba, omwe anali ataphika kale. Mukhoza kugwiritsa ntchito njira zotsutsana ndi matenda (mwachitsanzo, "Drapolen") ndi mafuta opatsa padera pofuna kupewa kupsa mtima (mwachitsanzo, Desitin) khungu. Ndizofunikira pambuyo pochizira khungu kuti apange mwanayo kusambira mpweya - kwa mphindi zochepa amasiya kutseguka. Monga amathawa amagwiritsira ntchito diapers yabwino, chifukwa amatenga chinyezi, ndipo khungu limalira pang'ono.
Ndi nthendayi yamakono ndi yowopsya, tikulimbikitsidwa kugwiritsa ntchito njira zomwe zimathandizira kubwezeretsa khungu (monga mafuta, "Bepanten", "D-panthenol"). Gwiritsani ntchito mankhwala abwino omwe ali ndi tizilombo ta tizilombo toyambitsa matenda ndi kubwezeretsa (mwachitsanzo, mafuta onunkhira "Bepanten plus").
Malamulo a kusamalira mwanayo kuti athetse kuchitika kwa dermatitis.
- Nsalu za nsapato ndi zovala, ngakhale zitakhala zoonda, nthawizonse zimakwiyitsa khungu lotupa la mwanayo. Choncho, sikovomerezeka kuti tiwone bwino mwana, ngakhale ali khanda (m'masabata 4 oyambirira a moyo). Zidzakhala zokwanira kuziyika 2 zazhonki (flannel ndi zoonda, zomwe zimayenera kudulidwa ndi manja), kukulunga m'mapiritsi awiri (otentha komanso ochepa) mpaka m'chiuno, kupanga "thumba" la miyendo, momwe mwanayo amatha kumasula miyendo yake momasuka.
- Ngati mwanayo ali womasuka, khungu limakwiya mosavuta, ndibwino kuti musagwiritse ntchito mapuloteni a minofu, koma ma diapers, mukuwasintha pambuyo pachithunzi china kapena patatha maola atatu. Mitsempha ndi ndowe za mwanayo zili ndi zinthu zakuthupi (mavitamini, ammonia, ndi zina zotero), zomwe zimakhala zokwiya nthawi yaitali zimakwiyitsa komanso zimadula khungu la mwanayo. Mapepala ndi nsapato za nsalu ziyenera kusinthidwa nthawi iliyonse akakhala akuda.
- Mwanayo ayenera kusambitsidwa tsiku ndi tsiku, makamaka madzulo asanadze (mu madzi otentha kufikira mwezi, mumadzi ozizira patatha mwezi umodzi). Kusankha mankhwala odzola kuti asamalire mwanayo kumayenera kukhala wovomerezeka payekha.
- Zovala zazing'ono zitha kutsukidwa ndi sopo kapena mwana wothandizira. Pofuna kuteteza matenda pa khungu la mwana, zinthu zake zonse ziyenera kusambitsidwa ndi kusungidwa.
Kuyamwitsa ndi kusamalira bwino mwanayo ndi njira yabwino kwambiri yothetsera chiwindi.