navjata sisuvu yokka omphalitis

navjata sisuvu yokka omphalitis anedi navjata sisuvu kaalamlo boddu taadu stump yokka vaapuku vaidya padam, idhi saadhaaranamgaa bacteria sankramanaku aapaadinchabadindi. saadhaaranamgaa sisuvu janminchina ventane, boddu taadu oka chinna avasheshamtho (tarachugaa stump anie pilustaaru) kattirinchabadutundi. saadhaaranamgaa puttuka tarvaata 3-45 rojullone stump charmam nundi vaeru avutundi. chinna mottamlo cheemu lanty padaartham saadhaaranamgaa stump diguvana kanipistundi mariyu stumpnu endabettadaaniki gaaliki terichi unchadam dwara niyantrinchavacchu. eee prakriyaloo konni bacteria peragavacchu mariyu stump kuu sokavachu mariyu phalitamgaa gananeeyamaina erupu mariyu vaapu yerpadavachhu, mariyu konni sandarbhaallo sankramana boddu naalaala dwara sariiramlooni migilina bhagalaku vyaapinchavacchu. prastutam united stateslo navjata sisuvulo sankramanaku asaadhaaranamaina shareera nirmaana sthaanam ayinappatikee, idhi chaaritraatmakamgaa mariyu aarogya samrakshana takkuva sulabhamgaa labhinche praantaalalo gananeeyamaina anaaroogyam mariyu maranaalaku kaaranamaindi. saadhaaranamgaa, eee rakamaina sankramana anumaaninchabadinappudu ledhaa nirdhaarana ayinappudu, antibiatic chikitsa ivvabadutundi mariyu teevramaina samasyala sandarbhaallo shastrachikitsa nirvahana taginadi kaavacchu.
sankethaalu mariyu lakshanaalu.
vaidyaparamgaa, amphalitis unna navjata sisuvulu jeevitam yokka modati rendu varalalo boddu stump (erupu, vecchadanam, vaapu, noppi), boddu stump nundi cheemu, jwaram, vegavantamaina hridaya spandana raetu (tachycardia), takkuva raktapotu (hypotension), somanolens, paelavamaina aaharam mariyu pasupu charmam (kaamerlu) chuttoo charma sankramana (cellulitis) sankethaalu mariyu lakshanaalatoo untaaru. omphalitis twaragaa sepsis kuu purogamistundi mariyu praanaantakamaina sankramananu andistundi. nijaaniki, necrotising faasitis vanti marinta teevramaina sankramanaku aadharalu lekunda omphalitis kesulalo kooda, maranaala raetu ekkuvagaa untundi (10 saatam paridhiloo).
kaaranaalu.
omphalitis anedi saadhaaranamgaa bacteria valla vastundi. nerasthulu saadhaaranamgaa "stephylococcus arius", "streptococcus" mariyu "escherichia kooli". eee sankramana saadhaaranamgaa eee jeevula kalayika valla sambhavistundi mariyu idhi mishrama gram-positive mariyu gram-negative sankramana. vaayurahita bacteria kooda indulo paalgonavacchu.
rooga nirdhaarana.
oka saadhaarana boddu stump loe, boddu daani lakshanamaina neelam-telupu, thematho kuudina roopaanni kolpoyi, chaalaa rojula nundi vaaraala tarvaata podigaa mariyu nalupu ranguloki maradanni meeru modata chuustaaru, boddu padipoyi gulabi maamsala gayanni vadiliveyaali, idhi saadhaarana boddugaa maaradamtho nayam avtoone untundi.
vyaadhi sokina boddu stump kosam, rooga nirdhaarana saadhaaranamgaa boddu taadu stump yokka clinical roopaanni mariyu charitra mariyu saareeraka pareekshapai kanugonna phalitaala dwara jarugutundi. ayithe, baga kanipinche navjata sisuvu boddu stump chuttoo kontha erragaa unte kontha gandaragolam undavacchu. nijaaniki, boddu taadu yokka nirliptatatoe stump sait vadda kontha raktasraavam vanti telikapati sthaayi saadhaaranam. stumpnu subhram cheyadaaniki castic agentlanu upayoginchinatlayithe ledhaa boddu stump yokka granulomatanu cutterize cheyadaaniki sylver naitretnu upayoginchinatlayithe chitram marinta meghaavrutamavutundi.
nivaarana.
nivaarana omphalitis vyaapti chendindi, idhi boddu taadu stump yokka anty bacterial chikitsaku kotta pramaanamgaa daariteesindi. american academy off pediatrics sifaarasu chesinatlugaa abhivruddhi chendina deshaalalo taadu podigaa unchadam saripotundani ("dry card cair" anie pilustaaru) taruvaata nirdhaarinchabadindi. boddu taadu marinta twaragaa endipotundi mariyu gaaliki gurainappudu marinta sulabhamgaa vidipotundi, ayithe, prati aasupatri/janana kendram delivery tarvaata boddu taadu samrakshana kosam daani swantha sifaarsulanu kaligi untundi. taadu meeda etuvanti aushadha dustulanu utiki lekunda undaalani kondaru sifaarsu chestaaru. itara prajaadarana pondina sifaarsulalo triple dye, beatodine, bacitracin ledhaa sylver sulphadiagin unnaayi. aushadha chikitsalaku sambandhinchi, maroka chikitsa kante edainaa oka chikitsaku (ledhaa daani korata) maddatu ivvadaaniki chaalaa takkuva samacharam undhi. ayithe aneka adhyayanala iteevali sameeksha chlorexidine chikitsanu abhivruddhi chendani deshaalalo samaja paristhitulalo maranam pramaadaanni 23 saatam mariyu omphalitis pramaadaanni 27 nundi 56 saatam madhya tagginche maargamgaa upayoginchadaanni samarthinchindi. eee chikitsa boddu stump vaeru kaavadaaniki ledhaa padipovadaaniki patte samayanni 1.7 rojulu penchutundani kooda eee adhyayanam kanugondi. chivaraga, eee pedda sameeksha, podi taadu samrakshanhatho poliste, aasupatri amarikalalo yea aushadha rakam taadu samrakshana chikitsa sankramanalanu tagginchadamlo manchidi kaadu anae bhavanaku kooda maddatu ichindi.
chikitsa.
chikitsalo hypotension ledhaa swaasakosha vaiphalyam vanti sankramana valla kalige evaina samasyalaku sahayaka samrakshanhatho paatu vilakshanhamaina bacteria vyadhikaaraka kaarakaalanu lakshyamgaa chesukuni antibiatic chikitsa untundi. oka saadhaarana niyamaavalilo "stephylococcus arius" kuu vyatiraekamgaa churukuga unde pencillin-group nundi intravenous antibiatics mariyu gram-negative bacteriaku vyatiraekamgaa charya kosam aminoglycoside untaayi. mukhyamgaa invasive infectionla kosam, vaayurahita bacterianu cover cheyadaaniki antibiatics jodinchavachhu (metronidazole vantivi). chikitsa saadhaaranamgaa rendu vaaraala paatu untundi mariyu tarachugaa central veenus catheter ledhaa paridheeyamgaa choppinchina central kaathetarnu choppinchadam avasaram.
epidemiology.
united stateslo prastuta sambhavam samvatsaraaniki 0.50% untundi; mottam meeda, abhivruddhi chendina prapanchaalalo sambhavam raetu 0.20 mariyu 0.7% madhya padipotundi. abhivruddhi chendutunna deshaalalo, omphalitis sambhavam 100 sajeeva jananaalaku 2 nundi 7 varaku untundi. etuvanti jaathi ledhaa jaathi korika unnatlu kanipinchadam ledhu.
aneka bacteria infectionla maadirigaane, balaheenamaina ledhaa roganirodhaka vyavastha lopam unna ledhaa aasupatrilo chaeri invasive vidhaanaalaku lobadi unna rogulalo omphalitis sarvasaadhaaranam. anduvalla, akalamga unna, rakta sankramana (sepsis) ledhaa pneumonia vanti itara infectionlatho badhapaduthunna ledhaa roganirodhaka shakti lopaalu unna sisuvulaku ekkuva pramaadam untundi. saadhaarana roganirodhaka vyavasthalu unna sisuvulu sudeerghakaalam putti, maavi (choriamnionitis) sankramanatho sanklishtamgaa janminchinatlayithe ledhaa boddu catheterlanu kaligi unte pramaadam untundi.

