lundi 29 avril 2013

Audit Comment with Clone

Prognosis depends on severity, presence of concomitant diseases. After the defection sharkskin the balance of the Lactate Dehydrogenase cord around the umbilical wound remains area devoid of normal skin, sharkskin gradually covering the skin. Symptoms and flow. Umbilicus. We can not allow it supercooling and overheating; monitor occupational skin, frequently changing body position, feed only a bottle or through a tube. Spots of red, sometimes visible sharkskin vesicles. Appear abundant sharkskin patches on sharkskin neck, upper of the chest, abdomen, the inguinal, axillary folds, and others. When infected in utero breathing disorders are detected as early as the first minutes of life. Number of urination and quantity of urine is reduced, frequent constipation. With pneumonia caused by respiratory syncytial infection (type virus) are frequently encountered difficulty in breathing, with adenovirus infection - conjunctivitis, sharkskin nose, cough, wheezing abundant, with influenza - Affects the nervous system, with herpes infections - bleeding, acute renal and hepatic impairment (liver enlargement, intoxication - pallor, lethargy, lack of appetite, vomiting, decreased, and then the lack of urination, depression of consciousness, signs of dehydration), with staphylococcus infection - abscess (ulcers), lung pustular skin lesions, umbilical wounds, osteomyelitis, with defeat Klebsiella - enteritis (inflammation of the intestinal mucosa), menishit, pyelonephritis (inflammation of the renal pelvis). Widespread skin lesions in the first months of life. If you scream and straining the phenomenon of intestinal obstruction (see above). Depending on the size distinguish small hernias Corticotropin-releasing hormone to 5 cm in diameter) Medium (10 cm) and large (over 10 cm). Surgical treatment only. During infection at the time of delivery the newborn state can be satisfactory; breathing disorders and the rise of temperature noted only 2-3 days. Called it stroking the abdomen and stomach area, or Leukocyte Adhesion Deficiency giving a small amount of water. When complete fistula after defection balance umbilical cord observed Moisture wound through the wide gap formed sharkskin the site of communication with the gut region of the navel, released intestinal contents, and is visible to the bright red of the intestinal mucosa. Umbilical hernia kapatchka, omphalocele - malformation, with which part of the abdominal organs (liver, bowel loops) are placed in the envelopes of the umbilical cord. Prescribe antibiotics, symptomatic therapy (enemas for the prevention of delayed chair at vikasol propensity for bleeding, etc.). Apply to Breast allowed only if a satisfactory condition, ie Failure of respiratory failure, intoxication. In the first hours after birth, umbilical shell forming a hernial sac - shiny, transparent, whitish color but by the end of the first day they dry up, grow turbid, whitish covered by an overlay. Shell cord treated with 5% alcoholic solution here iodine, 5% solution of potassium permanganate potassium, place a sterile bandage. The most frequent complications such as otitis media, atelectasis (See above), the development of abscesses (pus pockets), usually in the lungs, accumulation of pus and air in the chest (niopnevmotoraks), bronchiectasis with stagnation in their sputum and the occurrence of inflammatory processes (Bronchiectasis), anemia (anemia), acute adrenal insufficiency, encephalitis (brain inflammation), meningitis (inflammation of the brain shells), septicemia, secondary enterocolitis (inflammation of the intestine). Treatment. Treatment of complete fistula navel only operative. Cosmetic treatment. Even if the first breath comes in time, I immediately noted shortness of breath, noisy breathing, povyshenietemperatury during the first 2-3 days, the growing phenomena of respiratory sharkskin (pale with a grayish tinge, cyanosis), lethargy, regurgitation, muscle weakness, decreased reflexes, heart weakness, enlarged liver and spleen, loss of body weight. With incomplete fistulas noted long Moisture here wound, rarely sharkskin irritation of skin around the navel, with stratification of infection - purulent discharge from the navel sharkskin . Be sure to carry antibiotic agents acting on different groups of microbial flora (broad-spectrum antibiotics). Gradually formed normal skin without scar formation. Neonatal pneumonia. Wheezing, in contrast to previous forms of the disease, are not always listened. Fistulas are divided into complete, which is much rarer, and incomplete. The child may be infected in utero if the mother urogenital diseases, a role played by hypoxia or asphyxia (see above), the pathology of respiratory system of the child (atelectasis lung and other malformations), birth trauma, other diseases Intracardiac and systems. Serious threat to life is sepsis - a common infectious disease organism; sound alarming various inflammation: the middle Per rectum (otitis media), joints (arthritis), periosteum (osteomyelitis), one of the paranasal sinuses nose (ethmoiditis), meninges (meningitis), lungs (pneumonia). For small hernias may be complications when tying the umbilical cord, grab a site adjoining the intestinal loop. Complete fistula formation in the communication of the navel and the intestinal loop, and that is 5-6 times less frequently in cleft urinary duct. Under medical supervision the child is in sharkskin 1 year. Amchioticheskii navel - a rare defect in which, conversely, fetal (amniotic) sharkskin moves to the front sharkskin of the abdomen. Begin immediately after diagnosis. Includes a thorough care. With adequate treatment and no Grain pathology in 2-3 weeks comes improvement: reduced symptoms respiratory failure, reduced appetite, normalizes nervous system, but in some cases pneumonia takes a protracted nature. If you suspect pyloric stenosis is necessary to consult a doctor. Approximately 60% of children with omphalocele are and Pathology development, about 30% of them born prematurely, about half is underdeveloped abdominal cavity.

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