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一次講清寶寶臍帶護理和耳朵護理

出處：網(wǎng)絡(luò)收集 日期：2024-07-06 10:11:00 編輯：胖虎愛撩妹
臍帶是連接媽媽和胎兒的親密紐帶，負(fù)責(zé)把營養(yǎng)運送給胎兒，助其更好地發(fā)育成長。寶寶出生以后，會從母乳或配方奶中獲得營養(yǎng)，臍帶的使命也就完成了，需要剪斷結(jié)扎。而臍帶離斷標(biāo)志著寶寶完全脫離母體，開始作為一個獨立個體踏上自己的生命旅程。
 
　　在以前，醫(yī)學(xué)水平還沒那么發(fā)達的時候，很多媽媽都是在家生孩子的，由于臍帶處理不規(guī)范等問題、寶寶發(fā)生臍部感染而早夭的概率是非常高的。隨著醫(yī)療水平進步以及人們安全意識的提高，現(xiàn)在幾乎所有媽媽都會選擇在醫(yī)院生產(chǎn)，讓寶寶得到更好的新生照顧。由臍帶感染引起的悲劇已經(jīng)越來越少，但寶寶的臍帶護理仍然讓不少新手媽媽們頭疼。那么，該如何正確護理寶寶的臍帶呢？
 
　首要原則是預(yù)防感染
　　感染是新生兒臍部最常見的問題。臍帶剛被剪斷結(jié)扎的頭幾天，臍窩部位可能出現(xiàn)一些漿液性的分泌物，這是細(xì)菌的良好培養(yǎng)皿。一旦細(xì)菌入侵臍殘端并迅速繁殖，很可能導(dǎo)致臍炎或者臍部蜂窩織炎，嚴(yán)重的甚至?xí)l(fā)敗血癥。因此一定要注重預(yù)防、降低臍部感染的風(fēng)險，這需要規(guī)范臍部結(jié)扎的同時加強臍部護理。
 
　關(guān)鍵是清潔、消毒、干燥
　　我們知道，臍帶被剪斷后，頭幾天可能會有些腫脹，像果凍一樣，之后會逐漸變干、萎縮，一般在寶寶出生后的3-7天干燥并且自然脫落，有的可能需要2周左右。
 
　　如果臍帶殘端還沒有脫落，保持臍部清潔和干燥很重要。清潔和消毒是為了減少細(xì)菌滋生和粘染，干燥的目的則是減少細(xì)菌繁殖，加速臍帶殘端脫落。在日常護理中，保持臍部清潔干燥的方法是讓臍部盡量不要沾水，比如給寶寶洗澡時，不要讓水濺到肚臍上;換尿布時，避免讓尿布的上緣包住肚臍，以防傷口被尿液浸濕，引起感染。至于消毒，建議媽媽先洗干凈雙手，然后用干棉簽蘸干臍輪周圍的水，再用干棉簽蘸75%濃度的酒精從臍窩根部由內(nèi)向外環(huán)形消毒，每天消毒1-2次，直到臍帶脫落。
 
　　有些寶寶的臍帶脫落后可能還會連著一點兒，不要強行用外力使其剝落，這樣容易形成創(chuàng)傷口，處理不當(dāng)易繼發(fā)感染或出血。媽媽應(yīng)繼續(xù)用同樣的方法進行清潔、消毒和干燥，直到臍帶完全干燥脫落、分泌物消失。
 
一次講清寶寶臍帶護理和耳朵護理
 
　注意觀察是否出現(xiàn)感染
　　保持臍部清潔干燥的同時，還要注意觀察是否出現(xiàn)感染的情況，重點觀察寶寶臍部有無滲血、黏液性及膿性分泌物、臍輪及臍周皮膚顏色、異常氣味等。
 
　　如果沒出血就表示沒什么問題，出一點點血也是正常的，不用緊張，用干凈的棉簽輕輕擦掉即可，如果出血不止就要及時去醫(yī)院處理了。
 
　　如果臍部有分泌物、清亮的液體、或者是有異味的黃色分泌物，都需要去醫(yī)院處理。特別注意的是，不要擅自外用紫藥水，因為涂上紫藥水后，臍帶上端往往很快形成臍痂，這樣就很容易掩蓋住臍痂下的膿性分泌物。而且，國外醫(yī)學(xué)家研究發(fā)現(xiàn)，紫藥水有極強的致癌性，不能用于破損傷口消毒和作為外用藥物使用。
 
　　如果肚臍周圍的皮膚沒有發(fā)紅，就不用擔(dān)心，要是出現(xiàn)又紅又熱、腫脹、過敏的現(xiàn)象，很可能是已經(jīng)感染了，應(yīng)及時找醫(yī)生處理。
 
　　氣味方面，變干的臍帶一般有一股輕微氣味，這是正常的，但如果出現(xiàn)一股持續(xù)性的難聞的味道，就有可能是感染的征兆，應(yīng)及時看醫(yī)生。
 
　需要留意的異常情況
　　另外，如果發(fā)現(xiàn)臍帶超過半個月都不脫落，可以去醫(yī)院再次結(jié)扎臍帶，讓其脫落;臍帶脫落后，要是創(chuàng)面不愈合且下面有紅色的肉芽，可能是形成了臍茸，需要請醫(yī)生幫忙處理。
 
　　還有些寶寶在臍帶脫落不久后，會出現(xiàn)肚臍凸起來的情況，用手輕輕按壓有“咕咕”的聲音，而且哭鬧時更明顯，看起來很嚇人。其實這是臍疝，通常問題不大，一般在寶寶2-3歲時自行愈合。如果到了5歲還沒愈合，就需要通過手術(shù)修補。
 
　　講完臍帶護理，順便提一下寶寶的耳朵護理。
 
一次講清寶寶臍帶護理和耳朵護理
 
　不建議自行給寶寶掏耳屎
　　很多媽媽都關(guān)心可不可以給寶寶掏耳屎這個問題。這里要說一下，如果寶寶還小，不建議擅自用鑷子、耳勺或者棉簽幫TA掏，防止將耳屎推向耳朵更深處，或者增加耳朵感染和刺傷鼓膜的風(fēng)險。其實，正常的耳屎并不會影響耳朵健康，相反能隔離微生物、進入耳道的水、小蟲子和其他刺激，起到保護耳朵的作用。如果寶寶的耳屎比較少，且干燥成片狀，通?？梢噪S運動、說話、吃飯、打哈欠時皮膚汗毛的運動自行落出，不需要給TA掏耳朵。如果耳屎比較多，讓寶寶覺得不舒服，甚至影響聽力，建議去醫(yī)院請醫(yī)生幫忙取出。
 
　　雖然不建議掏耳屎，但平時對耳朵的清潔護理是不能大意的，尤其要注意預(yù)防中耳炎，具體怎么做呢？
 
　　第一，正確洗頭洗澡，預(yù)防耳朵進水。給寶寶洗頭洗澡時，要用手把TA的耳廓折疊起來。萬一不小心讓水進了耳朵，不要慌，讓寶寶側(cè)躺在你的大腿上，保持進水一側(cè)的耳朵向下，用手掌緊壓進水一側(cè)的耳根和耳廓，然后快速松手，連續(xù)幾次，讓水流出來?；蛘哂檬种篙p輕按壓寶寶的嘴唇，使其做出張嘴動作，反復(fù)幾次，以便活動顳下頜關(guān)節(jié)，促使水從外耳道流出。水流出來后，固定住寶寶的頭部，用消毒棉簽伸進TA的外耳道，但不要碰到鼓膜，輕輕旋轉(zhuǎn)，將水吸干。如果寶寶不配合，不要強行掏耳，以免誤傷外耳道皮膚或者鼓膜，建議及時去醫(yī)院處理。
 
　　第二，不要讓寶寶躺著喝奶或哭泣。最好采取半臥位，保證寶寶處于頭高軀干低的姿勢，以免奶液或眼淚流入耳朵，繼發(fā)感染。如果寶寶經(jīng)常溢奶，吃完奶后，要抬高TA的上半身，防止吐奶或者奶液流入耳朵。
 
　　第三，避免錯誤擤鼻涕。千萬不要捏住寶寶兩側(cè)鼻翼,讓TA用力擤鼻涕，這種做法很可能導(dǎo)致鼻涕從鼻后孔擠出，到達咽鼓管，引發(fā)中耳炎。正確做法是用手指按住寶寶的一側(cè)鼻孔，讓TA稍用力向外擤出對側(cè)鼻孔的鼻涕，用同法再擤出另一側(cè)的鼻涕。也可以用生理鹽水噴霧對著寶寶鼻孔輕輕一噴，鼻涕就出來了。
 
　　第四，幫孩子勤洗手，勤清潔毛巾、床單等日用品，遠(yuǎn)離感冒，將病菌拒于耳道之外。

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