Umbilical hernia in newborns
Umbilical hernia is a fairly common diagnosis among newborns. I mean, if your child turned out to be an umbilical hernia? How to treat umbilical hernia in newborns?
What causes umbilical hernia in infants? In General, any hernia is a protrusion of internal organs from the cavity in which they are located, through defects existing in the wall of this cavity. Thus, umbilical hernia is the protrusion of abdominal organs through the umbilical ring .
Belly button ring Is a hollow muscular ring in the anterior abdominal wall of the newborn. In norm it is rather narrow and cicatrized a few weeks after birth. But in some infants, the umbilical ring is enlarged, and with increasing pressure in the abdominal cavity, internal organs (omentum, intestine) can protrude through it.
Why increased intra-abdominal pressure? The reasons may be different: prolonged crying, flatulence in the intestine, constipation, bad cough. Of course, not always crying or gases lead to umbilical hernia. Prerequisites umbilical hernia are enlarged umbilical ring and the weak tone of the abdominal muscles .
Umbilical hernia in newborns is better visible if the child strains the muscles of the abdomen (during crying, for example) or in a standing position. When a child lies, the contents of the hernia goes back into the abdominal cavity. Umbilical hernia in infants can be different size. from a pea to a large plum.
In General, umbilical hernia in newborns — it's not as scary as it may seem, and panic is not worth raising. If the child develops normally, then over time the activity of the intestine is normalized, respectively, the pressure in the abdominal cavity also returns to normal. And with sufficient motor activity strengthens the muscles of the anterior abdominal wall, and hernia closes by itself. Usually it takes up to three years.
To quickly strengthen the abdominal wall, your doctor may prescribe special massage and therapeutic exercise. It is best not to try to do it yourself, but to hire the services of a professional coach gymnastics and baby massage. Before performing the massage and exercise therapy hernia necessarily right, and in front of physiotherapy and even fixed by the patch.
In addition, when umbilical hernia in newborns suggest periodically lay the baby on his stomach. In this case, two birds with one stone are killed. First, in this position gases are better to escape, hence - intra-abdominal pressure decreases. Secondly, the position of "lying on the stomach" prevents the protrusion of the umbilical hernia.
Sometimes the doctor child puts the patch. First, he corrects the hernia, then connects the skin near the navel into the fold (longitudinal or transverse), and then fixes it with a plaster. This is done so that the hernia does not protrude, and the umbilical ring heals faster. Ten days later the doctor removes the band-aid, checks the condition of the navel and decides whether or not to apply the patch again.
Remember that all conservative measures of treatment of umbilical hernia (patching, massage, exercise therapy) can be takenonly after the umbilical wound is fully healed .
Despite the fact that umbilical hernia in infants is not such a bad diagnosis to treat this disease lightly is not worth it. Sometimes an umbilical hernia leads to the development of complications, in particular, infringement of. With a strong cough, straining, etc. the contents of the hernia is pinched in gruzevich gate (umbilical ring), which leads to swelling of the affected organ, and if the infringement is not time to resolve, then to necrosis, and even peritonitis.
With complications of umbilical hernia, emergency surgery is necessary. Surgical intervention is also required when a hernia is very large or if the hernia does not disappear by a certain age. Usually, the operation is tried before the child goes to school, but not earlier than he turns 3-5 years old, so as not to expose the child's body to superfluous stress at a tender age. But if the child's condition requires immediate surgery, then, of course, no one will wait until five years.
Thus, umbilical hernia in newborns is not a reason to panic, but to neglect the treatment of hernia should not .