Prevention and care of periumbilical abdominal wall defects

Umbilical abdominal wall defect is one of the symptoms of umbilical bulging (omphalocele), also known as umbilical hernia, is due to the embryo in the 6~lO weeks in the mid-abdomen, umbilical abdominal wall developmental defects, skin, muscle and fascia defects, resulting in delayed disappearance of the fetal physiological hernia of the midgut or even do not disappear, abdominal contents protruding from the umbilical cord in the abdominal wall outside the peritoneal surface covering the peritoneal membrane and amniotic membrane. Umbilical hernia caused by the umbilical abdominal wall defect prevention and care: a tape paste method: individual umbilical ring small children and love to cry repeatedly umbilical hernia incarcerated can try “tape paste method” to accelerate the umbilical hole closure. Specific methods are as follows: 1, adhesive tape should be medical tape width of about 5 centimeters, the length of more than the child’s waist circumference of 6-10 centimeters. One side of the tape end cut small like a tongue-like out (about 5 cm long), the other side of the tape in the middle of the cross-hatch so that the opposite side of the tongue-like tape. 2. After insertion, the back of the waist through which the tape is pasted can be padded with gauze. 3, paste must make the hernia sac empty or inward state. Generally 1-2 weeks to replace 1 time, can be continuously affixed for 3-6 months. 4, the use of attention to the protection of the skin to prevent blistering and erosion of the paste is: moderately tight, each paste is to make the umbilicus now smaller, in order to promote the umbilicus said healing. In order to prevent the adhesive tape from slipping off the outside can also be added elastic band (elastic band) due to the adhesive tape paste has a certain degree of difficulty and comorbidities of the above operation should be completed by medical personnel. Second, “elastic abdominal band”: this method is especially suitable for newborns and small babies. Can first choose to usually wear during the day, nighttime sleep loose, and often adjust the degree of elasticity in order to prevent the umbilical hernia excessive expansion, but also to ensure that the child’s diet into the amount and the development of abdominal elasticity. Lap-band operation is relatively simple, parents are fully capable of and by overly worried parents (especially hope that the baby can be treated) welcome. Some parents use the old habit of using large coins or coins to tighten the abdomen with a cloth belt in an attempt to block the umbilical hernia from bulging out, which is not therapeutic and may also cause injury, so it should be discarded. Parents should try to avoid and reduce the hernia child’s crying, coughing, constipation and strenuous exercise, and let the child pay attention to rest, if the fall occurs, the hernia can be gently pushed back to the abdominal cavity. The child should minimize running, standing and squatting, and should increase nutrition and eat more food with qi replenishing effect, such as lentils, yam, eggs, fish and meat. Older children should exercise properly to enhance their physical fitness.