Yeni Doğanlarda Deri Bakımı: Bez Dermatiti ve Yönetimi

Year 2023, Volume: 10 Issue: 2, 302 - 314, 01.06.2023

Tuba Gıynaş , Figen Yardımcı

https://doi.org/10.52880/sagakaderg.1195064

Abstract

İnsan vücudunun yüzey alanı en geniş ve ağırlığı en fazla organı olan deri, dış çevreden gelebilecek fiziksel, kimyasal, biyolojik etkenlere karşı insan vücudu için koruyucu bir bariyer görevi görür. Ayrıca vücut sıcaklığının düzenlemesi, vücuttan çıkan aşırı kaybının önlemesi ve duyusal algıya katkı sağlama gibi önemli fonksiyonları vardır. Bu fonksiyonları yerine getirmek için deri epidermis, dermis ve derialtı dokusu olmak üzere üç temel katmandan oluşur. Cildin gelişimi ve olgunlaşma süreci yaş dönemlerine göre farklılık göstermektedir. Yenidoğan cilt yapısı; morfolojik ve fonksiyonel yönden yetişkin cilt yapısından farklıdır. Bunun nedeni yenidoğanların yaşamının ilk günlerinde, intrauterin ortamdaki sıcak ve sıvı ile dolu bir ortamdan, soğuk ve kuru olan dış ortama geçmesi, yenidoğan döneminden itibaren ciltte değişimlerin olması, yapı ve fonksiyonlarında gelişmelerin sürekli devam etmesidir. Bebek bezi dermatitinde temel unsur önlemektir. Geliştikten sonra genel amaç ise, enfeksiyonu azaltmak, ciltteki hasarı onarmak ve tekrar hasar oluşumunu önlemektir. Pişik cilt maserasyonu ve tahriş edici maddelerle uzun süreli temasta dahil olmak üzere birçok faktörün etkileşimi sonucu, cilt bariyerinin bozulmasına yol açan en yaygın cilt sorunlarından birisidir. Karmaşık ve multifaktöriyel bir etiyolojiye sahiptir. Pişiği önlemek ve yönetmek etiyolojisinin iyi bilinmesi ve nedensel faktörlerin ortadan kaldırılması ile mümkündür. Hem önleme hem de tedavi için farmakolojik olmayan pişik önleyici yaklaşımlar hava, bariyer, temizlik, bebek bezi ve eğitimi olmak üzere 5 maddede toplanmış ve “ABCDE” harfleri verilmiştir. Yenidoğanın deri bütünlüğünü korumak için önlemler, ebeveynler ve diğer bakım verenler tarafından güvenli bir şekilde sağlanmalıdır.

Keywords

Yenidoğan, cilt bakımı, risk değerlendirmesi, bez dermatiti, bebek bezi

Supporting Institution

YOK

Project Number

YOK

Thanks

YOK

SKIN CARE IN NEWBORNS: DIAPER DERMATITIS AND ITS MANAGEMENT

Abstract

Skin, which has the largest surface area and the most weight in the human body, acts as a protective barrier for the human body against physical, chemical and biological factors that may come from the external environment. In addition, it has important functions such as regulating body temperature, preventing excessive loss from the body and contributing to sensory perception. The skin consists of three basic layers that are morphologically different from the outside to the inside, including epidermis, dermis and subcutaneous tissue (subcutis) in order to fulfill these functions. The development and maturation process of the skin differ according to age periods. Newborn skin structure is different from adult skin structure in terms of morphological and functional aspects. The reason for this is that newborns pass from a warm and liquid filled environment in the intrauterine environment to a cold and dry external environment in the first days of life, that there are changes in the skin starting from the newborn period, and that development of its structure and functions continue. The primary element for the diaper dermatitis is prevention. The general aim is to reduce infection, repair damage in the skin and prevent re-damage after development. Rash is one of the most common skin problems in newborns and babies. It leads to disruption of the skin barrier as a result of the interaction of many factors including rash skin maceration and prolonged contact with irritants. It has a complex and multifactorial etiology. Preventing and managing diaper rash is possible with good knowledge of its etiology and elimination of causal factors. Non-pharmacological rash prevention approaches for both prevention and treatment collected in 5 items including air, barrier, cleaning, diaper and education, and the letters “ABCDE” were given. The precautions to protect the skin integrity of the newborn should be safely provided by parents and other caregivers.

Keywords

Newborn, skin care, risk assessment, diaper dermatitis, diaper

Project Number

YOK

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