Nappy rash

Yesterday during routine medical check ups at Klinik Kesihatan

A 1 month old baby came
mother complaining of testicular mass.

so i did my routine examination
examine the groin area - left testicular hernia
and nappy rash until the bird-bird area!!
sgt merah okay..
i think if the baby can talk, sure he complains

so i asked the mother:

me: ada ruam lampin ni. mak kasi ubat ape ye?
mom: sy tak kasi ape ape doktor, sy rabun. masa mandikan dia sy x pakai spek. sy x perasan pun
me: mak rabun dekat ke? warna kulit da berubah dari warna asal ni. semua merah.
mom: ....
me:... menasihati emak supaya memakai spek setiap masa memandikan bayinya...

so, about the testicular mass maybe we cant do anything in clinic except to advise mothers the signs and symptoms of urgency and refer to surgical dept for operation.

but nappy rash, i think every mom will check head-to-toe over and over again, making sure baby clean and comfortable and cute :D

so.. what is nappy rash?

Nappy rash is a dermatitis confined to the area covered by the nappy. It is most commonly characterised by confluent erythema of the convex surfaces of the buttocks, the areas of skin in closest contact with the nappy and it spares the groin folds.

Nappy rash is not one distinct diagnosis, but is a multifactorial problem 

(Clinical practice guidelines, The Royal Hospital, Melbourne)

Masalah kulit di bahagian yang dilindungi oleh lampin. karakter kulit: Merah di kawasan punggung atau kawasan yang berhampiran, tidak termasuk lipatan. Penyebab kulit ini terjadi di keranakan beberapa faktor;

1. Trauma kepada kulit
    - gesekan yang berlaku antara kulit dan lampin
    - tidak sesuai jenis kain lampin / lampin pakai buang 'pampers' yang dipakai

2. Kelembapan yang tingi
   - kurang bertukar lampin
   - kandungan air di dalam kencing / tahi

3. Bahan iritasi
   - sabun yang dipakai
   - bedak

4. Jangkitan kulat 'Candida albicans'

   So, Kalau ada ibu ibu di luar sana, jika anak mempunyai simptoms seperti ini, segeralah berjumpa doktor yang berhampiran ya :) kasihan anak kita.. jangan diberi tepung ubi, bedak, tepung jagung, minyak... kita bukan nak masak anak kita tu. eheheh.. (gurau)

Di klinik, 
doktor akan memeriksa anak dan jika benar ia adalah 'nappy rash' ubat akan diberi
di klinik kesihatan:
1. Zinc oxide - sapu setiap kali mandi / tukar lampin 
                   - sapu tebal-tebal



contoh ubat di pasaran:

gambar adalah di google.

harga mereka pun berbeza beza ikut pasaran.
ibu ibu boleh mengikut kesesuaian :D

so..
i hope all the babies out there have healthy skin. smooth and silky and cute! :D