Neonatal jaundice - he pathology paha ke kūmau?

Keʻano o ka jaundice i keiki keiki ua pili i mahuahua ke koko pae o ka pigment bilirubin. Physiologic jaundice ana mākaukau kaua paha ma 24-36 hola ma hope o ka hanau ana o ke keiki, a me ka ino i kona i kā mākou i loko o ke kolu o ka a me ka ha o ka la o kona ola ana. Kona helehelena mea aie a hiki i ka make ana o erythrocytes i loaʻa ka fetal hemoglobin, no laila,-kapaia - i loko o ia mea, i loko o ka palapala o fetal koko. Ma hope o ka hānauʻana i ke keiki hou e pono ai, a me ka mea,'opi, ma laila ka hana i ka ai-kapaia noa (ʻauhau'ēʻaʻe) bilirubin - insoluble,ʻawahia. It E e hoʻomaopopo i ka mea ulu ma ka bilirubin malama i loko o nā mea a pau nā pēpē i, akā, i ka physiological jaundice - wale 60-70%. Premature keiki ka mea hana i ka hailona hou pinepine a mau hou, a me ka bilirubin pae i kāu kiʻekiʻe. Ma waho aʻeo i ka degere o ka waiwai nui o ka fetus, keia anakahi lakou aloha ia oi hāpai keiki -ʻo ia, i ke ola ana o ka expectant makuwahine i loko o kēia wā likeʻole ka maʻi.

Manawa 'ia i loko o ke kino Nine Inch reactionsʻauhau'ēʻaʻe bilirubin ua hoohuliia i pololei ka laina, i mea ole nā palapala i ke kino, a excreted ma ka bile a me ka mimi. He keia hapa iki o ka bilirubin haawi yellow mucous membranes,ʻili a me ka sclera. Eia hou kekahi, he nui na keiki i ka kekahi immaturity o'ūhū nenoai, kūpono ma ka excretion o bilirubin mai ke kino, ua lohi. Naʻe, ka mea physiological jaundice i kekahi mau lā ma hope, ma ka loa hoopii - pule, i ke kino Makuakane ma luna o lākou iho, a me na mea a pau ke hele mai hoʻi i ka maʻamau. Ke mau ano o ke keiki ka mea, IeAUPIIe, IAa IO i loli. Wale nō ma kekahi mau hihia, me ka hooloihi ae i a me ka loa jaundice, ke kauka i hoakaka ia i kūikawāʻia mai ana: ka mea, loaa i loko o ke kino, i ka bilirubin mea hiki ia i kaʻawahia hookoia no, pakahi aku la ia i ka ua'emi ko kahua.

Naʻe, i kekahi mau keiki, i ka ai-kapaia pathological jaundice. Akä naÿe i ka physiological, pinepine mai i koi lapaau, a hele ma luna o lākou iho,ʻo ia nei i ke kino o ka hoʻopōʻino secretion a excretion o bilirubin. Kēiaʻano o ka jaundice ua ana malama i hanau ole i loko o na hora mua o ke ola, a 'aʻole hōʻike ole ma hope o kekahi manawa, e like me ka mea neonatal jaundice. Ke kumu no ka mea, e ia he aaiaoe'ūhū deficiency, hypothyroidism, hemolytic maʻi o ke keiki, congenital kāna hana o ka carbohydrate pūnao. I yellowing sclera a me ka ili no hoi i congenital hepatitis, biliary ducts artreziya. Allʻikepili maʻi a me na kumu e hoopai koke hoʻomalu'ōlelo aʻo a me ka mālama ', a me kekahi - aʻoki kino.

I nā mākua e e Tilly i ina ka pēpē, i mea mōhaiʻai, presumably, neonatal jaundice, i sluggish a me ka lethargic,ʻaʻole e ai ana a me ka ho onui ana ke kaumaha. He pono, e nīnau aku i ke kauka koke, a ina i ke keiki ka mimi i pouli ma ke kala, a me nā pā holoi i loa malamalama. Ma hooloihi ae i jaundice ua ana ia he anamanaʻo ke aho i nā kumu no ka mea,: he piha koko helu a me ka ho'āʻo e kōkuaʻoe hooholo i ka pae i loko o ke koko o ka bilirubin a me kona mahele, ultrasound o ka abdomen, ke surgeon nana, a pela aku ...

Neonatal jaundice, ina e pono ai, ia manawa i oleloia ai laxatives a me choleretic hope, infusions o ascorbicʻakika a me ka monakō koko pāʻoihana. Naʻe, i ka loa ka hoʻokō hana e koke aku e hana me keia ano - phototherapy, waiū o ka ili bebe kūikawā kukui. He hewa ole, a me ka yellowing i ka ia manawa i wahi mua mākou mau maka, e like me ka bilirubin, mai hemo mai ia ka wā paku ole ia i ka malamalama. Physiologic jaundice nalo nui wikiwiki, ina lawe mai me ke kamaiki hou manawa ma ke alanui.

Ua Ua manaoio ia breastfeeding kōkua i ka pakele ana i ka physiological jaundice i loko o ka pōkole makahiki. Eia naʻe, i kekahi manawa (ma kahi o 15% o nā hihia), he mea yellowing o ka sclera a me ka ili, kena ae la ia e ka naoh ua i ke kino o ka bebe ma luna o ka makuwahine o ka waiū. Kēia physiological neonatal jaundice, i lapaʻau, i mau,ʻaʻohe okoa mai nā hihia, ka mea pono, me ka hou, i ukuhi ma i kekahi mau lā.

Penei, neonatal jaundice ana mea i pilikia, akā, e hiki no hoi ka hōʻike i ke alo o ke keiki i keʻano o ka maʻi a me pathologies. I hoakaka ia kūpono lapaʻau hiki wale nō ia i ka hoao ana i ka 'oihana, ma hope o ka piha ninaninau o ke keiki.