Jaundice e izinsana: izimbangela nemiphumela, ukuxilongwa kanye nokwelashwa

Abazali ezikhathalela kakhulu impilo yezingane zabo. Ikakhulukazi uma kuziwa izingane. Kodwa kuthiwani uma imvuthu, muva ozalwa, wafaka le uphethwe izwe "jaundice"? Ungesabi leli zwi, ngoba ngokuvamile kakhulu ke elinesimo yemvelo inqubo bokuphila ukuthi kwenzeka ngendlela umzimba abasha. Ngakho, ake sibheke ukuthi yini i-jaundice e izinsana. Izimbangela nemiphumela zalesi simo zichazwe sihloko.

isimo Isici

Jaundice e izinsana, kubangela nemiphumela zazo ibingakaziwa kubazali, okubangela abanye omama ukwethuka. Ngakho-ke, ekuqaleni thina ukuthola ukuthi iyini.

Ukuze uqonde ukuthi kungani isikhumba sengane kuba luhlaza orange, kubalulekile ukukhumbula Yiqiniso anatomy.

Igazi lomuntu line iqukethe amangqamuzana abomvu. Umsebenzi wawo oyinhloko wokusabalalisa-mpilo wonke umzimba. La mangqamuzana siphile izinyanga ezimbalwa. Khona-ke bachotshozwe. Phakathi nokucekelwa zabo, umzimba ukhiqiza sombala ethize kokuba umbala ophuzi, - bilirubin.

Le into is detoxified ngu kwesibindi, bese kuba okukhipha nomzimba womuntu. Nokho, uma izinga sombala kuphezulu, ukwehluleka kungenzeka. Kulokhu, kukhona into okuthiwa i-jaundice. Bilirubin is hhayi iqedwe ngokuphelele emzimbeni kanye nemibala isikhumba ihlanganisa ziphuzi.

Ukuze umuntu omdala kuyinto ukugeleza isignali izifo ezingathí sina, okuncike ukubhujiswa isibindi. Kodwa lokhu isimo osanda kuzalwa bokuphila, inqubo evamile. Ngenxa imvuthuluka umzimba nje ukufunda ukusebenza ngokuzimela.

izizathu zheltushki

Isimo esifana ebonwe cishe 60% ezinsaneni imvuthu. Jaundice livela, ngokuvamile ngemva kwezinsuku 2-3 lokuzalwa. Kuyinto evelele e preterm izinsana.

Sesihlole mshini okuvela kuyo into enjalo njengoba i-jaundice e izinsana. Ubangela nemiphumela yalesi simo kudingeka sitadishe olunemininingwane ethe xaxa.

Jaundice kwenzeka ngenxa lezi zinto ezilandelayo:

1. Ngo izinsana egazini iqukethe ngokweqile kwamangqamuzana egazi abomvu. Ngaphezu kwalokho, amangqamuzana abomvu, ubhidlize isheshe kunabantu abadala. Yingakho izinyane siyenzeka ukubhujiswa inqwaba amangqamuzana abomvu egazi, kuphumele bilirubin khulula.
2. Ngenhla ngishilo ukuthi sombala kuyinto okuphumayo by kwesibindi. Ukuze bilirubin ukhululeka emzimbeni, kufanele uthintane e lesi sitho. Ngezinye imvuthu kwesibindi akakabi ukwazi ngokugcwele ukuqinisekisa izinguquko.
3. Bilirubin asitholayo yokuguqukela kwesinye isimo emathunjini ngenxa yesenzo se-microflora evamile, bese excreted ku umchamo kanye endleni. Kodwa, futhi, umzimba yengane nje ukufunda ukuzivumelanisa ukusebenza izimele. imvuthu emathunjini kancane kancane ababengaphansi kwemibuso yakwamanye amazwe ngu microflora. Yingakho ilungelo ukuletha bilirubin emzimbeni, akakwazi.

Ngenxa yalokho, usana eba jaundice bokuphila. Lena ngokuphelele hhayi isimo esiyingozi ngenxa imvuthu. Kodwa ngezinye izikhathi e usana sokugembula jaundice kungenzeka. Kulokhu, ingane idinga ukuba ukwelashwa okufanele.

Imithombo isimo sokugembula

Odokotela bathi izimbangela zalesi zheltushki kungenziwa kufihlwe elandelayo:

• kukhona igazi ukungavumelani umntwana nonina eqenjini noma RH isici;
• isibindi ingane eziyimbangela yezinkinga ezizuzwa;
• ingane ampofu Bile amavesi;
• e isibindi ukuvuvukala wengane kwenzeka.

Symptomatology bokuphila zheltushki

I sezici inqubo bokuphila izici ezifana yilezi:

1. Zheltushka kubonakala kungekho ngaphambili kuka amahora angu-36 emva usana ozalwa.
2. Inkulumo ethi esiphezulu isifinyelele usuku 3-5-th.
3. Kukhona umbala yellow ubuso, intamo nasesifubeni. Nemigubuzelo ngezansi inkaba akubi luhlaza orange.
4. Igazi ukuhlolwa kubonisa bilirubin okusezingeni eliphezulu. Nokho, izinga ingeqi 205 Mol / l.
5. ukuziphatha wengane iyasebenza. Impilo, isimo sisonke umthetho.

Kubalulekile ukukhumbula ukuthi ugijima jaundice e izinsana. Ngo izinsana eside bilirubin uqala liwe ngosuku 14. Lena Isikhombisi esibalulekile inqubo bokuphila ke. imvuthu ezizalwa ngaphambi kwesikhathi bilirubin lizoqala usuku th 21.

Nokho, kufanele kuqondwe ukuthi ngezinye izikhathi kungase kube ukuphambuka ethile evela imithetho letinikwe lapha ngenhla. Futhi ngenkathi they ncisheka cha njalo ukhombe ekuthuthukiseni umzimba into ezifana jaundice sokugembula.

Komorowski uthi ababelethwa kungakafiki isikhathi bangase babhekane nenye ukubonakaliswa ezandulele zale isimo. Ngokuvamile kulezi izingane yellowing kwenzeka ngosuku lwesibili ziphila. Ngaphezu kwalokho, Dr. Komarovsky ubonisa ukuthi amawele noma izingane ezinomama ubani unesifo sikashukela, bangezwa jaundice isikhathi eside.

Zonke izingane kumele waphawula. Kwesinye isikhathi i-jaundice bokuphila uyakwazi ukuya ifomu sokugembula. Futhi isimo odlule zidinga ukwelashwa ngokushesha.

Izimpawu isimo sokugembula

Yiziphi izimpawu zibonisa inkinga umzimba wengane? Ngeshwa, umngcele ophakathi jaundice sokugembula bokuphila iyaxokozela kakhulu. Noma kunjalo, ukhona umahluko phakathi kwazo.

Okusolwayo isimo sokugembula kungaba ngalezi zizathu ezilandelayo:

1. Jaundice kwenzeka angu-24 zokuqala ngemva kokuzalwa.
2. staining yesikhumba abe luhlaza ophuzi kungabonakala nasemkhakheni ngosuku 7th zokuphila ingane.
3. Ukuhlolwa kwegazi awabonisi nje bilirubin okusezingeni eliphezulu, kodwa ekukhuleni kwayo ngokushesha. Kukhona imali yangosuku esingeqile 85 Mol / l.
4. Baby isikhumba ababethi umbala ophuzi akangaphezu kuphela, kodwa futhi ngezansi inkaba. ISidlo yellowness izintende, izinyawo.
5. Isimo jikelele ingane siphukile. Nengane ejabule noma abacindezelekile.
6. Umchamo imvuthu kuba mnyama, futhi kwesitulo iba kungekho nto enemibala emihle.
7. Zheltushka ingane ilibele kungenziwa igqoke mihlobiso uhlamvu.

Siyini isisekelo sokuma zokugula?

isimo esinjalo singase sisebenze avuse lezi zinto ezilandelayo:

• prematurity, yokungavuthwa umntwana;
• retardation ukukhula utero;
• ethola sebuningini izidakamizwa e unina phakathi nenkathi yokukhulelwa nokubeletha;
• ukopha olubanzi, kefalogematomy;
• yokuntuleka ibele;
• ukulahlekelwa okukhulu isisindo izinsana;
• dolaktatsionnoe ukusuthisa ingxube.

Futhi ungakhohlwa, lapho kuba jaundice e izinsana. Inqubo bokuphila akufanele kuhlale isikhathi esingaphezulu kwezinsuku 21. Ngakho-ke, uma ingane yakho ngemva kwesikhathi ngenhla futhi uhlala ophuzi, qiniseka kudokotela.

imiphumela kungenzeka

Jaundice e izinsana ngokuvamile isimo bokuphila. Ngakho-ke, it uya bebodwa ngaphandle noma iyiphi inqubo yokwelapha futhi akusho siyekele yilutho.

Kodwa uma i-jaundice aluphumeleli ngenyanga, noma kunezinye izimpawu enzeka sokugembula, isiguli kancane abadinga ukwelashwa ezanele.

Usuku ngalunye oludlulayo imvuthuluka isimo liwohloka. Baby isikhumba iba luhlaza ogqamile angase ukwandisa ubungako sesibindi ubende.

eziyingozi ingaqala ngaphandle usizo lwezokwelapha:

1. ubuthi Toxic zobuchopho futhi uqondiswe isimiso sezinzwa esiyinhloko.
2. Amazinga aphezulu bilirubin kungaholela ukwehla-albumin, lapho albuminemia ukuthuthukisa.
3. Uma lo mbala lingena singene ubuchopho ke imvuthuluka lapho kernicterus. Lokhu zokugula, zingaba imbangela ubuthulu, ukuquleka njalo, usana retardation engqondo.
4. Late isifo esiteji libhekene Kufinyeta okungalindelekile ijwabu kwemisipha. Ingane ingaba zisakwazi motor imisebenzi.

Kulokhu, uma isimo okungavamile Kutholwe kusaqalwa futhi baqhuba ukwelashwa esifike ngesikhathi, ke ukuba nemiphumela engemihle, njengoba umthetho, asivelanga.

sitholakele

Omunye isikhumba ithoni akwanele ukuqinisekisa khona zheltushki. Ukuze bakhulise izinsana wabelwe inhlolovo uphethwe:

• umchamo, igazi;
• Isifundo sombala amazinga serum negazi;
• US.

Uma kudingekile, umntwana kuthiwa wathumela i-ezingxoxo endocrinology, udokotela ohlinzayo, wenhliziyo.

ingane ukwelashwa

nodokotela bezingane eziningi, kokubili ezifuywayo angaphandle, phikisana ukuthi ezimweni eziningi, nosana ayidingi imithi.

Jaundice, ozobakhona cishe amasonto amathathu, akusona isifo. Ngakho-ke, lesi simo asisho zidinga ukwelashwa. Isithombe ehluke ngokuphelele siyavela uma jaundice libhekene njengoba uphawu lokugula okukhulu. Baby idinga yokwelapha ezanele, uma bilirubin ifika emazingeni ayingozi emzimbeni, futhi nakakhulu ziyanda.

zheltushki Ukwelashwa incike sombala kumazinga ingane kubangela ukuthuthukiswa zokugula.

Ingane imisebenzi elandelayo angabelwa:

• phototherapy;
• imithi;
• ukumpontshelwa igazi (uma ingozi eliphezulu zheltushki senuzi).

Phototherapy for Kids

Indlela elula kunazo zonke, kodwa eziphumelelayo ukwelapha i-jaundice - kuyinto phototherapy. Namuhla-ke luqhutshwa cishe zonke izibhedlela kakhulu ngempumelelo.

Phototherapy isebenzisa isibani okhethekile ovela zheltushki. Amagagasi wukukhanya ke, sikhuthaze cleavage ka bilirubin ibe izakhi ze-non-enobuthi. Kwakamuva emva ukwelashwa olunzulu, kuze kube nini nanini cishe 10-12 amahora, excreted ngokwemvelo imvuthu (umchamo kanye endleni).

Le ndlela yenza kube lula ukuyeka izidakamizwa. Ngaphezu kwalokho, akudingi ukwehlukana umntwana nonina. Ngakho-ke, ibele akuyona aphazamisekile.

Isikhathi phototherapy, ngokuvamile kuthatha amahora angaba ngu-96.

ukwelashwa

Uma amazinga bilirubin siphezulu kunamanye sibalo umngcele, noma umphumela phototherapy abangelutho ingane imithi enqunyiwe.

ukwelashwa kuhlanganisa:

1. Kusukela izidakamizwa choleretic. amathuluzi ezinconyiwe ukuthuthukisa umsebenzi sesibindi futhi excretes Bile. imithi ezibekiwe Newborn, "Ursofalk", "Hofitol". Futhi munye, kanye izidakamizwa yesibili evunyiwe ukusetshenziswa ezinsukwini zokuqala zokuphila. Nokho, kuyinto ukulungiselela akukhetha "Hofitol" ngoba imithi "Ursofalk" iqukethe izingxenye eziningi ezengeziwe (nezivimbelakuvunda, flavour) akwazi avuse komzimba.
2. Sorbents. It lubopha ubuthi, ubuthi futhi bawasuse umzimba ezincane. Izinsana angakunika umuthi "Smecta", "Enterosgel" ocushiwe carbon. Njengomthetho, kubonelelwa kakhulu ama-izidakamizwa kuqala. Zomuthi "Smecta", ekhiqizwa in ifomu powder, ekhiqizwa kalula ukumiswa enganeni. Ngaphezu kwalokho, lokhu sorbent yemvelo iphephile ngokuphelele izinsana.
3. Vitamin izakhiwo.

ukwelashwa ekhaya

Uma ingane yakho ine-jaundice bokuphila ke, njengoba sekushiwo ngenhla, ingane ayidingi yokwelapha. Ngakho-ke unina kanye imvuthu esibhedlela ekhaya. Nokho, ungasiza ingane ukuba sibhekane nale isimo ngokushesha.

zheltushki ukwelashwa ekhaya ihlanganisa izinyathelo ezilandelayo:

1. Amaningi bethamele ilanga. Vumela ingane yakho ukuze sunbathe. Ilanga - udokotela umhlabeleli. Ngosizo lwawo bilirubin ubhujiswe. Kodwa khumbula ukuthi imvuthuluka akanayo eside ukuba elangeni ngqo ukugwema ukushiswa yabonakala obucayi ingane isikhumba.
2. Ukudla. umdlezane kufanele eduze iqaphe ukudla kwabo. Kunconywa ukuba aluqede ngokuphelele ukudla yakho yokudla, has a ukunambitheka evelele. Lahla ukhukhamba nomqwayiba. Kungcono ukuba basekele ekudleni kwakho ku imifino, izithelo. Ungakhohlwa lapho ephuza umbuso. abesifazane lactating kufanele baphuze ngosuku mayelana 2 amalitha amanzi.
3. Umhluzi okhalweni. I isiphuzo ukugaya kakhulu futhi normalizes kuvusa okukhipha ukungcola. Umhluzi angasebenzisa umama yena. Ivunyelwe baphuze futhi izinsana.

isiphetho

Manje uyazi ukuthi yini i-jaundice e izinsana. Izimbangela nemiphumela yalesi simo wena eyaziwa. Ngokuvamile, orange isikhumba ithoni kubonisa okuvela kuyo into yemvelo. Naphezu kwakho konke lokhu, umntwana kudingeka ziqashwe. Kunoma abanokukhubazeka kumele ngamawala. Okuwukuphela kwendlela uvikele ingane yakho kusuka emiphumeleni engathí sina.