Jaundice ezisanda kubelethwa

Newborn jaundice kwenzeka lapho ingane ekuphakamisile amazinga igazi bilirubin. Bilirubin - ikhemikhali ophuzi umzimba ukhiqiza ukuba esikhundleni ubudala amangqamuzana abomvu egazi. Isibindi kusiza ukuba alibhubhise, ngemva kwalokho-ke esuswa indle umzimba wengane.

Ngenxa amazinga aphezulu bilirubin ingane isikhumba nabamhlophe samehlo abe phuzi. Lesi simo yase yaziwa ngokuthi "i-jaundice ezisanda kubelethwa".

izizathu

Ukuze ingane kuyinto evamile, lapho izinga bilirubin lisetudlwana kwadlula isikhathi esithile ngemva kokuzalwa.

Lokhu kungenxa yokuthi uma ingane ikhula esibelethweni, placenta ithatha bilirubin kusuka umzimba wayo. Emva kokuzalwa lo msebenzi uqala ukwenza kwesibindi ingane, kodwa ngezinye izikhathi yena akakwazi ukubhekana ezinsukwini zakuqala kahle.

Izingane eziningi abe yellowing kancane isikhumba - jaundice ezisanda kubelethwa (igama okunye - "jaundice physiologic"). Kuyinto njengokuzijabulisa okungenangozi futhi ngezinye izikhathi oludlulayo lapho ingane yakho iphenduka 2 - 4 izinsuku. Ezimweni eziningi, lokhu isimo akubangi izinkinga.

Izinsana abenza ibele ezimbili zama-jaundice kungenzeka, okuyinto, njengoba umthetho, baqiniseka ayinangozi.

• jaundice Ibele livela ezinsukwini zokuqala zokuphila, ikakhulukazi kulabo izinsana abangenalo obisini lukamama.

• Breastmilk jaundice kungenzeka izingane enempilo emva usuku lwesikhombisa wokuphila, futhi baqhubeke cishe 2 - 3 amaviki. Khona kanye ukubukeka kwawo kungenzeka kubangelwa ezinye ketshezi ubisi lwebele, othinta nokwehliswa kwesithunzi bilirubin esibindini.

ifomu okunzima jaundice kule osanda kuzalwa kungathatha ezimweni ezinjalo:

• ukuma okungavamile kwamangqamuzana egazi.

• Rhesus ukungqubuzana.

• Ukopha ngaphansi sezinwele, okubangwa lokuzalwa nzima.

• amazinga egazi abomvu yanda, okuyinto evame kakhulu izinsana nge ongaphakeme yobudala sokukhulelwa futhi amawele.

• izifo ezihlukahlukene.

• Ukungabi bikho (yokuntuleka) amaprotheni ezibalulekile, ngokuthi ama-enzyme.

Ngaphezu kwalokho, ingase ibangele izinkinga ukususwa bilirubin futhi kuholele ifomu ezinzima ngaphezulu jaundice elandelayo izici:

• Ezinye izinhlobo izidakamizwa.

• izifo azalwa naso ezithathelwanayo ezifana ugcunsula, rubella, nabanye.

• Izifo ezithinta sesibindi Bile imbobo (ukusha kwesibindi, cystic fibrosis).

• Ukuncishiswa amazinga umoya-mpilo.

• izifo Different yofuzo noma sitholwa njengefa.

Ezizalwa ngaphambi kwesikhathi futhi bathambekele ukuthuthukisa i-jaundice.

izimpawu

Jaundice kubangela yellowing kwesikhumba futhi sclera. Ukucobeka, ukutubeka futhi angafuni kudla nawo izimpawu izimo ezifana jaundice ezisanda kubelethwa.

ukwelashwa

Ukwelashwa ngokuvamile akudingeki. Ingane idinga yokwelapha uma liphezulu kakhulu noma ngokushesha kwandisa ezingeni bilirubin.

Ngokuvamile bondlekile ingane. feedings njalo (izikhathi kufika ku-12 ngosuku) ukhuthaza njalo wamathumbu ukunyakaza, ekusizeni ukuletha bilirubin ngokusebenzisa kuso.

Ezinye izinsana iphathwa kuze kube osenyameni esibhedlela. Abanye kungase kudingeke emuva uhambe ngemva kwezinsuku ezimbalwa. ukuphathwa Isibhedlela uthatha kuphela 1 - 2 izinsuku. Ukuze wenze lokhu, sebenzisa Photolamps ekhethekile okwesibhakabhaka, ezisiza sokudiliza bilirubin esikhumbeni.

Nokho, lapho izinga bilirubin akuyona eliphezulu kakhulu, ungenza phototherapy ekhaya usebenzisa ingubo fiber-optic, okuyinto ifakwe izibani namachashazi agqamile.

Emacaleni angu-olunzima kunalo lonke ake jaundice angabelwa ukuba inkambo immunoglobulin emthanjeni.

amathemba

Ngokuvamile i-jaundice osanda kuzalwa ayiyona ingozi. Ezinganeni eziningi, uya ngaphandle kokwelashwa.

Nokho, amazinga aphezulu kakhulu bilirubin kungabangela kobuchopho. Lesi sifo okuthiwa kernicterus. Ngakho-ke, uphethwe ngesikhathi esifanele kanye nokwelashwa kubalulekile ukugcina impilo yengane yakho futhi uvimbele lokhu isifo esiyingozi.

yezinkinga

Akuvamile kakhulu, kodwa eziyingozi futhi iyingozi elihlobene ne amazinga aphezulu kakhulu bilirubin:

• i-cerebral palsy.

• Ukuba isithulu.

• i-jaundice Nuclear.