Jaundice Neonatal - a zokugula noma kuyinsakavukela?

Ukubukeka jaundice e olusanda kuzalwa izingane lihlotshaniswa anda amazinga egazini bilirubin sombala. Physiologic jaundice ngokuvamile kwenzeka ngemuva kwamahora 24-36 kokuzalwa kwengane, futhi ifinyelela esiphezulu yayo ngosuku lesithathu noma lesine zokuphila kwakhe. Khona kanye ukubukeka kwawo kungenxa ukubhujiswa erythrocyte equkethe i-hemoglobin-fetus, okuthiwa - ku ukuthi ngesimo igazi lengane. Ngemva kokuzalwa komntwana umntwana akusadingeki, futhi bewa, futhi ngokwenza kanjalo esikhiqiza okuthiwa khulula (ngokungaqondile) bilirubin - zingaxazululeki, anobuthi. Kufanele kuqashelwe ukuthi ukwanda bilirubin ebonwe zonke izinsana, kodwa i-jaundice bokuphila -% 60-70 kuphela. Izinsana ezizalwa ngaphambi kwesikhathi kwenzeka okuningi ngokuvamile futhi sihlala isikhathi eside, futhi amazinga bilirubin babe ngokuvamile ephakeme. Ngaphezu degree of ukuvuthwa umbungu, le nkomba ezithinta ikakhulu sokukhulelwa - okungukuthi, ukuba khona umama okhulelwe kule nkathi izifo ezihlukahlukene.

Ngenxa ezenzeka emzimbeni chemical ukusabela bilirubin engaqondile iguqulwe ibe emgceni locondzile, engesiyo ingozi emzimbeni kanye excreted ku Bile kanye nomchamo. Kuyinto le ngxenyana yesakhi segazi ka bilirubin unika ophuzi nolwelwesi lwamafinyila, isikhumba kanye sclera. Ngaphezu kwalokho, izinsana eziningi abe yokungavuthwa ezithile enzyme izinhlelo, kuphumele excretion of bilirubin kusukela umzimba kuhamba kancane. Nokho, i-jaundice bokuphila ngemva kwezinsuku ezimbalwa, ezimweni ezibucayi - amasonto, umzimba ukubhekana bebodwa, futhi konke kuza emuva evamile. Isimo jikelele umntwana ngokuvamile ayiphazamiseki. Kuphela ezimweni ezimbalwa, ne-jaundice isikhathi eside futhi kanzima, le Udokotela angase anikeze isiguli yisimangaliso: bandisa emzimbeni, le bilirubin uyakwazi nethonya anobuthi, ikakhulukazi phezu isimiso sezinzwa.

Nokho, ezinye izinsana ngilugcinile okuthiwa i-jaundice sokugembula. Ngokungafani bokuphila, ngokuvamile awadingi ukwelashwa wedlula bebodwa, uthi uketshezi kahle emzimbeni noma excretion of bilirubin. Lolu hlobo lwe-jaundice ngokuvamile baphawula ngesikhathi sokuzalwa noma amahora yokuqala yokuphila, futhi akubonakali ngemuva kwesikhathi esithile, njengoba i-jaundice ezisanda kubelethwa. Izizathu kungaba zofuzo enzyme ukuntula, i-hypothyroidism, isifo hemolytic ngayo lapho usana, iziyaluyalu azalwa naso we carbohydrate umzimba. Ukuze sclera yellowing kanye isikhumba futhi abangela ukusha kwesibindi azalwa naso, Amapayipi biliary artreziya. Zonke izifo idatha nemibandela zidinga uchwepheshe ngokushesha iseluleko, ukunakekelwa ngezokwelashwa, futhi abanye - nokuhlinzwa.

Abazali kufanele batshele uma umntwana, okhona, mhlawumbe, jaundice ezisanda kubelethwa, kuba evilaphayo kanye ucobekile, hhayi ukudla ikhula ngesisindo. Kuyadingeka ukuba kudokotela ngokushesha futhi uma umchamo wengane liba amnyama ngombala, kanye indle kukhona ukukhanya kakhulu. Phakathi jaundice isikhathi eside ngokuvamile inikezwa inhlolovo ukuze uthole ukuthi iqondeni izizathu ke: ephelele segazi futhi ukuhlolwa ukukusiza ukunquma ezingeni egazini bilirubin bese kukhishwa nezingxenyana yayo, ultrasound esiswini, wokuhlola ohlinzayo, njll ...

jaundice Neonatal, uma kunesidingo, iphathwa aphoyintimenti laxatives namanxusa choleretic, infusions ascorbic acid futhi isixazululo glucose. Nokho, indlela ephumelela kakhulu ngokushesha ukubhekana nale nkinga - phototherapy, ukuchayeka we isikhumba sengane isibani ekhethekile. Kuyinto njengokuzijabulisa okungenangozi futhi yellowing ngesikhathi esifanayo senzeka phambi kwamehlo ethu, njengoba bilirubin ahlahlele lapho wadalula ekukhanyeni. jaundice physiologic ubalekela okuningi ngokushesha, uma kwenziwe nge isikhathi ingane ngaphezulu emgwaqweni.

Kukholakala ukuthi ibele kuyasiza ukuqeda le jaundice bokuphila e esifushane. Nokho, ngezinye izikhathi (mayelana 15% amacala), kukhona yellowing we sclera futhi isikhumba okubangelwa yokusabela is ingane umzimba ku obisini lukamama. Lokhu jaundice ezisanda kubelethwa bokuphila, okuyinto ukwelashwa, ngokuvamile, akukho ihluke kwezinye izimo, kudinga, ngaphezu, kokulunyulwa kwezinsuku ezimbalwa.

Ngakho, i-jaundice ezisanda kubelethwa ngokuvamile akuyona yingozi, kodwa kungase futhi ibonisa ukuthi ingane ezihlukahlukene nezifo kanye pathologies. Linqume ukwelashwa okufanele kungaba nochwepheshe abanolwazi, ngemva uthole ukucwaningwa okuningiliziwe kokulandisa ingane.