Okufanele idlule Lapho jaundice e nosana? udokotela kokuthintana

Jaundice e izinsana - kuyinto zokugula lalivamile, okuyinto okumele ubhekane nabazali bakhe. Noma yimuphi bayohlale kalula uqaphela izimpawu zaso. Isikhumba ingane ibe mnyama ngokungavamile, sengathi wathela yellowness. abamhlophe samehlo abe luhlaza ehlukile. okufanele idlule Lapho jaundice kule osanda kuzalwa, kungani kukhona zokugula? Izimpendulo zale mibuzo kanye neminye kungatholakala izinto kwalesi sihloko.

Mshini lesi sifo

Jaundice e izinsana - yisimo lapho isikhumba nabamhlophe samehlo abe umbala sici, ukuhlolwa kwegazi kukhombisa amazinga bilirubin ephakeme. Le into ikhona emzimbeni lomuntu ngamunye, kodwa ezinsaneni butholakala inqwaba. Kungani i-jaundice iqhubeka ngokushesha ezinsaneni?

Lesi simo esiyingqayizivele sibangelwa kungenzeka ngenxa yezizathu eziningi. Phakathi kwabo kufanele ukugqamisa yokungavuthwa obusebenzayo kwesibindi ingane kanye nokwahlukana okusheshayo abomvu egazi ashaye - amangqamuzana abomvu egazi. indima yabo eyinhloko ngesikhathi sokukhulelwa iwukuba athwala umoya-mpilo. Emva kokuzalwa kwengane yakho ayisadingeki, bachotshozwe, futhi bilirubin izibalo ikhuphuka. Le into kuyinto zingaxazululeki, ukuthi ukwenza ngaphandle kokuhlela zizalela kwesibindi.

Ngisho izingane engumqemane esezele umzimba ongenawo amaprotheni ethile obhekene ukuthuthwa bilirubin kumaseli isibindi. izimpawu izimpawu isiqongo ngokuvamile oluba ngosuku 3-5-th kusukela ukubukeka imvuthuluka ngiphumela ekukhanyeni.

Odokotela bezingane ziye zakhomba ezimbili zalesi sitshalo isimo: jaundice bokuphila sokugembula e izinsana. Bilirubin esimweni sokuqala asuswe umzimba amasonto 1-2. Kulesi simo, zokugula is hhayi kubonakala isimo ingane. Lapho emakamu bilirubin inakekelwa amasonto amaningana ezingeni eliphezulu, ukhuluma ngani jaundice sokugembula. Onalesi sifo lokhu ngokushesha ukuthi uphethwe yini inani elihle kunawo, njengoba kancane kancane baqala ukufa amangqamuzana ezinzwa asebuchosheni.

jaundice physiologic

Lesi sifo okufana kwenzeka kaningi kunabo. Kungani i-jaundice bokuphila e izinsana? Izizathu ivela khona, odokotela ukuchaza wokugoqa omkhulu elithwala umoya-mpilo-fetus igazi womntwana. Ngokushesha sibopha ne-oxygen oludingekayo ukuze umbungu. Ngakolunye uhlangothi, libhekene ubude ongaphakeme womsebenzi. Emva kokuzalwa kwengane yakho nge-hemoglobin fetus uqala ngokushesha ukuwohloka. Lokhu kuhilela okwandisa ukusebenza ngqo bilirubin egazini, it is ngempela ephelezelwa staining kwesikhumba. Ngakho, kancane kancane eba jaundice e izinsana.

Komorowski (wezingane eyaziwa) ixwayisa ngokuthi akufanele wesabe kokutshelwa ngokukhubazeka kwengane. jaundice physiologic sitholakale 80% kwezinsana. Iqala mayelana ngosuku lwesithathu zokuphila futhi ugijimela ngosuku lwesihlanu. Kulokhu, lizinga bilirubin oqondile ingeqi imikhawulo kuvunyelwe, zokugula akuphazamisi isimo imvuthu.

imiphumela Zheltushki musa kuthinte ingane. Uma ibele, lo zokugula singanakwa. Ubisi yakha umthelela laxative. Meconium (indle yokuqala), kanye bilirubin ngokushesha ukushiya nomzimba wengane.

jaundice sokugembula

Lesi sifo libhekene yokuthi kubonakala cishe ngokushesha emva kokuzalwa. Bilirubin ku inyuka igazi kakhulu, ekufinyeleleni emazingeni ezibucayi, okuyinto kuhambisana ushevu isimiso sezinzwa. Ukwelashwa kudinga isikhathi esiningi kanye nokwelashwa zempilo ezingathí sina.

Ukwabela ukwelashwa abanekhono okokuqala udinga ukuthola izimbangela zalesi simo. Ngokuvamile zokugula eba ezizalwa ngaphambi kwesikhathi, uma kukhona yokungavuthwa ka yangaphakathi isitho izinhlelo. Ngenxa yalokho, ingane umzimba akakwazi ukubhekana esiningi bilirubin.

Uma udokotela kwenza ukuxilongwa "jaundice sokugembula" e izimbangela osanda kuzalwa sokuthuthuka kungenzeka kubangelwa ezihlukahlukene izifo:

1. Ukungavumelani we RH isici negazi iqembu.
2. Izifo parenchyma isibindi. Umzimba awukwazi ukuguqula ngokugcwele bilirubin futhi silubonisa amathumbu, esithinta ezingeni yalolu ketshezi emzimbeni.
3. Pathology sokuhamba kwegazi. Ngokuvamile, sikhuluma ukwephulwa ezakhini zofuzo. Bona kuhilelani zokugula erythrocyte izindonga, okuyinto ngempela ephelezelwa kwamazinyo zabo ezinkulukazi.
4. Biliary ipheshana isifo - Lesi esinye isizathu esenza kukhona jaundice e izinsana.

Komorowski ezinkulumweni zakhe igxile iqiniso lokuthi izifo ebhalwe ngenhla ngokusekelwe eBhayibhelini zenzeka seziguli ezisencane kukalutshwana kakhulu. Yingakho, lapho ukhuluma ngani jaundice, ngokuvamile ebhekisela ifomu bokuphila. esikhathini eside ngenxa yesizathu esisodwa noma kwenye okufana a zokugula kungaholela ezinkingeni nge isimiso sezinzwa emaphakathi, inhliziyo kanye ipheshana alimentary. Bilirubin kunomphumela omubi kwezicubu eziningi emzimbeni, ngakho ukwelashwa kufanele kube okusheshayo futhi onekhono.

okufanele idlule Lapho jaundice e nosana?

ukwabiwa bilirubin Uhlelo kancane kancane ngcono. Ngokuvamile, ophuzi ibala ubalekela ezinsukwini 6-7. Uma umntwana ibele, inqubo ekususeni bilirubin okukhulu ngaphezulu. Bokuphila okufana nesifo akuyona esiyingozi futhi akusho ziyingozi empilweni yengane.

Uma izimpawu isifo yavela ngemva osenyameni evela esibhedlela, kulesi simo sithatha amasonto angaphezu kwamabili, sekuyisikhathi ikhale alamu. Umama esiphuthumayo ukukhombisa udokotela wengane. Kususelwa kobukhulu isimo kungase kudingeke ukwelashwa esibhedlela ukusebenzisa imithi. Ekusebenteni, ngokuvamile sebenzisa "Hofitol" Baby ku zheltushki. Izibuyekezo yokwelapha osetshenziswayo yezokwelapha ezimweni eziningi ezinhle. ukubukwa Negative abazali, ngokuvamile ngenxa yokudlulisela sekwephuzile udokotela.

kokubonisana Medical: lokho kudingeka ukuhlolwa

Ngo izinsana, lokhu zokugula kuzibonakalisa hhayi kuphela ngokushintsha isikhumba. umchamo kaningi Uthola umthunzi mnyama, indle, kunalokho, kuba kungekho nto enemibala emihle. Umzimba angase abe nokulimala. Kancane kancane ukuwohloka kwempilo jikelele umntwana. Uma isikhumba akubi ithoni evamile ngemva kwamasonto amabili, kufanele ufune usizo lukadokotela. Ningadakwa silahle ukuvakashelwa bese ulinda ngizodabula jaundice kule osanda kuzalwa wedwa.

Phakathi kokubonisana udokotela kufanele uhlole ingane futhi zibeka ukuhlolwa igazi ukunquma inani bilirubin. Ngaphezu kwalokho, kungase kudingeke besisu ultrasound uphenyo ku hemolysis. Ngokusekelwe imiphumela udokotela cwaningo ubeka yokwelapha ezifanele.

Indlela esiphatha ngayo jaundice e izinsana

Uma ingane uye wasembulela ifomu bokuphila isifo, imishanguzo ethile liyadingeka. Abazali kufanele enze wonke umzamo ukusiza umzimba kancane ukuze ubhekane ngokuphumelelayo nenkinga efana jaundice.

Ngo izinsana ukwelashwa ekhaya kuhilela ongakhetha eziningana. Endaweni yokuqala kunconywa ukuqala ibele kusenesikhathi, ngoba ubisi isheshisa izinqubo umzimba emzimbeni engaqinile. Ngakho ukuthi imvuthu Awunawo izinkinga ekugayeni ukudla esiswini, umama kufanele ulandele uhlobo olukhethekile lokudla. Baby kubalulekile ujwayele ukuvakashela emoyeni evulekile, bethamele ilanga.

Lokhu ukunakekelwa ingane kunomthelela umzimba. Kulokhu, njengenhlangano umuthi izenzo ubisi lwebele ukuthi umntwana kufanele zithole kwesidzingo.

Lapho i-jaundice sokugembula kudinga imithi sina. It esabela wezingane ngemva sokunquma isigaba saso, khona izinkinga. Ngaphezu kwalokho, kungenzeka ukusebenzisa zokupheka ihlolwe of imithi yendabuko.

ukwelashwa

Ekukhombeni ifomu sokugembula lesi sifo ekwelashweni kuyadingeka ukuba uqale masinyane. Odokotela bezingane Ngokuvamile zitusa "Hofitol" Baby ku zheltushki. Izibuyekezo ngalokhu izidakamizwa seziyotholakala ngculaza. Kuhlanganisa sicashunwa amaqabunga inkambu artichoke. I nomuthi ngcono isibindi, ngaleyo ndlela kuncishiswe lizinga bilirubin futhi Bile excretion okusheshayo kusuka emzimbeni.

Khomba chelators ngaphezulu ( "Smecta", "Polyphepan"). injongo yabo eyinhloko uphazamisa kwegazi phakathi bilirubin isibindi ngqo emathunjini.

Luncoma "Ursosan" zikhala cholestasis nodokotela bezingane. Baby zheltushki yalesi izidakamizwa ephumelela kakhulu lapho itholakala ifomu capsule. Abazali abaningi bayesaba side effects yalesi izidakamizwa. Lezi zihlanganisa ukuhlanza, ukuqubuka iguliswa, uhudo. Nokho, lezi zimpawu kungukuthi ebonwe zonke izingane. Odokotela bezingane namanje okunqunyiwe "Ursosan" Baby ku zheltushki, ngoba lokhu zokugula akuyona njalo zihlukaniswa uhlamvu ayinangozi.

Ukwelapha ngokukhanya

Namuhla, odokotela abaningi bakholelwa ukuthi ekulweni nalesi sifo akunakwenzeka ngaphandle ukusetshenziswa kwezidakamizwa. Abazali abaningi abacabangi ngendlela efanayo futhi bakhathazekile impilo umzimba wengane akukakabi eqinile. Esimweni esinjalo kuziwa phototherapy wokutakula. Kuyinto ukwelashwa okuphumelelayo kakhulu lesi sifo jaundice e izinsana.

ukwelashwa Ikhaya kuhilela ukusetshenziswa isibani ekhethekile. amaza okukhanya yayo bilirubin wajinge wanamatsela tincenye non-enobuthi. Ngemva 10-12 amahora enjalo yokwelapha olunzulu basuke excreted ku umchamo kanye endleni. Ukwelashwa Angeke wakwazi ukuhlukanisa umntwana unina, onikeza ithuba elikhulu ithawula ku ibele.

Kwezinye izimo, Ukwelapha ngokukhanya wenziwa esibhedlela ngaphansi kokuqondisa kukadokotela. Ngesikhathi inqubo, amehlo wengane ngempela ukumboza izibuko. isikhathi sakhe akuvunyelwe ezilawulwayo. Ngezinye izikhathi Ukwelapha ngokukhanya kuholela flaking kwesikhumba olubi nokuphela kwamanzi emzimbeni, ngakho ukuqapha okuqhubekayo of udokotela uyisidingo.

Ezimweni eziningi, ungenalo ukulinda isikhathi eside, lapho ngizodabula jaundice kule osanda kuzalwa. Ubude yokwelashwa ngale ndlela kuyinto amahora 96 kuphela. Nokho, ngemva lokuqala session phototherapy lubonakale Dynamics omuhle.

imiphumela sokugembula

Onalesi sifo yalesi sifo incike imbangela namandla aso, ukuhambisana nesikhathi uqinisekise uphethwe kanye nokwelashwa izicelo. Uma zokugula bakwazi ukukhomba ukuthi isheshe itholakale, imiphumela emibi azisongeli ekuphileni komntwana.

Uma kungenjalo, uma bilirubin ifika emazingeni ezibucayi, futhi abazali musa ukusheshe ukufuna usizo lukadokotela, amathuba ukulimala kobuchopho. Lokhu kungaholela sokuwa ukuthuthukisa ubuthulu, retardation engqondo.

Abazali akufanele ziphathwe wokungayifuni kokutshelwa ngokukhubazeka kwengane, kodwa akudingekile ukuba wesabe. Ukwelashwa kusenesikhathi futhi ukunamathela ngokuqinile izinhlinzeko zoMthetho wezingane - isihluthulelo ukululama okusheshayo.