Neonatal jaundice i loko o nā pēpē i: mea, lalau mai, symptoms a me ka lapaʻau

I ka hanau ana o nā hunahuna - ia mea he olioli nui no nā mākua. Akā, i kekahi manawa, o ka oi aku ka wā e hele mai ai i mua-hanau, ka mea hiki keʻino ihola nō ia no ka mea, o ke ano hou o ka ili a me ka mucous membranes o ke keiki. Ke kŰia,ʻikeʻia me neonatal jaundice, mea ole uncommon, nolaila, i ka poe e koke e hanau kamaiki E aʻo hou no ia.

kumu

Ka hanana o ka jaundice i loko o nā pēpē i - ia mea loa maʻamau. Oia ka kŰia ia lŘlŘ ka wā koko hunahuna aie i ka hoʻopöʻino 'ia o kaʻulaʻula koko keena bilirubin kiʻekiʻe ma luna o maʻamau. E hoʻomaopopo i ka hou i kona iho koko keena, i ke kino o ke keiki i ke kō hou a me ka koena ulaula koko keena makuwahine. Pela, ke haawe i nui, a me ka ho'ōla accumulates loa bilirubin, a hiki aku i ka yellowing o ka maka sclera a me ka pēpē ili. Ma keia hihia, ke keikiʻaʻohe'ē aʻe pathologies, ka mea, ua manaoia e e ola, a 'aʻole e pono ai lapaau.

physiological palapala

IeAUPIIe, IAa IO, e malama loli ma ka keiki ka physical nānā aku ma 2-5 lā ma hope o ka hānau, a nalo ma 2 pule o ka makahiki. I ka Ia manawa he hoʻonui i ka māmā nalowaleʻana o nā symptoms o physiological zheltushki hiki ina pinepine i hunahuna ai a hiki i ka umauma. Kēia e oia i ke koho ana i palapala noho - meconium, i ua wehe 'ia mai ke kino oi bilirubin. Eia hou, ka mea, ua paipai hou pinepine no ka hele ana me ke keiki i loko o ka hawaiian lewa.

Physiological neonatal jaundice o ke keiki: 'ehaʻeha ka

E like me ua oleloia, i keʻano maoli o ka ili a me ka mucous membranes pele ho'ōla mai kēlā iā ia 10-14 lā o ka makahiki. I ole ia diagnosed me neonatal jaundice. Ua hiki e no ka mea,:

• he premature bebe;
• bilirubin overproduction;
• enzymaticʻiliahi ake keena;
• ka hoemi hana e hoopaa i ke koko lāʻau lapaʻau bilirubin.
• pathological neonatal jaundice (hoʻolōʻihiʻia).

Ka maʻi hiki e congenital a loaa.

Ma ka hihia mua, neonatal jaundice paha e ku pono ana i:

• Pathology o kaʻili lahilahi oʻulaʻula koko keena. Kēia maʻi kekahi manawaʻia ia i loko o ka neonatal wā. Over manawa, mahuahua spleen a me ka ake, a me ka hope anaemia.
• Erythrocyte'ūhū deficiency. Ma keia hihia, jaundice ia lŘlŘ i ka lua o ka lā o ke ola. Kekahi PAaIEN o ka mimi poeleele hoi.
• Hewa i loko o hemoglobin hoʻololi kemikala a me ka 'ole a me ka heme. Eia kahi mea akaka ma 4-6 mahina o ka pēpē ka ola.

Lilo pathological neonatal jaundice mea o ka ekolu ano.

• Hemolytic mai o ke keiki, i mea no ka hopena o ke kaua imuunologicheskogo fetal koko, mai ke koko o ka makuwahine o ka;
• hemorrhage i loko o ka mea na nā loko a me cephalohematoma, a ia lŘlŘ ka wā resorption o ke koko huahana mai komo i ka hālāwai hope o ka hemoglobin;
• ka helu o nā kumu, e like me ka mea i loaʻa o kaʻulaʻula koko keena ma ka pēpē ka koko, he maʻi pale e hoʻomōhala ana i ka hui 'ana me ke koko i hānau i loko o ka gastrointestinal'āpana o ke keiki, i ke alo o kona makuwahine i ka maʻi immunopathological ano, lāʻau lapaʻau, etc. hemolysis.

lapaʻau

E like me ka physiological jaundice, keiki pinepine aeiiaiaoaony e breastfeed, a me e ka mea hou lewa. Eia hou, ina i ke keiki ka neonatal jaundice, phototherapy iaoia ua noi ia. Ua ninoieo o irradiating ka Hawaii photo malamalama hunahuna. Ma lalo o kona kukuna i loko o kona kino ua hōʻeleu i decomposition o bilirubin, a laila ka mea, ua excreted i loko o ka mimi a me feces.

Ke hana ua lawe mai ia penei:

• keiki paʻipaʻiʻole loa (ina ia mea he keiki, i ka wahine lole wili) a ua waiho ia ma ka kūikawā pahu no ke keiki;
• maka paa hou mai la opaque ea paha me ka laholio hui;
• irradiation ua lawe mai no ma ka liʻiliʻi loa 2-3 hola haʻahaʻa o ka ai ana;
• mai ka manawa i ka manawa i huli aʻe ma luna o ke keiki i ka mea nana i ulana Hawaii photo i komo i nā wahi likeʻole o ka ili.

Ma pakahi aku la ia mea hoopii, ka wā kiʻekiʻe kiʻekiʻe o ka bilirubin Ua noho pilikia, i ke kau ahaolelo ua lawe mai noke. I ka Ia manawa kēlā me kēia hora lawe i ka koko hōʻike. Ke Kaʻina Hana ua 'ōlelo wale nō ka wā haʻawina hōʻike he kupono hopena o ka bilirubin.

Contraindication e hoʻomau phototherapy mea he kauluwela o ka ili. Eia naʻe, ua malama loa kākaʻikahi iaʻike manaʻo.

GOIC

Lapaʻau o neonatal jaundice i mea hihia hiki ke hana ma ka hana, e loaa hou transfusion. Nāʻikepili no ka hana ana i keia hana i:

• unsatisfactory hopena o ke keʻena hoʻokolohua ho'āʻo ma o bilirubin pae i loko o ka piko koko i ka manawa o ka hanau a me ka ulu ka mau, a hiki aku i ka backdrop o phototherapy, a me na mea e ae;
• ai sensitization o ka makuwahine a me na hoailona o ka loa hemolytic mai o ke keiki i loko o kona keiki;
• i ke ano o na hunahuna symptoms bilirubin kaʻawahia.

koko eiiiiiaiou no ka transfusion kauka i wae pololei pākahi no kēlā me kēia keiki, a lawe i ka mooolelo o ka 'ano o ke koko incompatibility o ka makuahine a me ke keiki. Eia kekahi, GOIC hana wale ma hope holomua crossmatch ma ka catheter hoʻouka kekahi i loko o ka umbilical aa koko. I ka Ia manawa, e makaala e hiki i ka pololei koho o mea no ka hana a me ka ikaika ana i kona akua o ka sterility ole e ke hoʻokoe 'keʻano o nā complications. No ka laʻana, aole e ia i ka lewa embolism, he 'aʻe' ana o ka naau, maʻiʻaʻai, thrombosis, anaphylactic hawewe, a me kekahi poe e ae. La lakou i hookuu ana i loko o ka mua 3 hola ma hope o GOIC, no laila, i kēia manawa a pau, 'inikua limahana pono ikaika kanaka hoʻoponopono i ke ano o ke keiki.

nā ano

Ka iapaau ana hiki ke hana i hoʻohana ai 'a me ka infusion Inc. Ma ka hihia mua ua ia "ziksorin" ua Hagara la-ua Hagara la "Karbolit" a me ka "Cholestyramine" i ka paipai i ke kala o intestinal bilirubin. i cholagogue ai 'i hoakaka ia. Me ka mahalo i ka infusion Inc, a laila ka mea, ua lawe mai me ka pāʻoihana o ka paʻakai koloriside a me ka monakō koko, a ua noi aku i ka albumin pāʻoihana ma ka ho'ēmi i kā kumuʻiʻo pae.

Kāohi

Neonatal jaundice kumu o i i ho'ākāka 'ia ma luna,' aʻole paha e ana a me kona mau symptoms hele aku wikiwiki ina e lawe i ke kēia mau ana.

• koke ma hope o ka hānau hunahuna e paʻa ai i ka umauma;
• paʻipaʻiʻole i ke keiki a me ka haʻalele i ke koena ma luna o ka diaper kapa ole a hiki i ka hapalua o ka hora;
• breastfeed ma koi;
• Mai ka lā mua i ke keiki i ka hele i loko o ka hawaiian lewa;
• hānai i ke keiki, mai kēlā me kēia umauma ma ka liʻiliʻi loa 7-10 minuke;
• ina ke kamaiki ole ai ia e omo i ka umauma o ka waiu e e hoike a, e haawi ia ia i ka puna.

Ano, ia oe i ka mea a ka neonatal jaundice. Symptoms o kekahi mau ano o ka maʻi i oleloia ua hiki aku ma luna, nolaila, ike ana i ko lakou mau hoailona, e hiki koke hōʻike i nā hunahuna kauka, a mai i lilo aku waiwai manawa.