Neonatal jaundice a jarirai: haddasawa, cututtuka da kuma magani

Haihuwar crumbs - shi ne mai farin ciki mai yawa ga iyaye. Amma wani lokacin, musamman a lokacin da ta je farko-haife, shi za a iya tashe-tashen saboda launi canje-canje na fata da kuma mucous membranes na yaro. The sabon abu, da aka sani da neonatal jaundice, ba nadiri, saboda haka, ga waɗanda suka zã a haife baby kamata koyo game da shi.

dalilai

Da ya faru na jaundice a jarirai - shi ne cikakken al'ada. Irin wannan abu ya faru a lokacin da jini crumbs saboda da lalata na ja jini Kwayoyin bilirubin mafi girma fiye da na al'ada. Ya kamata a fahimci cewa a Bugu da kari zuwa da kansa da maikacin jini, da jiki da jariri da aiwatar more kuma saura ja jini Kwayoyin mahaifiyarsa. Saboda haka, aza ta zama gagarumin, da kuma ƙarshe accumulates haddi bilirubin, wadda take kaiwa zuwa yellowing na ido sclera da jariri fata. A wannan yanayin, da yaro yana da wani sauran pathologies, an dauke su zama lafiya, kuma ba ya bukatar magani.

physiological fom

Yawancin lokaci, canje-canje a cikin jariri na zahiri bayyanar ne kiyaye at 2-5 kwanaki bayan haihuwa da kuma bace da makonni 2 da haihuwa. A daidai wannan lokaci da taimako zuwa ga speedy bacewar na bayyanar cututtuka na physiological zheltushki yiwu idan sau da yawa saka crumbs da nono. Wannan zai bugun sama da selection na asali stool - meconium, wanda aka cire daga jikin wuce haddi bilirubin. Bugu da kari, shi ne shawarar more akai-akai don tafiya tare da jariri a cikin sabo ne iska.

Physiological neonatal jaundice da jariri: Sanadin

Kamar yadda aka ambata a riga, da na halitta launi na fata da kuma mucous membranes yawanci recovers zuwa 10-14 kwanaki da shekaru. In ba haka ba kamu da neonatal jaundice. Yana iya zama saboda:

• wani wanda bai kai ba baby.
• bilirubin overproduction.
• enzymatic m hanta Kwayoyin.
• a rage ikon su ɗaure jini magani bilirubin.
• pathological neonatal jaundice (tsawo).

Cutar na iya zama nakasar ko samu.

A cikin farko case, neonatal jaundice iya zama saboda:

• Pathology na membrane na ja jini Kwayoyin. Wannan cuta wani lokacin bayyana riga a cikin neonatal lokaci. A kan lokaci, ta ƙara baƙin ciki, kuma hanta, da kuma daga baya anemia.
• Erythrocyte enzyme rashi. A wannan yanayin, jaundice ya auku a kan rana ta biyu na rayuwa. Daya nuni ne da fitsari duhun.
• Lahani a haemoglobin kira da kuma tsarin da heme. Yana bayyana a 4-6 watanni na baby ta rayuwa.

An samo pathological neonatal jaundice ne na uku iri:

• Hemolytic cuta na jariri, wanda shi ne sakamakon da rikici imuunologicheskogo fetal jini daga cikin uwa tasa ta jini;
• hemorrhage a cikin kayan ciki, ko cephalohematoma, wanda ya auku a lokacin da resorption na jini kayayyakin daga shiga cikin rashin lafiya na haemoglobin.
• da dama wasu dalilai, kamar karuwa da ja da maikacin jini a cikin baby ta jini, wani ciwo da cewa tasowa a lamba tare da jini a lokacin haihuwa a cikin gastrointestinal fili na jariri, gaban mahaifiyarta ta rashin lafiya immunopathological yanayi, magani, da dai sauransu hemolysis.

magani

Kamar yadda da physiological jaundice, jariran sau da yawa shawarar shayar da kuma sa sabo ne iska. Bugu da kari, idan yaro ya neonatal jaundice, phototherapy Hanyar ne amfani. Ya kunshi irradiating da photo haske marmashi. A karkashin ta haskoki a cikin jiki ne kara bazuwar na bilirubin, sa'an nan shi ne excreted a cikin fitsari da kuma tumbi.

A hanya ne da za'ayi kamar haka:

• yaro rigar gaba daya (idan yana da wani yãro, da al'aurar bandeji) da kuma sanya shi a cikin wani na musamman akwatin ga jariri.
• idanu rufe opaque mask tare da wani na roba band.
• sakawa a iska mai guba da aka za'ayi domin a kalla 2-3 hours katsewa na ciyar;
• daga lokaci zuwa lokaci yaron ya juya a kan su photo katako yana da damar yin amfani da duk yankunan da fata.

A musamman tsanani lokuta, a lokacin da babban matakin bilirubin ne m, da zaman ne da za'ayi ci gaba. A lokaci guda a kowace awa dauki wani jini gwajin. Hanya ne kare ne kawai a lokacin da nazarin ya nuna wani m sakamakon bilirubin.

Contraindication ci gaba phototherapy ne reddening na fata. Duk da haka, irin wannan mamaki ne kiyaye sosai da wuya.

GOIC

Jiyya na neonatal jaundice a tsanani lokuta za a iya yi da aiki musayar transfussion. Alamomi ga yin amfani da wannan hanya ne:

• unsatisfactory sakamakon awon gwaje-gwaje na bilirubin matakai a cikin cibiyarki igiyar jini a lokacin haihuwa da kuma m girma, ko da a kan backdrop na phototherapy, da sauransu.
• tabbatar da wayar da uwar da ãyõyin tsanani hemolytic cuta da jariri a cikin ta yaro.
• bayyanar da crumbs cututtuka bilirubin yawan guba.

jini aka gyara domin transfussion likitoci an zabi tsananin akayi daban-daban ga kowane yaro da kuma shan la'akari da irin jini incompatibility na uwa da yaro. Bugu da ƙari kuma, GOIC aiki ne kawai bayan nasara crossmatch ta catheter shigar a cikin cibiyarki jannayẽnsa. A daidai wannan lokaci, da sanin cewa ko da tare da daidai selection na kayan aiki da kuma tsananin kiyaye da sterility ba za a iya cire wani iri-iri na da rikitarwa. Alal misali, a can zai iya zama wani iska embolism, a take hakkin na zuciya, kamuwa da cuta, thrombosis, anaphylactic buga, da sauransu. Sun yawanci faruwa a cikin na farko 3 hours bayan GOIC, don haka duk wannan lokaci, kiwon lafiya dole ne tsananin saka idanu da yanayin jariri.

sauran hanyoyin da

A lura kuma za a iya yi amfani da kwayoyi da kuma jiko far. A cikin farko idan aka sanya "ziksorin" agar-agar "Karbolit" da "Cholestyramine" wanda inganta a saki hanji bilirubin. cholagogue kwayoyi suna ma wajabta. Tare da girmamawa ga jiko far, sa'an nan shi ne da za'ayi tare da mafita daga sodium chloride, kuma glucose, da kuma albumin bayani da aka yi amfani a rage yawan furotin matakin.

rigakafin

Neonatal jaundice Sanadin wanda aka bayyana a sama, shi ne ba su iya faruwa ko ta bayyanar cututtuka tafi da sauri idan ya dauki wadannan matakan.

• nan da nan bayan haihuwa crumbs don hašawa zuwa, ƙirjĩna.
• yaye yaron da kuma bar sauran a kan kyallen tsirara don rabin awa.
• shãyar da mãma a kan bukatar.
• Daga farko kwanaki tare da yaron yawo a cikin sabo ne iska.
• ciyar da jariri daga kowane nono akalla 7-10 minti.
• idan jariri ya ki ya tsotse nono madara kamata a bayyana, kuma ba shi da wani cokali.

Yanzu da ka san abin da neonatal jaundice. Bayyanar cututtuka na siffofin daban-daban da cutar da aka bayyana a sama, saboda haka, ganin su ãyõyi, za ka iya nan da nan nuna crumbs likita, kuma kada ku rasa muhimmanci da lokaci.