Jaundice kule osanda kuzalwa: Izimbangela, izimpawu kanye nokwelashwa

Jaundice kule osanda kuzalwa - into bokuphila, esizibonakalisa ngu yellowing kwesikhumba futhi nolwelwesi lwamafinyila ngenxa yokwephulwa bilirubin umzimba, okuyinto ngenxa yokungavuthwa kohlelo isibindi enzyme. Ngaphezu kwalokho, lesi simanga kungaba sitholwa njengefa. Ngokwesibonelo, i-jaundice e nosana kungahle kubangelwe emkhayeni hyperbilirubinemia.

Esinye isici causative kulesi simo kubhekwa uqhekeko enobudlova kwamangqamuzana egazi abomvu (hemolytic jaundice), okuyinto lihlotshaniswa ukungavumelani igazi nengane kanye unina, isifo sesibindi, ukopha ezivukayo ngesikhathi sokubeletha, kanye lesi sifo njengefa kwamangqamuzana egazi abomvu yakha noma izithiyo mechanical ngoba outflow ejwayelekile Bile.

Jaundice kule osanda kuzalwa: ukubonakaliswa

yellowing bokuphila kwesikhumba futhi sclera ngokuvamile kubonakala ngosuku 3 emva kokuzalwa. Ngesikhathi esifanayo izimpawu isikhathi hemolysis futhi isibindi umonakalo noma ubende lingekho. Lapho excretion of bilirubin ikterichnost kancane kancane kunciphisa. Ezimweni ezimbi kakhulu, emthanjeni izidakamizwa "Phenobarbital" kanye isixazululo glucose futhi ascorbic acid.

Kuyaphawuleka ukuthi i-jaundice ngayo lapho usana, owazalelwa kwesikhathi, libhekene ukuqinaqina kanye nenkathi. Kulokhu, imithi kumele kuhlanganiswe phototherapy.

Lapho i-jaundice sokugembula uma ethuthukisa isifo hemolytic, ingane ucobekile, engafuni suckle. Kungenzeka Ukudlikizela futhi ngakhula isibindi ubende.

Jaundice kule osanda kuzalwa: nemiphumela

Njengoba lokhu state ezimweni eziningi has a imvelo bokuphila, imiphumela noma yezinkinga musa kuphakama. Ezimweni lapho igazi wengane bese unina akukhona RH isici okufanayo, lapho ingane sitholakale ukugeleza abampofu Bile noma isibindi lilimele abanye igciwane, onalesi sifo kuyinto ezingenawo la mathuba. Khona-ke kungenzeka anobuthi ukulimala kobuchopho albuminemia, kanye kernicterus, elibangela Ukudlikizela ezinzima, izithulu futhi efanele ukuthuthukiswa ngokomzimba.

Jaundice kule osanda kuzalwa: Ukwelashwa

Umthamo izinyathelo zokwelapha kuxhomeke ebucayini bokwephula. Izingane eziye bhalisiwe yellowing kwesikhumba futhi sclera, kubalulekile ukuthola colostrum kamama, okuyinto enomthelela ngaphezulu osenyameni okusheshayo meconium, futhi nalo - bilirubin.

Ukuze izingane zheltushki omnene bethamele ilanga ewusizo. Kwesinye isikhathi Udokotela angase anikeze isiguli ne-glucose sorbent ukuze sithuthukise ukusebenza isibindi.

Ngo cholestasis prescribers okuyinto ekhuthaza ukugeleza Bile, ngenkathi umsebenzi enganele ama-enzyme wenziwa enzyme.

Ezimweni ezimbi kakhulu, lapho emakamu bilirubin siphezulu kakhulu, kanye nezinye izindlela ayizwakali, izingane ezigulayo libonisa ukumpontshelwa igazi. isifo Hemolytic umntwana kungcono ukuncelisa omunye wesifazane futhi, ngoba ubisi lukamama luqukethe RH amasosha omzimba, ukukhombisa zilimaze egazi wengane abomvu.