Jaundice hānau hou - hoʻokuʻu

Ua mālama ʻia kāu pēpē i ka haukapila no ka jaundice hānau hou. Hōʻike kēia ʻatikala iā ʻoe i ka mea e pono ai ʻoe e ʻike ke hoʻi mai kāu pēpē i ka home.

Loaʻa ka jaundice hānau hou o kāu pēpē. Hoʻokumu ʻia kēia ʻano maʻamau e nā kiʻekiʻe o ka bilirubin i ke koko. E nānā ka ʻili o kāu keiki a me ka sclera (keʻokeʻo o kona mau maka) melemele.

Pono e mālama ʻia kekahi mau keiki hānau hou ma mua o ka haʻalele ʻana i ka haukapila. Pono paha nā poʻe ʻē aʻe e hoʻi i ka haukapila ke hala lākou i kekahi mau lā. ʻO ka mālama ʻana i ka haukapila ʻoi mau ka hala o 1 a 2 mau lā. Pono kāu keiki i ka lāʻau ke kiʻekiʻe loa kā lākou bilirubin pae a piʻi wikiwiki paha.

I mea e kōkua ai e wāwahi i ka bilirubin, e hoʻokau ʻia kāu keiki ma lalo o nā kukui ʻōlinolino (phototherapy) i loko o kahi moena pumehana. E komo ka pēpē i ka diaper wale a me nā aka maka kūikawā. Loaʻa paha i kāu pēpē kahi laina intravenous (IV) e hāʻawi iā lākou i nā wai.

Kākaʻikahi, pono paha i kāu pēpē i ka lāʻau i kapa ʻia he pālua ka hoʻololi ʻana o ke koko. Hoʻohana ʻia kēia ke kiʻekiʻe kiʻekiʻe ka bilirubin o ka pēpē.

Inā ʻaʻole he mau pilikia ʻē aʻe, hiki i kāu keiki ke hānai (ma ka umauma a i ʻole ʻōmole) maʻamau. E hānai kāu keiki i kēlā me kēia 2 a i ka 2 ½ mau hola (10 a 12 mau manawa i ka lā).

Hiki paha i ka mea mālama ola ke hoʻopau i ka phototherapy a hoʻouna i kāu keiki i ka home ke haʻahaʻa ka pae o ko lākou bilirubin e palekana. Pono e nānā i ka pae bilirubin o kāu keiki ma ke keʻena o ka mea hoʻolako, 24 mau hola ma hope o ke kū ʻana o ka lāʻau, i mea e piʻi hou ʻole ai ka pae.

ʻO nā hopena ʻē aʻe o ka phototherapy ka diarrhea wai, ka make wai, a me ka ʻeha o ka ʻili e hele ke pau ke kuʻina.

Inā ʻaʻohe jaundice kāu keiki i ka wā hānau akā i kēia manawa, pono ʻoe e kāhea i kāu mea hāʻawi. ʻO nā pae Bilirubin ka mea kiʻekiʻe ke kiʻekiʻe ka wā hānau o 3 a 5 mau lā.

Inā kiʻekiʻe ʻole ka pae bilirubin a piʻi ʻole wikiwiki paha, hiki iā ʻoe ke hana i ka phototherapy ma ka home me ka uhi fiber optic, nona nā kukui ʻōlinolino liʻiliʻi i loko. Hiki iā ʻoe ke hoʻohana i kahi moena e hoʻomālamalama i ka moena mai ka moena. E hele mai kahi kahu i kou home e aʻo iā ʻoe pehea e hoʻohana ai i ka kapa moe a i ʻole kahi moe a e nānā i kāu keiki.

E hoʻi ka kahu i kēlā me kēia lā e nānā i kāu keiki:

• Kaumaha
• Hoʻokomo i ka waiū umauma a i ʻole haʻilula
• Ka helu o nā diapers pulu a me ka poopy (stool)
• Ka ʻili, e ʻike ai i ka mamao o ke poʻo (ke poʻo a ka manamana wāwae) hele ke kala melemele
• Pae Bilirubin

Pono ʻoe e mālama i ka light therapy ma ka ʻili o kāu keiki a hānai i kāu keiki i kēlā me kēia 2 a 3 mau hola (10 a 12 mau manawa i ka lā). Pale ka hānai ʻana i ka make wai a kōkua i ka bilirubin e haʻalele i ke kino.

E hoʻomau ka hoʻomaʻamaʻa a hiki i ka haʻahaʻa o ka bilirubin o kāu pēpē e hiki ai ke palekana. Makemake ka mea hāʻawi i kāu pēpē e nānā hou i ka pae ma 2 a 3 mau lā.

Inā pilikia ʻoe i ka hānai ʻana, e hoʻopili aku i kahi loea kahu maʻi hānai.

Kāhea i ke kahu mālama ola o kāu pēpē inā pēpē:

• He kala melemele kāna e hele aku ana, akā hoʻi mai ma hope o ke kū ʻana o ka lāʻau.
• He kala melemele kona i ʻoi aku ma mua o 2 a 3 mau pule

Kāhea aku hoʻi i ka mea hāʻawi i kāu pēpē inā he hopohopo kāu, inā e ʻoi aku ana ka ʻeha o ka jaundice, a i ʻole pēpē paha:

• He lethargic (paʻakikī e ala aʻe), emi pane ʻole, a fussy paha
• Hōʻole i ka ʻōmole a i ʻole umauma ma mua o 2 hānai i ka lālani
• Ke emi nei ke kaupaona
• Loaʻa ka diarrhea wai

Jaundice o ka hānau hou - hoʻokuʻu; Hyperbilirubinemia neonatal - hoʻokuʻu; Pālehu hānai hānai hānai - hoʻokuʻu; Phundsiologic jaundice - hoʻokuʻu

• Exchange transfusion - moʻo
• ʻO ka jaundice pēpē

ʻO Kaplan M, Wong RJ, Sibley E, Stevenson DK. ʻO ka jaundice neonatal a me nā maʻi ate. I: Martin RJ, Fanaroff AA, Walsh MC, hua. ʻO Fanaroff lāua ʻo Martin's Neonatal-Perinatal Medicine. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2015: chap 100.

Maheshwari A, Carlo WA. Nā maʻi ʻōnaehana Digestive. I: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 20 ouk. Piladelapia, PA: Elsevier; 2016: chap 102.

ʻO Rozance PJ, Rosenberg AA. ʻO ka neonate. I: Gabbe SG, Niebyl JR, Simpson JL, et al, eds. Nā Obstetrics: Nā Pregnancies Maʻamau a me nā pilikia. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 22.

• Biliary atresia
• Kukui Bili
• Hōʻike koko Bilirubin
• Bilirubin encephalopathy
• Transfusion kuapo
• Jaundice a me ka waiū hānai
• Pākuʻiwi hānau hou
• Pēpē pēpē
• Rh incompatibility

• Jaundice hānau hou - he aha e nīnau aku ai i kāu kauka

• Nā Pilikia o nā keiki hānai a me nā keiki hānau hou
• ʻO Jaundice