ʻO ka hyperbilirubinemia ʻohana kūlohelohe

ʻO ka hyperbilirubinemia ʻohana kūlohelohe kahi maʻi metabolic i hoʻoili ʻia e nā ʻohana. Hānau ʻia nā pēpē me kēia maʻi me ka jaundice koʻikoʻi.

ʻO ka hyperbilirubinemia ʻohana kūlohelohe kahi maʻi hoʻoilina. Hana ʻia ia ke wāwahi ʻole ʻole ke kino (metabolize) i kekahi ʻano o ka bilirubin. Kūkulu wikiwiki nā pae Bilirubin i ke kino. ʻO nā pae kiʻekiʻe he mea ʻawahia i ka lolo a hiki ke make i ka make.

Loaʻa paha i ka hānau hānau hou:

• ʻIli melemele (jaundice)
• Nā maka melemele (icterus)
• Lethargy

Inā hana ʻole ʻia, hopu ʻia nā pilikia hopu a me nā neurologic (kernicterus).

Hiki i nā hōʻoia koko no nā pae bilirubin ke hoʻomaopopo i ke koʻikoʻi o ka jaundice.

Hoʻohana ʻia ka Phototherapy me ke kukui polū e mālama i ke kiʻekiʻe o ka bilirubin. Pono kahi transfusion exchange i kekahi manawa inā kiʻekiʻe loa nā pae.

ʻO nā pēpē i mālama ʻia hiki ke loaʻa kahi hopena maikaʻi. Inā mālama ʻole ʻia ke ʻano, kupu mai nā pilikia koʻikoʻi. Mālama maikaʻi kēia maʻi me ka manawa.

Hiki i nā make a i ʻole lolo koʻikoʻi a me nā ʻōnaehana (neurological) pilikia ke hana inā ʻaʻole mālama ʻia ke ʻano.

ʻIke pinepine kēia pilikia ma hope koke o ka lawe ʻana. Eia nō naʻe, e kāhea i kāu mea mālama ola inā ʻike ʻoe i ka ʻili melemele o ka ʻili o kāu pēpē. Aia kekahi mau kumu ʻē aʻe no ka jaundice i ka hānau hou e mālama maʻalahi ʻia.

Hiki i nā ʻōlelo aʻoaʻo genetic ke kōkua i ka ʻohana e hoʻomaopopo i ke ʻano, nā pilikia o ka hoʻi hou ʻana, a pehea e mālama ai i ke kanaka.

Hiki i ka Phototherapy ke pale aku i nā pilikia koʻikoʻi o kēia maʻi.

Lucey-Driscoll maʻi

ʻO Cappellini MD, Lo SF, Swinkels DW. Hemoglobin, hao, bilirubin. I: Rifai N, ed. ʻO Tietz Textbook of Clinical Chemistry a me nā Molecular Diagnostics. ʻElua huaʻōlelo St Louis, MO: Elsevier; 2018: chap 38.

Korenblat KM, Berk PD. E hoʻokokoke i ka mea maʻi me ka jaundice a i ʻole nā ​​hoʻokolohua ate ʻole. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 138.

Lidofsky SD. ʻO Jaundice. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi ate. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2016: chap 21.