Pākuʻiwi hānau hou

Hana ʻia ka jaundice hānau hou ke kiʻekiʻe ka bilirubin o ke pēpē i ke koko. ʻO Bilirubin kahi mea melemele a ke kino e hana ai i ka wā e pani ai i nā hunaola ʻulaʻula kahiko. Kōkua ke akepaʻa e haki i ka waiwai i hiki ai ke hemo mai ke kino i ka pahu.

ʻO kahi kiʻekiʻe o ka bilirubin e hana i ka ʻili o ka pēpē a me nā keʻokeʻo o nā maka e melemele. Kapa ʻia kēia ʻo jaundice.

ʻO ka maʻamau no ka pae o ka bilirubin o kahi pēpē e kiʻekiʻe iki ma hope o ka hānau ʻana.

Ke ulu nei ka pēpē i loko o ka ʻōpū o ka makuahine, wehe ka placenta i ka bilirubin mai ke kino o ka pēpē. ʻO ka placenta ka mea ulu i ka wā hāpai e hānai i ka pēpē. Ma hope o ka hānau ʻana, hoʻomaka ka ate o ka pēpē e hana i kēia hana. Lōʻihi paha ka manawa no ka ate o ka pēpē e hiki ai ke hana i kēia me ka maikaʻi.

ʻO ka hapanui o nā hānau hou he melemele o ka ʻili, a he jaundice paha. Kapa ʻia kēia he jaundice physiological. ʻIke ʻia i ka wā he 2 a 4 mau makahiki paha ka pēpē. ʻO ka hapa nui o ka manawa, ʻaʻole ia e hoʻopilikia i nā pilikia a hele i loko o 2 mau pule.

Hiki i ʻelua ʻano jaundice ke hana i nā keiki hānau hou i hānai ʻia i nā umauma. ʻAʻohe maikaʻi ʻole nā ​​ʻano ʻelua.

• ʻIke ʻia ka jaundice hānai i nā pēpē i hānai ʻia i ka pule mua o ke ola. Hiki ke hana ʻia inā ʻaʻole hānai maikaʻi nā pēpē a lohi paha ka waiū o ka makuahine, a hiki i ka make wai.
• Hiki ke ʻike ʻia ka jaundice waiū umauma i kekahi mau pēpē olakino maikaʻi umauma ma hope o ka lā 7 o ke ola. E piʻi paha ia i nā hebedoma 2 a me 3, akā e mau paha ma nā pae haʻahaʻa no hoʻokahi mahina a ʻoi paha. ʻO ka pilikia ma muli paha o ka hopena o nā mea i ka waiū umauma i ka haki o ka bilirubin i ke ake. ʻOkoʻa ka jaundice waiū umauma ma mua o ka jaundice hānai waiū.

Hiki i ka jaundice hānau hānau nui inā loaʻa kahi kūlana i ka pēpē e hoʻonui i ka nui o nā hunaola ʻulaʻula e pono e hoʻololi ʻia i ke kino, e like me:

• ʻO nā kinona kinona koko maʻamau (e like me ka anemia ʻili maʻi).
• Kūlike ʻole ke ʻano koko ma waena o ka makuahine a me nā pēpē (Rh incompatibility a i ʻole ABO incompatibility)
• ʻO ke kahe ʻana ma lalo o ke poʻo (cephalohematoma) i hoʻokumu ʻia e ka lawe paʻakikī
• ʻO nā kiʻekiʻe kiʻekiʻe o nā hunaola ʻulaʻula, kahi i maʻa mau i nā pēpē liʻiliʻi-no-ʻōpū (SGA) a me kekahi māhoe
• Maʻi kīnā
• Ka nele o kekahi mau protein koʻikoʻi, i kapa ʻia nā enzymes

ʻO nā mea e paʻakikī ai i ke kino o ka pēpē e wehe i ka bilirubin hiki ke alakaʻi ʻia i ka jaundice ʻoi aku ka nui, e like me:

• Nā lāʻau lapaʻau kekahi
• Loaʻa nā maʻi i ka wā hānau, e like me rubella, syphilis, a me nā mea ʻē aʻe
• Nā maʻi e hoʻopili i ke akepaʻa a i ʻole ka biliary tract, e like me cystic fibrosis a i ʻole hepatitis
• ʻĀpana oxygen haʻahaʻa (hypoxia)
• Nā maʻi (sepsis)
• Nui nā ʻano ʻē aʻe a i ʻole nā ​​hoʻoilina hoʻoilina

ʻO nā pēpē i hānau mua ʻia (premature) e hoʻomohala i ka jaundice ma mua o nā pēpē wā piha.

Hoʻokumu ʻo Jaundice i kahi kala melemele o ka ʻili. Hoʻomaka ka hoʻomaka ʻana ma ka maka a laila neʻe i lalo i ka umauma, kahi o ka ʻōpū, nā wāwae, a me nā wāwae o ka wāwae.

I kekahi manawa, luhi paha nā pēpē me ka jaundice koʻikoʻi a hānai maikaʻi ʻole.

E nānā nā mea mālama ola i nā ʻōuli o ka jaundice ma ka haukapila. Ma hope o ka hoʻi ʻana o ka hānau hou i ka home, ʻike pinepine nā lālā o ka ʻohana i ka jaundice.

ʻO kēlā me kēia pēpē e ʻike ʻia i ka jaundice e ana i nā pae bilirubin i ana koke ʻia. Hiki i kēia ke hana me kahi hōʻike koko.

Nui nā haukapila e nānā i nā pae bilirubin āpau i nā pēpē āpau ma kahi o 24 mau makahiki o ko lākou mau makahiki. Hoʻohana nā haukapila i nā probes i hiki ke koho i ka pae bilirubin ma ka hoʻopili ʻana i ka ʻili. Pono e hōʻoia i nā heluhelu kiʻekiʻe me nā hōʻike koko.

ʻO nā hoʻāʻo e hana ʻia ana paha:

• Helu piha koko
• Hōʻike Coombs
• Helu helu Retikulosit

Pono paha e hoʻāʻo hou no nā pēpē e pono ai ka lapaʻau ʻana a i ʻole ʻo ka piʻi ʻana o ka pae bilirubin e piʻi wikiwiki aʻe ana ma mua o ka mea i manaʻo ʻia.

ʻAʻole pono ka mālama ʻana i ka hapa nui o ka manawa.

Ke pono ka mālama ʻana, kau ka ʻano ma:

• ʻO ka pae bilirubin o ka pēpē
• Pehea ka wikiwiki o ka piʻi ʻana o ka pae
• Inā hānau hānau ʻia ka pēpē (ʻo nā pēpē i hānau mua ʻia e mālama ʻia ma nā pae bilirubin haʻahaʻa)
• Ehia mau makahiki o ka pēpē

Pono kahi pēpē e mālama ʻia inā kiʻekiʻe ke kiʻekiʻe o ka bilirubin a piʻi wikiwiki paha.

Pono kahi pēpē me ka jaundice e lawe i nā wai he nui me ka waiū o ka waiū a i ʻole ke ʻano.

• E hānai pinepine i ka pēpē (a hiki i 12 mau manawa i ka lā) e paipai i ka neʻe pinepine o ka ʻōpū. Kōkua kēia mau mea i ka lawe ʻana i ka bilirubin ma o nā noho. E noi i kāu mea hāʻawi ma mua o ka hāʻawi ʻana i kāu kumuhana hou.
• I nā hihia maʻamau, loaʻa i kahi pēpē nā wai keu e IV.

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 mau ma kahi o 1 a 2 mau lā.

I kekahi manawa, hoʻohana ʻia nā kukui polū kūikawā i nā pēpē kiʻekiʻe loa nā pae. Hana kēia mau kukui i ke kōkua ʻana e wāwahi i ka bilirubin i ka ʻili. Kapa ʻia kēia phototherapy.

• Hoʻokomo ʻia ka pēpē ma lalo o kēia mau kukui i loko o kahi moena mehana a paʻa e mālama ai i ka mahana mau.
• E komo ka pēpē i ka diaper wale nō a me nā aka maka kūikawā e pale ai i nā maka.
• Pono e hoʻomau i ka hānai ʻana i ka wā o ka phototherapy, inā hiki.
• I nā hihia maʻamau, pono paha i ka pēpē i kahi laina intravenous (IV) e hāʻawi i nā wai.

Inā kiʻekiʻe ʻole ka pae o ka bilirubin a piʻi ʻole paha i luna, hiki iā ʻoe ke hana i ka phototherapy ma ka home me ka uhi fiberoptic, nona nā kukui ʻōlinolino liʻiliʻi i loko. Hiki iā ʻoe ke hoʻohana i kahi moena e hoʻomālamalama i ka moena mai ka moena.

• 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).
• 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 ke kaupaona o kāu keiki, ka hānai ʻana, ka ʻili, a me ka pae bilirubin.
• E noi ʻia ʻoe e helu i ka helu o nā diapele pulu a lepo.

I nā hihia ʻoi loa o ka jaundice, koi ʻia kahi transfusion exchange. I kēia kaʻina hana, ua hoʻololi ʻia ke koko o ka pēpē me ke koko hou. Ke hāʻawi nei i ka immunoglobulin intravenous i nā pēpē i loaʻa i ka jaundice koʻikoʻi hiki ke hoʻokō ʻia i ka hōʻemi ʻana i nā pae bilirubin.

ʻAʻole hōʻeha ka jaundice hānau hou i ka hapa nui o ka manawa. No ka hapanui o nā pēpē, e ʻoi aku ka maikaʻi o ka jaundice me ka ʻole o ka mālama ʻana ma waena o 1 a 2 mau pule.

Hiki i kahi pae kiʻekiʻe o bilirubin ke hōʻino i ka lolo. Kapa ʻia kēia ʻo kernicterus. ʻAno ʻike pinepine ʻia ke ʻano ma mua o ka lilo ʻana o ka pae i mea kiʻekiʻe e hiki ai i kēia hōʻino. Hoʻohana maʻamau ka lāʻau.

ʻAno ʻole, akā ʻo nā pilikia koʻikoʻi mai nā pae bilirubin kiʻekiʻe i loko:

• Pāpā lolo
• Kuli ke kuli
• ʻO Kernicterus, kahi ʻino o ka lolo mai nā kiʻekiʻe bilirubin kiʻekiʻe loa

ʻO nā pēpē āpau e ʻike ʻia e kahi mea hāʻawi i nā lā 5 mua o ke ola e nānā ai no ka jaundice:

• ʻO nā pēpē e noho ma lalo o 24 mau hola i ka haukapila e ʻike ʻia e nā makahiki 72.
• ʻO nā pēpē i hoʻouna ʻia i ka home ma waena o 24 a me 48 mau hola e ʻike hou ʻia e ka makahiki 96.
• ʻO nā kamaliʻi i hoʻouna ʻia i ka home ma waena o 48 a 72 mau hola e ʻike hou ʻia e ka makahiki 120 mau makahiki.

He ulia pōpilikia ʻo Jaundice inā he kuni ka pēpē, ua lilo i papa inoa ʻole, a i ʻole hānai maikaʻi. Hoʻoweliweli paha ʻo Jaundice i nā keiki hānau hānau kiʻekiʻe.

ʻAʻole weliweli ʻo Jaundice i nā pēpē i hānau ʻia piha a ʻaʻohe o lākou pilikia olakino ʻē aʻe. Kāhea i ka mea hāʻawi pēpē inā:

• Nui ka Jaundice (melemele ka ʻili)
• Hoʻonui mau ka Jaundice ma hope o ke kipa hānau hou, ʻoi aku ka lōʻihi ma mua o 2 mau pule, a i ʻole hoʻomohala ʻia nā ʻōuli ʻē aʻe
• Melemele nā ​​wāwae, ʻoi aku ka wāwae

E kamaʻilio me kāu mea hāʻawi pēpē inā he nīnau kāu.

I nā keiki hānau hou, maʻamau kekahi kekele o ka jaundice a ʻaʻole paha hiki ke pale ʻia. Hiki ke hoʻoliʻiliʻi pinepine ka makaʻu no ka jaundice koʻikoʻi e ka hānai ʻana i nā pēpē ma ka liʻiliʻi he 8 a 12 mau manawa i ka lā no nā lā mua a me ka ʻike pono ʻana i nā pēpē i ka makaʻu nui.

Pono e hoʻāʻo ʻia nā wahine hāpai a pau no ke ʻano koko a me nā mea ʻino ʻē aʻe. Inā maikaʻi ʻole ka makuahine ʻo Rh, paipai ʻia nā hoʻokolohua ukali ma ke kaula o ke keiki. Hiki nō ke hana i kēia inā maikaʻi ke ʻano o ke koko o ka makuahine.

ʻO ka nānā pono ʻana i nā pēpē āpau i nā lā 5 mua o ke ola e hiki ke pale i ka hapa nui o ka jaundice. Pākuʻi ʻia kēia:

• Ke noʻonoʻo nei i ka pilikia o ka pēpē no ka jaundice
• Ke nānā nei i ka pae bilirubin i ka lā mua
• Ke hoʻonohonoho nei ma kahi o hoʻokahi mākaʻikaʻi e kipa aku i ka pule mua o ke ola no nā pēpē i hoʻouna ʻia i ka home mai ka haukapila i 72 mau hola

ʻO Jaundice o ka hānau hou; Hyperbilirubinemia neonatal; Nā kukui Bili - jaundice; Pēpē - ʻili melemele; Hānau hou - ʻili melemele

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

• Erythroblastosis fetalis - kiʻi kiʻi kiʻi
• Pēpē Jaundiced
• Exchange transfusion - moʻo
• ʻO ka jaundice pēpē

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