He aha ka jaundice hānau hou a pehea e mālama ai

Anter

• He aha ke kumu o ka jaundice neonatal
• Pehea e ʻike ai i ka jaundice
• Pehea e mālama ai i ka jaundice neonatal
• Hoʻōla Phototherapy
• Nā ʻano lapaʻau ʻē aʻe

Kū aʻe ka jaundice neonatal ke huli ka ʻili, nā maka a me nā membrane mucous i ke kino i melemele, no ka nui o ka bilirubin i loko o ke koko.

ʻO ke kumu nui o ka jaundice i loko o ka pēpē he jaundice physiological, i ala aʻe ma muli o ka hiki ʻole o ke ake e hoʻopili a hoʻopau i ka bilirubin, no ka mea ke hoʻomohala mau ʻia nei. ʻAʻole ia he kumu e hopohopo ai, a hana ʻia ka lapaʻau me ka phototherapy.

ʻO Bilirubin kahi pigment melemele i hana ʻia e ka haki ʻana o nā hunaola koko i loko o ke kino, a laila hopu ʻia e ke akepaʻa kahi e paʻa ai i nā protein a hoʻopau ʻia me ka iwi āpau, no laila, hiki i nā loli i kekahi o kēia mau pae ke kumu ke kiʻekiʻe o kēia pigment i ke koko. E aʻo hou aʻe e pili ana i ka bilirubin ma ke nānā ʻana i ka bilirubin a me kāna waiwai.

He aha ke kumu o ka jaundice neonatal

He pilikia pinepine ka jaundice hānau hou a neonatal paha, a ʻo nā kumu maʻamau e pili pū me:

• ʻO ka jaundice Physiological: ʻo ia ke kumu pinepine, e ʻike ʻia ma hope o 24 a 36 mau hola o ka hānau ʻana, ʻoiai ke kūkulu maikaʻi ʻole ʻia ka ate o ka pēpē a he mau pilikia paha i ka hoʻololi a me ka hoʻopau ʻana i ka bilirubin;
• Hoʻonui i ka luku ʻia ʻana o nā hunaola koko: he kumu koʻikoʻi ia o ka jaundice, i hana ʻia ma muli o nā maʻi koko e like me ka anemia o ka cell sickle, spherocytosis a i ʻole hemolytic anemia, i hiki ke kumu ʻia e ka incompatibility o ke koko o ke pēpē me ko ka makuahine. E ʻike hou aʻe e pili ana i kēia ʻano ma: Fetal erythroblastosis;
• Jaundice i ka waiū umauma: ʻike ʻia i loko o nā pēpē e hānai wale ana i ka hānai, ʻo ka mea maʻamau, ma hope o 10 mau lā o ka hānau ʻana, ʻike ʻia ma muli o ka hoʻonui ʻana o nā hormones a i ʻole nā ​​mea i loko o ke koko e hoʻonui ai i ka resorption o bilirubin i loko o ka ʻōpū a kāohi i kona hoʻopau ʻana, ho'ākāka 'ia;
• Nā maʻi ate: he mau maʻi hoʻoilina lākou, e like me ka maʻi ʻo Crigler-Najjar, maʻi ʻo Gilber a me ka maʻi Gaucher, no ka laʻana;
• Nā maʻi hānau: hiki ke kumu ʻia i ka wā hāpai, e like me rubella a i ʻole congothyital hypothyroidism;
• ʻO nā deformities bile duct;
• Nā maʻi virus a i ʻole bacteria.

Hoʻomaopopo maikaʻi i nā kumu kūpono i: He aha nā kumu a pehea e mālama ai i ka hyperbilirubinemia neonatal.

Pehea e ʻike ai i ka jaundice

ʻO ka mea maʻamau, ʻike ʻia ka jaundice ma ka lā ʻelua o ke ola o ka pēpē akā i nā pēpē premature e ʻike ʻia ma ka lā 5th o ke ola.

Hele ke kala melemele o ka ʻili mai ke poʻo a i nā wāwae, ke nānā mua ʻia ma ka maka, a laila ma ke kumu a ma hope ma nā wāwae. ʻO ka paʻi māmā ʻana i ka umauma o ka pēpē kahi ala maikaʻi e ʻike ai i ka jaundice ma waho o ka haukapila. Inā huli melemele ka wahi kaomi, e kāhea i ke kauka e hoʻomaka i ka lāʻau.

Pehea e mālama ai i ka jaundice neonatal

ʻOiai ʻaʻole pinepine ka jaundice i kahi ʻano koʻikoʻi a i ʻole nā ​​hopena koʻikoʻi, pono ka mālama pono ʻana no ka mea, i nā ʻano maʻamau, hiki ke hōʻeha i ka lolo. Kāhea ʻia kēia ʻano he kernicterus a me ka mālama ʻana i kēia mau hihia e pili ana i kahi transfusion o ke koko. Hoʻomaopopo i nā mea a me nā mea e hana ai inā he kernikterus.

Hoʻōla Phototherapy

Hana ʻia ʻo Phototherapy ma ke kau ʻana i ka pēpē i kahi moe liʻiliʻi ma kahi o kona ʻōlohelohe, e ʻaʻa ana i ka diaper wale nō, ke hōʻike ʻia i kahi kukui kūikawā, kahi lapaʻau i kapa ʻia ʻo phototherapy.ʻOiai ke hōʻike ʻia ka pēpē i kēia kukui uila pono ʻo ia e noho maka makapō me kahi pale pale.

I nā hihia ʻoluʻolu loa e koi paha ka pediatrician e hōʻike i ka pēpē i ka lā i kēlā me kēia lā, i ke kakahiaka, ke nawaliwali mau ka lā, ma mua o 10 a ma hope o 16 mau hola. Hiki ke mālama i ka hoʻomaʻamaʻa no 2 mau lā a me ka manawa o ka hōʻike ʻana o ka mālamalama hiki ke ʻokoʻa mai 15 a 30 mau minuke i ka manawa.

Maopopo ka maikaʻi o ka hana ʻana o ka phototherapy i hiki ai i nā maʻi maʻi ke mālama.

Nā ʻano lapaʻau ʻē aʻe

ʻO ka hānai hānai ʻana i ka pēpē kahi ala maikaʻi loa e hoʻokō i ka mālama ʻana, e wikiwiki ana i ke kala o ke pēpē, no ka mea, hoʻemi ia i ka resorption o bilirubin i loko o ka ʻōpū. ʻO nā hihia kakaikahi o ka "jaundice waiū umauma", ma ka ʻaoʻao ʻē aʻe, pono paha e hoʻopau ʻia ka hānai hānai ʻana no 1 a i ʻole 2 mau lā, a hiki i ke kau ʻana o ka bilirubin i loko o ke koko.

I nā hihia ʻoi loa o ka jaundice, e like me nā kumu infectious, congenital a i ʻole genetic, he kikoʻī ke ʻano o ka mālama ʻana e like me ke kumu, alakaʻi ʻia e ka pediatrician, i ka wā o ka haukapila, kahi e hoʻopili ai i ka hoʻohana ʻana i nā lāʻau ʻaloʻalo, corticosteroids, hormone therapy a i ʻole. i nā hihia bilirubin kiʻekiʻe loa, hoʻololi koko, e kōkua ai e hemo hou i ka bilirubin mai ke koko.