Newborn jaundice is one of the most common issues of neonatal department. Due to the high level of bilirubin in the neonatal body, and the bilirubin is orange -yellow, the baby’s skin and tissue are dyed yellow.
Although “ten babies and nine yellows”, the parents of the baby who watched the jaundice could not help but worry. So, “Grandma’s Phase” was dispatched again …
According to the media report on March 4, grandma used “earthquake” to treat the jaundice of the big baby for a month. After applying the goose egg white, the baby had a hard “black hair”!
The child and grandma said that this was toxin in the body, and the jaundice was expelled.
However, the doctor said that “black hair” is not toxin. The baby has fetal fat, and it will turn black when rubbing the egg white.
This is all 9102, and there are still people who use the recipe to treat jaundice?
Netizens have said, yes.
1. Is neonatal jaundice a trivial matter?
Newborn jaundice is very common, about 60%of the full moon and 80%of premature babies will have jaundice within one week after their lifetime. Among East Asians and the United States Indians, this proportion will be higher.
But “common” does not mean “ordinary”.
Although most physiological jaundice is associated with bilirubin metabolism itself, it will naturally fade.
However, pathological jaundice is different. It is caused by a variety of factors or diseases. It is not a wiping egg white. Improper treatment may cause permanent sequelae.
■ Newborn physiological jaundice refers to temporary jaundice caused by bilirubin metabolism. Most of them appear on the 2nd to 3 days after their lifetime, reached the peak on the 4th to 6th day, and the full moon disappeared 2 weeks after life.
If the baby’s jaundice changes according to this “timetable”, the jaundice is relatively light, and it can be observed and no treatment.
■ The definition of physiological and pathological jaundice is the key to determine whether intervention is needed. The following situations are pathological jaundice:
Jaundice is premature (within 24 hours after birth);
The level of serum total bilirubin is too fast (rising more than 5 mg/dl or 85 μmol/L per day);
The level of serum total bilirubin exceeds normal values (the specific value varies from age according to different age);
The duration of jaundice is prolonged, or recovered;
Direct bilirubin increases (more than 1.5 mg/dl).
There are many causes of pathological jaundice, including breast milk jaundice, premature birth, internal infection, neonatal sepsis, red blood cells, bloody osmogeneity such as skull hematoma, ABO hemolysis, broad bean disease, endocrine metabolic disorder, digestive tract and biliary diseases.
The treatment of various causes is different, and the diagnosis is required as soon as possible to improve the prognosis.
2. How high is jaundice?
For newborns with fetal age ≥35 weeks, the newborn hours of bilirubin line diagrams made by American scholars or the phototherapy reference curve recommended by the American Medical Association as a reference for diagnosis or intervention.
When the level of bilirubin exceeds 95 percentage levels, it is defined as hyperbilotinmia, and it should be intervened.
However, the level of bilirubin after the birth of the newborn is a dynamic change process. Therefore, it is necessary to consider its fetal age, age, and high -risk factors when diagnosing hypertrophy.
3. How to deal with the baby’s jaundice?
As mentioned earlier, the physiological jaundice is mainly observed and does not need to be treated, but the high bilirubin ledmia that needs to be interfered. The egg white is useless, and the needle and “lighting the lights” are also blindly tossing the child.
The “Expert Consensus of the Diagnosis and Treatment of Newborn Hypinemia Memiscin (2014 Edition)” discussed by the Chinese Medical Society’s Children’s Science Branch discussed and wrote that phototherapy is the most commonly used effectiveness in response to hyperbilotin ledin And safe method.
Maybe some parents will ask “Can you get yellowing more?”
In this regard, Xia Hongping, deputy chief physician of the Xinhua Hospital of Xinhua Hospital affiliated to the School of Medicine of Shanghai Jiaotong University, said that at least 3 conditions are available through the sun to retreat through the sun:
1. Continue to expose it for a long time;
2. The temperature is appropriate, the baby can expose the skin;
3. Filter ultraviolet rays to avoid sunburn.
However, in most parts of my country, due to the limitation of temperature and worrying about the baby’s cold, the exposed skin is usually limited to the hips and limbs. In addition, parents are afraid of ultraviolet sunburn, and the child’s sun is shorter (within half an hour). Therefore, the effect of sunbathing yellow is not good.
Regarding the treatment of neonatal jaundice, the large -scale multi -center random control test needs to be large -scale multi -center.
In addition, the blood change therapy can replace bilirubin, antibodies and allergenocytes in the blood, which is generally used for phototherapy failure, hemolytic disease or clinical manifestations of early bilirubin encephalopathy. There are also some drugs that can play auxiliary treatment.
Because breast milk jaundice is one of the important reasons for neonatal jaundice, some views believe that breastfeeding should be terminated during jaundice.
However, the clinical diagnosis and treatment guidelines for the ≥ 35 weeks of ≥ 35 weeks in the United States denied this statement.
The guide believes that for healthy full moon or close to the full moon, it should encourage and promote effective breast milk. A few days before birth, mothers should be encouraged to feed their children at least (8-12) times / day. Insufficient hot card intake and dehydration of breastfeeding can increase the severity of jaundice. Increasing the frequency of feeding can reduce the incidence of severe hyperbilotinmia.
At the same time, the guide opposes the additional water and glucose of children with breastfeeding without dehydration, and believes that it is not beneficial to the decline of jaundice.
1. Newborn Group of the Chinese Medical Association Pediatrics Branch, Editorial Committee of the Chinese Pediatric Magazine.!-2246: Pediatric terminal page_wen Chinese painting Types: Size: 200×300->
2. Editorial Committee of “Chinese Pediatric Magazine”. Expert Consensus on Principles of Newborn Jauphic Diagnosis and Treatment [J]. Chinese Pediatric Magazine, 2010, 48 (9): 685-686.
3. Li Qiuping, Feng Zhichun. The latest newborn jaundice diagnosis and treatment guide for the American Academy of Pediatrics [J]. Practical Pediatric Clinical Magazine, 2006, 21 (14).