Ask what is the most common disease of the neonatal department, it must be a newborn jaundice.
Although it is common, it is not simple. Regarding the “newborn jaundice”, we have compiled the issues that eight parents care about. Do you know about it?
1 question
It is said that “ten children and nine yellows”, what kind of disease is neonatal jaundice?
Answer: Newborn jaundice is one of the most common issues in the neonatal department because bilirubin is yellowed in the child’s accumulation of skin or other organs.
Biliary redness is a type of bilirl. It is the main pigment in human bile. It is orange -yellow and toxic. It can cause irreversible damage to the brain and nervous system.
Biliar metabolism process
Normal adult serum bilirubin is less than 17 μmo/L (1mg/dl), and jaundice can appear when more than 34 μmo/L (2mg/dl). Because the capillaries are very rich in capillary, when serum bilirubin exceeds 85 μmo/L (5mgdl), jaundice can be visible to the naked eye. In severe cases, it can cause gallin encephalopathy, cause permanent damage to the nervous system, and even death.
2 questions
How much is the jaundice index? How much is physiological jaundice? How much is pathological jaundice?
Answer: The level of serum (TSB) level (TSB) levels are affected by various factors such as the state of the body and the internal environment of the individual. Therefore, it is not possible to simply use a fixed boundary value as the intervention standard. The level of bilirubin after the birth of the newborn is a dynamic change process. Therefore, it is necessary to consider the age, age, and high -risk factors when diagnosing hypertrophilicin ledmia.
For newborns with ≥35 weeks of fetal age, the newborn hours of bilirubin line diagrams or phototherapy reference curves produced by the American Pediatric Science Association (AAP) are currently adopted as a reference for diagnosis or intervention.
So, how much is the jaundice index that mothers often ask about? How much is physiological jaundice? How much is pathological jaundice? This is actually not a simple single value that can be answered. Whether it needs to be dealt with from person to person. It is related to the child’s age and even age, weight, and high -risk factors. It is best to ask a professional newborn doctor to evaluate it. Don’t blindly judge yourself.
3 questions
What are the high risk factors of jaundice?
Answer: Common high -risk factors include: jaundice, blood type inconsistencies, premature babies, skull hematoma or obvious ecchymosis, insufficient breastfeeding, too much weight loss, and excessive weight loss within 24 hours of birth.
4 questions
The worst complications of neonatal jaundice are gallbladder encephalopathy, so what clinical manifestations of bilirubin encephalopathy?
Answer: Acute bilirubin encephalopathy is a clinical diagnosis, which is mainly seen in TSB> 342? Μmol/L (20? Mg/dl), and (or) rising speed> 8.5? Μmol/L? (0.5? Mg/dl) The acute central nervous system damage caused by bilirubin neurotoxicity.
In the early days, the muscle tension was reduced, drowsiness, crying, and poor sucking; then the muscle tension increased, the corners were reversed, irritated, fever, and convulsions could cause death.
When a bilirubin encephalopathy occurs in low -birth weight, typical symptoms are usually lacking, and it is manifested as respiratory suspension, circulating respiratory function deterioration, etc., which is not easy to diagnose.
Generally, the TSB peak of bilirubin encephalopathy is above 427? Μmol/L (25? Mg/dl), but newborn with high risk factors may also occur at a lower bilirubin level.
High -risk factors that occur in bilirin encephalopathy also include merging of maternal hemolytic hemolytic, glucose -6 -dehydrogenase (G6PD) deficiency, asphylap, semiocytosis, metabolic acid poisoning, hypoproteinemia, hypoproteinemia, hyperthyroidism, hydromodiacin, Wait.
5 questions
Everyone said that mother O blood, children are prone to jaundice. Is this like this?
Answer: The same family of immunohic hemolysis generally refers to the hemolysis caused by inconsistent maternal and baby blood types. The blood type we call here, in addition to our most common ABO blood type system, there are RH blood type systems and other rare blood type systems.
We usually say “mother O blood, children are prone to jaundice”, which occurs between type O mothers of type O and children A or B blood. If the mother is a rare RH -negative blood, and the child is a common RH -positive blood, you should pay more attention to jaundice.
However, the general ABO blood type can occur in the first child, and the RH blood type is generally after the second child. Moreover, the ABO blood type is not relatively lighter. Once hemolysis is not combined with the RH blood type, it is generally heavier, and you should pay special attention.
6 questions
Everyone heard that the child’s jaundice needs to be tense according to Blu -ray, so what is the newborn Blu -ray treatment?
Answer: Optot therapy is the simplest, commonly used, economical, and effective way to treat jaundice. The standard of phototherapy is difficult to define with a single numerical value. Newborns of different fetal age and different ages should have different phototherapy indicators.
The optical wavelength of neonatal phototherapy can easily cause damage to the retina macular, and long -term phototherapy increases the risk of ichthytoma carcinomotomyocyroma for boys, but as long as phototherapy is used to cover the eyes and external genitals, it can be avoided.
In addition, it does not show a lot of water loss during phototherapy and needs to be supplemented with liquid. Surgery and diarrhea may also occur during phototherapy, which can be relieved by suspension of phototherapy.
Therefore, phototherapy in a professional neonatal department is still very safe. On the contrary, some phototherapy lamps sold online and family members bought at home at home. This method is not recommended. Because neonatal phototherapy is a strict scientific technical operation, self -adopted phototherapy does not guarantee the effect, it is easy to delay the disease, and it will also cause adverse consequences such as burns due to improper operation. 7 questions
Can jaundice prevent? How can a novice mother do to prevent the baby from jaundice?
Answer: If the child does not have high risk factors, in order to prevent children with severe jaundice, the most important point that mothers need to pay attention to are: early milk for children.
Breast milk is the best natural food for children. Early contact and early milk can not only ensure that the mother’s milk volume is sufficient, but also promote the discharge of children’s fetal fetus, reduce bowel and liver circulation, thereby reducing the occurrence of jaundice.
If the mother cannot give the child in time because of pain or certain disease factors, the child will cause jaundice caused by lack of breastfeeding. As a result, letting children eat is a key factor in preventing jaundice.
8 questions
Children who have given births are generally discharged from the hospital 1-2 days after birth. When a doctor monitors jaundice during the hospital, what should mothers do after returning home?
Answer: Each newborn must evaluate high -risk factors before discharge, and the hospitalization time is appropriately extended when necessary.
Common high -risk factors include: jaundice occurs within 24 hours of birth. There are blood types, premature babies, skull hematoma or obvious ecchymosis, insufficient breast milk feeding, and too much weight loss.
The most jaundice received in the outpatient clinic is that it is not high at discharge. After many days, the child becomes a golden yellow before going to the doctor. Therefore, after discharge, you must pay attention to follow -up and urge family members to take the child to the hospital in time to review it.
Moms should also keep in mind the doctor’s discharge guidance. Do not think that the child’s yellow will naturally turn white for a while, or drink some sugar water and sunbathing the sun. Drinking sugar water does not have any effect on treating neonatal jaundice, and the sun is only used for mild jaundice, so all you need to do is to review the doctor’s advice.
references:
1. Newborns of the Chinese Medical Association Children’s Science Branch. Consensus on the diagnosis and treatment of neonatal high bilirubin ledin (J]. China Pediatric Magazine, 2014, 52 (10): 745-748.
2. Xue Xindong, Du Lizhong. Pediatric science (eight -year textbook). The first edition. People’s Health Publishing House. 2005.8.
3. Shao Xiaomei, Ye Hongyi, Qiu Xiaoshan. Practical newborn studies. 4th edition. People’s Health Press, 2011: 347-351.
