On the eve of the Spring Festival this year, when the family reunited, Mr. Li had to send the child to the newborn department for hospitalization.
The child is just a little jaundice. After a few days of blue light in the daylight of the jaundice, why did it become hospitalized?
Mr. Li’s child was born. On the second day of his birth, he was discharged happily with his mother. When he was discharged from the hospital, the child’s skin was mildly yellow, so he took the yellow medicine at home.
After that, the child’s jaundice gradually increased. For more than 3 days after birth, the child had 300 umol/L through the skin test bilirubin. When you come to the hospital, the doctor recommends that the child is hospitalized.
Such a small child is hospitalized, and the Mr. Li’s family is reluctant to be reluctant to send the child to the daylight therapy. Every day, the child is treated with blue light and yellowing, and takes the child home at night.
After 4 days of treatment, the child’s jaundice was repeated repeatedly. During the optical therapy, the child had a decrease in skin test bilirubin value, and the jaundice rebounded after stopping the optical therapy. The most troublesomeness is that the child has a manifestation of bloating, not like to drink milk, and sluggishness. At this time, Mr. Li’s family is anxious and quickly send the child to the newborn hospital for treatment.
The body temperature shows that the child is fever, and the blood drawing is significantly increased by the infection indicators; the blood culture will soon call the police, suggesting that there are bacteria growth in the blood; the muddy cerebral spine is out of the lumbar spine puncture for the child.
This time the child’s diagnosis is clear, and the sepsis combined with purulent meningitis.
Mr. Li regrets that he did not let the child hospitalize early, but also felt very confused: the child just manifested as jaundice. Why did he become meningitis?
As the most common clinical phenomenon of newborns, jaundice should be valued and concerned by everyone, but clinically there are often bad endings caused by ignoring jaundice.
For the management of jaundice children, we must focus on the following aspects:
1 Division of physiological jaundice and pathological jaundice
Newborn jaundice is divided into physiological jaundice and pathological jaundice.
Physiological jaundice is caused by the characteristics of neonatal bilirubin metabolism. Children are generally good, and they can eat and sleep well. Children with physiological jaundice do not need special treatment, and jaundice can subscribe by itself.
Pathological jaundice can be caused by a variety of reasons, such as hemolytic diseases, infectious diseases, low thyroid dysfunction, abnormal liver enzyme activity, biliary atresia, and so on.
As a family member, when a child has jaundice, it is really difficult to distinguish between biological physiological jaundice or pathological jaundice, and medical staff needs to be judged.
However, family members can initially understand the main characteristics of pathological jaundice (if the child has one or more in the following situations )- “four over one reap”:
(1) Jaundice appears within 24 hours after birth;
(2) Jaundice progress is too fast;
(3) The degree of jaundice is heavy;
(4) The duration of jaundice is long, and the jaundice has not subsided for 2 weeks after the birth of the full moon and the premature infant.
(5) After the jaundice disappears, it is necessary to consider pathological jaundice and seek medical treatment early.
It is also necessary to remind family members that if jaundice children do not like milk, frequent vomiting, bloating, fever, drowsiness, weak crying, white stool, and even convulsions, they should immediately take the child to the hospital for treatment.
2 Strengthen the monitoring and follow -up of newborn jaundice born
Children born out of birth often discharged from the obstetrics 1 to 2 days after birth. When they go home, the child may not be obvious or only mild jaundice. Subsequently Here.
In this case, it is necessary to closely monitor the changes in jaundice. It is recommended that the community doctors monitor jaundice when they follow -up. They can also take their children to the community or hospital to monitor jaundice changes.
If the jaundice is significantly worse within a short period of time, the possibility of pathological jaundice needs to be considered early.
The advantages and disadvantages of phototherapy at the 3rd day
In order to meet the needs of the market and ease the anxiety of the separation of mother and baby, some hospitals have currently opened the day phototherapy ward. It is very popular with family members. After a lot of jaundice children receive day phototherapy, the jaundice has significantly faded.
Phototherapy is the simplest and most effective way to help retreating yellow, but phototherapy does not cure the symptoms for pathological jaundice.
There are many reasons for the pathological jaundice, especially the pathological jaundice caused by infectious diseases. If there is no active anti -infective treatment, the yellow therapy has poor yellowing effect, and it will delay the condition. Essence
In order to ensure the safety of children, it is recommended that medical staff first strictly screen and judge which children need formal hospitalization and which children can try day phototherapy. For children who receive day -time phototherapy, they should also strictly monitor their children’s condition every day. If the yellowing effect is not good or the child has any bad situation, it should be checked immediately and regularly hospitalized in a timely manner.
4 jaundice may be just the “corner of the iceberg”, the most terrible thing is the iceberg
For pathological jaundice, jaundice may be just the first symptoms or symptoms of primary diseases. Children show jaundice, but sometimes not just jaundice.
Newborn immune function is low, and it is susceptible to infectious diseases such as sepsis. Sometimes jaundice is the only clinical manifestation of sepsis. If the child’s jaundice rapidly increases or retreats, the possibility of sepsis needs to be considered. In addition, the development of newborn blood brain barrier is not perfect, and sepsis often combines meningitis. If it is not treated with infection in time, children are likely to be poor prognosis and even endanger life.
Therefore, for pathological jaundice, it is necessary to actively retreat yellow to reduce the occurrence of bilirubin encephalopathy.But it is more important to find primary diseases that cause pathological jaundice and give corresponding treatment.
Jaundice is a common phenomenon of newborns. In order to reduce the harm of pathological jaundice to children, whether it is family members or medical staff, it is necessary to pay attention to, strengthen monitoring, timely diagnosis and treatment, and allow children to grow up healthy!