Neonatal jaundice vachangoberekwa: zvinokonzera, zviratidzo uye kurapwa

Kuberekwa mafufu - ndiwo mufaro mukuru nokuda vabereki. Asi dzimwe nguva, kunyanya kana toreva dangwe, inogona ikaparara nokuda ruvara kuchinja ganda uye mucous membranes mwana. Chiitiko, anozivikanwa somunhu neonatal jaundice, kunowanzoitika, saka, kune vaya achazvarwa nokukurumidza mwana vanofanira kudzidza zvakawanda nezvayo.

zvikonzero

The panowanikwa jaundice vachangoberekwa - zviri zvamazvirokwazvo zvakajairika. Fani kwakadaro kunoitika apo mafufu ropa nokuda kuora ropa masero matsvuku bilirubin kupfuura dzose. Zvinofanira kunzwisiswa kuti kuwedzera mumasero ropa yayo, muviri achangoberekwa kuti dzifunge zvimwe uye residual masero matsvuku eropa mai. Saka, mutoro inova zvinokosha, uye pakupedzisira rinoungana zvakawandisa bilirubin, iyo inotungamirira yellowing ziso sclera uye mwana ganda. Panyaya iyi, mwana haana imwe pathologies, zviri kuonekwa utano, uye hakudi kurapwa.

vasiri chimiro

Kazhinji, kuchinja mwana chitarisiko zvinochengetwa panguva mazuva 2-5 aberekwa uye inonyangarika kubudikidza 2 vhiki zera. Panguva iyoyowo kukonzera kunokurumidza kunyangarika zviratidzo vasiri zheltushki inobvira kana vanowanzokoshesa mafufu kuti zamu. Izvi zvichaita rikurumidze kusarudzwa yepakutanga chetsoka - meconium, riri kubva muviri zvakawandisa bilirubin. Uyezve, Zvinokurudzirwa kakawanda kuti anofamba pamwe mwana kufurwa nemhepo.

Vasiri neonatal jaundice ari rusvava: Zvinokonzera

Sezvambotaurwa, yepanyama Ruvara ganda uye mucous membranes kazhinji anonaya mazuva 10-14 zera. Zvikasadaro nechirwere neonatal jaundice. Zvingava nokuti:

• munhu vakurumidze mwana;
• bilirubin overproduction;
• enzymatic saibva chiropa masero;
• munhu akaderedza kugona kusunga ropa serum bilirubin.
• pathological neonatal jaundice (mazhinji).

The chirwere inogona vachiberekwa kana vawana.

Muchiitiko chokutanga, neonatal jaundice angava nokuda:

• Zvokurwara of Kamudzira masero matsvuku eropa. chirwere ichi dzimwe nguva anooneka atova ari neonatal munguva. Nokufamba kwenguva, wakawedzera chirwatata uye chiropa, uye gare gare kupererwa neropa.
• Erythrocyte enzayemu kukanganisika. Muchiitiko chino, jaundice kunoitika pazuva upenyu rechipiri. Chimwe chinoratidza kuti weti achiipa.
• Akaremara Chizenga usage uye marongerwo uye heme. Zvinoita sokuti pane 4-6 mwedzi upenyu vomwana.

Vakatodzidza pathological neonatal jaundice ane matatu mhando:

• Hemolytic chirwere achangoberekwa, unova mugumisiro yokurwisana imuunologicheskogo fetus ropa kubva muropa ramai;
• ropa iri zvomukati kana cephalohematoma, kunoitika apo resorption mishonga ropa kubva kupinda kuparara Chizenga;
• nezvimwe zvikonzero, akadai zvibereko masero matsvuku eropa muropa mwana, mumwe chirwere kuti anova vaaisangana neropa pakusununguka ari nemudumbu mucheche, kuvapo kwake raamai chirwere immunopathological hunhu, somushonga, etc. hemolysis.

mabatiro

Sezvazviri vasiri jaundice, vacheche kazhinji akakurudzira breastfeed uye kuti mhepo inotonhorera. Uyezve, kana mwana wacho neonatal jaundice, phototherapy nzira rikashandiswa. Inoitwa irradiating mufananidzo chiedza muvhuruvhuru. Under nemwaranzi yaro mumuviri racho nokukurumidza manyowa pamusoro bilirubin, uye zvino ari yabudiswa muna weti uye mutsvina yadzo.

The nzira rinoitwa sezvinotevera:

• mwana kurura zvachose (kana ari mukomana, nhengo dzokubereka nadzo bhandeji) uye akaisa mubhokisi unokosha nokuti mucheche;
• akavhara maziso opaque chifukidzo ane kwakavharwa nenyama bhendi;
• irradiation rinoitwa kweinenge 2-3 maawa chidzivaidzo zvokudya;
• nguva nenguva mwana ndavhura kuti Photo danda vaikwanisa kuwana zvose nzvimbo ganda.

In kunyanya zvakakomba zviitiko, kana mupristi pamwero bilirubin vachishoropodza, yechirongwa rinoitwa dzose. Panguva iyoyowo awa rimwe bvunzo ropa. Nzira iri wakagumiswa chete kana ongororo vanoratidza inogutsa pamusana bilirubin.

Contraindication kuramba phototherapy ari Hwakatsvuka ganda. Zvisinei, izvozvo mananara zvinochengetwa chaizvo kashoma.

GOIC

Mabatirwo neonatal jaundice zvakakomba nguva zvinogona anoitwa kushanda Exchange ropa. Zvairatidza kuti kushandisa nzira iyi ndiwo:

• kusingagutsi migumisiro Murabhoritari miedzo bilirubin siyana ari achiine rukuvhute tambo ropa panguva yokuberekwa uye kukura zvachose, kunyange pamusoro colour ose phototherapy, uye vamwe;
• nekusimba sensitization amai uye nezviratidzo zvikuru hemolytic chirwere of richangoberekwa mwana wake;
• pakuonekwa mafufu zviratidzo bilirubin toxicity.

zvinoumba vozoriwedzerwa vanachiremba ropa vanosarudzwa kunoparirwa mumwe nomumwe mwana mumwe uye kufungisisa mhando ropa kusapindirana amai nemwana. Uyezve, GOIC unoshanda chete pashure abudirire crossmatch kuburikidza anobudisa mushonga zvishoma nezvishoma yakaiswa kupinda achiine rukuvhute tsinga. Panguva iyoyowo, ziva kuti achitotevedzera vakasarudzwa zvokuvakisa kuvhiyiwa uye kunyatsoomerera kuchengetwa kusabereka hazvigoni kunze siyana yematambudziko. Somuenzaniso, pangava ane mhepo embolism, kutyorwa kwomwoyo, utachiona, thrombosis, anaphylactic kurohwa nehana, uye vamwe. Kazhinji kuitika mukati maawa 3 rokutanga pashure GOIC, saka nguva yose iyi, navanachiremba vanofanira mukanyatsochengeta kuongorora mamiriro ezvinhu mwana.

dzimwe nzira

Marapirwo inogona kuitwa kushandisa zvinodhaka uye aizomupa mishonga. Muchiitiko chokutanga iri basa "ziksorin" Hagari-Hagari "Karbolit" uye "Cholestyramine" izvo zvinosimudzira kusunungurwa intestinal bilirubin. zvinodhaka cholagogue dziri ushandiswe. Panyaya aizomupa kurapa, ipapo voitakura kunze mukugadzirisa zviri yavaibvisa chloride uye shuga, uye sealbumin mhinduro rakaiswa panguva kuderedzwa mapuroteni pamwero.

dziviriro

Neonatal jaundice zvinokonzera zviri pamusoro apa, hakusi zvichida kuitika kana zviratidzo yake kuenda nokukurumidza kana kuti vanotora matanho.

• pakarepo mushure aberekwa mafufu kuti kuisa pazamu;
• mbatya mwana uye kusiya vamwe pamusoro mutambo pamhene hafu yeawa;
• breastfeed pamusoro chinodikanwa;
• Kubva pamazuva okutanga pamwe mwana kuti ufambe yakachena mhepo;
• zvokudya mwana kubva neimwe zamu kwemaminitsi 7-10;
• kana mwana aramba muchayamwa zamu mukaka kunofanira kuitwa uye kuti mupe chipunu.

Zvino kuti unoziva zvakaitwa neonatal jaundice. Zviratidzo zvakasiyana-siyana chirwere kunge pamusoro apa, saka, paakaona zviratidzo zvavo, unogona pakarepo aratidze mafufu chiremba uye usaora nguva inokosha.