Bilirubin kwaphakanyiswa izinsana

bilirubin kwaphakanyiswa izinsana ngokuvamile kuba uphawu jaundice. ukubonakaliswa okubonakalayo lesi sifo umbala ophuzi nolwelwesi lwamafinyila, isikhumba nabamhlophe samehlo ukuthi kwenzeka ngenxa izinqubo kwamakhemikhali okwenzeka ngegazi. Uma isibalo ngobugebengu abomvu egazi ashaye ngenhla evamile, bandisa kwezicubu futhi kubangele ukuvela kwalesi umbala. Bilirubin ezinsaneni, izinga zazo lihlukile kuyinsakavukela omdala, kungase kwandise ngenxa yokuntuleka ukhule ngokugcwele kwesibindi, okuyinto wehluleka ukubhekana "yemfanelo" yabo.

Jaundice ihlukaniswe izinhlobo ezimbili: bokuphila sokugembula. Ifomu yokuqala yalesi sifo ukuvela ngemuva mayelana 3-4 izinsuku zokuzalwa libhekene-70% izingane. Lolu hlobo lwe-jaundice ubalekela ngemva kwenkathi ethile benganakwa muntu. isimo Jikelele impilo ingane kulokhu ayinakho ngeziphambeko. bilirubin Jwayelekile e neonates - 103-107 mmol / l. Cishe ngosuku lwesihlanu zokuphila umzimba wengane ifinyelela izinkomba ezinjalo.

Ngokuvamile, izinga bilirubin lihlotshaniswa ngendlela ukukhulelwa umama, ukuthi noma yimuphi isifo, kanye nezinga ukuvuthwa izithelo. Isikhathi esining impela, jaundice kwenzeka ngenxa hypoxia intrauterine, asphyxia noma ngesifo sikashukela kwabesifazane.

jaundice sokugembula - isimo esiholela lapho nokwanda okuphawulekayo of bilirubin e ingane. kungenzeka Izizathu zalokhu eziningana:

- Rhesus ukungqubuzana: ezahlukene izici Rhesus e kukamama kanye nengane;

- ukubhujiswa kwamangqamuzana egazi abomvu ukuthi anesisekelo zofuzo;

- isibindi ukutheleleka;

- jaundice ;

- ukuvimbela wamathumbu;

- Gilbert Syndrome;

- ukuphazamiseka kwama-hormone.

Ngokusho kulolu hlu, isiphetho ukuthi odokotela kuphela ongabona ayichaze imbangela isifo futhi ukukhetha imithi ekufanele.

Izinga bilirubin kulezi zimo liphenywa ukuhlolwa igazi. Kamuva, lo dokotela sinquma ezinye izindlela eziningana ukuxilongwa, okuholela ke sitholakale.

Kubalulekile ukukhumbula ukuthi i-bilirubin eziphakeme izinsana kuyinto inkomba kuyingozi kakhulu, ngoba albumin nagazi akunakulidla ngikukhiphe ngokuphelele. Ngenxa yalokho, lapho singena isimiso sezinzwa futhi kunomphumela ezinobuthi wakhe kuyakuma kuye. Namuhla kunesimo esithi asifane kuyingozi kakhulu sokuthuthukisa ubuchopho futhi izinzwa izikhungo. isimo okunjalo kwezinkolo kubizwa ngokuthi bilirubin encephalopathy owabonakaliswa zimpawu ezilandelayo ezinsukwini zokuqala zokuphila:

- anda ukozela,

- ezingeni eliphansi reflex oncelayo,

- Ukudlikizela futhi ukungahlaliseki yanda,

- high blood pressure,

- usayizi okwandisiwe ubende kanye esibindini.

Kakade nengxenye ngonyaka ukwenzeka izindlebe ngandlela-thile womntwana, okusithiyayo of retardation engqondo nokukhubazeka. Ngakho-ke, bilirubin anda usana zidinga ukwelashwa ezinkulu uvakashelwa njalo esizayo kudokotela oyisazi sezinzwa ngezindleko.

Uma ingane iye unesifo jaundice ngokomzimba, indlela ephumelela kakhulu ukunciphisa bilirubin kuyinto phototherapy. Ngaphansi kwethonya ukukhanya iguqulwe ibe lyumirubin bilirubin futhi ngemva kwamahora angu-12 excreted ku umchamo kanye endleni. Ngezinye izikhathi imiphumela emibi lesi yokuzelapha uyaxebuka futhi sezinyawo okubi iphikelela ngemuva nezinqubo ukunqanyulwa. Ngesikhathi esifanayo kuyasiza kahle ubisi lukamama futhi Ukuqalwa kaningi ibele.

bilirubin kwaphakanyiswa izinsana, okubangela jaundice sokugembula iphathwa ku neonatologists esibhedlela.

Khumbula ukuthi leli nani kufanele ziqashwe ngisho nangemva yokwelashwa okuphumelelayo ngokuvakashela Ochwepheshe nokudilivela cwaningo.