I-jaundice kunye nokuncelisa

IJaundice yimeko ebangela ukuba ulusu kunye nabamhlophe bamehlo bajike batyheli. Zimbini iingxaki eziqhelekileyo ezinokubakho kwiintsana ezifumana ubisi lwebele.

• Ukuba i-jaundice ibonwe emva kweveki yokuqala yobomi kusana oluncancisayo olunempilo, imeko inokubizwa ngokuba yi "jaundice yobisi lwebele."
• Ngamanye amaxesha, i-jaundice yenzeka xa umntwana wakho engalufumani ubisi lwebele olwaneleyo, endaweni yobisi lwebele uqobo. Oku kubizwa ngokuba kukusilela ekuncanciseni i-jaundice.

IBilirubin ngumbala omthubi oveliswayo njengoko umzimba uphinda usebenzise iiseli ezibomvu zegazi ezindala. Isibindi sinceda ukwahlula i-bilirubin ukuze isuswe emzimbeni kwisitulo.

Kuqhelekile ukuba iintsana ezisanda kuzalwa zibe mthubi kancinci phakathi kweentsuku zoku-1 ukuya kwezi-5 zobomi. Umbala uhlala unyuka ujikeleze usuku lwe-3 okanye lwe-4.

Ubisi lwebele lwe-jaundice lubonwa emva kweveki yokuqala yobomi. Inokubangelwa ngu:

• Izinto zobisi lukamama ezinceda umntwana ukuba afunxe i-bilirubin emathunjini
• Izinto ezigcina iiproteni ezithile kwisibindi somntwana ekuqhekezeni i-bilirubin

Ngamanye amaxesha, i-jaundice yenzeka xa umntwana wakho engalufumani ngokwaneleyo ubisi lwebele, endaweni yokuba ubisi lwebele uqobo. Olu hlobo lwe-jaundice lwahlukile kuba luqala kwiintsuku zokuqala zobomi. Ibizwa ngokuba "kukusilela ekuncanciseni i-jaundice," "i-jaundice yokuncancisa ibele," okanye nokuba "yindlala yindlala."

• Iintsana ezizalwa kwangethuba (phambi kweeveki ezingama-37 okanye ezingama-38) azisoloko zikwazi ukondla kakuhle.
• Ukungaphumeleli kokuncancisa okanye ukungancancisi ibele kunokubakho xa ukutya kulungiselelwe ngewotshi (ezinje, ngeyure ezintathu ukuya kwimizuzu eli-10) okanye xa iintsana ezibonisa iimpawu zendlala zinikwa ipacifiers.

Ubisi lwebele lwe-jaundice lunokuqhuba kwiintsapho. Kwenzeka nje ngokufuthi kwindoda nakwimazi kwaye kuchaphazela malunga nesinye kwisithathu sabo bonke abantwana abasandul 'ukuzalwa abafumana ubisi lukanina kuphela.

Ulusu lomntwana wakho, kwaye mhlawumbi abamhlophe bamehlo (sclerae), baya kujongeka batyheli.

Iimvavanyo zaselebhu ezinokuthi zenziwe zibandakanya:

• Inqanaba leBilirubin (iyonke kunye ngqo)
• Igazi smear ukujonga ubungakanani beeseli zegazi kunye nobukhulu
• Uhlobo lwegazi
• Gcwalisa ubalo lwegazi
• Ukubala kweReticulocyte (inani leeseli ezibomvu ezingafakwanga)

Ngamanye amaxesha, uvavanyo lwegazi lokujonga i-glucose-6-phosphate dehydrogenase (G6PD) lunokwenziwa. I-G6PD yiprotein enceda iiseli ezibomvu zegazi zisebenze ngokufanelekileyo.

Olu vavanyo lwenziwa ukuze kuqinisekiswe ukuba azikho ezinye, izizathu eziyingozi kakhulu ze-jaundice.

Olunye uvavanyo olunokuthi luqwalaselwe lubandakanya ukuyeka ukuncancisa kunye nokunika ifomula iiyure ezili-12 ukuya kwezi-24. Oku kwenzelwa ukubona ukuba inqanaba le-bilirubin liyehla na. Olu vavanyo alusoloko luyimfuneko.

Unyango luya kuxhomekeka:

• Inqanaba lebilirubin yosana lwakho, elinyuka ngokwendalo ngeveki yokuqala yobomi
• Ukukhawuleza kwinqanaba lebilirubin liye lenyuka
• Nokuba umntwana wakho wazalwa kwangethuba
• Utyiswe njani umntwana wakho
• Umdala kangakanani umntwana wakho ngoku

Rhoqo, inqanaba le-bilirubin liqhelekile kubudala bomntwana. Iintsana zihlala zinamanqanaba aphezulu kunabantwana abadala kunye nabantu abadala. Kule meko, akukho nyango lufunekayo, ngaphandle kokulandelwa kufutshane.

Unokuthintela uhlobo lwe-jaundice olubangelwa kukuncancisa kancinci ngokuqinisekisa ukuba umntwana wakho ufumana ubisi olwaneleyo.

• Yondla malunga namaxesha ali-10 ukuya kwali-12 ngosuku ngalunye, ukuqala ngosuku lokuqala. Yondla nanini na umntwana ephaphile, emanya ezandleni, kwaye ephulula imilebe. Yile ndlela abantwana abakwazisa ngayo ukuba balambile.
• Ukuba ulinda de akhale umntwana wakho, ukondla akuyi kuhamba kakuhle.
• Nika abantwana ixesha elingenamkhawulo kwisibele ngasinye, okoko nje befunxa kwaye beginya ngokuthe chu. Iintsana ezipheleleyo ziya kukhululeka, zingabinanto izandla, kwaye ziya kulala.

Ukuba ukuncancisa akuhambi kakuhle, fumana uncedo kumcebisi wezokuncancisa okanye kugqirha wakho ngokukhawuleza. Iintsana ezizalwe ngaphambi kweeveki ezingama-37 okanye ezingama-38 zihlala zifuna uncedo olongezelelekileyo. Oomama babo bahlala befuna ukuveza okanye ukumpompa ukwenza ubisi olwaneleyo ngelixa bafunda ukuncancisa.

Ukonga okanye ukumpompa rhoqo (ukuya kuthi ga kwali-12 ngemini) kuyonyusa isixa sobisi olufunyanwa lusana. Banokubangela ukuba inqanaba le-bilirubin lehle.

Buza ugqirha wakho ngaphambi kokuba uthathe isigqibo sokunika usana olungumgubo olusanda kuzalwa.

• Kungcono ukugcina uncancisa. Iintsana zidinga ubisi loomama. Nangona usana oluzele ifomula lunokungafuneki kangako, ukondla ubisi olungumgubo kungabangela ukuba wenze ubisi oluncinci.
• Ukuba ubisi lusezantsi kuba ibango lomntwana beliphantsi (umzekelo, ukuba usana luzalwe kwangoko), kungafuneka usebenzise ifomula okwexeshana. Kuya kufuneka usebenzise impompo ukunceda wenze ubisi lwebele oluninzi de kube umntwana abe nakho ukuncanca.
• Ukuchitha ixesha "lolusu kolusu" kunokunceda iintsana zondle ngcono kwaye kuncede oomama benze ubisi oluninzi.

Kwezinye iimeko, ukuba iintsana azikwazi ukondla kakuhle, ulwelo lunikwa ngomthambo ukunceda ukunyusa amanqanaba alo olwelo kunye namazinga e-bilirubin asezantsi.

Ukunceda ukuphula i-bilirubin ukuba iphezulu kakhulu, umntwana wakho angabekwa phantsi kwezibane ezizodwa eziluhlaza (phototherapy). Unokwazi ukwenza i-phototherapy ekhaya.

Usana kufuneka luphile ngokupheleleyo ngokubekwa esweni nokunyangwa okufanelekileyo. I-jaundice kufuneka ihambe kwiiveki ezili-12 zobomi.

Kwinyani yobisi lwebele i-jaundice, akukho ngxaki kwiimeko ezininzi. Nangona kunjalo, iintsana ezinamazinga aphezulu kakhulu e-bilirubin angafumani unyango olufanelekileyo anokuba neziphumo ezibi.

Fowunela umboneleli wakho wezempilo kwangoko ukuba uyancancisa kwaye ulusu lomntwana wakho okanye amehlo abe mthubi (jaundiced).

Ubisi lwebele ijaundice alunakuthintelwa, kwaye aluyongozi. Kodwa xa umbala womntwana utyheli, kufuneka inqanaba le-bilirubin yomntwana lihlolwe kwangoko. Ukuba inqanaba le-bilirubin liphezulu, kubalulekile ukuba uqiniseke ukuba azikho ezinye iingxaki zonyango.

Hyperbilirubinemia - ubisi lwebele; Ubisi lwebisi lwe-jaundice; Ukusilela kokuncancisa isifo sejaundice

• Isifo senyongo esanda kuzalwa - ukubhobhoza

• Izibane zeBili
• Usana olugqityiweyo
• I-jaundice yabantwana

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