Yintoni i-jaundice esanda kuzalwa kunye nendlela yokuyinyanga

Umxholo

• Yintoni ebangela i-jaundice ye-neonatal
• Ungayichonga njani i-jaundice
• Ungayinyanga njani i-jaundice ye-neonatal
• Unyango lwe-Phototherapy
• Ezinye iindlela zonyango

I-jaundice ye-neonatal ivela xa ulusu, amehlo kunye neembumba ezinomzimba emzimbeni ziba tyheli, ngenxa ye-bilirubin egazini.

Unobangela ophambili we-jaundice emntwaneni sisifo senyongo somzimba, esivela ngenxa yokungakwazi kwesibindi ukucola kunye nokuphelisa i-bilirubin, njengoko isaphuhlisiwe. Ngokuqhelekileyo ayisosizathu sokukhathazeka, kwaye unyango lwenziwa ngefototherapy.

I-Bilirubin yi-pigment etyheli eveliswa kukuwohloka kweeseli zegazi emzimbeni, ize ke ibanjwe sisibindi apho ibotshelelwe khona kwiiproteni kwaye isuswe kunye nenyongo ngamathumbu, ke ngoko, utshintsho nakweyiphi na kwezi zigaba kunokubangela ukuphakama kwalo mbala egazini. Funda ngakumbi malunga ne-bilirubin ngokujonga i-bilirubin kunye nexabiso layo.

Yintoni ebangela i-jaundice ye-neonatal

Ingane esanda kuzalwa okanye ye-neundatal jaundice yingxaki rhoqo, kwaye izizathu eziqhelekileyo zibandakanya:

• I-jaundice yomzimba: sesona sizathu sixhaphakileyo, esivela emva kweeyure ezingama-24 ukuya kwezingama-36 zokuzalwa, njengoko isibindi somntwana singakhuli kakuhle kwaye sinokuba nobunzima ekuguqulweni nasekupheliseni i-bilirubin;
• Ukwanda ukutshatyalaliswa iiseli zegazi: sisizathu esibi se-jaundice, esenzeka ngenxa yezifo zegazi ezinjengearheng cell anemia, i-spherocytosis okanye i-hemolytic anemia, enokubangelwa kukungangqinelani kwegazi lomntwana kunye nelo likamama. Fumanisa okungakumbi ngale meko kwi: I-erythroblastosis yomntwana;
• I-jaundice kubisi lwebele: ivela kwiintsana ezincancisa kuphela, ngesiqhelo, emva kweentsuku ezili-10 zokuzalwa, ivela ngenxa yokwanda kwamahomoni okanye izinto ezisegazini ezonyusa ukubuyela kwakhona kwebilirubin emathunjini kwaye kuthintele ukupheliswa kwayo, ngaphandle kwezizathu zayo icacisiwe;
• Izifo zesibindi: zihlala zizifo zofuzo, ezinje ngesifo seCrigler-Najjar, isifo sikaGilber kunye nesifo sikaGaucher, umzekelo;
• Izifo ezizalwe: ezinokubangelwa ngexesha lokukhulelwa, njenge-rubella okanye i-hypothyroidism yokuzalwa;
• Ukukhubazeka kwendlela yokubila;
• Intsholongwane okanye iintsholongwane.

Ukuqonda ngcono oonobangela abanokubakho koku: Zeziphi izizathu kunye nendlela yokunyanga i-neonatal hyperbilirubinemia.

Ungayichonga njani i-jaundice

Ngokubanzi, i-jaundice ivela kusuku lwesibini lobomi bosana kodwa kwiintsana ezizelwe ngaphambi kwexesha ithande ukubonakala ngomhla we-5 wobomi.

Umbala otyheli wolusu uhambela phambili usuka entloko usiya ezinyaweni, ujongwa kuqala ebusweni, emva koko esiqwini nasemva kweenyawo. Ukucinezela isifuba somntwana kancinci yindlela elungileyo yokuchonga i-jaundice ngaphandle kwesibhedlele. Ukuba indawo ecinezelweyo iba mthubi, nxibelelana nogqirha ukuqala unyango.

Ungayinyanga njani i-jaundice ye-neonatal

Nangona i-jaundice ingahlali ikwimeko embi okanye ineziphumo ezibi, unyango olwaneleyo luyimfuneko kuba, kwiimeko ezinqabileyo, kunokubangela ukonakala kwengqondo. Le meko ibizwa ngokuba yi-kernicterus kwaye unyango kwezi meko lubandakanya utofelo-gazi. Qonda ukuba yintoni kwaye uyenze ntoni xa usenza ikernicterus.

Unyango lwe-Phototherapy

I-Phototherapy yenziwa ngokubeka umntwana ebhedini encinci apho ahamba ze ngokupheleleyo, enxibe ilweyile kuphela, evezwe kukukhanya okukhethekileyo, unyango olubizwa ngokuba yi-phototherapy.Logama nje usana luvezwa koku kukhanya kwe-fluorescent kufuneka luhlale luvalwe amehlo ngesigqubuthelo sokhuselo.

Kwiimeko zobulali ugqirha wabantwana unokucebisa ukuba umntwana aboniswe elangeni yonke imihla, kusasa, xa ilanga lisabuthathaka, rhoqo ngaphambi kwe-10 nasemva kweeyure ezili-16. Unyango lunokuhlala kangangeentsuku ezi-2 kwaye ixesha lokuvezwa kukukhanya lingahluka ukusuka kwimizuzu eli-15 ukuya kwengama-30 ngexesha.

Qonda ngcono ukuba i-phototherapy isebenza njani kwizifo ezinokunyanga izifo.

Ezinye iindlela zonyango

Ukuncancisa usana yindlela elungileyo yokuxhasa unyango, ukubuyisela umbala womntwana ngokukhawuleza, njengoko kunciphisa ukubuyiselwa kwe-bilirubin emathunjini. Amatyala anqabileyo "ebelethisi yobisi lwebele", kwelinye icala, ukuncancisa kunganyanzeleka ukuba kuphazamiseke kangangeentsuku ezi-1 okanye ezi-2, kude kube kukuxinana kwe-bilirubin egazini.

Kwiimeko ezinzima kakhulu ze-jaundice, ezinjengezinto ezosulelayo, ezizalwa zizalwa okanye zemfuza, unyango luchazwa ngokungqinelana nesizathu, sikhokelwa ngugqirha wabantwana, ngexesha lokulaliswa esibhedlele, elinokubandakanya ukusetyenziswa kwee-antibiotics, i-corticosteroids, unyango lwehomoni okanye, Kwiimeko eziphezulu kakhulu i-bilirubin, utofelo-gazi, olunceda ukususa i-bilirubin ngokukhawuleza kwigazi.