Kodi jaundice yatsopano ndi chiyani?

Zamkati

• Zomwe zimayambitsa matenda a neonatal jaundice
• Momwe mungazindikire jaundice
• Momwe mungachiritse matenda a chikasu a wakhanda
• Chithandizo cha Phototherapy
• Njira zina zochiritsira

Neonatal jaundice imatuluka khungu, maso ndi mamina amthupi amatembenukira chikaso, chifukwa cha bilirubin wochuluka m'magazi.

Chifukwa chachikulu cha jaundice mwa mwanayo ndi matenda a jaundice, omwe amabwera chifukwa cha kulephera kwa chiwindi kupukusa ndi kuthetsa bilirubin, popeza sichikukula. Nthawi zambiri sizoyenera kuda nkhawa, ndipo chithandizo chimachitika ndi phototherapy.

Bilirubin ndi mtundu wachikaso womwe umapangidwa ndi kuwonongeka kwa maselo amwazi mthupi, kenako umagwidwa ndi chiwindi komwe umakhala ndi mapuloteni ndikuchotsedwa pamodzi ndi bile ndi matumbo, chifukwa chake, kusintha kulikonse mwamagawo awa kungayambitse kukwera kwa pigment iyi m'magazi. Dziwani zambiri za bilirubin pofufuza bilirubin ndi mfundo zake.

Zomwe zimayambitsa matenda a neonatal jaundice

Jaundice wakhanda kapena wakhanda ndi vuto lomwe limachitika pafupipafupi, ndipo zomwe zimayambitsa matendawa ndi monga:

• Matenda a jaundice: ndi chifukwa chofala kwambiri, chomwe chimapezeka pambuyo pa maola 24 mpaka 36 obadwa, chifukwa chiwindi cha mwana sichikukula bwino ndipo chitha kukhala ndi zovuta pakusintha ndikuchotsa bilirubin;
• Kuchuluka chiwonongeko cha magazi: ndi vuto lalikulu la jaundice, lomwe limachitika chifukwa cha matenda amwazi monga sickle cell anemia, spherocytosis kapena hemolytic anemia, yomwe imatha kubwera chifukwa chosagwirizana kwa magazi a mwana ndi mayi. Dziwani zambiri za vutoli pa: Fetal erythroblastosis;
• Jaundice mu mkaka wa m'mawere: imawonekera mwa makanda omwe akuyamwitsa kokha, nthawi zambiri, atatha masiku khumi akubadwa, amawonekera chifukwa cha kuchuluka kwa mahomoni kapena zinthu m'magazi zomwe zimawonjezera kuyambiranso kwa bilirubin m'matumbo ndikulepheretsa kutulutsidwa kwake, ngakhale zimayambitsa kufotokoza;
• Matenda a chiwindi: amakhala matenda obadwa nawo, monga matenda a Crigler-Najjar, Gilber's syndrome ndi Gaucher matenda;
• Matenda obadwa nawo: zomwe zingayambike panthawi yapakati, monga rubella kapena congenital hypothyroidism;
• Zowonongeka zazitali;
• Matenda a virus kapena mabakiteriya.

Kumvetsetsa bwino zomwe zingayambitse: Zomwe zimayambitsa komanso momwe mungachiritsire khanda la khanda.

Momwe mungazindikire jaundice

Kawirikawiri, jaundice imawoneka tsiku lachiwiri la moyo wa mwanayo koma mwa ana akhanda asanakwane imawoneka patsiku lachisanu la moyo.

Mtundu wachikaso wachikopa umapita kuchokera kumutu kupita kumapazi, kuwonedwa koyamba pamaso, kenako pamtengo kenako pamapazi. Kupanikizika pachifuwa cha mwana mopepuka ndi njira yabwino yozindikirira jaundice kunja kwa chipatala. Ngati malo opanikizika asanduka achikaso, kambiranani ndi adokotala kuti ayambe kulandira chithandizo.

Momwe mungachiritse matenda a chikasu a wakhanda

Ngakhale jaundice sikuti nthawi zonse imakhala yovuta kapena imakhala ndi zotsatirapo zoyipa, chithandizo chokwanira ndichofunikira chifukwa, nthawi zina, chimatha kuwononga ubongo. Matendawa amatchedwa kernicterus ndipo chithandizo munthawi imeneyi chimaphatikizapo kuthiridwa magazi. Mvetsetsani zomwe zili komanso zoyenera kuchita ngati muli ndi kernicterus.

Chithandizo cha Phototherapy

Phototherapy imachitika pomuyika mwana mchikanda chaching'ono pomwe amakhala wamaliseche, atangovala thewera basi, akuwunikiridwa ndi kuwala kwapadera, mankhwala otchedwa phototherapy.Malingana ngati mwanayo awonetsedwa ndi kuwala kwa fulorosenti ayenera kukhalabe womangidwa kumaso ndi chigoba choteteza.

Pazofatsa kwambiri dokotala wa ana atha kulangiza kuti mwanayo azikhala padzuwa tsiku lililonse, m'mawa, dzuwa likakhala lofooka, nthawi zonse isanakwane 10 komanso pambuyo pa maola 16. Mankhwalawa amatha masiku awiri ndipo nthawi yowunikira imatha kusiyanasiyana mphindi 15 mpaka 30 nthawi imodzi.

Mvetsetsani bwino momwe phototherapy imagwirira ntchito pomwe matenda a phototherapy amatha kuchiza.

Njira zina zochiritsira

Kuyamwitsa mwana ndi njira yabwino yothandizira kuchipatala, kuyika mtundu wa mwanayo mwachangu, chifukwa kumachepetsa kuyambiranso kwa bilirubin m'matumbo. Nthawi zambiri "mkaka wa m'mawere jaundice", komano, kuyamwitsa kumafunikira kusokonezedwa kwa masiku amodzi kapena awiri, mpaka kusungika kwa bilirubin m'magazi kuzimiririka.

Pazovuta kwambiri za jaundice, monga zomwe zimayambitsa matenda, kubadwa kapena kubadwa, mankhwalawa amadziwika molingana ndi chifukwa, motsogozedwa ndi dokotala wa ana, nthawi yachipatala, yomwe ingaphatikizepo kugwiritsa ntchito maantibayotiki, corticosteroids, mankhwala a mahomoni kapena, pakakhala bilirubin yokwera kwambiri, kuthiridwa magazi, komwe kumathandiza kuchotsa bilirubin mwachangu m'magazi.