ʻO ke kūlana o bilirubin i loko o nā keiki hou

I nā lā mua o ke olaʻana o ke keiki hānau, hiki i kaʻikeʻeleʻele o kaʻili a me nā membpona mucous iʻikeʻia - kahi kīʻaha physiological o ke keiki hānau. No ka mea, i nā lā mua o ke ola, hemo ka hemoglobin o ke kīpona o ke koko, a hoʻololi i ka mea maʻamau, aʻo ka huahana o ka hoʻohemoʻana o hemoglobin he bilirubin. I ka wā o ka hāʻuleʻana o ka hemoglobin, ua hoʻokumuʻia ka bilirubin alaʻole, ka mea i hoʻopaʻa i ka pilina o ke akepaʻa a ua hoʻololiʻia e kuhikuhi bilirubin. ʻAnoʻole kaʻoluʻolu o ka bilirubin iʻole,ʻaʻole i hūnāʻia me ka mimi, kūmole pololei, ua heleʻia me bile.

ʻO ke kumu o bilirubin i loko o ke koko o kahi keiki hou

ʻO ka maʻamau o ka bilirubin pololeiʻole i loaʻa i ka 25% o ka billion bilirubin. I ka pauʻana o ka hemoglobin o ka fetal, piʻi ka haʻawina o bilirubin straight,ʻaʻohe manawa e hoʻopaʻa ai me albumin. ʻO ka laulā kiʻekiʻe aia ma ka lā 3 o ke ola, a ma hope iho ua ho'ēmi iho ai no 1-2 mau pule. I loko o kēia wā, ʻikeʻia ka jaundice physiological a nalowale, ka mea, e likeʻole me ka mea maʻamau, hele wale me kaʻikeʻoleʻia aʻaʻole e koi aku i ka lāʻau.

1. Ke hānauʻia ka pēpē i loko o ke koko o nā iwi,ʻo ka pilina o ka bilirubin i loko o nā keiki hou he mea maʻamau iā 51 μmol / l.
2. I ka lā mua o ke ola,ʻaʻole e piʻi ka piʻiʻana o ka pae bilirubin i mua o ka 5.1 μmol / l i ka hola. I ka manawa like, ka piʻiʻana o ka nui o ka bilirubin i nā keiki piha a hiki i 256 μmol / L ā hiki i 3-4 mau lā o ke ola, i nā keiki hānai -ʻaʻole iʻoi aku ma mua o 171 μmol / l.
3. ʻO ka laulā average o bilirubin i nā lā mua o ke ola,ʻaʻole ia iʻoi aku ma mua o 103-137 μmol / l, aʻo ka uluʻana ma muli o ka bilirubin liʻiliʻi.

Ke hoʻololiʻole ka kaukino physiology i keʻano o ka pēpē,ʻo kaʻele o ka urine a me ka feces, a me ka nui o ke akepaʻa a paʻa kaʻili i kaʻalaniʻoni, a nalowale ke kolo me ka hanaʻoleʻia i ka hebedoma 2-3 o ke ola. Manaʻo no nā koʻiʻoihana palekana:

• 1 kekona (ke kala makamae o ka maka a me ka'ā'ī wale nō);
• 2 kekona (ke kala makamae o ka hapa luna o ke kino i ka piko);
• 3ʻene (ke kikowaena o ke alo, ke kumu a me nāʻaoʻao kiʻekiʻe o nā lima a me nā wāwae);
• 4 kekona (ke 'ano o ke kinona o ke kino i loko o ke kala'ulaki, me nā wāwae a me nā'ūpala).

ʻO nā kumu o ka uluʻana o ka bilirubin i loko o nā keiki hou

Ma waho aʻe o ka jaundice physiological, aia kekahi i nā mea hōʻailona i nā keiki hou, kahi e nui ai kaʻili bilirubin a me kaʻulaʻula i kaʻili a me nā membpona mucous. Nāʻano likeʻole o nā kauoha:

1. Hemolytic. Ma muli o ka emiʻana o ke keleheʻulaʻula i loko o ka paio ma luna o ka hui koko a iʻole ka helu Rh ma waena o ka makuahine a me ke keiki, nā maʻi genetic - microspherocytosis, ka anemia maʻile.
2. Parenchymal - no kaʻino o nā hānai me ka maʻi hepatitis, ka cytomegalovirus, ka toxins.
3. Ka hoʻoukaʻana - i keʻano o nā meaʻino i loko o ka'ōnaehana enzyme a me ka paʻaʻana o ke straight bilirubin.
4. Meʻano - ma nā hihia o ka hakiʻana i ka kahe o ka bile no ka hopena o ka gallbladder aiʻole nā ​​leke o ka hanana me ko lākou mau mea likeʻole, no ka mea, atresia.

I nā kiʻekiʻe kiʻekiʻe o bilirubin i loko o ke koko (ʻoi aku ma mua o 324 μmol / l), komo i loko o ka pale o ka lolo-lolo a hana e like me ke toxin ma ka lolo o kahi keiki hou (ka hae karihi). ʻO kēia ke kumu o ka encephalopathy paʻakikī me ka emiʻana o nā hoʻopiʻi a pau, ka manaʻoʻole, kaʻeha a me ka makeʻana o ke keiki. ʻO nā hopena o ka jaundice karika hiki ke lilo i ka pāpālua a me ka paresis, ka lohi o ka manaʻo a me ke kuli.

Ka mālamaʻana i ka piʻiʻana o ka bilirubin i nā keiki hou

ʻAʻole hoʻohana pinepineʻia ke kaupuni lāʻau a me ka'ōlelo o kaʻili o kaʻili e hoʻohana i ka phototherapy, kahi e piʻi ai ka lā i ka paʻa o bilirubin. Me ka launa hanaʻole, ma waho aʻe o ka phototherapy, hoʻoponopono pinepine ke kauka i ka lāʻau detoxification a me ka hoʻololiʻana i ke koko.