I-jaundice esanda kuzalwa - ukukhipha

Ingane yakho ilashelwe esibhedlela ngenxa ye-jaundice esanda kuzalwa. Lo mbhalo ukutshela lokho okudingeka ukwazi lapho ingane yakho ifika ekhaya.

Ingane yakho ine-jaundice esanda kuzalwa. Lesi simo esivamile sibangelwa amazinga aphezulu e-bilirubin egazini. Isikhumba kanye ne-sclera yengane yakho (abamhlophe bamehlo ayo) izobukeka iphuzi.

Ezinye izingane ezisanda kuzalwa zidinga ukwelashwa ngaphambi kokuba ziphume esibhedlela. Abanye bangadinga ukubuyela esibhedlela lapho banezinsuku ezimbalwa ubudala. Ukwelashwa esibhedlela kuvame ukuthatha izinsuku ezi-1 kuya kwezi-2. Ingane yakho idinga ukwelashwa lapho izinga layo le-bilirubin liphakeme kakhulu noma likhuphuka ngokushesha okukhulu.

Ukusiza ukudiliza i-bilirubin, ingane yakho izobekwa ngaphansi kwamalambu akhanyayo (i-phototherapy) embhedeni ofudumele, obiyelwe. Usana luzogqoka kuphela inabukeni nemibala ekhethekile yamehlo. Ingane yakho ingahle ibe nolayini (IV) wokuyinika uketshezi.

Imvamisa, ingane yakho ingadinga ukwelashwa okubizwa nge-double volume transfusion transfusion. Lokhu kusetshenziswa lapho izinga le-bilirubin yengane liphakeme kakhulu.

Ngaphandle kokuthi kunezinye izinkinga, ingane yakho izokwazi ukondla (ngebele noma ngebhodlela) ngokujwayelekile. Ingane yakho kufanele bondle njalo ngamahora amabili kuya kwangu-2 (amahora ayi-10 kuye kwayi-12 ngosuku).

Umhlinzeki wezokunakekelwa kwempilo angayeka i-phototherapy futhi athumele ingane yakho ekhaya lapho izinga le-bilirubin liphansi ngokwanele ukuthi liphephe. Izinga le-bilirubin yengane yakho lizodinga ukuthi lihlolwe ehhovisi lomhlinzeki, ngemuva kwamahora angama-24 ukwelashwa kumile, ukuze kuqinisekiswe ukuthi izinga alikhuphukeli futhi.

Imiphumela emibi engaba khona ye-phototherapy uhudo lwamanzi, ukomisa amanzi, kanye nokuqubuka kwesikhumba okuzophela lapho ukwelashwa kuyeka.

Uma ingane yakho ingenayo i-jaundice ngesikhathi izalwa kepha manje inayo, kufanele ushayele umhlinzeki wakho. Amazinga eBilirubin ngokuvamile aphakama kakhulu lapho usana lunezinsuku ezintathu kuya kwezingu-5 ubudala.

Uma izinga le-bilirubin lingaphakeme kakhulu noma lingakhuphuki ngokushesha, ungenza i-phototherapy ekhaya ngengubo ye-fiber optic, enamalambu amancane akhanyayo kuyo. Ungasebenzisa futhi umbhede okhanyisa ukukhanya kusuka kumatilasi. Umhlengikazi uzofika ekhaya lakho azokufundisa ukuthi uyisebenzisa kanjani ingubo noma umbhede nokuhlola ingane yakho.

Umhlengikazi uzobuya nsuku zonke ezohlola ingane yakho:

• Isisindo
• Ukungenisa ubisi lwebele noma ifomula
• Inani lamanabukeni amanzi nopopy (indle)
• Isikhumba, ukubona ukuthi phansi kangakanani (ekhanda kuye ozwaneni) umbala ophuzi uyahamba
• Izinga leBilirubin

Kufanele ugcine ukwelashwa okulula esikhumbeni sengane yakho bese wondla ingane yakho njalo emahoreni ama-2 kuye kwayi-3 (izikhathi eziyi-10 kuye kwezingu-12 ngosuku). Ukondla kuvimbela ukuphela kwamanzi emzimbeni futhi kusiza i-bilirubin ishiye umzimba.

Ukwelashwa kuzoqhubeka kuze kube yilapho izinga le-bilirubin yengane yakho lehla ngokwanele ukuze liphephe. Umhlinzeki wengane yakho uzofuna ukuhlola izinga futhi ezinsukwini ezi-2 ukuya kwezi-3.

Uma unenkinga yokuncelisa ibele, thintana nodokotela oncelisayo ongumhlengikazi.

Shayela umhlinzeki wezokunakekelwa kwempilo yengane yakho uma usana:

• Unombala ophuzi ohambayo, kodwa bese ubuya ngemuva kokuma kokwelashwa.
• Unombala ophuzi ohlala isikhathi esingaphezu kwamasonto amabili kuya kwamathathu

Phinda ushayele umhlinzeki wengane yakho uma unezinto ezikukhathazayo, uma i-jaundice iya ngokuya iba yimbi, noma ingane:

• Ingabe i-lethargic (kunzima ukuyivusa), ayiphenduli kangako, noma iyaxokozela
• Kwala ibhodlela noma isifuba ngaphezu kokuphakelwa okungu-2 kulandelana
• Ingabe ukunciphisa umzimba
• Unesifo sohudo esinamanzi

I-jaundice yengane esanda kuzalwa - ukukhipha; Neonatal hyperbilirubinemia - ukukhishwa; Ukubeletha i-jaundice - ukukhipha; I-Physiologic jaundice - ukukhipha

• Ukushintshaniswa kwegazi - uchungechunge
• I-jaundice yezinsana

UKaplan M, Wong RJ, uSibley E, uStevenson DK. Izifo ze-jaundice zesibindi kanye nezifo zesibindi. Ku: Martin RJ, Fanaroff AA, Walsh MC, ama-eds. UFanaroff kanye neMithi kaMartin's Neonatal-Perinatal Medicine. Umhlaka 10. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 100.

UMaheshwari A, uCarlo WA. Ukuphazamiseka kohlelo lokugaya ukudla. Ku: Kliegman RM, Stanton BF, St Geme JW, Schor NF, ama-eds. Incwadi kaNelson Yezingane. Umhla ka-20. IPhiladelphia, PA: Elsevier; 2016: isahluko 102.

IRozance PJ, iRosenberg AA. Umntwana omncane. Ku: Gabbe SG, Niebyl JR, Simpson JL, et al, eds. Ama-Obstetrics: Ukukhulelwa Okujwayelekile Nenkinga. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2017: isahluko 22.

• I-biliary atresia
• Izibani zeBili
• Ukuhlolwa kwegazi kweBilirubin
• I-Bilirubin encephalopathy
• Ukushintshaniswa kwegazi
• I-jaundice nokuncelisa ibele
• I-jaundice esanda kuzalwa
• Usana ngaphambi kwesikhathi
• Ukungahambelani kwe-Rh

• I-jaundice esanda kuzalwa - okufanele ubuze udokotela wakho

• Izinkinga Ezivamile Zezinsana Nezisanda Kuzalwa
• I-jaundice