I-jaundice nokuncelisa ibele

I-jaundice yisimo esenza ukuthi isikhumba nabamhlophe bamehlo baphenduke baphuzi. Kunezinkinga ezimbili ezijwayelekile ezingase zivele ezinganeni ezisanda kuzalwa ezithola ubisi lwebele.

• Uma i-jaundice ibonwa ngemuva kweviki lokuqala lokuphila enganeni ebelethwe enempilo ngenye indlela, isimo singabizwa ngokuthi "ubisi lwebele lwe-jaundice."
• Ngezinye izikhathi, i-jaundice yenzeka lapho ingane yakho ingalutholi ubisi lwebele olwanele, esikhundleni sokuthola ubisi lwebele uqobo. Lokhu kubizwa ngokuthi i-jaundice yokuncelisa ukuncelisa ibele.

I-Bilirubin i-pigment ephuzi ekhiqizwa njengoba umzimba uvuselela amaseli abomvu egazi amadala. Isibindi sisiza ukudiliza i-bilirubin ukuze ikwazi ukususwa emzimbeni osesihlalweni.

Kungaba yinto evamile ukuthi izingane ezisanda kuzalwa zibe phuzi kancane phakathi kwezinsuku 1 no-5 zempilo. Umbala uvame kakhulu ukuzungeza usuku 3 noma 4.

I-jaundice yobisi lwebele ibonakala ngemuva kweviki lokuqala lokuphila. Kungenzeka ukuthi idalwe:

• Izici zobisi lukamama ezisiza umntwana ukuthi amunce i-bilirubin emathunjini
• Izici ezigcina amaprotheni athile esibindini somntwana ekuqhekekeni kwe-bilirubin

Kwesinye isikhathi, i-jaundice yenzeka lapho ingane yakho ingalutholi ubisi lwebele olwanele, esikhundleni sobisi lwebele uqobo. Lolu hlobo lwe-jaundice lwehlukile ngoba luqala ezinsukwini ezimbalwa zokuqala zokuphila. Ibizwa ngokuthi "i-jaundice yokuncelisa ukuncelisa ibele," "i-jaundice engancelisi ibele," noma ngisho "i-jaundice yendlala."

• Izingane ezizalwa kusenesikhathi (ngaphambi kwamasonto angama-37 noma angama-38) azihlali zikwazi ukondla kahle.
• Ukwehluleka ukuncelisa ibele noma i-jaundice engancelisi ibele kungenzeka futhi lapho ukuphakelwa kuhlelwe yiwashi (njengokuthi, njalo emahoreni ama-3 imizuzu eyi-10) noma lapho izingane ezibonisa izimpawu zendlala zinikezwa ama-pacifiers.

Ubisi lwebele lwe-jaundice lungasebenza emindenini. Kwenzeka kaningi kwabesilisa nabesifazane futhi kuthinta cishe ingxenye eyodwa kwezintathu yazo zonke izingane ezisanda kuzalwa ezithola ubisi lukanina kuphela.

Isikhumba sengane yakho, futhi mhlawumbe nabamhlophe bamehlo (sclerae), bazobukeka bephuzi.

Ukuhlolwa kwelebhu okungenziwa kufaka phakathi:

• Izinga leBilirubin (okuphelele nokuqondile)
• I-blood smear ukubheka ukwakheka nobukhulu bamaseli egazi
• Uhlobo lwegazi
• Qedela ukubalwa kwegazi
• Ukubalwa kwe-Reticulocyte (inani lamaseli abomvu angavuthiwe)

Kwezinye izimo, ukuhlolwa kwegazi ukuhlola i-glucose-6-phosphate dehydrogenase (G6PD) kungenziwa. I-G6PD yiprotheni esiza amangqamuzana abomvu egazi ukuthi asebenze kahle.

Lezi zivivinyo zenziwa ukuze kuqinisekiswe ukuthi azikho ezinye izimbangela eziyingozi kakhulu ze-jaundice.

Olunye uvivinyo olungacatshangelwa luqukethe ukumisa ukuncelisa ibele nokunikeza ifomula amahora ayi-12 kuye kwangama-24. Lokhu kwenzelwa ukubona ukuthi izinga le-bilirubin liyehla yini. Lokhu kuhlolwa akudingekile ngaso sonke isikhathi.

Ukwelashwa kuzoya ngokuthi:

• Izinga le-bilirubin yengane yakho, evuka ngokwemvelo phakathi nesonto lokuqala lokuphila
• Izinga lebilirubin belikhuphuka ngokushesha kangakanani
• Ukuthi ingane yakho izalwe kusenesikhathi yini
• Indlela ingane yakho ebiphila ngayo
• Ingakanani ingane yakho manje

Imvamisa, izinga le-bilirubin lijwayelekile ngeminyaka yengane. Izingane ezisanda kuzalwa zivame ukuba namazinga aphezulu kunezingane ezindala kanye nabantu abadala. Kulokhu, akudingeki ukwelashwa, ngaphandle kokulandelwa okusondele.

Ungavimbela uhlobo lwe-jaundice olubangelwa ukuncela okuncane kakhulu ngokuqinisekisa ukuthi ingane yakho ithola ubisi olwanele.

• Yondla cishe izikhathi eziyishumi kuye kwayi-12 ngosuku, kusukela ngosuku lokuqala. Yondla noma nini lapho ingane iqaphile, imunca izandla, futhi ishaya izindebe. Yile ndlela izingane ezikwazisa ngayo ukuthi zilambile.
• Uma ulinda kuze kube yilapho ingane yakho ikhala, ukuncelisa ngeke kuhambe kahle.
• Nikeza izingane isikhathi esingenamkhawulo ebeleni ngalinye, inqobo nje uma zincela futhi zigwinya ngokuqinile. Izinsana ezigcwele zizokhululeka, zihlanganise izandla zazo, bese zilala.

Uma ukuncelisa kungahambi kahle, thola usizo kumxhumanisi we-lactation noma kudokotela wakho ngokushesha okukhulu. Izingane ezizalwa ngaphambi kwamasonto angama-37 noma angama-38 zivame ukudinga usizo olwengeziwe. Omama babo kaningi badinga ukuveza noma ukupompa ukwenza ubisi olwanele ngenkathi befunda ukuncelisa.

Ubuhlengikazi noma ukupompa kaningi (kuze kube izikhathi eziyi-12 ngosuku) kuzokhuphula inani lobisi ingane elitholayo. Zingadala ukuthi izinga le-bilirubin lehle.

Buza udokotela wakho ngaphambi kokunquma ukunikeza ifomula lakho elisanda kuzalwa.

• Kungcono ukugcina uncelisa. Izingane zidinga ubisi lomama bazo. Yize ingane egcwele ifomula ingahle ifune kakhulu, ukondla ifomula kungadala ukuthi wenze ubisi oluncane.
• Uma ubisi luphansi ngoba okudingwa ingane bekuphansi (ngokwesibonelo, uma ingane izalwe kusenesikhathi), kungadingeka ukuthi usebenzise ifomula isikhashana. Kufanele futhi usebenzise ipompo ukusiza ukwenza ubisi lwebele oluningi kuze kube yilapho ingane ikwazi kangcono ukuncelisa.
• Ukuchitha isikhathi "sesikhumba esikhunjeni" kungasiza nezingane ukuba zondle kangcono futhi kusize omama benze ubisi oluningi.

Kwezinye izimo, uma izingane zingakwazi ukondla kahle, uketshezi lunikezwa ngomthambo ukusiza ukwandisa amazinga alo oketshezi kanye namazinga aphansi e-bilirubin.

Ukusiza ukudiliza i-bilirubin uma iphakeme kakhulu, ingane yakho ingabekwa ngaphansi kwamalambu akhethekile aluhlaza okwesibhakabhaka (i-phototherapy). Ungakwazi ukwenza i-phototherapy ekhaya.

Ingane kufanele ilulame ngokuphelele ngokuqapha nokwelashwa okufanele. I-jaundice kufanele ihambe emasontweni ayi-12 okuphila.

Eqinisweni ubisi lwebele lwe-jaundice, azikho izinkinga ezimweni eziningi. Kodwa-ke, izingane ezinamazinga aphezulu kakhulu e-bilirubin angatholi ukunakekelwa okufanele kwezokwelapha angaba nemiphumela emibi.

Shayela umhlinzeki wakho wezempilo ngokushesha uma uncelisa futhi isikhumba noma amehlo engane yakho aba phuzi (jaundiced).

I-jaundice yobisi lwebele ayinakuvinjelwa, futhi ayinabungozi. Kodwa lapho umbala wengane uphuzi, kufanele uhlolwe izinga le-bilirubin lengane ngokushesha. Uma izinga le-bilirubin liphezulu, kubalulekile ukuqinisekisa ukuthi azikho ezinye izinkinga zezokwelapha.

I-Hyperbilirubinemia - ubisi lwebele; I-jaundice yobisi lwebele; Ukwehluleka kokubeletha i-jaundice

• I-jaundice esanda kuzalwa - ukukhipha

• Izibani zeBili
• Usana olunguJaundiced
• I-jaundice yezinsana

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