Yini i-jaundice esanda kuzalwa nokuthi ilashwa kanjani

-Delile

• Yini ebangela i-jaundice ebelethayo
• Ungayibona kanjani i-jaundice
• Ungayelapha kanjani i-jaundice ebelethayo
• Ukwelashwa kwe-Phototherapy
• Ezinye izinhlobo zokwelashwa

I-jaundice yeNonatal ivela lapho isikhumba, amehlo kanye nolwelwesi lwamafinyila emzimbeni luphenduka luphuzi, ngenxa ye-bilirubin eyeqile egazini.

Isizathu esiyinhloko se-jaundice enganeni yi-jaundice yomzimba, evela ngenxa yokungakwazi kwesibindi ukugaya nokuqeda i-bilirubin, njengoba isathuthukile. Ngokuvamile akuyona imbangela yokukhathazeka, futhi ukwelashwa kwenziwa nge-phototherapy.

I-Bilirubin i-pigment ephuzi ekhiqizwa ukuwohloka kwamangqamuzana egazi emzimbeni, bese ibanjwa yisibindi lapho iboshwe khona amaprotheni futhi isuswe kanye nenyongo ngamathumbu, ngakho-ke, izinguquko kunoma yiziphi zalezi zigaba zingadala ukuphakama kwalesi sakhi sombala egazini. Funda kabanzi nge-bilirubin ngokuhlola i-bilirubin namanani ayo.

Yini ebangela i-jaundice ebelethayo

I-jaundice esanda kuzalwa noma ye-neonatal iyinkinga ejwayelekile, futhi izimbangela ezivame kakhulu zifaka:

• I-jaundice yomzimba: kuyimbangela evame kakhulu, evela ngemuva kwamahora angama-24 kuye kwangama-36 ezelwe, njengoba isibindi sengane sikhula kahle futhi singaba nobunzima ekuguquleni nasekuqedeni i-bilirubin;
• Ukwanda kokubhujiswa kwamangqamuzana egazi: kuyimbangela ebucayi ye-jaundice, eyenzeka ngenxa yezifo zegazi ezifana ne-sickle cell anemia, i-spherocytosis noma i-hemolytic anemia, engadalwa ukungahambelani kwegazi lengane nalelo likamama. Thola kabanzi mayelana nalesi simo ku: Fetry erythroblastosis;
• I-jaundice ebisi lwebele: ivela ezinganeni ezimunyisa kuphela, imvamisa, ngemuva kwezinsuku eziyishumi zizelwe, ivela ngenxa yokwanda kwamahomoni noma izinto ezisegazini ezandisa ukubuyiswa kabusha kwe-bilirubin emathunjini futhi kuvimbele ukuqedwa kwayo, yize izimbangela zayo zingakabi ngokuphelele kucacisiwe;
• Izifo zesibindi: zivame ukuba yizifo zofuzo, njenge-Crigler-Najjar syndrome, i-Gilber's syndrome nesifo seGaucher, ngokwesibonelo;
• Izifo ezizalwa nazo: lokho kungabangelwa ngesikhathi sokukhulelwa, njenge-rubella noma i-congenital hypothyroidism;
• Ukukhubazeka kwemifudlana ebilisiwe;
• Ukutheleleka ngegciwane noma ngamagciwane.

Ukuqonda kangcono izimbangela ezingaba khona: Iziphi izimbangela nokuthi ungaphatha kanjani i-neonatal hyperbilirubinemia.

Ungayibona kanjani i-jaundice

Ngokuvamile, i-jaundice ivela ngosuku lwesibili lokuphila kwengane kodwa ezinganeni ezingakazalwa ivame ukuvela ngosuku lwesi-5 lokuphila.

Umbala ophuzi wesikhumba usuka enhloko uye ezinyaweni, ubonwa kuqala ebusweni, bese kuba esiqwini bese kamuva ezinyaweni. Ukucindezela isifuba sengane kancane kuyindlela enhle yokukhomba i-jaundice ngaphandle kwesibhedlela. Uma indawo ecindezelwe iphenduka iphuzi, xhumana nodokotela ukuze uqale ukwelashwa.

Ungayelapha kanjani i-jaundice ebelethayo

Yize i-jaundice ingesona isimo esibi njalo noma iba nemiphumela emibi, ukwelashwa okwanele kuyadingeka ngoba, ezimweni ezingavamile, kungadala ukulimala kwengqondo. Lesi simo sibizwa ngokuthi i-kernicterus kanti ukwelashwa kulezi zimo kubandakanya ukumpontshelwa igazi. Qonda ukuthi kuyini nokuthi yini okufanele uyenze uma kwenzeka i-kernicterus.

Ukwelashwa kwe-Phototherapy

I-Phototherapy yenziwa ngokubeka umntwana embhedeni omncane lapho ehamba ze ngokuphelele, egqoke inabukeni kuphela, ekhanyiselwa ilambu elikhethekile, umuthi obizwa nge-phototherapy.Uma nje ingane ivezwa kulokhu kukhanya kwe-fluorescent kufanele ihlale ivalwe amehlo ngesifihla-buso esivikelayo.

Ezimweni ezimnene kakhulu udokotela wezingane angancoma ukuthi ingane ivezwe elangeni nsuku zonke, ekuseni, lapho ilanga lisabuthakathaka, njalo ngaphambi kwamahora ayishumi nangemuva kwamahora ayi-16. Ukwelashwa kungahlala izinsuku ezimbili futhi isikhathi sokuchayeka ekukhanyeni singahluka kusuka kumaminithi ayi-15 kuye kwangama-30 ngasikhathi.

Qondisisa kangcono ukuthi i-phototherapy isebenza kanjani lapho izifo zelashwa khona.

Ezinye izinhlobo zokwelashwa

Ukuncelisa ingane ibele kuyindlela enhle yokulekelela ukwelashwa, ukujwayeza umbala wengane ngokushesha, ngoba kunciphisa ukubuyiselwa kwebilirubin emathunjini. Amacala angavamile we "jaundice yobisi lwebele", ngakolunye uhlangothi, ukuncelisa ibele kungadingeka ukuthi kuphazanyiswe izinsuku ezi-1 noma ezi-2, kuze kube yilapho ukugxila kwe-bilirubin egazini kujwayelekile.

Ezimweni ezinzima kakhulu ze-jaundice, njengezimbangela ezithathelwanayo, ezizalwe noma zofuzo, ukwelashwa kucaciswa ngokusho kwembangela, kuqondiswa udokotela wezingane, ngesikhathi sokulaliswa, okungabandakanya ukusetshenziswa kwama-antibiotic, i-corticosteroids, i-hormone therapy noma, ezimweni eziphezulu kakhulu i-bilirubin, ukumpontshelwa igazi, okusiza ukususa i-bilirubin ngokushesha okukhulu egazini.