Jaundice vachangoberekwa: chinokonzera nemigumisiro, kuongorora chirwere uye kurapwa

Vabereki vari nehanya chaizvo utano kuvana vavo. Kunyanya kana totaura vacheche. Asi chii kana mafufu, akaberekwa ichangopfuura, akaisa nyika zvokuongorora "jaundice"? Usatya shoko iri, nokuti kakawanda dzinoratidzwa dzinongoitika vasiri kwacho kuti kunoitika mumuviri muduku. Saka, ngationei kuti chii jaundice vachangoberekwa. Zvinokonzera uye migumisiro Fani iyi vanorondedzerwa munyaya.

Feature mamiriro

Jaundice vachangoberekwa, zvinokonzera uye migumisiro dzisiri pachena kuti vabereki, zvichiita kuti vamwe kutya vanaamai. Saka, pakutanga isu edza chii.

Kuti tinzwisise nei ganda wemwana anova orenji Hue, zvinokosha kuyeuka anatomi kosi.

ropa Human rine masero matsvuku. chikuru basa ravo kuparadzira okisijeni mumuviri. Masero aya kurarama kwemwedzi mishoma. Ipapo vaparadzwa. Panguva kudzikisirana yavo, muviri unobereka chaiyo ruvara ane yeyero ruvara, - bilirubin.

fuma iyi detoxified nokuda chiropa, uye ipapo goho kubva mumuviri womunhu. Zvisinei, kana ruvara pamwero kumusoro, kukundikana kunogona kuitika. Muchiitiko chino, pane chinhu chakadai jaundice. Bilirubin haina zvachose muviri uye mavara ganda rinofukidza mu tsvuku zvachose.

Kumunhu mukuru munhu chiratidzo nokuyerera zvirwere zvakakomba, izvo kwakavakirwa kuparadzwa chiropa. Asi mamiriro ichi achangoberekwa vasiri, zvakajairika muitiro. Nokuti muviri mafufu kudzidzira zvoga.

zvikonzero zheltushki

A yakafanana ezvinhu ari kuchengetwa kusvika 60% kubva vachangoberekwa nokuvhuvha. Jaundice sokuti, kazhinji mazuva 2-3 aberekwa. Inonyanya raidudzwa mu preterm vacheche.

Tataura mashandiro kuti panowanikwa kutanga akadai jaundice vachangoberekwa. Inokonzera uye mibairo ichi zvinoda uwane kudzidza.

Jaundice kunoitika pamusana zvinhu zvinotevera:

1. In vana vachangoberekwa muropa ine zvakawandisa masero matsvuku eropa. Uyezve, masero matsvuku kuputsa nokukurumidza zvikuru kupfuura vakuru. Ndicho chikonzero mbudzana iri vaichengeta kuparadzwa vakawanda masero matsvuku eropa, zvichiguma akasununguka bilirubin.
2. Kumusoro I kutaurwa kuti ruvara ndiye goho pedyo chiropa. To bilirubin wobudiswa mumuviri, anofanira kutaura mune nhego iyi. Panguva mafufu chiropa yausingagoni zvizere kuitira ndokuchinja yakadaro asi.
3. Bilirubin kaviri metamorphosis kupinda ura kubudikidza Zvakaitwa kwagara microflora, uye ipapo yabudiswa muna weti uye mutsvina yadzo. Asi, zvakare, muviri wemwana ari kutodzidza kuchinja akazvimirira kushanda. Ura mafufu zvishoma nezvishoma nyuchi ne microflora. Ndokusaka kodzero kuunza bilirubin kubva pamuviri, haagoni.

Somugumisiro, mucheche hwapedyo vasiri jaundice. Izvi zvachose kwete mumugariro ngozi nokuda mafufu. Asi dzimwe nguva ari achangoberekwa pathological jaundice zvingaitika. Panyaya iyi, mwana anofanira kuva yakakwana kurapwa.

Sources pathological ezvinhu

Vanachiremba vanoti zvinokonzera zheltushki ichi kunogona zvakavigwa zvinotevera:

• pane ropa kusapindirana mwana namai muboka kana kusapindirana kweropa chinhu;
• chiropa mwana malfunctions;
• mwana underdeveloped bile ndima;
• ari mwana wacho chiropa kuzvimba kuitika.

Symptomatology vasiri zheltushki

The chinosiyanisa zvechadenga zvepanyama vasiri muitiro kwakadaro zvinhu vari:

1. Zheltushka kuona yapfuura pane maawa 36 pashure mucheche akaberekwa.
2. The kunonyanyisa okuti kwayo kunosvika 3-5-fung zuva.
3. Pane yero Ruvara chiso, mutsipa uye chipfuva. Veils pazasi kweguvhu hauzoti orenji Hue.
4. Blood bvunzo zvinoratidza kumusoro bilirubin. Zvisinei, zvakadini asingadi pfuura 205 mol / l.
5. maitiro mwana ari kushingaira. Health, vakawanda mamiriro ezvinhu asina kutyora.

Zvakakosha kuyeuka kuti anofambisa jaundice vachangoberekwa. In izwi vacheche bilirubin rinotanga kuwira pazuva rechi14. Izvi zvinokosha inoratidza vasiri muitiro nayo. Vakurumidze mafufu bilirubin iri ichitenderera pasi 21 zuva fung.

Zvisinei, zvinofanira kunzwisiswa kuti dzimwe nguva kungava yakatsauka kubva mitemo yakapiwa pamusoro. Uye pavanenge munogara haana kunongedzera kukura muviri chinhu chakadai pathological jaundice.

Komorowski anoti vakurumidze vana vangasangana imwe yapfuura nokuratidzwa ichi. Kazhinji vana ava yellowing kunoitika pazuva upenyu rechipiri. Uyezve, Dr. Komarovsky rinoratidza kuti mapatya kana vana vevanaamai vane chirwere cheshuga, tingasangana kwenguva refu jaundice.

All vana anofanira kuchengetwa. Dzimwe nguva vasiri jaundice anokwanisa kupinda pathological muchimiro. Uye yokupedzisira ezvinhu kunoda nokukurumidza kurapwa.

Zviratidzo munhu pathological mamiriro

Ndezvipi zviratidzo zvinoratidza dambudziko muviri wemwana? Zvinosuruvarisa, muganhu pakati pathological uye vasiri jaundice ndiyo shaky chaizvo. Kunyange zvakadaro, pane misiyano pakati pavo.

Vanofungidzirwa pathological ezvinhu anogona kuva anotevera chikonzero:

1. Jaundice rikaitika mumaawa 24 okutanga pashure pokuberekwa.
2. staining ganda vari yero Hue inogona kuchengetwa pazuva 7th zuva upenyu mwana.
3. A bvunzo ropa haangogumiri refu bilirubin, asi ayo Kuwedzera. Pane mwero nezuva kwazvo 85 mol / l.
4. Baby ganda iri nechepadivi mu tsvuku ruvara hakusi chete kumusoro, asiwo nechepazasi guvhu. Kuchengetwa yellowness yemichindwe, tsoka.
5. The vakawanda nezvevakafa mwana raputsika. Child kufara kana mwoyo.
6. Weti mafufu anova rima, uye chigaro anova Hauoneki.
7. Zheltushka mwana kunonoka uye kunogona zvasakara Wavy hunhu.

Chii irimo zvokurwara?

mamiriro kwakadaro kunogona kumutsa zvinhu zvinotevera:

• Prematurity, umbishi mwana;
• kukura retardation mu utero;
• agamuchira muzvizhinji zvinodhaka ari mai panguva nepamuviri uye pakusununguka;
• zvakawanda ropa, kefalogematomy;
• kushaya achiyamwa;
• kurasikirwa kukuru uremu vachangoberekwa;
• dolaktatsionnoe achidyisa nezvakasanganiswa.

Uye musakanganwa, kana iri jaundice vachangoberekwa. The vasiri muitiro haafaniri kwemazuva anopfuura 21. Naizvozvo, kana mwana wako pashure nguva pamusoro uye anoramba yero, iva nechokwadi kuti chiremba.

pezvingazoitika

Jaundice vachangoberekwa kazhinji vasiri ezvinhu. Naizvozvo, ruchapinda pachavo pasina kurapwa uye haasiyi shure chero zvaitika.

Asi kana jaundice asingadi kupfuura mwedzi, kana pane zvimwe zviratidzo munhu pathological chakajairika, muduku murwere vachida pokugara mishonga.

Roga zuva mafufu mamiriro kuipa. Baby ganda anova greenish Hue kungawedzera kukura chiropa uye chirwatata.

yematambudziko Serious anogona kuva pasina rubatsiro:

1. Hunokachidza chepfu uropi uye tsinga.
2. High kwevari bilirubin kungaita kuti vasanyanye sealbumin, kwamakadarika albuminemia kukudziridza.
3. Kana ruvara chinopinda kupinda uropi, ipapo mafufu ikoko kernicterus. zvokurwara Izvi zvinogona kuva zvinokonzera kusanzwa, kakawanda nezvipusha, mucheche kwepfungwa retardation.
4. Late Danho chirwere kunoratidzwa involuntary sunga yacho tsandanyama tishu. Mwana anogona kurasikirwa kudzora injini mashandiro.

Muchiitiko chino, kana vanokara ezvinhu padzakacherechedza mukutanga mumatanho uye vakaperekedza nenguva kurapwa, izvozvo zviwedzere kuipa, sezvinoita mutemo, harimuki.

kuongorora chirwere of

Imwe ganda rifanane hakuna kukwana kuzosimbisa pamberi zheltushki. Yokurerwa vacheche wapiwa chirwere ongororo:

• weti, ropa;
• Study ruvara mumatunhu ari serum uye ropa;
• US.

Kana zvakakodzera, mwana akatuma kubvunzana kuti endocrinologist, chiremba, cardiologist.

mwana kurapwa

pediatricians zhinji, vose nezvipfuwo uye vatorwa, nharo kuti kazhinji, rusvava hakudi kurapwa.

Jaundice, huchavapo inenge nhatu, hachisi chirwere. Naizvozvo, ichi chirwere hakurevi kurapwa. A mufananidzo yakasiyana zvachose hunobuda kana jaundice inozivikanwa se chiratidzo chakakura chirwere. Baby inoda zvakakwana kurapa, kana bilirubin rinosvika nhanho ngozi mumuviri, uye kunyange zvakawanda kuramba tichikura.

zheltushki Treatment kunobva ruvara pamwero wehurumende mwana kunokonzera kukura zvokurwara.

Child zvinotevera mabasa anogona kupiwa:

• phototherapy;
• mishonga;
• ropa (kana mukuru ngozi zheltushki zvenyukireya).

Phototherapy nokuti Kids

The nyore zvikuru, asi inoshanda nzira kubata jaundice - ndiko phototherapy. Nhasi zvinonzi kwazvo zvinobudirira kunoitwa zvinenge zvose muzvipatara.

Phototherapy anoshandisa rinokosha rambi kubva zheltushki. Mafungu chaibwinya nazvo, tunhu cleavage kuti bilirubin munzvimbo dzisiri chepfu yeimwe. Recent pashure zvakasimba kurapwa, zvisingaperi maawa anenge 10-12, yabudiswa anongonzwa mafufu (weti uye mutsvina yadzo).

Nzira Izvi zvinoita kuti kurega zvinodhaka. Uyezve, haatarisiri kuparadzana mwana kubva mai. Naizvozvo, achiyamwa haisi kumbosiyiwa.

Ya phototherapy, zvinowanzoda zvinotora maawa anenge 96.

zvinodhaka kurapa

Kana bilirubin yomuropa yekudyidzana kupfuura muganhu mufananidzo, kana kuti kubatsira phototherapy vasingakoshi mwana waakaudzwa mishonga.

Drug kurapa zvinosanganisira:

1. Kubva choleretic zvinodhaka. Recommended nematurusi kuvandudza chiropa nerevane excretes bile. Achangoberekwa mishonga, "Ursofalk", "Hofitol". Uye mumwe, uye mushonga wechipiri kubvumirwa kushandiswa mumazuva okutanga muupenyu. Zvisinei, zviri nani kugadzirira "Hofitol" nokuti mushonga "Ursofalk" rine zvakawanda zvimwe zvinoriumba (preservatives, siyana) anokwanisa zvakatsamwisa Kurwara.
2. Sorbents. It anotsinga muchetura, muchetura uye kuvabvisa kubva mumuviri diki. Vachangoberekwa anogona mishonga "Smecta", "Enterosgel" neactivated kabhoni. Kazhinji, zvatinofarira unopiwa kune wokutanga zvinodhaka. Zvinodhaka "Smecta", anobudiswa upfu chimiro, nyore kugadzirwa kuturika kuti mwana. Uyezve, ichi dzinongoitika sorbent yakachengeteka zvakakwana vacheche.
3. Vhitamini zvivako.

musha kurapwa

Kana mwana wako aine vasiri jaundice, zvino, sezvo kare ambotaurwa, mwana hakudi kurapa. Naizvozvo mai uye mafufu asunungurwa kubva kuchipatara kumba. Zvisinei, unogona kubatsira mwana kutsungirira ichi nokukurumidza.

zheltushki musha kurapwa kunosanganisira anotevera matanho:

1. Sunbathing. Bvumira mwana wako kuti sunbathe. Zuva - chiremba yakanakisisa. Under nawo bilirubin kuparadzwa. Asi yeuka kuti muvhuruvhuru haana refu kuti chavakaona zvakananga chezuva kunzvenga kutsva akaonekwa akatunhidzwa mwana ganda.
2. Diet. mai Nursing vanofanira kunyatsotevera akuteerere zvokudya zvavo. Zvinokurudzirwa kuti kubvisa zvachose zvaunodya zvokudya, ane raidudzwa munuhwi. Kurasa mufushwa, aisvuta zvikafu. Zviri nani kuti vanotora zvaunodya pamusoro miriwo, michero. Usakanganwa pamusoro kunwa hwechiKomonisiti. Lactating vakadzi vanofanira kunwa pazuva anenge 2 litres mvura.
3. Muto muhudyu. The chinwiwa zvakaisvonaka kugaya uye normalizes zvinosimudzira goho pamusoro Zvinosvibisa. Muto anogona kushandisa amai. Kubvumirwa kunwa uye kuti vacheche.

mhedziso

Zvino imi munoziva zvinhu jaundice vachangoberekwa. Zvinokonzera uye migumisiro ezvinhu ichi muri anozivikanwa. Kakawanda, orenji ganda rifanane inoratidza panowanikwa dzinongoitika chinoshamisa. Pasinei neizvi, mwana anofanira kunyatsoongororwa zvazvaiita. Chero impairments unofanira kuitei pakarepo. The chete nzira kudzivirira mwana wako kubva zvakakomba.