Xa amazinga e-bilirubin abe yingozi
I-Bilirubin i-pigment ephuzi eyenziwe kwisibindi ngokuchithwa kweeseli ezibomvu zegazi kunye ne-bret. Amanqanaba aphezulu e-bilirubin angakhokelela kwi- jaundice okanye ephuzi kwesikhumba kunye namehlo. I-jaundice yinto eqhelekileyo echaphazela iintsana ngenxa yokuba zonke iintsana ezisandul 'ukuzalwa zihamba ngexesha lokutshatyalaliswa kweeseli ezibomvu zegazi emva kokuzalwa.
I-jaundice ibonakala ibe mnene, ihamba yodwa kwaye ingashiyi imiphumo engapheliyo, kodwa ezinye iintsana zifumana i-jaundice enzima, eyaziwa ngokuba yi- hyperbilirubinemia .
Kukho izinto ezininzi ezandisa ingozi yokuphuhlisa i-hyperbilirubinemia:
- Ukuzalwa kwangaphambili
- Iqela legazi alihambelani nomama
- Ukungondli kakuhle
- Ukutyunjwa okubalulekileyo ekuzalweni
- I-jaundice yabonakala kwiiyure ezingama-24 zokuqala
Iimvavanyo zegazi zisetyenziselwa ukulinganisa amanqanaba e-bilirubin egazini. Xa iqela le-bilirubin liqala ukunyuka, izibane ezikhethekileyo ze-phototherapy zisetyenziselwa ukususa i-pigment ephuzi elukhumbeni.
Ziziphi iinqanaba zeBilirubin ezingaqhelekanga
Ezinye ze-bilirubin egazini ziqhelekileyo. Kodwa yintoni "eqhelekileyo" eyahlukileyo kuba iilbs ezahlukeneyo zisebenzisa izixhobo zokulinganisa ezahlukeneyo okanye vavanya iisampuli ezahlukileyo. Uluhlu oluqhelekileyo lwe-bilirubin lulandelayo:
- Jolisa i-bilirubin: 0 ukuya ku-0.3 mg / dL
- I-bilirubin iyonke: 0.3 ukuya kwi-1.9 mg / dL
Kwiintsana ezisanda kuzalwa, amazinga e-bilirubin aphezulu kwiintsuku zokuqala zokuphila. Oogqirha bavavanya amanqanaba e-bilirubin umntwana ngokusekelwe kwengozi yomntwana we-jaundice enzima kunye nobudala kwieyure.
Ngomntwana ongenamngcipheko, oogqirha banokuqala ukuxhalaba malunga ne-jaundice enzima xa izinga li:
- Iiyure ezingama-24 ubudala: 8 mg / dL
- Iiyure ezingama-48 ubudala: 13 mg / dl
- Iiyure ezingama-72 ubudala: 16 mg / dL
- Iiyure ezili-96 ubudala: 17 mg / dL
Ukuba umntwana we-bilirubin ufumana oku phezulu, oogqirha baya kujonga umntwana ngokusondeleyo kwaye baqinisekise ukuba uqala ukuhla. Oogqirha kufuneka baphinde baqwalasele ngokukhawuleza ukuba izinga likhuphuke kangakanani, nokuba umntwana uzalwa ngaphambi kokuzalwa kunye nosana lomntwana.
Ukufumana iinkcukacha ezingakumbi, nceda sebenzisa i-American Academy ye-Pediatrics BiliTool.
Izingozi zeBilirubin Levels
Amanqanaba eBilirubin aphezulu kakhulu angabangela ukugula okukhulu. Usana lubonakala lukhathele kwaye kunzima ukuziva. Ikhumba labo kunye namehlo anokuthatha i-yellow hue. Ukuba ishiywe ingaphathwa, i-jaundice ingakhokelela ekernicterus , uhlobo lomonakalo wengqondo esisigxina. Kwiintsana ezisempilweni, ezizeleyo, i-kernicterus ayifumanekanga kumazinga e-bilirubin ngaphantsi kwama- 35 mg / dL . Kwiintsana zangaphambi kwexesha , i-kernicterus inokuvela kumanqanaba aphantsi. Kusenqabile kumanqanaba angaphantsi kwama- 20 mg / dL .
Ngenxa yokuba i-jaundice ilula ukuvavanya kunye nokunyanga, i-kernicterus inqabile kakhulu kwihlabathi lanamhlanje. Ngokulandela umntwana wengane yakho emva kokuba uthathe umntwana wakho ekhaya esibhedlele, unokuqiniseka ukuba umntwana wakho uhlale ekhuselekile kwaye enempilo.
Ezinye izizathu zeJaundice
I-jaundice ibangelwa ukuphulwa kweeseli ezibomvu zegazi emva kokuzalwa. Kwezinye iimeko, i-jaundice inokubakho kwiimeko ezithile ezenza ukuba iiseli ezibomvu zegazi ziphule. Ezi meko ziquka:
- I-Erythroblastosis fetalis (i-disorder blood)
- I-héemolytic anemia (i-red blood cell disorder)
- Ukuphendula ngokutshatyalaliswa kwegazi (amangqamuzana egazi abomvu anikezelwa ngophawu lokumpontshelwa yonakaliswa ngumzimba womzimba)
Bona kwakho
Imithombo:
I-American Academy yePediatrics Subcommittee kwi-Hyperbilirubinemia. "Ulawulo lwe-Hyperbilirubinemia kwiintsana ezingamaNtsana ezingama-35 okanye ngaphezulu kweeveki zokuGestation." Pediatrics. Julayi 2004; 114, 297-323.
Ebbesen F, uBjerre JV, iVandborg PK. "Ulwalamano phakathi kweSerum Bilirubin Levels ≥450 μmol / L kunye neBilirubin Encephalopathy; Acta Paediatr. Epreli 2012; 101, 384-9.
Okumura, A., Kidokoro, H., Shoji, H., Nakazawa, T., iMimaki, M., Fujii, K., Oba, H., & Shimizu, T. "Kernicterus kwiintsana zangaphambili." Zonyango ngoJuni 2009; 123, e1052-e1058.
ILayibrari yeSizwe ka-US yamayeza. Uvavanyo lwegazi lweBilirubin. (2015, Februwari 8). https://www.nlm.nih.gov/medlineplus/ency/article/003479.htm.