Indlela Umgangatho oqhelekileyo ongenza ngayo
I-Jaundice yenye yeemeko zempilo eziqhelekileyo ezibonakalayo kwiintsana, kokubili ngaphambi kwexesha kunye nalabo bazalwa ngexesha. I-jaundice ibonakaliswe ngotshani lwesikhumba kunye namehlo okwenzekayo xa amaseli egazi abomvu ehla kwaye akhukula umzimba kunye neprogram ephuzi ebizwa ngokuba yi-bilirubin.
Kwiintsana ezininzi, i-jaundice iyinto eqhelekileyo kwaye akukho sizathu somsindo.
Iintsana ziza kudla ixesha elifutshane apho amangqamuzana egazi abomvu aya kuphuka ngokukhawuleza ngaphambi kokugqitywa. Nangona kunjalo, kwezinye iimeko, i-jaundice edeleyo ingaba ngumqondiso weengxaki ezinzulu ezifuna ukunakekelwa kwangoko unyango.
Iimpawu zobungozi
Emva kokusondeza, ezininzi iintsana ziyakwazi ukulungelelanisa i-bilirubin ngokulula kwaye ziyidlulise kwizihlalo zazo phambi kokuba ziqokelele. Ngenxa yokuba iintsana ezingaphambi kwexesha zincinci zizitho ziphuhlisiwe, ii-bilirubins zidla kanzima ukuhlaziya. Kwimeko enjalo, ukuba iiseli ezibomvu zegazi zihlawule ngokukhawuleza kunokuba i-bilirubin ikwazi ukuxilongwa, inokukhokelela ekubeni yinto enzulu ebizwa ngokuba yi- hyperbilirubinemia .
Ukuba ukushiywa kungagqalwa, amazinga aphezulu kakhulu e-bilirubin angabangela uhlobo olubi lomonakalo wengqondo olubizwa ngokuba yi- kernicterus . I-Kernicterus ibonakala kakhulu kwiintsana ezisanda kuzalwa okanye ezigulayo kodwa zingenzeka nakwiintsana ezizeleyo. Imiqondiso yokuqala ingaquka:
- Ukuqhubeka okanye ukugqithisa okwephuka kwesikhumba kunye namehlo
- Ukukhathala okukhulu
- Unzima ukuvuka okanye ukulala
- Iingxaki zokutya
- Ukuqhaqhaqhaqha okukhulu, ngokukhawuleza kuhamba kunye nokukhala okukhulu
- Ukukhupha okanye ukuqina komzimba
- Ukunyuka kwamehlo okungavamile
- Iimfucu zamathambo
Ukuba umntwana wakho ufumana nayiphi na le mpawu, khangela uncedo lwengxamiseko ngokukhawuleza. Ukuba ishiywe ingakhange ilandelwe, i-kernicterus inokubangela ukuba umonakalo ongunaphakade we-neurological, kubandakanywa ukulahlekelwa kwindlebe, ukukhubazeka kwe-cerebral, ukukhubazeka kwengqondo kunye nokufa.
Unyango
Siyabulela ukuxilongwa kwanamhlanje, unyango lwe-jaundice luba lubi kangako ukudala i-kernicterus. Iintsana ezinokuqala ezisemngciphekweni ziya kuba neengcipheko ze-bilirubin zazo zihlolwe ngokuthe ngqo kunye nokuhlolwa kwegazi okanye imitha ebunzini.
Ukongezelela kokuzalwa kokuqala, izinto ezinobungozi ze-hyperbilirubinemia ziquka:
- Ukuba nomntakwabo oye wachaphazeleka ngaphambili
- Ukuqhayisa okanye ukuphazamiseka okubangelwa ukuhanjiswa kwezixhobo
- Ukukhawuleza ukudlulisa isitulo sokuqala somntwana, esibizwa ngokuba yi- meconium
Indlela eqhelekileyo yokuphatha i-jaundice kukusebenzisa izibane zephototherapy (eyaziwa nangokuthi "izibane zebhayisili") ezenza umzimba uphuhlise i-bilirubin ibe yinto apho umzimba ungakwazi ukuwukhupha.
Ukuba i-phototherapy ayiphumeli ukugcina i-bilirubin amazinga, ukutshintshiselwa kwamanye amazwe kunokufuneka ngexesha elinye okanye lonke igazi lomntwana lisuswe kwaye lithatyathwa yigazi lomnikelo. Inqubo ingaba yingozi kwaye idinga ukubonisana ngokubanzi ukujonga ubunzima kunye neengxaki ngaphambi kokunika imvume yomzali.
Igama elivela kwi-Verywell
Kwiintsana ezininzi, i-jaundice yesikhashana kwaye iza kuhamba ngeeveki ezimbini. Konke okuxelelwe, malunga neepesente ezingama-60 ukuya kwi-80 ekhulwini yabantwana abasandul 'ukuzalwa baya kuba negalelo elithile le-jaundice, nangona kunokuba nzima ukuba babone iintsana ezinesikhumba.
Ukunceda ekukhutshweni kwe-bilirubin, qi niseka ukuba unike umntwana wakho ngamanzi aneleyo ngendlela yobisi lwebele okanye ifom.
Iintsana kufuneka zibe neesithandathu ezinamanzi amanzi ngosuku, kwaye umbala wabo wesiguqu kufuneka utshintshe ukusuka eluhlaza obumnyama ukuya kuphuzi xa befumana ukondla okwaneleyo.
Okwangoku, ilanga elingaqhelekanga lingaze lisetyenziswe njengendlela yokwelapha ekhaya-kungathi kubangele ukushona kwelanga kunye nokulimala kancinci kwintsana yakho.
> Imithombo:
> Okumura, A .; I Kidokoro, H .; UShoji, H. et al. "I-Kernicterus kwiintsana zase-Preterm." Pediatrics. 2009; 123, e1052-e1058. I-DOI: 10.1542 / iipedesi.2008-2791.
> Punnoose, A .; Schwartz, L .; kunye neGolub, R. "I-Neonatal Hyperbilirubinemia." JAMA. 2012; 307 (19): 2115. INGXELO: 10.1001 / jama.2012.4070.