Chii chinonzi jaundice ichangobarwa uye maitiro ekurapa

Zvemukati

• Chii chinokonzera neonatal jaundice
• Nzira yekuziva jaundice
• Maitiro ekurapa neonatal jaundice
• Phototherapy Kurapa
• Dzimwe nzira dzekurapa

Neonatal jaundice inomuka apo ganda, maziso uye mucous membranes mumuviri zvinoshanduka kuita yero, nekuda kweakawandisa bilirubin muropa.

Chikonzero chikuru che jaundice mumwana mucheche jaundice, iyo inomuka nekuda kwekutadza kwechiropa kugadzirisa uye kubvisa bilirubin, sezvo ichiri kusasimukira. Kazhinji haisi chikonzero chekushushikana, uye kurapwa kunoitwa nefototherapy.

Bilirubin yero pigment iyo inogadzirwa nekuparara kwemasero eropa mumuviri, uye inotorwa nechiropa uko inosungirwa kumapuroteni uye kubviswa pamwe nenyongo nematumbu, nekudaro, shanduko mune chero eaya matanho anogona kukonzera kukwirira kweiyi pigment muropa. Dzidza zvakawanda nezve bilirubin nekuongorora bilirubin uye kukosha kwayo.

Chii chinokonzera neonatal jaundice

Achangozvarwa kana neonatal jaundice idambudziko rinowanzoitika, uye zvikonzero zvakajairika zvinosanganisira:

• Physiological jaundice: ndicho chikonzero chakajairika, chinoonekwa mushure memaawa makumi maviri nemana kusvika makumi matatu ekuberekwa, sezvo chiropa chemwana chisina kugadzirwa zvakanaka uye chingave nematambudziko mukushandura nekubvisa bilirubin;
• Kuwedzera kwekuparadzwa kwemasero eropa: chisakiso chakakomba chendunduru, chinoitika nekuda kwezvirwere zveropa zvakaita sejeko masero anemia, spherocytosis kana hemolytic anemia, inogona kukonzerwa nekusawirirana kweropa remwana neyaamai. Tsvaga zvimwe nezve mamiriro aya pa: Fetal erythroblastosis;
• Jaundice mumukaka wemukaka: inowanikwa muvacheche vari kuyamwisa chete, kazhinji, mushure memazuva gumi ekuberekwa, inoonekwa nekuda kwekuwedzera kwemahormone kana zvinhu muropa izvo zvinowedzera kumisikidzwa kwebilirubin mumatumbo uye zvinokanganisa kubviswa kwayo, kunyangwe zvikonzero zvacho zvisati zvazara kujekeswa;
• Zvirwere zvechiropa: dzinowanzo kuve hosha dzekugara nhaka, senge Crigler-Najjar syndrome, Gilber's syndrome uye Gaucher chirwere, semuenzaniso;
• Zvirwere zvepamuviri: izvo zvinogona kukonzerwa panguva yekuzvitakura, senge rubella kana congenital hypothyroidism;
• Bhaira duct zvirema;
• Utachiona kana hutachiona hutachiona.

Nzwisisa zvirinani zvikonzero mu: Chii chinokonzeresa uye maitiro ekurapa neonatal hyperbilirubinemia.

Nzira yekuziva jaundice

Kazhinji, jaundice inoonekwa pazuva rechipiri rehupenyu hwemucheche asi muvacheche vasati vazvarwa inowanzoonekwa pazuva rechishanu rehupenyu.

Ruvara rweyero rweganda runosimukira kubva kumusoro kuenda kumakumbo, uchicherechedzwa kutanga kumeso, kwozoti pahunde uye gare gare patsoka. Kumanikidza chipfuva chemucheche zvishoma inzira yakanaka yekuziva jaundice kunze kwechipatara. Kana iyo yakamanikidzwa nzvimbo yashanduka kuita yero, bata chiremba kuti utange kurapwa.

Maitiro ekurapa neonatal jaundice

Kunyangwe jaundice isingawanzo kuve mamiriro akakomba kana ine mhedzisiro yakakomba, kurapwa kwakakwana kunodiwa nekuti, mune zvisingawanzoitika mamiriro, zvinogona kukonzera kukuvara kwehuropi. Aya mamiriro anonzi kernicterus uye kurapwa mune izvi zviitiko zvinosanganisira kuwedzerwa ropa. Nzwisisa kuti chii uye chii chekuita kana kernicterus.

Phototherapy Kurapa

Phototherapy inoitwa nekuisa mwana muchivako chidiki chaasina kupfeka zvachose, akapfeka jira chete, achifumurwa kune rakakosha mwenje, kurapwa kunonzi phototherapy.Chero bedzi mwana achinge aoneswa kune ichi fluorescent mwenje anofanira kuramba akavharwa kumeso ne mask yekudzivirira.

Muzviitiko zvakanyorovera chiremba wevana anogona kukurudzira kuti mwana aratidzwe kuzuva zuva nezuva, mangwanani, kana zuva richinge risina kusimba, nguva dzose pamberi pegumi uye mushure memaawa gumi nematanhatu. Mushonga wacho unogona kugara kwemazuva maviri uye nguva yekuratidzwa pachiedza inogona kusiyana kubva pamaminitsi gumi nemashanu kusvika makumi matatu panguva.

Nzwisisa zvirinani mashandiro anoita phototherapy marapirwo anorapwa nemishonga.

Dzimwe nzira dzekurapa

Kuyamwisa mwana inzira huru yekukoshesesa kurapwa, kuomesa ruvara rwemucheche nekukasira, sezvo kuchideredza kugadziriswazve kwebilirubin mumatumbo. Kazhinji kesi dze "mukaka wemukaka jaundice", kune rimwe divi, kuyamwa kunogona kufanira kukanganiswa kwemazuva kana maviri, kusvikira kusangana kwebilirubin muropa kwajairika.

Muzviitiko zvakakomba zve jaundice, senge izvo zvinokonzeresa, kuberekwa kana maitiro echisikigo, kurapwa kwakanangana zvichienderana nechikonzero, kutungamirirwa nachiremba wevana, panguva yekuchipatara, izvo zvinogona kusanganisira kushandiswa kwemishonga inorwisa mabhakitiriya, corticosteroids, hormone therapy kana, mune zviitiko zvakanyanya kwazvo bilirubin, kuwedzerwa ropa, izvo zvinobatsira kubvisa bilirubin nekukurumidza kubva muropa.