Jaundice of newborn
Childhood Diseases / / August 12, 2017
What is neonatal jaundice
at 2-3 days after birth the skin almost all children acquire a yellowish tint - is neonatal jaundice.It is related to the immaturity of the liver enzyme systems to this body body baby is now placing increased demands!But the liver itself forced to restructure: recently she worked blood, now re-classified in the cleaning system the child's body.
long as the baby grew up in mommy's tummy and he could not breathe, he had to fight for every molecule of oxygen obtained through the placenta.To make fuller use of precious gas, children worked on fetal red blood cells (the fruit) hemoglobin, which has a much greater affinity with oxygen, compared to the classic version.Immediately after the appearance of the light on the baby fetal hemoglobin is replaced by the ordinary.
During recovery red blood cells carrying hemoglobin old-fashioned, broken, and an excess of bilirubin (yellow colorant, which is excreted in the bile through the intestines).However, in infants, this mechanism hasnot yet been debugged, the liver can not cope with the load, partly because the bilirubin into the blood, staining the skin in an ocher color.If he got there a little bit, it's not scary - it is a small jaundice, which will disappear by the end of the 1st top 2nd week in term neonates and 10-14-th day of life of a premature baby.
Do 3-4 of 10 kids physiological jaundice does not happen: the bilirubin does not have time to accumulate in such numbers that it becomes noticeable.Your crumbs she still appeared?Make sure that the yellowness is not growing, because the bilirubin is not harmless to the baby!If its content exceeds the critical level, bilirubin "breaks through" a barrier that does not allow the brain undesirable substances, and converted into poison, leading to the development of kernicterus, which can result in profound central nervous system.
Such pathological jaundice occur in 4.5-6.2% of full-term and preterm infants of 10-20%.That's why pediatricians closely monitor the baby's skin and prescribe his home after making sure that the jaundice subsided.Dispose of bilirubin help sessions of ultraviolet radiation (UVR) and phenobarbital, which stimulates the enzyme system of the liver, which are responsible for the processing of the substance.
So do not be afraid if the doctor will prescribe this medication.Getting phenobarbital, pipsqueak will suck listlessly: the drug has a calming effect.The main thing - receiving phenobarbital facilitates the function of the liver, preventing the insidious bilirubin exceed the norm.