article "Jaundice: differential diagnosis, treatment" will help young mothers time to identify and define the nature of this disease and ensure the child proper conditions for a speedy recovery.
physiological jaundice - not terrible "beast."It sometimes occurs in completely healthy newborns and is no more than a transitory physiological condition of the baby fetal life - to a new, out of my mother's body.Physiological jaundice causes increased levels of bilirubin in the body remains.
Bilirubin - a breakdown product of red blood cells.Red blood cells usually disintegrate active immediately after birth, so it increases blood levels of bilirubin (yellow pigment).Displayed bilirubin in the liver of the child, but given the fact that she is still immature, and can not operate at full capacity, the output of bilirubin from the blood is extremely slow.Therefore, children who suffer from physiological jaundice for a long time, there is a yellowing of the skin and sclera eye.
If no apparent physiological jaun
another matter - the pathological jaundice.Symptoms of physiological and pathological jaundice is similar: yellowing of the skin and sclera of eye, but in the second case, the disease takes a longer time and is often accompanied by complications.
pathologic jaundice is also called "hemolytic disease of the newborn."The reasons due to which it occurs, there may be several: for example, blood group incompatibility baby and mom or rhesus conflict.If the mother's blood - first, as a baby - the second or third, you need to watch carefully - do not show up if the baby has signs of jaundice.
Apart from the above indicated factors, pathologic jaundice the baby may cause such reasons:
- getting into the womb infections (such as hepatitis B, rubella or toxoplasmosis), which are directly threatened by infection of the fetus;
- the use of the mother medications (such as oxytocin or strong antibiotics);
- premature birth;
- if not the only one in the womb the fetus;
- injury at birth;
- endocrine diseases of the mother (such as diabetes).
What causes pathologic jaundice in the newborn?This Rh antigen that the penetration of the body of the child (in the womb) in the blood from rhesus negative mother, provokes the formation of special cells of antibodies.These cells are able to re-enter through the placenta into the baby's blood (it does not matter whether it is in the womb, or just born).They accelerate the destruction of the red blood cells of the baby.
Unlike physiological jaundice, signs of which can be found at 3-4 days after birth, jaundice pathological shown the next day after delivery.Skin and eye sclera baby becoming bright yellow shade.It happens that a sick child gets dark urine, feces but its color does not change.
If you find any sign of jaundice - hand over the baby's blood for analysis.Elevated bilirubin levels will indicate the presence of the disease.
Run pathological jaundice in any case impossible.Indeed, sometimes it is accompanied by complications, which is expressed in a new disease - Nuclear encephalopathy.It is - central nervous system that occurs due to elevated levels of bilirubin, toxic and hazardous substances.This kid can become sluggish and indifferent, he almost lost the sucking reflex, he is not gaining weight (and sometimes loses grams), sometimes the child may go into convulsions.
However, if the child to provide normal care and proper treatment - can be avoided nuclear encephalopathy.In this case, the pathological jaundice may pass without consequences, such as the inhibition of the development and abnormalities in the child.
If your baby is sick pathological jaundice, you should first pay attention to his diet.If the disease progresses without any complications, it is not necessary to stop breastfeeding.If jaundice occurs is very difficult - the doctors strongly recommend to replace breast milk mixtures, or introduce them as an adjunct to diet.If, however, a decision on temporary suspension from the breast - the mother should express milk so that then it is lost and does not have to completely switch to infant formula.
most common pathologic jaundice are treated with phototherapy.It uses a special device that emits ultraviolet light, which is under the influence of bilirubin becomes toxic and subsequently excreted kid with urine and feces.However phototherapy is effective only if the jaundice uncomplicated.
If the disease is difficult, newborn administered glucose infusion (there are also other drugs approved by the WHO) intravenously.These substances are diluted levels of bilirubin, as well as disinfect blood.Very rarely it happens that jaundice is so heavy that a child requires a blood transfusion.
Every mother should remember that the health of her child - above all, and that even such a seemingly trivial and insignificant disease like jaundice, should be under constant supervision of doctors.