Indlela Isimo Esivamile Esingajwayelekile Kungashintsha Kakhulu
I-jaundice ingenye yezimpilo zempilo ezivame kakhulu ezitholakala ezinsana, kokubili kungakabi isikhathi kanti nalabo abazalwa ngesikhathi. I-jaundice ibonakala ngokuphuza kwesikhumba namehlo okwenzeka lapho amangqamuzana egazi abomvu ephuka futhi ekhukhula umzimba ngomuthi ophuzi obizwa ngokuthi i-bilirubin.
Ezinganeni eziningi, i-jaundice ijwayelekile futhi ayikho imbangela yokumangala.
Izinsana zivame ukuhamba ngesikhathi esifushane lapho amangqamuzana abomvu ephuphuka ngokushesha ngaphambi kokugcina ejwayelekile. Kodwa-ke, kwezinye izimo, i-jaundice ende ingase ibe uphawu lwezinkinga ezinkulu ezidinga ukwelashwa ngokushesha.
Izimpawu Zengozi
Ngemva kokubeletha, iningi lezinsana liyakwazi ukugubha kalula i-bilirubin kalula futhi liyidlulisele esitokisini ngaphambi kokuqongelela okuningi. Ngenxa yokuthi abantwana abangakabi nesikhathi esincane banamalungu amancane athuthukile, ama-bilirubins ngokuvamile asebenza kanzima ukuze asebenze. Esimweni esinjalo, uma amaseli egazi abomvu ephuka ngokushesha kunokuba i-bilirubin ingasetshenziswa kahle, ingaholela ekwakheni okunamandla okubizwa ngokuthi i- hyperbilirubinemia .
Uma kushiywe kungahlosiwe, amazinga aphezulu kakhulu we-bilirubin angabangela uhlobo olubi lokulimala komqondo owaziwa ngokuthi i- kernicterus . I-Kernicterus ibonakala ikakhulu ezinsana ezisanda kuzalwa noma ezigulayo kodwa zingase zenzeke nasezintwaneni ezigcwele. Izimpawu zokuqala zingafaka:
- Ukuphikelela noma ukuphuza okwesibhakabhaka kwesikhumba namehlo
- Ukukhathala okukhulu
- Kunzima ukuvuka noma ukulala
- Izinkinga zokudla
- Ukukhathazeka okukhulu, kuvame ukuhambisana nokukhala okukhulu
- Ukuphuka noma ukuqina komzimba
- Ukunyakaza kwamehlo okungavamile
- Ama-spasms we-muscle
Uma ingane yakho ihlangabezana nanoma iyiphi yalezi zimpawu, funa ukunakekelwa okuphuthumayo ngokushesha. Uma kushiywe kungalashwa, i-kernicterus ingabangela ukulimala okungapheli kwegazi, kufaka phakathi ukulahlekelwa kokuzwa, ukukhubazeka kwengqondo, ukukhubazeka kwengqondo, ngisho nokufa.
Ukwelapha
Ngenxa yokuhlola kanye nokwelashwa kwanamuhla, i-jaundice ayifuni kabi kakhulu ukudala i-kernicterus. Izingane ezingaphambi kwesikhathi ezisengozini zizoba namazinga abo ase- bilirubin aqashwe ngokucophelela ngokuhlolwa kwegazi noma imitha yekhanda.
Ngaphezu kokuzalwa ngaphambi kokubeletha, izici ezingozini ze-hyperbilirubinemia zihlanganisa:
- Ukuba nezingane zakubo ezathinteka ngaphambilini
- Ukudumala noma ukuhlukunyezwa okubangelwa ukulethwa kwezinsimbi
- Ukudambisa ukudlulisa isikhala sokuqala somntwana, okuthiwa i- meconium
Indlela evame kakhulu yokwelapha i-jaundice ukusebenzisa izibani zesikhombisi (okubizwa nangokuthi "izibani zebhayisili") ezisiza umzimba ukuba wehle i-bilirubin ibe ifomu engakwazi ukukhipha umzimba.
Uma i-phototherapy ihluleka ukujwayelekile kumazinga e-bilirubin, kungadingeka ukuthi kusetshenziswe ukudluliselwa kwamanye amazwe ngesikhathi esisodwa noma lonke igazi lomntwana lisuswa futhi lifaka esikhundleni segazi lomnikeli. Le nqubo ingaba yingozi futhi idinga ukubonisana ngokujulile ukukala kokubili izinzuzo nezindleko ngaphambi kokunikeza imvume yomzali.
Izwi elivela ku-Verywell
Ezinganeni eziningi, i-jaundice yesikhashana futhi izobe isedlule cishe amasonto amabili. Konke okukhulunywe ngakho, cishe amaphesenti angama-60 kuya kwabangu-80% wabantwana abazozalwa bazobhekana nesilinganiso esithile se-jaundice, nakuba kungaba nzima ukubona ezinganeni ezinesikhumba esimnyama.
Ukuze usize ekususweni kwe-bilirubin, qiniseka ukuthi unikeza ingane yakho ngamanzi awanele ngendlela yobisi lwebele noma ifomula.
Izinsana kumele zibe nezinsana eziyisithupha ezimanzi ngosuku, futhi umbala wabo wesiguquko kufanele ushintshe kusuka ebumnyameni obumnyama bephuzi uma bethola ukudla okwanele.
Phakathi naleso sikhathi, ilanga eliqondile akumele lisetshenziswe njengendlela yokwelapha ekhaya ngoba kungabangela ukushisa kwelanga nokulimala okungaka kuzalwa lwakho olusha.
> Imithombo:
> Okumura, A .; I-Kidokoro, H .; UShoji, H. et al. "Kernicterus ku-Preterm Izinsana." Izingane zokwelapha. 2009; 123, e1052-e1058. I-DOI: 10.1542 / amaphesenti.2008-2791.
> Punnoose, A .; Schwartz, L .; noGolub, R. "I-Neonatal Hyperbilirubinemia." I-JAMA. 2012; 307 (19): 2115. I-DOI: 10.1001 / jama.2012.4070.