Lapho amazinga e-bilirubin abe yingozi
I-Bilirubin iyi-pigment ephuzi eyakhiwe esibindi ngokuphazamiseka kwamangqamuzana egazi abomvu futhi idonswe nge-bile. Amazinga aphezulu we-bilirubin angaholela ekujuleni kwe- jaundice noma ephuzi kesikhumba namehlo. I-jaundice yisimo esivamile esithinta izinsana ngoba zonke izingane ezisanda kuzalwa zihamba ngesikhathi sokuphulukana kwegazi elibomvu ngemuva kokuzalwa.
I-jaundice ngokuvamile imnene, ihamba yodwa futhi ingashiyi imiphumela ehlala njalo, kodwa ezinye izingane zithola i-jaundice enzima, eyaziwa nangokuthi i- hyperbilirubinemia .
Kunezinto eziningana ezandisa ingozi yokuthuthukisa i-hyperbilirubinemia:
- Ukuzalwa kwangaphambi kwesikhathi
- Iqembu legazi alihambisani nomama
- Ukungondli kahle
- Ukulimala okuphawulekayo ekuzalweni
- I-jaundice ivele ngaphakathi kwamahora angu-24 okuqala okuphila
Ukuhlolwa kwegazi kusetshenziselwa ukukala amazinga e-bilirubin egazini. Lapho amazinga e-bilirubin wengane eqala ukukhuphuka, kusetshenziswe izibani ezikhethekile ze-phototherapy ukukhipha ingulube ephuzi esikhumbeni.
Yiziphi Izinga leBilirubin Akuvamile
Amanye ama-bilirubin egazini ajwayelekile. Kodwa yini "evamile" ehlukile ngoba ama-lab ahlukene asebenzisa amasu okulinganisa ahlukene noma avivinye amasampuli ahlukene. Izigaba ezivamile ze-bilirubin zimi kanje:
- Direct bilirubin: 0 kuya ku-0.3 mg / dL
- Ingqikithi ye-bilirubin: 0.3 kuya ku-1.9 mg / dL
Ezinganeni ezisanda kuzalwa, amazinga e-bilirubin aphakeme phakathi nezinsuku ezimbalwa zokuqala zokuphila. Odokotela bahlola amazinga e-bilirubin wengane ngokusekelwe engozini yengane ye-jaundice ejulile neminyaka emahoreni.
Ngomntwana ongenabungozi, odokotela bangase baqale ukukhathazeka nge-jaundice eqinile uma izinga liyi:
- Amahora angu-24 ubudala: 8 mg / dL
- Amahora angu-48 ubudala: 13 mg / dL
- Amahora angu-72 ubudala: 16 mg / dL
- Amahora angu-96 ubudala: 17 mg / dL
Uma i-bilirubin yengane ithola lokhu okuphezulu, odokotela bayoqapha ingane eduze futhi baqiniseke ukuthi iqala ukwehla. Odokotela futhi kumele bacabangele ukuthi izinga liye landa kangakanani, kungakhathaliseki ukuthi ingane yazalwa ngaphambi kokuzalwa kanye nengane yomntwana.
Ukuze uthole imininingwane eyengeziwe, sicela usebenzise i-American Academy of Pediatrics BiliTool.
Izingozi zezinga eliphezulu zeBilirubin
Amazinga e-Bilirubin aphezulu kakhulu angabangela ukugula okukhulu. Umntwana uvame ukubonakala ekhathele futhi kunzima ukuzizwa. Isikhumba namaso abo bangathatha i-hue ephuzi. Uma ishiywe ingalashwa, i-jaundice ingadala ku- kernicterus , uhlobo lokulimala okungapheli kobuchopho. Ezinganeni ezinempilo, ezesikhathi esigcwele, i-kernicterus ayitholakali emazingeni e-bilirubin ngaphansi kuka- 35 mg / dL . Ngezingane ezingakafiki , i-kernicterus ingenzeka emazingeni aphansi. Kusengavamile kumazinga angaphansi kuka- 20 mg / dL .
Ngenxa yokuthi i-jaundice ilula ukuhlola nokuphulukisa, i-kernicterus ayidlangalaleni ezweni lanamuhla. Ngokulandela ingane yengane yakho ngemuva kokuthatha ingane yakho ekhaya esibhedlela, ungaqiniseka ukuthi ingane yakho ihlala iphephile futhi inempilo.
Ezinye Izimbangela Ze-Jaundice
I-jaundice ibangelwa ukwehla kwamaseli abomvu ngemva kokuzalwa. Kwezinye izimo, i-jaundice ingabonakala ngezimo ezithile ezenza amangqamuzana abomvu aphule. Lezi zimo zihlanganisa:
- I-Erythroblastosis fetalis (i-blood disorder)
- I-hemolytic anemia (i-red blood cell disorder)
- Ukusabela kwe-Transfusion (amangqamuzana egazi abomvu anikezwa nge-transfusion abhujiswa amasosha omzimba)
Bona futhi
Imithombo:
I-American Academy ye-Pediatrics Subcommittee on Hyperbilirubinemia. "Ukuphathwa kwe-Hyperbilirubinemia ku-Infant 35 noma Amasonto Angaphezu Kwama-Gestation." Izingane zokwelapha. Julayi 2004; 114, 297-323.
U-Ebbesen F, uBjerre JV, i-Vandborg PK. "Ubuhlobo Phakathi KweSerum Bilirubin Levels ≥450 μmol / L neBilirubin Encephalopathy; Isifundo Esisekelwe Esifundeni IsiDanishi." I-Acta Paediatr. April 2012; 101, 384-9.
Okumura, A., Kidokoro, H., Shoji, H., Nakazawa, T., Mimaki, M., Fujii, K., Oba, H., & Shimizu, T. "Kernicterus ezinsaneni ezisengaphambili." Ukubeletha ngoJuni 2009; 123, e1052-e1058.
Ilabhulali Kazwelonke Yezokwelapha yase-US. Ukuhlolwa kwegazi kwe-Bilirubin. (2015, Februwari 8). https://www.nlm.nih.gov/medlineplus/ency/article/003479.htm.