Ihe na-akpata ya na etu esi agwọ hyperbilirubinemia nke neonatal

Ndinaya

• Isi ihe kpatara ya
• 1. Ahụ ike jaundice
• 2. Jaundice n’ime ara ara
• 3. Ọrịa ọbara
• 4. Ọrịa Imeju
• Etu esi eme phototherapy

Hyperbilirubinemia nke nwa amụrụ ọhụrụ ma ọ bụ nke amụrụ ọhụrụ bụ ọrịa na-apụta n’ụbọchị mbụ nke ndụ nwata ahụ, na-akpata site na nchịkọta nke bilirubin n’ime ọbara, ma na-eme ka akpụkpọ ahụ chawa edo edo.

Nwa obula nwere ike ibulite hyperbilirubinemia, isi ihe kpatara ya bu mgbanwe aru n’aru imeju, nsogbu obara, dika anemia hemolytic, imeju oria, nke oria oria ma obu oria nkpuru omumu, ma obu site na mmeghari ahu n’ime ara Chọọkwa ihe na-ebute bilirubin na jaundice nke okenye.

A ga-ebido ileba anya na belata Bilirubin n'ime ọbara ngwa ngwa, yana ọgwụgwọ phototherapy bụ nke a kacha eji eme ihe. N'ọnọdụ ụfọdụ, iji ọgwụ ọjọọ ma ọ bụ mmịnye ọbara nwere ike ịdị mkpa, ndị dọkịta na-adụkwa ọdụ.

Isi ihe kpatara ya

Jaundice na-eme mgbe nwa ọhụrụ enweghị ike iwepu bilirubin nke ọma, nke na-emepụta site na metabolism nke ọbara, n'ihi na, tupu a mụọ ya, placenta rụrụ ọrụ a. Isi ihe kpatara hyperbilirubinemia amụrụ ọhụrụ bụ:

1. Ahụ ike jaundice

Ọ na - abụkarị mgbe a mụsịrị 24 ruo 36 awa, bụ ụdị jaundice a na - ahụkarị, dịka imeju nwa na - eto nke ọma ma nwee ike ịnwe nsogbu ụfọdụ n'ịgbanwe na iwepu bilirubin n'ime ọbara site na bile. Mgbanwe a na-edozikarị ụbọchị ole na ole, jiri ọgwụgwọ na phototherapy na ikpughe anyanwụ.

• Esi na-emeso: phototherapy na fluorescent light bara uru iji belata ọnụọgụ bilirubin n'ọbara. N'okwu ndị dị nro, ikpughe anyanwụ nwere ike zuru oke, mana n'ọnọdụ ndị dị oke njọ, mmịnye ọbara ma ọ bụ iji ọgwụ, dị ka phenobarbital, nwere ike ịdị mkpa iji nweta nsonaazụ ka mma. Ghọta nke ọma etu esi emeso jaundice ọmụmụ amụrụ ọhụrụ.

2. Jaundice n’ime ara ara

Typedị mmụba a na bilirubin nwere ike ime ihe dị ka ụbọchị 10 mgbe amuchara nwa, na ụfọdụ ụmụ ọhụrụ ndị na-enye nwa ara naanị, n'ihi mmụba nke homonụ ma ọ bụ ihe ndị dị n'ọbara nke na-eme ka resorption nke bilirubin na eriri afọ na-egbochi iwepụ ya, n'agbanyeghị ma ịmara kpọmkwem ụdị.

• Esi na-emeso: n'ihe banyere jaundice ka mkpa, enwere ike ịme phototherapy iji chịkwaa ogo ọbara, mana ekwesighi ịkwụsị ara ara ọ gwụla ma ọ bụrụ na onye dọkịta na-ahụ maka ụmụaka. Jaundice a na-apụ n'anya n'ụzọ dị nso n'ọnwa nke abụọ ma ọ bụ nke atọ nke nwa ahụ.

3. Ọrịa ọbara

Diseasesfọdụ ọrịa nwere ike ime ka nwa ahụ kpokọta bilirubin, dị ka akpaaka ma ọ bụ mgbanwe mkpụrụ ndụ, ha nwere ike ịdị njọ ma pụta na awa mbụ mgbe amuchara nwa. Diseasesfọdụ ọrịa bụ spherocytosis, thalassaemia ma ọ bụ ekwekọghị n'ọbara nne, dịka ọmụmaatụ, mana nke kachasị bụ ọrịa hemolytic nke nwa amụrụ ọhụrụ, nke a makwaara dị ka fetal erythroblastosis.

• Esi na-emeso: na mgbakwunye na phototherapy iji chịkwaa ọnụọgụ bilirubin n'ime ọbara, a na-ejikarị ọgwụgwọ eme ihe site na mmịnye ọbara na, n'ọnọdụ ụfọdụ, enwere ike ịme ọgwụ iji chịkwaa ọgụ.

4. Ọrịa Imeju

Enwere ike ịmụ nwa nwere mgbanwe na ọrụ imeju, n'ihi ọtụtụ ihe kpatara ya, dị ka nrụrụ bile ductities, cystic fibrosis, congenital rubella, congenital hypothyroidism, ọrịa site na nje ma ọ bụ nje bacteria, ma ọ bụ site na mkpụrụ ndụ ihe nketa, dị ka ọrịa Crigler-Najjar, Gilber na Gaucher ọrịa, dịka ọmụmaatụ.

• Esi na-emeso: iji chịkwaa hyperbilirubinemia ọbara, yana phototherapy, a na-agwọ ọgwụgwọ iji meziwanye ọrịa nke kpatara mmụba nke bilirubin, dị ka ọgwụgwọ nke ibute ọrịa ọgwụ nje, ịwa ahụ iji dozie mmezi imeju ma ọ bụ dochie hormone na hypothyroidism, dịka ọmụmaatụ.

Usoro ọgwụgwọ iji belata bilirubin na-arịwanye elu nke anụ ahụ, ọkachasị phototherapy, kwesịrị ime ngwa ngwa mgbe ịchọtara mgbanwe a, n'ihi na bilirubin karịrị na ahụ nwa nwere ike ibute nnukwu nsogbu, dịka nsị ụbụrụ nke akpọrọ kernicterus, nke na-ebute ntị chiri, ọnya, coma na ọnwụ.

Etu esi eme phototherapy

Phototherapy gụnyere ịhapụ nwa ka ekpughere ya na ọkụ ọkụ, na-achakarị acha anụnụ anụnụ, maka awa ole na ole, kwa ụbọchị, ruo mgbe mmezi ahụ. Ka ọgwụgwọ ahụ wee nwee mmetụta, a ga-ekpughere akpụkpọ anụ nwatakịrị ahụ n'ụzọ zuru oke na ìhè, mana anya agaghị ekpughere ya, yabụ, a na-ekpuchi akwa ma ọ bụ iko pụrụ iche.

Ìhè ahụ na-abanye n'ime anụ ahụ na-akpali mbibi na mkpochapu nke bilirubin site na bile, na-eme ka jaundice na agba odo na-apụ n'anya nke nta nke nta.

Mụta ihe banyere otu esi eme ya na ihe ngosi ndị ọzọ maka iji phototherapy.