Kwiinyanga ezininzi zokukhulelwa zisemva kwethu, ukukhathazeka kokulinda kuthatha indawo enye - yintsana enempilo, yinto enhle nayo. Umama omtsha ubhekane novavanyo lokuqala, xa kuvela ukuba umntwana unesitya se-postpartum jelly. Ingozi ngakumbi i-jaundice ezisanda kuzalwa, yintoni imiphumo kunye nokuba yintoni enokuyenza xa umntwana ekhulile kwaye akahlali ixesha elide - masiqonde kunye.
Iimbangela ze-postpartum icterus
I-jaundice yezilwanyana ezisanda kuzalwa yimeko yenguqu apho iimbumba, ikhumba kunye nabamhlophe bamehlo bafumana umbala ophuzi, kwaye umphumo we-biochemistry yegazi ibonisa izinga eliphezulu le-bilirubin. Unetyala kwi-jaundice yokungapheleli kwe-bilirubin ye-metabolism kwiintsana ezisandul 'ukuzalwa - ukukhululwa kwegazi le-bilirubin ngokukhulu kunokuba umzimba womntwana ongaphangeliyo unokuvelisa nge-bile. I-Bilirubin ikusemzimbeni wabo bonke kunye nabantu bonke, kodwa kubantu abadala abantu abanempilweni, ukubonakala kwayo akuchaphazeli ukubonakala, kuba ukugqithisa kwayo kuhlanjululwe ngempumelelo ngesibindi kwaye ikhutshwe emzimbeni kunye nemveliso yemisebenzi ebalulekileyo- i-bile, umchamo kunye nemifesi.
Enye into esandula kuzalwa, emva kokuzalwa komnye uhlobo lwe-hemoglobin (fetal) yatshintshwa ibe yinye, ngenxa yokokuba iiseli ezininzi zitshabalaliswa. Ama-enzyme e-Hepatic asele aphelile, ngoko akakwazi ukukrazula umzimba we-bilirubin engaphezulu, kwaye ifakwe kwiishubhu, ukuwahlalisa ngokuluhlaza. Ubunzima be-yellowing bufikelela kwisithuba seentsuku ezili-3-4, emva koko ngokugqithiseleyo kuqhuma ngaphandle kweveki ezi-1-2. Iqondo le-bilirubin egazini libuyela kancinci. Le yimihlathi yomzimba kwiintsana ezisanda kuzalwa. Ulwaphulo oluchanekileyo, alufunanga kwaye imeko yonke yentsana ayibonakali naliphi na indlela.
Ukuba emva kweveki ezi-1-2 umgangatho we-bilirubin kumntwana awuncipha kwaye i-jaundice ayidluli, ngoko sele sele yimibuzo ye-jaundice ephumayo kwiintsana, ezinokuhlala ziinyanga eziliqela.
Unyango lwe-jaundice kwiintsana
Xa izinga le-bilirubin egazini lomntwana liphezulu kakhulu, ngoko-phototherapy isetyenziselwa unyango - irradiation kunye nesibane esikhethekileyo. Ingundoqo yale ndlela i sekelwe kwinto yokuba ukukhanya kwe-ultraviolet kukhuthaza ukubola nokukhawuleza kwe-bilirubin emzimbeni.
Kananjalo uncede ukukhawuleza uthi ukulahlwa yindoda ye-jaundice kunye nokuncelisa - ubisi lukanina lubangela ukusebenza okuqhelekileyo kwendlela yokutya kunye nokuthintela ukutsalwa kwe-bilirubin emathunjini.
Imigangatho ye-bilirubin ye-jaundice kwiintsana
Ukukunceda ukuba ubone ukuba i-jaundice isalula kwiintsana ezisanda kuzalwa, nokuba ngaba iingxaki zibandakanyeka, isiqhelo se-bilirubin siya kunceda:
- umgangatho we-bilirubin iyonke i-10-30 μmol / l;
- ngemini 2-3 i-bilirubin yisezantsi:
- iintsuku ezingama-3-4 ukunyuka okuphezulu kwi-bilirubin 171 μmol / l;
- ukuba unina nomntwana abahambelani ne-rhesus okanye iqela legazi, i-bilirubin ingafikelela kuma-340 μmol / l;
- umgangatho we-bilirubin ngaphezu kwe-340 μmol / l ubonisa ingxaki enkulu ye-jelly - bilirubin encephalopathy (nuclear jaundice).
- kubantwana besikhathi esigcwele - 51-60 μmol / l;
- kwiintsana zokuqala - 58-103 μmol / l;
I-jaundice yenyukliya iyisifo esibi, apho izinga le-bilirubin likhulu kangangokuba libhubhisa iiseli zengqondo. Izinto ezifunekayo ekuphuhliseni i-jaundice yenyukliya zingabonakala ukukhanya ngaphambi kwexesha, ukuxhatshazwa ngokubeleka, ukusulelwa kwe-intrauterine kunye ne-hypoxia. Imiphumo yale nkxalabo ye-jaundice kwiintsana zintsholongwane inzima kakhulu - yintlobo yeengxaki zenkqubo ye-nervous, kunye nokulibaziseka kokuphuhliswa, kunye nokulahlekelwa kwindlebe.