Maitiro Akafanana Anogona Kuchinja Zvakanyanya
Jaundice ndechimwe chezvinhu zvakajairika zvehutano zvinowanikwa muzvitsva, zvose nguva isati yasvika uye iyo inoberekwa nenguva. Jaundice inoratidzika ne-yellowing yeganda uye maziso anoitika apo masero matsvuku eropa anoputsika uye anounza muviri nemuchero wejena unonzi bilirubin.
Muvana vakawanda, jaundice yakakwana uye hapana chikonzero chekuyemura.
Vacheche vachatora nguva shoma apo masero matsvuku eropa achakurumidza kuparara asati asvika pakupedzisira normalizing. Zvisinei, pane dzimwe nguva, chirwere chendarira chinogara kwenguva refu chinogona kunge chiri chiratidzo chedambudziko rakakomba rinoda kurapwa kwechimbichimbi.
Zviratidzo Zvengozi
Mushure mokuberekwa, vana vakawanda vanogona kushandisa bilirubin nyore nyore uye vanoipfuudza muzvigaro zvavo vasati vawana zvakawanda. Nokuti vana vacheche vasati vaduku vasati vasvika nhengo dzakagadzirwa, bilirubins inowanzova yakaoma kukugadzirisa. Mumamiriro ezvinhu akadaro, kana masero matsvuku eropa achibhururuka nekukurumidza kudarika bhalirubin inogona kugadziriswa, inogona kutungamirira kumadziro akakura anonzi hyperbilirubinemia .
Kana isina kusiyiwa isina kuvharidzirwa, zvikwiriso zvakanyanya zvebilirubin zvinogona kukonzera utano hwakakomba hwehuropi hunozivikanwa se kernicterus . Kernicterus inowanzoonekwa muvana vasati vasvika kana kuti vanorwara asi vanogonawo kuitika mumazuva ose ekuzvarwa. Zviratidzo zvekutanga zvinogona kusanganisira:
- Kuramba kana kuwedzera kukura kweganda nemaziso
- Kunyanya kuneta
- Dambudziko rokumuka kana kurara
- Zvinetso kudya
- Kuvhiringidzika kwakanyanya, kazhinji kunopfurikidza nekuchema kukuru
- Kunyengera kana kuoma kwemuviri
- Zvisingaoneki maziso
- Tsvina dzemuviri
Kana mwana wako akawana chimwe chezviratidzo izvi, tsvaka rubatsiro rwekukurumidzira pakarepo. Kana ikasatenderwa, kernicterus inogona kukonzera kukuvara kwehupenyu hwekusingaperi, kusanganisira kurasikirwa kwekunzwa, cerebral palsy, kukanganisa kwepfungwa, uye kunyange rufu.
Kurapa
Kuonga kuongororwa kwemazuva ano uye kurapa, jaundice haigoni kuipa zvakadai sokukonzera kernicterus. Vana vacheche vasati vasvika vari pangozi vachave nemazinga avo e- bilirubin akachengetedzwa pamwe nekuongorora ropa kana mamiriyoni emusoro.
Pamusoro pekuberekwa kwekutanga, zvinokonzera njodzi ye hyperbilirubinemia dzinosanganisira:
- Kuva nehanzvadzi yaive yakambovhiringidzika
- Kuvhiringidza kana kushungurudzika kunokonzerwa nehurukuro yekushandisa
- Anonoka pakupfuura chigaro checheche, chinonzi meconium
Nzira yakakurumbira yekurapa jaundice ndeyokushandisa phototherapy magetsi (anozivikanwawo se "mabhasi emabhazi") ayo anobatsira muviri kuti uparadze bilirubin muve iyo iyo muviri unogona kutora.
Kana phototherapy isingakwanisi kuchengetedza maitiro e-bilirubin, kuwedzerwa kuwedzerwa kunogona kudiwa panguva iyo imwe kana kuti yese yeropa revana inobviswa uye inotsiviwa neropa ravanopa. Nzira yacho inogona kuva yengozi uye inoda kubvunzurudza zvakadzama kuongorora zvose zvinobatsira uye hutano usati wapa kuvabvumirwa kwevabereki.
Shoko Rinobva Kunyanya
Muvana vakawanda, jaundice ndeyenguva pfupi uye ichave yakapera kwemavhiki maviri. Zvose zvinotaurirwa, zvakapoteredza 60 kubva kune makumi mapfumbamwe kusvika makumi mapfumbamwe kubva muzana zvevana vacheche vachabata chirwere chejeri, kunyange zvingava zvakaoma kuona mumacheche ane ganda rakasviba.
Kuti ubatsire mukubvisa bilirubin, iva nechokwadi chekupa mwana wako mvura yakakwana mumhando yemukaka wamazamu kana chimiro.
Vacheche vanofanirwa kuve nemasvosve matanhatu emvura pazuva, uye ruvara rwavo runofanira kuchinja kubva kune ruvara rwemavara kusvika kune ruzha kana vachiwana kudya kwakakwana.
Panguva iyi, zuva rega rega harifaniri kushandiswa sechimiro chekumba-kumba sezvo ichigona kukonzera kupisa kwezuva nekukuvadza kwakakomba kumwana wako achangoberekwa.
> Sources:
> Okumura, A .; Kidokoro, H .; Shoji, H. et al. "Kernicterus mu Preterm Makana." Pediatrics. 2009; 123, e1052-e1058. DOI: 10.1542 / peds.2008-2791.
> Punnoose, A .; Schwartz, L .; uye Golub, R. "Neonatal Hyperbilirubinemia." JAMA. 2012; 307 (19): 2115. DOI: 10.1001 / jama.2012.4070.