Uma ingane yakho esanda kuzalwa ngosuku lwesithathu noma yesithathu yesikhumba kanye / noma i-protini yelanga inombala ophuzi, usuke ubhekana nesenzakalo esivamile, esibizwa ngokuthi i-jaundice yezingane ezisanda kuzalwa.
Yini i-jelly evela kuyo?
Isizathu esiphuthumayo se-jaundice esanda kuzalwa siyinhlawulo ephakeme ye-bilirubin egazini. I-Bilirubin yinto eyenziwa ukubhujiswa kwamangqamuzana egazi abomvu - amangqamuzana egazi abomvu. I-erythrocytes iqukethe i-hemoglobin, ehlanganyela ekuhlanganisweni kwezicubu nezitho ezine-oxygen. Uma ingane izalwa ekukhanyeni, iqala ukuthola i-oksijini engekho kumama, kodwa ngokuqondile emoyeni ngenkathi iphefumula. I-special, embryonic, i-hemoglobin ayinto engadingekile emzimbeni wezimpumputhe, futhi ama-erythrocyte "amaningi" aqukethe wona aqala ukuhlakazeka, ukufihla i-bilirubin, enemibala ephuzi noma e-orange.
Ngokucubungula nokugqama komzimba bilirubin "ulawula" isibindi. Uma isetshenziswe ngokwanele ekusaneni, i-bilirubin idutshulwe emzimbeni wengane nge-meconium (izinsana zomntwana osanda kuzalwa) nomchamo. Kodwa kaningi ngisho nasezintweni ezinempilo ezinsukwini zokuqala zokuphila ezingenakulinganiswa kwezinhlelo ze-enzyme zesibindi kubonakala - kulokhu, i-bilirubin ayinakunyulwa emzimbeni, kodwa ithathwa igazi kuwo wonke umzimba. Nguye obala izicubu: isikhumba nesikhumba - ephuzi. Ngenxa yalokho, sibheka lokho okuvame ukubizwa ngokuthi i-jaundice yabantwana abasha.
Ungasusa kanjani i-jelly?
Okokuqala, udinga ukuqonda, ngosizo lwadokotela, ngaluphi uhlobo lwe-jelly osebenzelana nalo. Ezimweni eziningi (ama-60-70% wezingane ezisanda kuzalwa, kanengi - ebuthakathaka nangaphambi kwesikhathi), kubizwa okuthiwa i-jaundice yemvelo. Lesi akusona isifo, futhi njengomthetho, akudingekile ukuyiphatha. Imithi engcono kakhulu ye-jaundice yezinto ezingokoqobo isheshe futhi isetshenziswe njalo esifubeni. Uma ingane ithola ubisi lwebele, i-jaundice yomzimba ngokuvamile idlula yodwa emasontweni amabili. Izingane ezisendlini yokudla, eziphakanyiswe nge-jaundice yezinto eziphilayo, dopaivat amanzi ngamaqatha omhluzi.
Izilwane ezifakelwayo, izingane ezibuthakathaka nabangaphambi kwesikhathi, njengomthetho, zisalokhu zithola ukwelashwa kwe-phototherapy esibhedlela sokubeletha - ukuxilisa ngebani elikhethekile elivela ku-jelly. Ngaphansi kwethonya lokukhanya, i-bilirubin "engadingekile" ihlehliselwa ezingxenyeni ezingekho ezinobuthi ezidutshulwa emzimbeni enezintambo nomchamo.
Uma i-jaundice ingapheli isikhathi esingaphezu kwamaviki amathathu - lesi yisikhathi sokuzindla ukuthi kungani. Ukuguqulwa okwesikhashana embala wesikhumba kanye nezibungu zamangcwaba kungabonisa ukuba khona kwe-icterus ye-pathological. Futhi bangela ukukhathazeka yilokhu:
- ukubuthwa kwengane, ukuphuza ukuphuza;
- isikhumba sothuli oluhlaza;
- ihlukaniswe noma, ngokuphambene, umbala omnyama kakhulu wesitokisi nomchamo;
- ukungafani nomkhuba wokuqukethwe egazini le-bilirubin, i-hemoglobin, i-erythrocytes, i-reticulocytes.
I-icterus ye-pathological in the newborns idinga ukwelashwa okusheshayo, okuyinto udokotela ayoyiqoka ngokuhambisana nesizathu sesifo. Akukho mbuzo wokuphatha i-jelly enjalo ekhaya. Kuye ngezimbangela, izinhlobo eziningana ze-jaundice yezingane ezisanda kuzalwa zihlukaniswa:
- Hemolytic. Kuyenzeka uma umama nesisu kungavumelani neqembu legazi futhi (noma) i-Rh factor, okuholela ekubhujisweni okukhulu kwamangqamuzana egazi abomvu egazini lomntwana.
- Ukuzihlanganisa. Ukuphulwa kwezinqubo zokucubungula i-bilirubin, ebangelwa izifo ezifa.
- I-Hepatic. Kubangelwe ukulimala kwesibindi - isifo esithathelwanayo noma esiyingozi (isb., Isibindi).
- Imishini. Kubangelwa ukuphazanyiswa komshini wokuphuma kwebhele ngenxa yezici ezenziwe nge-anatomical noma ama-cysts we-bile ducts.
I-jaundice ende engabonakali ingaholela ku-bilirubin encephalopathy, noma i-jaundice ye-nyukliya, lapho umonakalo onobuthi we-bilirubin kudaba olumpunga lobuchopho luqala khona. Lokhu kubangela ukugubha, ukungahambi kahle, ukuguquka kokuzindla, ezimweni ezimbi kakhulu - ukukhubazeka, ukuyizwa, ukukhubazeka kwengqondo.