Yibilirubin kwaphakanyiswa kubelekwa

yibilirubin kwaphakanyiswa kwiintsana basoloko luphawu senyongo. obubonakala Visual yale sifo umbala emthubi inwebu yangaphakathi, isikhumba nabamhlophe kwamehlo oko kwenzeka ngenxa yeenkqubo kwemichiza ibakho egazini. Ukuba inani iiseli ezibomvu, uyaphule ngentla eqhelekileyo, ukuba yande ancedisana abangele imbonakalo mbala. Yibilirubin kwiintsana, izinga nto leyo yahluke kwisiqhelo abadala, ukuze nande ngenxa yokungabikho ukukhula ngokupheleleyo kwesibindi, akakwazi kumelana "iimbopheleleko 'zabo.

Senyongo wohlulwe iintlobo ezimbini: nokomzimba kunye zophendlo lwezifo. Ifomu yokuqala yale sifo kuvela malunga 3-4 iintsuku emva kokuzalwa lubonakala malunga nama-70% abantwana. Olu hlobo senyongo liyalahleka emva kwexesha elithile ngaphandle, azafunyanelwa ndawo. nesimo sempilo kosana kule meko akukho ezinxaxhileyo. yibilirubin eqhelekileyo neonates - 103-107 mmol / l. Malunga ngomhla wesihlanu yobomi yomzimba umntwana efikelela izikhombisi ezinjalo.

Ngokubanzi, inqanaba yibilirubin unxulunyaniswa ngendlela ukukhulelwa kamama, ukuba naziphi na sifo, ngokunjalo kunye iqondo lokuvuthwa iziqhamo. Amaxesha amaninzi, senyongo kwenzeka ngenxa hypoxia intrauterine, zizalwa okanye isifo seswekile sinwenwa kwabasetyhini.

senyongo yezifo - imeko ukuvela xa ukwanda ebalulekileyo yibilirubin emntwaneni. Izizathu oku kungaba ezininzi:

- ungquzulwano Rhesus: izinto ezahlukeneyo Rhesus kwi umama nomntwana;

- ukutshatyalaliswa iiseli ezibomvu ukuba abe zofuzo;

- isifo isibindi;

- senyongo ;

- ekuphazamiseni kwamathumbu;

- Gilbert engqondweni;

- nokuphazamisa hormone.

Ngokutsho kolu luhlu, kwisigqibo kukuba oogqirha kuphela ayichaze unobangela sifo kwaye akhethe unyango ekunene.

Umgangatho yibilirubin kwezi meko osaphandwa uvavanyo lwegazi. Kamva, ugqirha umisela nezinye iindlela ezininzi sifo, leyo ke sifo.

Kubalulekile ukukhumbula ukuba yibilirubin ephakamileyo ezisanda kuzalwa sisalathisi luyingozi kakhulu, kuba albumin igazi ukuvimba ngokupheleleyo. Ngenxa yoko, yena ungena luvo yaye kunempembelelo ityhefu kuye. Imeko efanayo kuyingozi kakhulu ukwenzela uphuhliso kumaziko ingqondo nemithambo. Loo urhulumente kuthiwa Encephalopathy yibilirubin eyaboniswa mpawu zilandelayo ngemihla yokuqala yobomi;

- anda ukozela,

- kwinqanaba elisezantsi le reflex owanyayo,

- unditsho kunye Mzoli banda,

- uxinzelelo oluphezulu lwegazi,

- ukunyusa ubungakanani udakada wesibindi.

Sele kwisiqingatha sonyaka ukuba kwenzeka ngeendlebe sana, inhibition yokudodobala kwengqondo kunye nokukhubazeka. Ngoko ke, yibilirubin ukwanda sosana kufuna unyango kakhulu kwi lotyelelo elizayo rhoqo ukuya luvo.

Xa usana sele unesifo senyongo emzimbeni, eyona ndlela isebenzayo yokunciphisa yibilirubin yi phototherapy. Phantsi impembelelo ukukhanya iguqulelwa lyumirubin yibilirubin yaye emva kweeyure ezili-12 esiswini saso umchamo kunye ngendle. Ngamanye amaxesha iziphumo ebezingalindelekanga le zonyango ukuxobuka kunye isitulo okuvakalala nothi emva kokuba iinkqubo lokuyeka. Ngelo xesha inceda ngokupheleleyo ubisi sikanina kunye rhoqo lokwaluka lokuncancisa.

yibilirubin kwaphakanyiswa kwiintsana, nto leyo ebangela senyongo zophendlo lwezifo ithathwa kwi neonatologists esibhedlele.

Khumbula ukuba eli nani kufuneka esweni kwanasemva unyango ngempumelelo ngokundwendwela ziingcali kunye nokunikezelwa wohlalutyo.