Mwana wacho, kupinda munyika yakapoteredza, anopfuura nenzira dzakasiyana-siyana, dzakadai sokugadziriswa kwekuparadzirwa, kutanga kwekushanda kwehutano hwehutano uye jaundice muchecheche. Kuora kwemasera emu fetal (fetal) hemoglobin (HbF), uye kushandiswa kwayo nemumwe munhu mukuru (HbA), kunotungamirira kumucheka weganda. Kuoma kwekuita izvi kunoenderana nemamiriro ezvinhu mazhinji. Zvadaro, tichakurukura kuti nei kune jaundice muzvitsva, uye zvinowedzera kuipa.
Conjugation jaundice yevana vachangoberekwa
Ngatitangei tifunge nezvezvinhu zvehupenyu hwejerice mumwana achangoberekwa . Iyi hutano inotanga pakuguma kwechipiri - kutanga kwemazuva matatu. Sezvatotaurwa, chikonzero chayo ndechokushandurwa kwemichero hemoglobin nekugara kwenguva dzose. Chiropa chechecheche chichiri kukwanisa kurarama neutralization yezviyero izvi zvebilirubin (kuwirirana kwayo nema 2 molecule ye glucuronic acid), saka huwandu hwayo muropa hunogona kuwedzera makumi makumi ezviuru. Nguva yehutano hwehupenyu muvana vanozvarwa haipfuuri nemazuva manomwe, ndiko kuti, inopfuura kwemazuva 8-9 ehupenyu.
Zviratidzo zve zheltushku achangoberekwa
Zviratidzo zvayo chikuru ndeye icterism (kubhadhara kwechivara chine ruvara) rweganda uye slumera. Nechirwere chinonzi jaundice muzvitsva, kubhururuka uku kunonyanya kutaurwa. Kuzvitsanangura kunogona kuva neonatologist ane ruzivo, paanenge achiongorora mwana masikati, izvo zvinosimbisa migumisiro yekuongorora kwebhishopi yehuwandu hwebilirubin. Mukuda kwehutano hwejerice, zviratidzo zvinotevera zvinotaura:
- kuchena kweganda kunotanga zvisati zvaitika kupfuura zuva rokutanga rehupenyu;
- kuwedzera kwejerice kunowedzera kwemazuva mana;
- ganda rine orange tinge;
- haatamburi nemamiriro ezvinhu ose emucheche;
- muroni nemasese hazvisvibisi;
- Nhamba yebilirubin kwemazuva mana haipfuuri 256 mmol / l.
Jaundice muzvitsva: pane chii chinoenderana nekureba kwenguva yakareba sei?
Iye zvino chimbofunga nezvemhando dzechirwere dze jaundice, dzinogona kutsamwiswa nezvinhu zvakasiyana-siyana. Saka, ndinoda kuziva kuti jaundice muvana vasati vasvika yakanyanya kukura kudarika mucheche vacheche, uye inopera kusvika mumazuva 14-15 ehupenyu. Kusadya kwakakwana (kana amai vasina mukaka wakakwana wemukaka) kunogona kukonzera jaundice yakareba. Pakati pemhando dzechirwere chezviitiko izvi ndezvi:
- Hemolytic jaundice yevana vachangoberekwa inokonzerwa nekurwisana kwezvirwere zvepachiviri pakati peamai uye fetus. Rhesus inonyanya kukonzerwa ndeyekukonana kunoitika mumukadzi weR Rh-negative, Rh, ane pamuviri fetus. Pashoma kakawanda, pane zvirwere zvekudzivirira zvirwere muropa reropa uye mamwe maitiro anopa ropa. Munyaya iyi, fetus inonzwisiswa nehutano hwemamai semutorwa.
- Intrauterine utachiona hwehupi hupi hunopararira hunogona kuratidza sejerice refu yevana vanozvarwa.
- Kuchengetedza nerima rakasvibirira remasese uye murini zvinogona kutaura nezvekuzvarwa kusina kufanira mune sangano rebazi rebhaariary.
- Kutora mumikana yeipi zvinodhaka zvinodhaka mumavhiki ekupedzisira ekudzivirira.
- Jaundice kwenguva refu inogona kuva mwana akaberekerwa amai vane
chirwere cheshuga.
Jaundice yevana vachangoberekwa, iyo yakasimuka nekuda kwechirwere chepfungwa, inopedza kwemavhiki maviri, ichiwedzera kuwedzera mamiriro emwana uye ichida kurapwa mune mamwe masangano.
Nokudaro, pasina chikonzero iwe unofanira kukanganisa mavheti echiremba wevana uye mazano ake. Uye kana uwandu hwebilirubin pazuva rekubudisa huri kupfuura 256 mmol / l, zvinotoneka kuti amai vane mwana vachabviswa kuchipatara muDhipatimendi reNeonatal pathologi kana kuti akavharirwa musangano rekupedzisira pashure pekushandisa phototherapy nemwenje wekudzivirira.