Izinyanga eziningi zokukhulelwa zisemva kwethu, ukukhathazeka kokulinda kufakwa omunye - ingane iphilile, konke kulungile naye. Umama omusha ubhekene nokuhlolwa kokuqala, lapho kuvela ukuthi ingane ine-jelly postpartum. Okuyingozi kakhulu i-jaundice ezisanda kuzalwa, yimuphi umphumela nokuthi yini okufanele yenze uma ingane ihlala isikhashana futhi ingahlali isikhathi eside - ake siyiqonde ndawonye.
Izimbangela ze-postterum icterus
I-jaundice engokwemvelo ezinganeni ezisanda kuzalwa yindawo yesikhashana lapho izibilini, isikhumba nabamhlophe bamehlo bazuza umbala ophuzi, futhi umphumela we-biochemistry wegazi ubonisa izinga eliphezulu le-bilirubin. Uhlushwa lapho kutholakala ukungapheleli kwe-jaundice kwe-bilirubin ye-metabolism ezinganeni ezisanda kuzalwa - ukukhululwa kwegazi le-bilirubin ngobuningi obukhulu kunomzimba wezingane ezingasakwazi ukukhiqiza nge-bile. I-Bilirubin isemzimbeni wabo bonke futhi wonke umuntu, kodwa kubantu abadala abanempilo ukubonakala kwayo akuthinti ukubukeka, ngoba ukudlula kwayo kuhlungiwe ngempumelelo ngesibindi futhi kukhishwa emzimbeni ngemikhiqizo ebalulekile - i-bile, umchamo kanye nesikhumba.
Enye into esanda kuzalwa, esheshayo ngemva kokuzalwa kolunye uhlobo lwe-hemoglobin (fetal) ishintshela enye, ngenxa yalokho amangqamuzana amaningi abhujiswe. Ama-enzyme ase-hepatic asemancane, ngakho-ke angeke akwazi ukukhipha isidumbu sika-bilirubin ngokweqile, futhi afakwe ezinhlobonhlobo, ewagcoba ophuzi. Ukuqina kwe-yellowing kufinyelela ezinsukwini ezingu-3-4, emva kwalokho kancane kancane kuphuma phakathi kwamasonto amabili. Izinga le-bilirubin egazini libuyela kancane kancane ejwayelekile. Lokhu yi-jaundice engokwenyama ezinsana ezisanda kuzalwa. Ukwelashwa okuqondile, akudingi futhi isimo sonke somntwana asibonakali nganoma iyiphi indlela.
Uma emva kwamasonto angu-1-2 izinga le-bilirubin enganeni linganciphisi futhi i-jaundice ayidluli, khona-ke sekuvele umbuzo we-jaundice osukela esikhathini eside osanda kuzalwa, okungahlala izinyanga ezimbalwa.
Ukwelashwa kwe-jaundice ezinsana
Uma izinga le-bilirubin engxenyeni yegazi liphakeme kakhulu, ke-ke i-phototherapy isetshenziselwa ukwelashwa - irradiation ngesibani esikhethekile. Okuyinhloko yale ndlela kusekelwe ekukhanyeni kokukhanya kwe-ultraviolet kukhuthaza ukubola okusheshayo nokukhipha i-bilirubin emzimbeni.
Futhi usize ukuba usho ngokushesha ukuthi i-jaundice nokuncelisa - ubisi lukamama luvuselela ukusebenza okujwayelekile kwesigamu sokugaya futhi kuvimbela ukungena emuva kwe-bilirubin emathunjini.
Izindlela ze-bilirubin ze-jaundice ezisanda kuzalwa
Ukukusiza ukuba ubone ukuthi i-jaundice iyalula yini ezinsana, noma ngabe izinkinga zihileleka, isimiso se-bilirubin sizosiza:
- umkhuba we-bilirubin we-total u-10-30 μmol / l;
- ngosuku 2-3 i-bilirubin isesimweni:
- izinsuku ezingu-3-4 ukwanda okukhulu kwe-bilirubin 171 μmol / l;
- uma umama nengane bengavumelani ne-rhesus noma iqembu legazi, i-bilirubin ingafinyelela ku-340 μmol / l;
- izinga le-bilirubin elingaphezu kuka-340 μmol / l libonisa ukuhlukumeza okukhulu kwe-jelly - bilirubin encephalopathy (nuclear jaundice).
- kubantwana besikhathi esigcwele - 51-60 μmol / l;
- ezinsana ezisencane - 58-103 μmol / l;
I-jaundice ye-nyukliya yisifo esibi, lapho izinga le-bilirubin likhulu kangangokuba libhubhisa amangqamuzana obuchopho. Okudingekayo ekuthuthukiseni i-jaundice ye-nyukliya kungenzeka kube ukukhanya kokuhamba kwesikhathi, ukuhlukunyezwa kokubeletha, ukutheleleka kwe-intrauterine ne-hypoxia. Imiphumela yalolu cwaningo lwe-jaundice ezisanda kuzalwa luyinkimbinkimbi kakhulu - yizinkinga ezihlukahlukene zesimiso sezinzwa, nokulibaziseka kokuthuthukiswa, nokulahleka kokuzwa.