Kana mwana wako achangoberekwa pazuva rechipiri kana chechitatu ganda uye / kana maziso emapuroteni ane ruvara rwemutsvuku, iwe uri kutarisana nechiitiko chinowanzoitika, icho chinonzi jaundice yevacheche.
Ko jelly inobva kupi?
Chikonzero chekupedzisira che jaundice muchechecheche chinokwidziridzwa chakakosha chebilirubin muropa. Bilirubin chinhu chinoumbwa nekuparadzwa kwemasero matsvuku eropa - masero matsvuku eropa. Erythrocytes ine hemoglobin, iyo inobatanidzwa mukuzadza kwemasumbu uye nhengo dzine oxygen. Kana mwana akaberekerwa muchiedza, anotanga kugamuchira okisijeni kwete kubva kuna amai, asi zvakananga kubva mumhepo panguva yekufema. Chinokosha, embryonic, hemoglobin inenge isingakoshi mumuviri wemakumbo, uye "maruva" eerythrocytes ane iyo inotanga kuparadzanisa, kuchengetedza bilirubin, ine ruvara rwemutsvuku kana ruvara rweruvara.
Nokugadzirisa uye kubviswa kwemuviri bilirubin "inoita" chiropa. Kana yakagadzirirwa zvakakwana muchecheche, bilirubin yakanyanyiswa kubva mumuviri wemwana ne meconium (nyadzi dzemwana achangoberekwa) uye urin. Asi kazhinji kunyange muvana vane utano mumazuva okutanga ehupenyu kusachena kwema enzyme zviratidzo zvechiropa zvinoratidzwa - munyaya iyi, bilirubin haisi yakanyanyiswa kubva mumuviri, asi inotakurwa neropa mumuviri wose. Ndiye iye anoshanura mavara acho: ganda uye mucous - mune ruvara. Somugumisiro, tinocherechedza izvo zvinowanzonzi jaundice yevana vachangoberekwa.
Nzira yekubvisa jelly sei?
Chokutanga pane zvose, iwe unoda kunzwisisa, nerubatsiro rwechiremba, nerudzii rwejelly iwe uri kutarisana naye. Muzviitiko zvakawanda (60-70% yevana vachangoberekwa, kakawanda - vasina kusimba uye vasati vasvika), izvo zvinonzi chirongwa chegungwa chinonzi jaundice chinoonekwa. Ichi hachisi chirwere, uye sekutonga, hazvidi kuti uzviite. Mushonga wakanakisisa wepanyama jaundice inotanga uye nguva dzose kushandiswa kusvika pazamu. Kana mwana akawana mukaka wemvere, chirwere chemuviri chinowanzopfuura pachako mumavhiki matatu. Vana vari pakudya kwekugadzirira, vakurudzirwa nehutachiona hwegungwa, dopaivat mvura nemucheka rose mahudyu.
Zvisikwa zvipenyu, vana vasina simba uye vasati vasvika, sekutonga, vachiri kutarirwa phototherapy kuchipatara chekuberekwa - irradiation nemwenje chaiwo wejelly. Pasi pesimba rechiedza, bilirubin "isingadikanwi" inoputsika mune zvisiri izvo zvinokonzera tsvina zvinodzedzerwa kubva mumuviri nemasese uye urini.
Kana chirwere chejeri chisingagari kwenguva refu kupfuura masvondo matatu - ichi chiitiko chokufungisisa nei. Kuchinja kwenguva refu mumucheka weganda uye mucous membrane kungaratidza kuvapo kwechirwere chinonzi pathological icterus. Uyewo kukonzera kufunganya ndei:
- kugona kwemucheche, asingasviki anoyamwa;
- ganda rinotema inzwi;
- sarudzo kana, zvakananga ,wo muto wakajeka weshesi uye urini;
- kusawirirana nechinowanzo chezvinhu zviri muropa re bilirubin, hemoglobin, erythrocytes, reticulocytes.
Pathological icterus muzvitsva inoda kurapwa nokukurumidza, izvo chiremba achagadza maererano nechinokonzera chirwere chacho. Hapana mubvunzo wokurapa jelly yakadaro kumba. Zvichienderana nezvinokonzera, huwandu hwemhando dzechirwere chinonzi jaundice chevana vanozvarwa dzinoparadzaniswa:
- Hemolytic. Izvo zvinoitika kana amai ne fetus zvisingawirirani neboka reropa uye (kana) Rh factor, iyo inotungamirira pakuparadza kukuru kwemasero matsvuku eropa muropa romwana.
- Conjugation. Kurwisana kwezvinoitwa pakugadzira bilirubin, inokonzerwa nehosha dzinowanikwa.
- Hepatic. Inokonzerwa nechiropa kukuvara-kupararira kana chepfu (semuenzaniso, hepatitis).
- Mechanical. Inokonzerwa nekuvhiringidzika kwemagetsi ekubuda kweB bile pamusana pezvinhu zveatomical kana kuti cysts ye bile ducts.
Kusafungidzirwa kwenguva yakareba jaundice kunogona kutungamirira ku bilirubin encephalopathy, kana nuclear nyuundice, umo kunokanganisa tsvina ye bilirubin kusvika kune grey nyaya yeuropi inokura. Izvi zvinokonzera kugona, kutadza, kuchinja mukufungidzira, mumamiriro ezvinhu akaipisisa - kuora mitezo, matsi, kutadza mupfungwa.