Anakwezedwa bilirubin mu akhanda

Anakwezedwa bilirubin makanda amakonda chizindikiro cha matenda a chikasu ndiyo. Zooneka kuwonekera kwa matenda ndi mtundu chikasu nembanemba wa mucous, khungu ndi azungu a maso kuti kumachitika chifukwa cha njira amuzolengedwa kunachitika magazi. Ngati chiwerengero cha wosweka maselo ofiira pamwamba yachibadwa, iwo kudziunjikira mu zimakhala ndi chifukwa maonekedwe a mtundu uwu. Bilirubin makanda, mlingo wa zosiyana kwa ponseponse wamkulu, achuluke chifukwa cha kusowa kukhwima kwa chiwindi, amene sangathe kulimbana ndi 'udindo ".

Matenda a chikasu ndiyo lagawidwa mitundu iwiri: zokhudza thupi ndi pathological. Mawonekedwe woyamba wa matenda imeneyi za 3-4 masiku pambuyo pa kubadwa ndi yodziwika ndi pafupifupi 70% ya ana. Mtundu wa matenda a chikasu ndiyo Mwamsanga patapita nthawi zina popanda sanachite. General ukupeza mwana Pankhaniyi alibe zolakwika. Normal bilirubin mu neonates - 103-107 mmol / l. Pafupifupi pa tsiku lachisanu la moyo thupi mwanayo ukufika zizindikiro zimenezi.

Ambiri, mlingo wa bilirubin amagwirizana ndi njira ya mimba ya mayi, ngati aliyense wa matenda, komanso ndi mlingo wa kukhwima zipatso. Nthawi zambiri, matenda a chikasu ndiyo kumachitika chifukwa cha hypoxia intrauterine, asphyxia kapena shuga mu akazi.

Pathological matenda a chikasu ndiyo - chikhalidwe kuti kuyambika kuwonjezeka kwambiri a bilirubin mwa mwanayo. The zifukwa kungakhale zingapo:

- Rhesus nkhondo: zinthu zosiyana Rhesus mu mayi ndi mwana;

- kuwonongedwa kwa maselo ofiira a magazi kuti ali ndi zifukwa majini;

- chiwindi matenda;

- matenda a chikasu ndiyo ;

- kutsekeka kwa matumbo ndi;

- syndrome Gilbert ndi;

- m'thupi disruptions.

Malinga ndi mndandanda imeneyi, ndiye kuti madokotala yekha akhoza mukazindikira chifukwa cha matenda ndi kusankha chithandizo chabwino.

Mlingo wa bilirubin mu milandu ankafufuza ndi magazi. Kenako, dokotala n'kukulemberani njira zina zingapo matenda, chifukwa ndiye matenda.

Nkofunika kukumbukira kuti bilirubin apamwamba mu akhanda ndi choopsa kwambiri chizindikiro, chifukwa albumin mwazi sizingathe ndigwire kwathunthu. Chifukwa cha zimenezi, iye afika mu wamanjenje dongosolo ndi limachita poizoni pa iye. Nkhani yofanana ndi choopsa kwambiri pa chitukuko cha ubongo ndi mitsempha malo. okhumudwa amatchedwa bilirubin encephalopathy anaonetsa zizindikiro zotsatirazi m'masiku oyambirira a moyo:

- kuchuluka tulo,

- mlingo wochepa wa wakuyamwa reflex,

- khunyu ndi kuchuluka m'chikaiko chowakaikitsa,

- kuthamanga magazi,

- kuchuluka kukula kwa ndulu ndi chiwindi.

Kale theka chaka chidzachitika mwana kumva kuwonongeka, chopinga wa retardation maganizo ndi ziwalo. Choncho, kuchuluka bilirubin mu wakhanda amafuna chithandizo chachikulu m'tsogolo kuyendera katswiriyu ndi.

Ngati mwana wakhala anapezeka ndi matenda a chikasu ndiyo thupi, njira yabwino kwambiri kuchepetsa bilirubin ndi phototherapy. Mchikakamizo cha kuwala n'kukhala bilirubin lyumirubin ndipo pambuyo maola 12 ndi excreted mu mkodzo ndi ndowe. Nthawi zina mavuto a mankhwala ndi ukuchoka ndi kumasura chopondapo kuti amalimbikira pambuyo njira kuthetsedwa. Pa nthawi yomweyo mwangwiro amathandiza mkaka mayi pafupipafupi mwambo wa yoyamwitsa.

Anakwezedwa bilirubin makanda, kamene kamayambitsa matenda a chikasu ndiyo pathological amaliona mu neonatologists kuchipatala.

Kumbukirani fanizo ayenera kuunikira ngakhale pambuyo chithandizo bwino mwa kuchezera akatswiri ndi yobereka nkhani.