Senyongo ezisanda kuzalwa - a ngezifo okanye eqhelekileyo?

Imbonakalo senyongo in kuzalwa iintsana lu dityanisiwe kumanqanaba ngegazi yibilirubin mbala. Physiologic senyongo ngokuqhelekileyo kwenzeka iiyure 24-36 emva kokuzalwa komntwana, kwaye ifikelela iphezulu ngomhla wesithathu okanye wesine ubomi bakhe. ukubonakala kwayo edibene nokutshatyalaliswa iiseli ezibomvu, equlathe ebizwa ngokuba yi-athwala ezingekazalwa - kule fomu oko egazini olungekazalwa. Emva kokubeleka imveku ayisekho kuyimfuneko, kwaye ukujingxela, ngaloo ndlela lavelisa ebizwa ngokuba yi-free (ngqo) yibilirubin - ezingenakunyibilika, ityhefu. Kufuneka kuqatshelwe ukuba ukwanda yibilirubin iqatshelwe zonke ezisanda kuzalwa, kodwa senyongo komzimba - 60-70% kuphela. Abantwana abazalwe ngaphambi yenzeka okuninzi kaninzi yaye sihlala ixesha elide, kunye namanqanaba yibilirubin baye kuthatha ngaphezulu. Ukongeza iqondo lokuvuthwa ndingekazalwa, esi salathisi zichaphazela ingakumbi ukukhulelwa - oko kukuthi, ubukho umama okhulelweyo kweli xesha izifo ezahlukahlukeneyo.

Ngenxa ukuthatha indawo kwi ekudibaneni kwemichiza emzimbeni yibilirubin ngqo uguqulwe ube umgca ngqo, nto leyo yingozi emzimbeni kwaye kwizondlo kwi enyongweni kunye nomchamo. Yiyo le nxalenye ye yibilirubin unika yellow inwebu yangaphakathi, ulusu kunye sclera. Ukongeza, iintsana ezininzi abe luhlaza ezithile iinkqubo enzyme, kwaze oko kukhuthaza yibilirubin ukusuka umzimba kade. Nangona kunjalo, lo senyongo komzimba kwiintsuku ezimbalwa kamva, kwiimeko kakhulu - iiveki, umzimba umelane ngokwazo, yaye yonke into uza zibuyele esiqhelweni. Imeko jikelele umntwana bakholisa abachaphazelekayo. Kuphela nje iimeko ezimbalwa, kunye senyongo ixesha elide kwaye kakhulu, ugqirha angamisela izimuncumuncu ezikhethekileyo; bandisa emzimbeni, le yibilirubin liyakwazi ukuba nempembelelo ityhefu, ingakumbi kwi-luvo.

Noko ke, ezinye iintsana baphawula ekuthiwa-senyongo yezifo. Mu kuya kwa nshita bokuphila, ngokufuthi musa kufuna unyango watyhutyha ngokwabo, yena uthi secretion kakuhle umzimba okanye kukhuthaza yibilirubin. Olu hlobo senyongo kudla kwaphawulwa ekuzalweni okanye iiyure yokuqala yobomi, yaye akafuni kubonakala emva kwexesha elithile, njengoko nenyongo lweentsana. Izizathu kuba kusenokuba enzayim imibala yemfuza, hypothyroidism, isifo hemolytic usana, ukuphazamiseka iziphene of ekudleni ukutya. Ukuze sclera yellowing nesikhumba inokubangela hepatitis enaso, imibhobho biliary artreziya. Yonke izifo data kunye neemeko ufuna ingcebiso nangoko zeengcali kunye nonyango, yaye ezinye - notyando.

Abazali kufuneka yaziswe ukuba umntwana, ngubani na langoku, wavele, senyongo lweentsana, uba ngababuthuntu kunye ecubhukile, hayi esidla ukuzuza ubunzima. Kuyimfuneko ukuba udibane nogqirha ngoko nangoko kwaye ukuba nomchamo umntwana iba mnyama ngebala, noyibulala nikukukhanya kakhulu. Ngexesha senyongo elide 'yesitshixo sele inikezelwe uvavanyo ukuqinisekisa izizathu kuyo: ucazululo jikelele igazi kunye neesampule ubone inqanaba yibilirubin egazini . Namaqhezu zayo, ultrasound esiswini, ukubukela ugqirha kunye njalo kwi D.

senyongo ezisanda kuzalwa, ukuba kuyimfuneko, laxatives ukuqeshwa ngayo kunye arhente choleretic, infusions of ascorbic acid kunye nesisombululo iswekile. Nangona kunjalo, le ndlela iphumelelayo ukujongana ngokukhawuleza nale meko - phototherapy, ukungakhuseleki ulusu baby isibane okhethekileyo. Kuyinto nabungozi, yellowing ngaxeshanye lwenzeka phambi kwamehlo ethu, njengokuba yibilirubin uyazifohloza phantsi xa zibethwa ukukhanya. senyongo Physiologic ubalekela phi ngokukhawuleza, ukuba wenziwe ngexesha sana ngakumbi esitratweni.

Kukholelwa ukuba ibele kukwanceda ukuphelisa le senyongo komzimba kwixesha elifutshane. Noko ke, maxa wambi (malunga ne-15% amatyala), kukho yellowing le sclera kunye nesikhumba okubangwa ukusabela na usana umzimba malunga ubisi sikanina. Le senyongo komzimba lweentsana, apho unyango, ngokubanzi, akukho eyahlukileyo kwezinye iimeko, oko kufuneka, ukongeza, zilunyulwe kwiintsuku nje ezimbalwa.

Ngenxa yoko, senyongo lweentsana kunqabile ukuba kuyingozi, kodwa kubonisa ubukho umntwana iintlobo zezifo ezimbi. Ukumisela unyango olufanelekileyo kunokuba yobungcali onamava kuphela, emva kokuba uviwo oluneenkcukacha wosana.