![Puas yog neonatal jaundice congenital? Puas yog neonatal jaundice congenital?](https://i.answers-medical.com/preview/medical-health/13950426-is-neonatal-jaundice-congenital-j.webp)
Video: Puas yog neonatal jaundice congenital?
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2024 Tus sau: Michael Samuels | [email protected]. Kawg hloov kho: 2023-12-16 01:44
Kwv yees kwv yees li 50% ntawm lub sijhawm thiab 80% ntawm lub sijhawm preterm menyuam mos txhim kho daj ntseg , feem ntau 2-4 hnub tom qab yug me nyuam. Neonatal hyperbilirubinemia Nws yog qhov tshwm sim tsis tshua muaj vim tias yuav luag txhua tus menyuam mos yug tshiab tsim cov ntshav tsis muaj ntshav bilirubin ntau dua 30 µmol / L (1.8 mg / dL) thaum thawj lub lim tiam ntawm lub neej.
Tom qab ntawd, ib tus tuaj yeem nug, yog txhua tus menyuam yug los nrog jaundice?
Newborn jaundice yog yellowing ntawm a tus me nyuam tawv nqaij thiab qhov muag. Newborn jaundice yog ntau heev thiab tuaj yeem tshwm sim thaum twg menyuam mos muaj qib siab ntawm bilirubin , cov xim daj tsim thaum lub sijhawm ua haujlwm ntawm cov qe ntshav liab. Txawm li cas los, a tus menyuam mos tseem-tsim daim siab tej zaum yuav tsis paub tab txaus kom tshem tawm bilirubin.
Tsis tas li ntawd, yog vim li cas cov me nyuam yug los nrog jaundice? Menyuam mos jaundice tshwm sim vim tus me nyuam ntshav muaj ntau bilirubin (bil-ih-ROO-bin), cov xim daj ntawm cov qe ntshav liab. Menyuam mos daj daj feem ntau tshwm sim vim tias a tus me nyuam daim siab tsis paub tab txaus kom tshem tawm bilirubin hauv cov hlab ntsha. Hauv qee qhov menyuam mos , kab mob hauv qab yuav ua rau menyuam mos daj ntseg.
Ib tus kuj tseem yuav nug tau, puas yog tus menyuam yug tshiab daj daj caj ces?
Neonatal jaundice yog tshwm sim los ntawm kev tsim cov tshuaj lom neeg bilirubin hauv cov ntshav. Feem ntau, lub siab tawg bilirubin thiab muab pov tseg los ntawm cov zis thiab quav. Hereditary ua rau cov ntshav liab tawg, xws li tsis muaj cov enzyme glucose-6-phosphate-dehydrogenase (G6PD).
Dab tsi yog neonatal jaundice?
Neonatal jaundice yog ib tug yellowish discoloration ntawm dawb ib feem ntawm lub qhov muag thiab daim tawv nqaij nyob rau hauv ib tug tus menyuam mos yug tshiab vim siab bilirubin. Lwm cov tsos mob tuaj yeem suav nrog tsaug zog ntau lossis noj zaub mov tsis zoo. Qhov xav tau kev kho mob yog nyob ntawm qib bilirubin, hnub nyoog ntawm tus menyuam, thiab qhov ua rau.
Pom zoo:
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Kev kho qhov muag, txhaj tshuaj tiv thaiv kab mob hauv lub cev globulin (IVIG), thiab hloov pauv ntshav yog qhov siv dav tshaj plaws rau kev kho tus me nyuam mos nrog mob jaundice. Txawm hais tias cov tshuaj uas cuam tshuam rau cov metabolism hauv bilirubin tau siv hauv kev tshawb fawb, cov tshuaj tsis ib txwm siv hauv cov menyuam mos liab uas tsis muaj kev sib raug zoo hyperbilirubinemia
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Ua ntej, ob qho tib si tsis sib xws thiab sib koom ua ke qib bilirubin yuav tsum ntsuas. Conjugated bilirubin qib tsawg dua 1mg/dL lossis 20% ntawm tag nrho qib bilirubin raug suav tias yog ib txwm muaj. Ob lub mis mis nyuj daj daj daj thiab hemolytic anemias ua rau nce qib bilirubin tsis sib xws
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Lub cev daj ntseg ntawm tus menyuam yug tshiab: Daj daj ntawm daim tawv nqaij thiab dawb ntawm tus menyuam mos liab lub qhov muag (sclerae) los ntawm cov xim daj (bilirubin). Nyob rau hauv cov me nyuam mos, ib tug degree ntawm jaundice yog ib txwm. Cov kab mob physiologic jaundice ntawm tus me nyuam mos feem ntau tshwm nyob nruab nrab ntawm 2nd thiab 5 hnub ntawm lub neej thiab clears nrog lub sij hawm
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Cov DCs hauv qab no tau cuam tshuam nrog kev kuaj mob ntawm cov menyuam yaus jaundice: daj sclera, daj mucous daim nyias nyias, thiab xim daj-txiv kab ntxwv ntawm daim tawv nqaij. Cov menyuam yug tshiab uas muaj sclera daj muaj kwv yees li plaub npaug ntau dua yuav muaj tus mob jaundice
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Dermoid cysts tshwm sim thaum cev xeeb tub. Lawv tshwm sim thaum cov tawv nqaij thiab cov khoom xws li plaub hau, qog hws, qog roj lossis cov nqaij rog tau raug rau ntawm daim tawv nqaij thaum tus menyuam loj hlob hauv plab. Dermoid cysts muaj nyob thaum yug los (yug me nyuam) thiab muaj ntau. Cov tsos mob ntawm dermoid cyst yog qhov me thiab cov hlwv feem ntau tsis mob