Video: Dab tsi yog neonatal physiological jaundice?
2024 Tus sau: Michael Samuels | [email protected]. Kawg hloov kho: 2023-12-16 01:44
Physiologic jaundice ntawm menyuam mos : Daj daj ntawm daim tawv nqaij thiab dawb ntawm menyuam mos lub qhov muag (sclerae) los ntawm cov xim ntawm cov kua tsib ( bilirubin ). Hauv menyuam mos cov me nyuam kawm ntawv qib siab daj ntseg yog li qub. Li qub physiologic daj ntseg ntawm menyuam mos Feem ntau tshwm sim ntawm hnub thib 2 thiab 5 ntawm lub neej thiab tshem tawm nrog lub sijhawm.
Tom qab ntawd, ib tus tseem tuaj yeem nug, tus menyuam mos liab daj daj yog dab tsi?
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 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.
Tsis tas li ntawd, dab tsi yog pathological jaundice? daj ntseg Yog hais tias nws tshwm sim nyob rau hauv thawj 24 teev tom qab yug me nyuam, tag nrho cov serum bilirubin nce ntau tshaj 5 mg ib dL (86 mol ib L) ib hnub twg los yog siab tshaj 17 mg ib dL (290 mol ib L), lossis tus menyuam mos liab muaj cov cim thiab tsos mob qhia tias mob hnyav.
Ua qhov no hauv kev txiav txim siab, dab tsi yog qhov sib txawv ntawm kev mob lub cev thiab kab mob daj ntseg?
Physiological jaundice yog tsis mob thiab tshwm sim nyob rau hauv feem ntau cov me nyuam mos nruab nrab hnub peb thiab hnub yim ntawm txoj sia. Pathology ntawm neonatal daj ntseg tuaj yeem sib txuas lossis tsis sib haum thiab feem ntau yog cov tsos mob ntawm tus kab mob pib.
Dab tsi yog hom mob neonatal jaundice?
Ob peb hom Bilirubinemia tau tshaj tawm hauv cov me nyuam suav nrog lub cev daj ntseg , kab mob pathological daj ntseg , daj ntseg vim kev pub niam mis lossis mis niam thiab hemolytic daj ntseg suav nrog peb subtypes vim Rh yam tsis sib haum, ABO cov ntshav pab pawg tsis sib haum thiab daj ntseg nrog rau Glucose-6-
Pom zoo:
Dab tsi yog kev kho mob neonatal jaundice?
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
Puas yog neonatal jaundice congenital?
Kwv yees li ntawm 50% ntawm lub sij hawm thiab 80% ntawm cov me nyuam mos yug ntxov ntxov tshwm sim daj ntseg, feem ntau 2-4 hnub tom qab yug me nyuam. Neonatal hyperbilirubinemia tsis tshua muaj tshwm sim vim tias yuav luag txhua tus menyuam yug los txhim kho cov ntshav bilirubin tsis sib xws ntau dua 30 µmol/L (1.8 mg/dL) thaum thawj lub lim tiam ntawm lub neej
Dab tsi yog qee qhov physiological stressors?
Qee yam tshwm sim ntawm lub cev, lub siab lub ntsws, thiab kev xav ntawm kev ntxhov siab ntev xws li: lub plawv dhia ceev. siab ntshav siab. zoo siab heev. qaug zog. nyuaj pw. kev daws teeb meem tsis zoo. ntshai tias tus kws kho mob yuav tsis ploj mus. kev xav tsis tu ncua txog ib lossis ntau qhov kev ntxhov siab
Dab tsi yog qhov txawv ntawm qhov chaw tuag anatomical thiab physiological tuag qhov chaw?
Anatomic tuag qhov chaw piav qhia txog qhov ntim ntawm huab cua uas tsis nkag mus rau thaj chaw sib pauv roj ntawm lub ntsws. Kev ua haujlwm, lossis lub cev, qhov chaw tuag hais txog feem ntawm huab cua uas mus txog thaj tsam pauv roj ntawm lub ntsws, tab sis tsis tau txais ntshav txaus txaus rau kev sib pauv roj kom tshwm sim
Dab tsi yog qhov physiological yam xa mus rau hauv kev puas siab puas ntsws?
Cov yam ntxwv ntawm lub cev yog yam cuam tshuam nrog koj lub cev lub cev uas cuam tshuam rau koj txoj kev xav. Psychological yam tseem ceeb yog cov ntsiab lus ntawm koj tus cwj pwm uas txwv lossis txhim kho txoj hauv kev uas koj xav