Jaundice is a common problem for newborn babies. Many parents are at a loss as they watch the baby’s skin turn yellow.
In fact, most jaundice is normal and will subside naturally, but there are also a small number of them that may cause permanent brain damage if we are not paying attention.
Today, Dr. Babe will take you to distinguish.
Neonatal jaundice
Neonatal jaundice refers to abnormal bilirubin metabolism in the baby's neonatal period, which causes the blood bilirubin level to rise, and the appearance of diseases characterized by skin, mucous and scleral yellow stains is the most common among newborns. Common clinical problems.
Approximately 60% of full-term infants and 80% of preterm infants will have macroscopic jaundice. How does
distinguish between physiological jaundice and pathological jaundice?
Features of physiological jaundice:
physiological jaundice refers to temporary jaundice caused solely by the characteristics of bilirubin metabolism, which appears in 2-3 days after birth, reaches a peak in 5-7 days, and subsides in 10-14 days, premature babies It lasts for a long time and will subside in 3-4 weeks. Except for a slight loss of appetite, there are no other clinical symptoms.
Features of pathological jaundice:
is more complicated than physiological jaundice. The following symptoms can be used as a reference.
1. From the perspective of the baby's serum bilirubin, the baby's bilirubin exceeds 12mg/dl, or it rises too fast, exceeding 5mg/dl every day.
2, jaundice appears prematurely, the baby has jaundice within 24 hours after birth.
3, the baby's jaundice subsided too late or the jaundice reappeared after it subsided. The jaundice does not go away for full-term babies for more than 2 weeks, and for premature babies for more than four weeks, and even worsens gradually.
4. The baby's jaundice is too severe, even spreading to the whole body, and the skin and mucous membranes are obviously yellow.
5. In addition to jaundice, the baby also has other abnormal symptoms, such as mental fatigue, not crying, moving less, eating less or having unstable body temperature, high and sometimes low. The ways above
to distinguish between physiological and pathological jaundice are only a rough guide for everyone.
Actually distinguishing whether a baby is physiological or pathological jaundice requires careful examination and judgment by the doctor in all aspects, and finally choose the appropriate treatment method according to the baby's condition.
If your baby has pathological jaundice, you must pay close attention to treatment. Because severe jaundice can cause your baby to suffer from bilirubin encephalopathy, which can cause permanent brain damage. , "cerebral palsy" caused by bilirubin encephalopathy is also common in children's rehabilitation department disease.
The treatment of jaundice:
is now the most commonly used at home and abroad is blue light irradiation, the baby's jaundice reaches a certain level, the doctor will recommend this treatment to parents. The principle of
is to use blue light to convert fat-soluble bilirubin into water-soluble bilirubin, which is excreted from bile and urine.
At the same time, we must actively breastfeed to ensure that the baby has sufficient daily milk, and promote the baby's urination, defecation, and metabolism.
Don't use the wrong method!
1, Drinking glucose can’t turn yellow ! Drinking glucose not only takes up the stomach, but also has no effect on jaundice.
2, taking medicine to turn yellow is not advisable! Many anti-jaundice drugs on the market achieve the purpose of reducing yellowness by making babies diarrhea. Diarrhea will make the baby’s jaundice disappear, but the safety of these drugs is unknown, the adverse reactions are not clear, and the baby’s liver and stomach are developed. Incompletely, the harm to the body from taking these drugs is also unpredictable. Z1z
3, probiotics can’t turn yellow . There is no evidence to prove that oral probiotics are useful for neonatal jaundice. Probiotics are only helpful in regulating the baby's intestines. Although
4 and have a certain effect in the sun, they are low in efficiency and limited, and they can damage the baby's skin. Occasionally sun exposure can play a supporting role, but you can't think about curing jaundice by sun exposure alone.