Mwedzi yakawanda yekudzivirira iri kumashure kwedu, kuzvidya mwoyo kwekumirira kunotsiviwa nemumwe - mwana ane utano, zvose zvinokodzera naye. Ikozvino mumumu inotarisana nemuedzo wokutanga, apo inoshanduka kuti mwana ane postpartum jelly. Izvo zvinowedzera kuipa jajuce muvana vachangoberekwa, zvinoguma nei uye chii chinofanira kuita kana mwana wacho akamira kwenguva refu uye asingagari kwenguva refu - ngatinzwisise pamwechete.
Zvinokonzera postpartum icterus
Physiological jaundice muchecheche inenge iri mamiriro ezvinhu epanguva inenge iine mavara, ganda uye vatsvene vemaziso vanowana ruvara rwezhizha, uye chigumisiro chechiochemistry yeropa chinoratidza huwandu hwakareba hwebilirubin. Aine mhosva mune zvakaitika kune jaundice kusakwana kwebilirubin metabolism muzvitsva - kusunungurwa kweropa rebilirubin muhuwandu hwakawanda kupfuura muviri wevana vasina kufanira unogona kubereka ne bile. Bilirubin iri mumuviri wevose uye munhu wese, asi kune vanhu vakuru vane utano hwehupo hwehupo hwahwo hahupi hunoita kuonekwa, nokuti kuwedzera kwayo kunonyatsorongwa nechiropa uye kunobudiswa kubva mumuviri nemichero yebasa rinokosha - bile, urini nemafuta.
Chimwe chinhu vana vacheche vachangoberekwa, avo vanokurumidza kuberekwa rudzi rumwe rwehemoglobin (fetal) runoshandurwa kuva rimwe, semagumisiro ayo masero mazhinji anoparadzwa. Maonde ehepatic achiri kusakara, saka haakwanisi kubvisa muviri weupfu hwebilirubin, uye unoiswa mumasukisi, achiasvibisa mumucheka. Kuwedzera kwechikasu kunosvika kwemazuva 3-4, mushure mokunge zvishoma nezvishoma zvinopera mukati mukati mavhiki maviri. Uwandu hwebilirubin muropa rinodzokera kuhutano zvishoma nezvishoma. Iyi ndiyo jaundice yemuviri muzvitsva. Kunyatsorapwa, hazvidi uye mamiriro ezvinhu ose emwana haana kuratidzika mune chero nzira.
Kana mushure memasvondo makumi maviri nehuwandu hwebilirubin mumwana hauna kuderera uye jaundice haipfuuri, saka inotova mubvunzo wepurected jaundice muzvitsva, zvinogona kugara kwemwedzi inoverengeka.
Kurapa kwe jaundice muzvitsva
Apo uwandu hwebilirubin muropa remwana hwakanyanya kwazvo, saka phototherapy inoshandiswa pakurapa - irradiation nemwenje chaiwo. Chinokosha cheyi nzira inobva pakuziva kuti kujekesa kwe ultraviolet chiedza kunokurudzira kuparara kunokurumidza nekuwedzerwa kwebilirubin kubva mumuviri.
Uyewo rubatsire kukurumidza kutaura kuti kubvisa ja jacece uye kunwisa - mukaka waamai inobatsira kushanda kwechirongwa chekudya uye kunodzivirira kubvisa shure kwebilirubin kubva mumutsipa.
Nzira dzebilirubin ye jaundice muzvitsva
Kuti ikubatsire kuona kana jaundice iri kupera mumwana achangoberekwa, kana kuti zvinetso zvinosanganiswa, zvinowanzoitwa bilirubin zvichabatsira:
- zvinowanzoitwa bilirubin yakazara 10-30 μmol / l;
- pazuva 2-3 i bilirubin iri pazinga:
- kwemazuva 3-4 kuwedzera kukuru mu bilirubin 171 μmol / l;
- kana amai nemwana vasingabvumirane ne rhesus kana boka reropa, bilirubin inogona kusvika 340 μmol / l;
- chiyero chebilirubin chinopfuura 340 μmol / l chinoratidza kuoma kukuru kwejelly - bilirubin encephalopathy (nuclear jaundice).
- kwevana venguva yakazara - 51-60 μmol / l;
- mukutanga kwevana - 58-103 μmol / l;
Nyukliya jaundice chirwere chakakomba, umo uwandu hwebilirubin hwakakura zvokuti hunoparadza masero eropi. Zvinhu zvinotarisirwa kuti zvive nekugadzirwa kweyenyukliya jaundice zvingava kuonekwa kwechiedza mberi kwenguva, kushungurudzika kwepabonde, utachiona hwetrauterine uye hypoxia. Migumisiro yechirwere ichi chemajeri muzvitsva zvakaoma zvikuru - ihwo hwakasiyana-siyana hwehutano hwehutachiona hwehutano, nekuderera kunonoka, uye kurasikirwa kwekunzwa.