Nuclear neonatal jaundice: symptoms, consequences and treatment

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2020-07-03 10:41:14

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Nuclear jaundice occurs every third newborn baby. Jaundice is an abnormal skin condition caused due to excessive secretion of such substances as bilirubin.

nuclear jaundice

Under normal condition in babies is the breakdown of hemoglobin and production of bilirubin, but may crash, in which the liver can't process all of the bilirubin formed. Harmful substance enters the bloodstream badly affecting the body's cells and nervous system. Bilirubin has a nuclear effect, which the disease takes its name.

The Pathogenesis and etiology of disease

The impact of bilirubin on the brain and nervous system can be determined by the concentration of the substance in the blood. When the critical level of 425 µmol occurs illness called nuclear jaundice of the newborn. This applies only to full-term infants. If the birth occurs before term, it is indicative of the mark is reduced. In this case, the decrease in the level of effect of intrauterine hypoxia of the fetus and various infections.

In addition, the incompatibility of the baby's blood and mother a precipitating factor in the development of nuclear jaundice. There is a conflict rhesus blood factors.

Why in the children's body accumulates bilirubin

Bilirubin - the substance that appears as a result of processing of hemoglobin in the child's body. There are two forms of substances: soluble and insoluble. Forms of bilirubin have a certain ratio in the body, which is considered normal is 1 to 3. The liver processes form insoluble substances into soluble, which is removed from the body naturally with urine and feces.

In newborn infants, the liver is weak, and therefore, the processing slows down. As a result, the pigment gradually accumulates without being processed, there is a nuclear jaundice. The consequences of this serious disease.

nuclear jaundice of the newborn

Donoshennosti and premature babies also affects the critical amount of bilirubin in the blood. The difference is up to 100 µmol. This difference is due to the physical condition of the newborn - preterm babies with small body weight at birth not fully developed internal organs, and therefore slow processing of bilirubin. In 80% of preterm children, there is a nuclear jaundice.

Symptoms

The illness Develops within one week. If hemolytic jaundice has evolved the baby, then externally, the disease appears a day later.

symptoms of nuclear jaundice

If you develop nuclear neonatal jaundice symptoms, the retrieving may be as follows:

  • A Sharp deterioration of the General condition of the baby.
  • The child has a convulsive condition or sleep apnea.
  • External inspection indicates the presence of hypertonicity of the muscles.
  • Hallmark of nuclear jaundice is the sudden tilting the head back.
  • Upon further revealed no disease observed mental underdevelopment.
  • Clinical symptoms of nuclear jaundice may indicate damage to the brain of the newborn.

The Occurrence of nuclear jaundice: causes

The main causes of the disease include:

  • The conflict between the rhesus blood factors of the baby and mother, that is, blood does not combine.
  • Shortage in the body of the newborn a vitamin like, as well as the impact on the fetus of certain drugs consumed by the mother during pregnancy.
  • Generic bruising of the baby.
  • Lack of oxygen to the fetus, or abnormal metabolism.
  • Genetic predisposition.
  • Underdeveloped internal organs.

With excessive production of bilirubin have children there is jaundiced color of the skin. Symptoms of nuclear jaundice in almost all the same. Enough to see the child by Cramer's rule: jaundice hands, feet and abdomen of the newborn have an abnormal yellow color.

nuclear neonatal jaundice symptoms

Consequences of nuclear jaundice

The consequences of the disease may be different, it's all about healing time and time for the development of nuclear jaundice. There may be encephalopathy, and in severe cases partial deafness and blindness. In addition, in the absence of timely treatment increases the risk of brain damage, which is the most severe consequence of a nuclear jaundice.

In patients With brain damage children is lethargic, weak, do not react to stimuli, and even the voice of the parents.

The detection of the firstsigns of jaundice should seek help from a specialist who will help confirm or refute the diagnosis.

nuclear jaundice consequences

Skilled care

A Few years ago for the treatment of nuclear jaundice used glucose and other drugs are ineffective. In modern medicine, the most commonly used method is phototherapy - exposure of the body of the newborn certain radiation emanating from the special lamp. Due to the radiation the bilirubin is less toxic and is removed from the body naturally through urine and feces.

In order to avoid the terrible consequences of nuclear jaundice, after birth, the baby is drawing blood for tests. Research is conducted to identify the amount of bilirubin in the baby's blood. When excessive amounts of a substance are assigned to special drugs that speed up the process of removing toxic pigment. If the child is at increased risk, it is internal simultaneous introduction of the plasma.

If a nuclear jaundice increases, it is drip infusion of plasma in conjunction with phototherapy. In the absence of improvements necessary to resort to a complete blood transfusion.

In the presence of nuclear jaundice the child is under the supervision of a neurologist. It is this specialist who carries out rehabilitation therapy that helps to restore impaired function.


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Alin Trodden - author of the article, editor
"Hi, I'm Alin Trodden. I write texts, read books, and look for impressions. And I'm not bad at telling you about it. I am always happy to participate in interesting projects."

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