When must pass jaundice in the newborn? The doctor's advice

Jaundice in newborns — this is a fairly common pathology faced by parents. Any mother will easily notice its symptoms. The skin of the baby becomes unusually dark, as if filled with yellow. Whites are also a distinctive shade. When must pass jaundice in the newborn, what causes the pathology? The answers to these questions and more can be found from the materials in this article.

The Mechanism of development of disease

Jaundice in newborns — is a condition where the skin and eye whites a distinctive color, the blood tests showed increased level of bilirubin. This substance is present in every human body, but in infants it contains in large quantities. Why neonatal jaundice is rapidly progressing?

This phenomenon may be due to many reasons. Notable among them are the functional immaturity of the liver of the child and the rapid decay of red blood cells — of red blood cells. Their main role during pregnancy is to carry oxygen. After the baby is born useless, they are destroyed and bilirubin increase dramatically. This substance is not soluble, its excretion is engaged in the liver.

Even in completely healthy children after birth the body lacks a particular protein responsible for the transfer of bilirubin into liver cells. The peak of symptoms is typically 3-5 days with the appearance of the crumbs into the light.

Pediatricians there are two varieties of this condition: physiological and pathological jaundice in newborns. Bilirubin in the first case is eliminated from the body within 1-2 weeks. In this situation, the pathology does not affect the state of the baby. When the concentration of bilirubin is stored for several weeks at a high level, talking about pathological alfalfa butterfly. The prognosis of this diagnosis is not the most favorable, so that gradually begin to die off nerve cells of the brain.

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Physiological jaundice

This option pathology is the most common. What is physiological jaundice in newborns? The reasons for its occurrence doctors explain the massive collapse of fetal hemoglobin in the blood of the baby. He quickly binds with the oxygen that is necessary for the fetus. On the other hand, is characterized by low duration of activity. After birth the fetal hemoglobin begins to rapidly deteriorate. This entails increased direct bilirubin in the blood, which is necessarily accompanied by staining of the skin. Thus, gradually developing jaundice in newborns.

Komorowski (famous pediatrician) warns that fear of such a diagnosis is not necessary. Physiological jaundice is diagnosed in 80% of newborns. It begins approximately on the third day of a child's life and passes on the fifth day. In this case, the level of direct bilirubin does not exceed the permissible norm, the pathology does not affect the state of crumbs.

The effects of zheltushki not affect the child. If he is breastfed, pathology goes unnoticed. Milk produces a laxative effect. Meconium (original cal) along with a bilirubin quickly leave the child's body.

Pathological jaundice

This disease is characterized by the fact, evident almost immediately after birth. The content of bilirubin in the blood increases sharply, reaching critical levels, which is accompanied by poisoning the nervous system. Treatment requires a lot of time and serious drug therapy.

For the appointment of a competent treatment, you first need to find out the cause of this condition. Pathology typically develops in premature infants when there is the immaturity of the systems of internal organs. As a result, the kid's body can not cope with the large amount of bilirubin.

If the doctor makes a diagnosis “pathological jaundice" in newborns the causes of its development can be caused by many diseases:

1. The Incompatibility of the RH factor or blood group.
2. Diseases of the liver parenchyma. The body cannot convert the bilirubin and excrete it into the intestines, which is reflected in the level of this substance in the body.
3. Pathology of the circulatory system. Usually we are talking about the violations at the genetic level. They entail the pathology of the walls of red blood cells, which is necessarily accompanied by their massive collapse.
4. Diseases of the biliary tract — another reason why is there jaundice in newborns.

Komorowski in his lectures emphasizes on the fact that the above diseases occur in young patients is extremely rare. That's why, when talking about the alfalfa butterfly, usually referring to a physiological form. Long for one option or the other disease can lead to problems in the Central nervous system, digestive tract and heart. Bilirubin has a negative impact on many tissues of the body, so treatment must be quick and competent.

Should pass When jaundice in the newborn?

The System of allocating bilirubin gradually improved. Usually yellow colour of the skin disappearsin 6-7 days. If the baby is breastfed, the process of excretion of bilirubin is more intense. Physiological variant of the disease is not dangerous and do not pose a threat to the life of a child.

If the symptoms of the disease appeared after discharge from the hospital, this condition continues more than two weeks, it's time to sound the alarm. The mother is an urgent need to show the child the doctor. Based on the severity of the condition may require treatment in a hospital with the use of medicines. In practice we usually use “Child” for newborns zheltushki. Feedback on the applied medical therapy in most cases positive. Negative views of parents, usually due to late treatment to the doctor.

Doctor's Advice: what are the necessary tests

In infants, this pathology is manifested not only by a change of the skin. Often the urine becomes dark in color, the feces, on the contrary, it is lost. On the body can bruise. Gradually deteriorating General health of the child. If the skin does not acquire its normal tone after two weeks, seek help from a doctor. You should not postpone the visit and wait should pass jaundice in the newborn independently.

On the advice of the pediatrician must examine the baby and prescribe a blood test to determine the amount of bilirubin. Additionally, you may need an abdominal ultrasound, samples for hemolysis. Based on the test results, the doctor will prescribe appropriate therapy.

How to treat alfalfa butterfly newborns

If the child revealed the physiological form of disease, specific therapy is not required. Parents should make every effort to help the little body to cope with the problem of jaundice.

In infants, treatment at home involves several options. First and foremost, it is recommended to start breastfeeding as early as possible, because the milk speeds up the metabolism in the immature organism. To the baby not having problems with digestion, the mother should follow a special diet. Baby is important to spend more time in the fresh air, soak up the sun.

This care helps to strengthen the body. In this case, the role of effective medicines acts as a breast milk that the baby needs to obtain on demand.

In pathological alfalfa butterfly requires serious medication. He was appointed by the pediatrician after determining its stage, the presence of complications. In addition, you can use the proven recipes of traditional medicine.

Drug therapy

The detection of the pathological form of the disease treatment should begin immediately. Pediatricians usually recommend a “Child” for newborns zheltushki. Reviews about this drug are very positive. It includes an extract from the leaves of artichoke field. The drug improves liver function, reduces the level of bilirubin and rapid excretion of bile from the body.

Additionally prescribe chelators (“Effective”, “Polifepan”). Their main goal is to interrupt circulation of bilirubin between the liver and the intestines.

At the phenomena of cholestasis pediatricians recommend “Ursosan”. For newborns zheltushki this is a very effective drug that comes in capsule form. Many parents get scared of the side effects of this medication. These include vomiting, allergic rashes, diarrhea. However, such manifestations are not observed in all children. Pediatricians still prescribe “Ursosan” for newborns zheltushki, because this pathology is not always characterized by a harmless nature.

Light

Today the majority of doctors believe that the fight against this disease is impossible without the use of drugs. Many parents think otherwise and are worried for the health of the still immature child's body. In such situation, comes the light. It is a very effective treatment for such a disorder as jaundice in neonates.

Treatment at home involves the use of a special lamp. Her light waves break down bilirubin into nontoxic components. After 10-12 hours of such intensive care they are excreted along with the urine and feces. Treatment allows not to separate the mother with her baby, allowing you not to abandon breastfeeding.

In some cases, light therapy is performed in hospital under medical supervision. During the procedure, the eyes of a child, be sure to cover points. Her time is strictly regulated. Sometimes the therapy leads to peeling of the skin and dehydration, so the constant supervision of a physician is simply necessary.

In most cases, you do not have to wait long when it should go jaundice in the newborn. The duration of treatment by this method is only 96 hours. However, after the first session of therapy positive dynamics.

Consequences of pathology

Forecastat this illness depends on the causes and degree of its severity, timeliness of diagnosis confirmation and treatment. If pathology was identified at an early stage, the negative consequences do not threaten the child's life.

Otherwise, when the bilirubin level reaches critical levels, and parents are reluctant to seek help from a doctor, the probability of brain damage. This, in turn, can lead to convulsions, development of deafness, mental retardation.

Parents should not disparage such diagnosis, but don't be afraid. Early treatment and strict adherence to the requirements pediatrician-the key to quick recovery.