Neonatal matenda a chikasu ndiyo - ndi kudwala kapena ponseponse?

Maonekedwe a matenda a chikasu ndiyo mu akhanda ana amagwirizana ndi mwai magazi Kuchuluka kwa pigment bilirubin. Physiologic matenda a chikasu ndiyo zambiri amapezeka maola 24-36 atabadwa mwana, nufikira pazipita ake mu tsiku lachitatu kapena wachinayi wa moyo wake. chikuoneka chifukwa chiwonongeko cha erythrocytes munali yoopsa hemoglobin, otchedwa - kuti ndi mu mawonekedwe a magazi yoopsa. Mwana akabadwa khanda Tinaleka, ndipo iwo unagwa, potero kubala otchedwa ufulu (mozungulira) bilirubin - insoluble poizoni. Tikumbukenso kuti kuwonjezeka bilirubin anamuona pa ana onse, koma thupi matenda a chikasu ndiyo - 60-70 yekha%. Ana obadwa masiku asanakwane zimachitika kwambiri nthawi zambiri zimatha yaitali, ndi milingo bilirubin ndi ambiri apamwamba. Kuwonjezera mlingo wa kukhwima wa mwana wosabadwayo, chizindikiro ichi bwanji makamaka mimba - ndicho, kuli mayi woyembekezera mu nthawi ino matenda osiyanasiyana.

Chifukwa zikuchitika mu zochita thupi mankhwala mozungulira bilirubin ndi n'kukhala ndi mzere woongoka, omwe si zoipa kwa thupi ndi excreted mu ya ndulu ndi mkodzo. Ndi kachigawo wa bilirubin amapereka chikasu mucous zimagwira ntchito zosiyanasiyana, khungu ndi sclera. Komanso, makanda ambiri chosakhwima ena kachitidwe enzyme, chifukwa mu excretion wa bilirubin mthupi ndi pang'onopang'ono. Komabe, matenda a chikasu ndiyo thupi masiku angapo, mu zikafika poipa - masabata, thupi kulimbana paokha, ndi chirichonse akubwera kubwerera mwakale. The chikhalidwe ambiri a mwanayo zambiri si bwanji. Only mu Nthawi zina ndi matenda a chikasu ndiyo yaitali ndipo kwambiri, adokotala akhoza mankhwala ndi chapadera: iwo kudziunjikira mu thupi, bilirubin amatha ndi zotsatira poizoni, makamaka pa wamanjenje dongosolo.

Komabe, ena makanda chikondwerero otchedwa pathological matenda a chikasu ndiyo. Mosiyana ndi thupi, ndi zambiri popanda chithandizo ndipo popitapita paokha, iye ananena kuti mkhutu katulutsidwe thupi kapena excretion wa bilirubin. Mtundu wa matenda a chikasu ndiyo nthawi anati pobadwa kapena maola choyamba cha moyo, ndipo sizimawoneka patapita kanthawi, monga matenda a chikasu ndiyo neonatal. Chifukwa kungakhale majini enzyme akusowa, hypothyroidism, hemolytic matenda a wongobadwa kumene matenda obadwa nawo a zimam'patsa kagayidwe. Kuti sclera chikasu ndi khungu kuyambitsa kobadwa nako chiwindi, ducts biliary artreziya. matenda onse deta ndi zinthu amafuna yomweyo katswiri malangizo ndi chithandizo cha mankhwala ndi zina - opaleshoni.

Makolo ayenera kukadziwitsa ngati mwana, amene alipo, mwina, neonatal matenda a chikasu ndiyo, amakhala aulesi ndi lethargic, osati kudya ndi kupeza kulemera. M'pofunika dokotala nthawi yomweyo ndipo ngati mkodzo mwanayo amakhala mdima mu mtundu, ndi manyi ndi kuwala kwambiri. Pa matenda a chikasu ndiyo yaitali nthawi anatuma kafukufuku kuti adziwe zifukwa: wathunthu magazi okwanira ndi mayesero kukuthandizani kudziwa mlingo mu mwazi wa bilirubin ndi tuzigawo twa ake, ultrasound wa pamimba, dokotalayo anayendera, etc ...

Neonatal matenda a chikasu ndiyo, ngati n'koyenera, ankachitira Mankhwalawa yokumana ndi wothandizila choleretic, infusions asidi ascorbic ndi shuga njira. Komabe, njira yabwino kwambiri mwamsanga kuthana ndi vuto limeneli - phototherapy, padzuwa la khungu mwana nyali zapadera. Ndi wowona, ndipo chikasu pa nthawi chomwecho chimachitika pamaso pathu, monga bilirubin imaphwanya atadziŵa kuwala. Physiologic matenda a chikasu ndiyo Mwamsanga mofulumira kwambiri, ngati ikuchitika ndi nthawi mwana kwambiri pa msewu.

Akukhulupirira kuti yoyamwitsa amathandiza kuti lichotse matenda a chikasu ndiyo thupi mu wamfupi yaitali. Komabe, nthawi zina (15% milandu), pali chikasu sclera ndi khungu chifukwa cha anachita ndi mwana thupi mkaka mayi. Izi thupi neonatal matenda a chikasu ndiyo, amene mankhwala, ambiri, palibe wosiyana Nthawi zina pamafunika, kuwonjezera, kuyamwa masiku angapo.

Choncho, neonatal matenda a chikasu ndiyo sakhala oopsa, koma zikhoza akusonyeza pamaso pa mwana zosiyanasiyana matenda ndi pathologies. Mankhwala chithandizo choyenera zitha kukhala odziwa akatswiri pambuyo tinafotokoza mwatsatanetsatane za mwanayo.