Pamene likhale matenda a chikasu ndiyo mu akhanda ndi? dokotala zokambiranazo

Matenda a chikasu ndiyo mu akhanda - ndi kudwala zofala, limene makolo ake. Mayi aliyense mosavuta zindikirani zizindikiro zake. Khungu la mwanayo amakhala modabwitsa mdima, ngati anatsanulira yellowness. azungu cha maso ndi azioneka chosiyana. Pamene likhale matenda a chikasu ndiyo mwa ana akhanda, chifukwa pali kudwala? Mayankho a mafunso amenewa ndi ena angapezeke mu zipangizo za nkhaniyi.

Limagwirira a matenda

Matenda a chikasu ndiyo mu akhanda - ndi chikhalidwe kumene khungu ndi azungu cha maso kukhala mtundu khalidwe, atayezetsa limasonyeza milingo okwera bilirubin. mankhwala alipo mu thupi la munthu aliyense, koma makanda ameneyu amapezeka mu lalikulu zedi. N'chifukwa chiyani matenda a chikasu ndiyo amakula mwamsanga makanda?

zodabwitsazi angakhale chifukwa chachilengedwe. Pakati pawo tiyenera kuunikila chosakhwima zinchito a chiwindi a mwanayo ndi azingokhala mofulumira maselo ofiira - maselo ofiira. udindo wawo waukulu pa mimba ndi kunyamula mpweya. Atabadwa mwana ofunika kuwachotsa, adzaonongedwa ndi zithunzi bilirubin kuuluka. mankhwala ndi insoluble, izo zikugwira kuswana chiwindi.

Ngakhale ana wathanzi kwathunthu atabadwa thupi silingathe mapuloteni makamaka amachititsa mayendedwe a bilirubin maselo a chiwindi. Zizindikiro zizindikiro pachimake zambiri imagwera pa tsiku 3-5-TH kuyambira maonekedwe a nyenyeswa za mu kuwala.

Madokotala apeza mitundu iwiri ya chikhalidwe ichi: zokhudza thupi ndi pathological matenda a chikasu ndiyo mu akhanda. Bilirubin m'nkhani yoyamba m'thupi kwa masabata 1-2. Imeneyi, kudwala si kuganizira boma la mwanayo. Pamene ndende bilirubin anakhalabe kwa masabata angapo pa mlingo mkulu, akulankhula za matenda a chikasu ndiyo pathological. Kuti madokotala ananena zawo matenda izi si zabwino kwambiri, monga pang'onopang'ono anayamba kufa maselo mitsempha mu ubongo.

physiologic matenda a chikasu ndiyo

matenda zosinthika limapezeka nthawi zambiri. N'chifukwa chiyani matenda a chikasu ndiyo thupi mu akhanda? Chifukwa pakuwonekera kwake, madokotala kufotokoza kugwa kwakukulu hemoglobin yoopsa mu magazi a mwanayo. Mwamsanga chimango ndi mpweya zimene zingamuthandize mwana wosabadwayo. Komano, amakhala ndi nthawi yochepa ya ntchito. Atabadwa mwana yoopsa hemoglobin akuyamba mofulumira poipa. Izi ndiyo kuwonjezera ntchitoyo mwachindunji bilirubin mu magazi, izo kwenikweni limodzi ndi kudetsa khungu. Choncho, pang'onopang'ono akufotokozera matenda a chikasu ndiyo mu akhanda.

Komorowski (kudziwika dokotala) limatichenjeza kuti sitiyenera kukhala mantha matenda amenewa. Physiologic matenda a chikasu ndiyo amawapeza 80% ya ana. Umayamba za tsiku lachitatu la moyo ndi kuthamangira pa tsiku lachisanu. Pankhaniyi, mlingo wa bilirubin mwachindunji alibe olumpha malire chovomerezeka, kudwala sikumangotikhudza boma la nyenyeswa.

zotsatira Zheltushki sizikukhudzana ndi mwana. Ngati breastfed, ndi kudwala amaona. Mkaka umabala zotsatira mankhwala ofewetsa tuvi tolimba. Meconium (ndowe original), pamodzi ndi bilirubin mwamsanga kusiya thupi la mwana.

Pathological matenda a chikasu ndiyo

matenda yodziwika ndi chakuti kumaonekera pafupifupi nthawi yomweyo pambuyo pa kubadwa. Bilirubin mu ukuwonjezeka magazi modabwitsa, kufika milingo yovuta, amene anatsagana ndi chiphe wamanjenje dongosolo. Chithandizo kumafuna nthawi yoopsa mankhwala.

Ndinapereka mankhwala woyenera choyamba muyenera kupeza zimayambitsa vuto limeneli. Kawirikawiri kudwala akufotokozera mu makanda msanga, pamene pali chosakhwima kachitidwe mkati limba. Chifukwa cha zimenezi, mwana thupi sangathe kulimbana ndi yambiri bilirubin.

Ngati dokotala akupanga matenda a "pathological matenda a chikasu ndiyo" mu zimayambitsa obadwa chitukuko mwina chifukwa zosiyanasiyana matenda:

1. Zosagwirizana wa RH Chinthu ndi magazi gulu.
2. Matenda a parenchyma chiwindi. Thupi angathe kutembenuza bilirubin ndi kuchita matumbo, kumene kumakhudza mlingo wa mankhwala mu thupi.
3. Kudwala a m'thupi. Childs, tikulankhula za kuyan'anila pa mlingo chibadwa. Iwo zikuphatikizapo kudwala erythrocytes makoma, amene kwenikweni limodzi ndi kuvunda lalikulu.
4. Biliary thirakiti matenda - chifukwa china chimene pali matenda a chikasu ndiyo mu akhanda.

Komorowski pophunzitsa wake tikunena chakuti matenda tanena zimachitika odwala wamng'ono ali osowa kwambiri. N'chifukwa chake, pamene akulankhula za matenda a chikasu ndiyo, kawirikawiri ankanena za mawonekedwe thupi. Pomalizira kwa wina zosinthika ndi kudwala kungabweretse mavuto ndi dongosolo chapakati mantha, mtima ndi kapepala alimentary. Bilirubin ali zoyipa pa zimakhala zambiri mu thupi, kotero chithandizo ayenera mwamsanga ndipo mwaluso.

Pamene likhale matenda a chikasu ndiyo mu akhanda ndi?

Kugawilidwa kwanthaka a dongosolo bilirubin pang'ono ndi pang'ono chikusintha. Childs, chikasu khungu Mwamsanga mu masiku 6-7. Ngati mwana breastfed, ndondomeko kuchotsa bilirubin ndi kwambiri. Thupi zosinthika matenda si owopsa ndipo alibe chinthu choopsa pa moyo wa mwanayo.

Ngati zizindikiro matenda anaonekera pambuyo kumaliseche kwa chipatala, chikhalidwe ichi chimakhala koposera masabata awiri, nthawi kuwomba Alamu. Amayi kukufunikira kusonyeza dokotala mwanayo. Kutengera pa zovuta chikhalidwe ayenera chithandizo kuchipatala ntchito mankhwala. Zochita amangoona ntchito "Hofitol" Baby pa zheltushki. Reviews mankhwala Ntchito zachipatala nthawi zambiri zabwino. maganizo olakwika a makolo, kawirikawiri chifukwa kutumiza mochedwa kwa dokotala.

wazachipatala: zimene mayesero akufunika

Makanda, kudwala kumeneku kumaonekera osati mwa kusintha khungu. mkodzo zambiri amapeza chodera, ndowe M'malo mwake, amakhala colorless. Thupi mwina kufinya. Pang'onopang'ono kudwala ambiri a mwanayo. Ngati khungu sichikwiya mawu yachibadwa Patatha milungu iwiri, muyenera kufunafuna thandizo kwa dokotala. Kodi ulesi ulendo ndipo dikirani ndidzadutsa matenda a chikasu ndiyo mwa ana akhanda yekha.

Pa mokambilana ndi dokotala tiyenera kufufuza mwanayo ndi mankhwala atayezetsa kudziwa kuchuluka kwa bilirubin. Komanso, kungakhale kofunika m'mimba ultrasound kafukufuku pa hemolysis. Yachokera pa zotsatira za dokotala nkhani n'kukulemberani mankhwala oyenera.

Kodi kuchiza matenda a chikasu ndiyo mu akhanda

Ngati mwana wavumbulutsa mawonekedwe zokhudza thupi matenda, mankhwala enieni chofunika. Makolo ayenera kuyesetsa kuti athandize kulimbisa thupi pang'ono kupirira vuto monga matenda a chikasu ndiyo.

Pa ana akhanda kunyumba mankhwala kumafuna zingapo zimene mungachite. Mu malo oyamba Ndi bwino kuyamba yoyamwitsa mwamsanga, chifukwa mkaka kufulumizitsa njira kagayidwe kachakudya mu thupi mphamvu. Kotero kuti nyenyeswa alibe vuto lililonse ndi chimbudzi, mayi ayenera kutsatira zakudya zapadera. Baby n'kofunika pafupipafupi pitani panja, kuothera dzuwa.

chisamaliro mwanayo kumathandiza thupi. Pankhaniyi, monga mankhwala wothandiza amachita mkaka wa m'mawere kuti mwana ayenera kulandira pa akumufuna.

Pamene pathological matenda a chikasu ndiyo amafuna mankhwala kwambiri. Iwo anapereka dokotala pambuyo kudziwa mbali yake, pamaso pa zosokonezeka. Komanso, n'zotheka ntchito maphikidwe chiyesedwe cha mankhwala.

mankhwala

Kudziwa pathological mawonekedwe a matenda mankhwala n'kofunika kuyamba pomwepo. Madokotala zambiri amalangiza "Hofitol" Baby pa zheltushki. Reviews za mankhwala akupezeka yekha positive. Pamafunikanso ndi Tingafinye wa masamba a minda atitchoku. The medicament bwino chiwindi, potero kuchepetsa mlingo wa bilirubin ndi ya ndulu mofulumira excretion thupi.

Adzaika chelators kwambiri ( "Smecta", "Polyphepan"). cholinga chawo chachikulu ndi pakamwa kufalitsa pakati pa bilirubin chiwindi ndi mwachindunji intestine.

Likuchitira umboni kuti "Ursosan" ndi zizindikiro za madokotala cholestasis. Baby zheltushki za mankhwala kwambiri ogwira limene likupezeka mawonekedwe kapisozi. Makolo ambiri amaopa zotsatira zoyipa za mankhwala. Zikuphatikizapo kusanza, matupi awo sagwirizana totupa, kutsekula m'mimba. Komabe, zizindikiro izi silinkachitidwa ana onse. Madokotala akadali Kwalamulidwa "Ursosan" Baby pa zheltushki, chifukwa kudwala si nthawi zonse wolemekezeka khalidwe zabwinobwino.

kuwala mankhwala

Masiku ano, madokotala ambiri amakhulupirira kuti nkhondo yolimbana ndi matenda zimenezi sizingatheke popanda kugwiritsa ntchito mankhwala. Makolo ambiri amaganiza mosiyana ndi akuda nkhawa thanzi la thupi mwana akadali mphamvu. Zikatere wawombolera phototherapy. Ndi chithandizo kwambiri ochiza matenda ndi matenda a chikasu ndiyo mu akhanda.

chithandizo Home zimaphatikizapo kugwiritsa ntchito nyali zapadera. mafunde kuwala kwake bilirubin lamamatira m'zigawo sanali poizoni. Patapita maola 10-12 zoterozo mankhwala tima iwo excreted mu mkodzo ndi ndowe. Chithandizo simungakhoze kulekanitsa mwana kuchokera kwa amake, amene amapereka mwayi wawukulu m'mbuyo zoyamwitsa.

Nthawi zina mankhwala kuwala imagwiridwa kuchipatala kuyang'aniridwa ndi dokotala. Pa ndondomeko, maso a mwanayo kwenikweni kuphimba magalasi. nthawi yake malamulo okhwima okhudza. Nthawi zina mankhwala kuwala kumabweretsa flaking wa khungu ndi ludzu, kotero mosalekeza kuwunika dokotala lofunika.

Nthawi zambiri, mulibe kudikira nthawi yaitali, ndidzadutsa matenda a chikasu ndiyo mwa ana akhanda. Kutalika kwa mankhwala njira imeneyi ndi maola 96 okha. Komabe, itatha yoyamba gawo phototherapy mphamvu noticeable positive.

zotsatira pathological

Kuti madokotala ananena zawo matendawa zimadalira chifukwa ndi ukulu wake, Timeliness kutsimikizira matenda ndi mankhwala ofunsira. Ngati kudwala anali kudziwa pa siteji oyambirira, mavuto obwera sizikuopseza moyo wa mwana.

Apo ayi, pamene bilirubin ukufika milingo zowawitsa ndipo makolo musawafulumizitse pofuna thandizo kwa dokotala, mwayi wa kuwonongeka kwa ubongo. Zimenezi, kungachititse kuti khunyu, kukhala kugontha, retardation maganizo.

Makolo sayenera ankachitira mwamwano kuti matenda amenewa, koma si kofunika mantha. chithandizo mwamsanga ndi mosamalitsa ndondomeko ya chakudya cha dokotala wa - chinsinsi kusintha mwamsanga.