圣贤养生(原神灸网)

饮食养生:新生儿如何降黄疸

西药治疗方法是通过供应白蛋白,纠正代谢性酸中毒,肝酶诱导剂(如苯巴比妥),静脉使用免疫球蛋白。

Western medicine treatment is through the supply of albumin, correction of metabolic acidosis, liver enzyme inducer (such as phenobarbital), intravenous use of immunoglobulin.

西药以酶诱导素或糖皮质激素为主,中药治疗方法则主要以茵陈蒿汤为主。

Western medicine is mainly enzyme inducible hormone or glucocorticoid, while traditional Chinese medicine is mainly Yinchenhao Decoction.

1.2、光照疗法光照疗法是一种降低血清未结合胆红素简单而有效的方法。

Phototherapy is a simple and effective method to reduce serum unconjugated bilirubin.

将新生儿卧放在光疗箱中。

The newborn was placed in the phototherapy box.

记住双眼要用黑色眼罩保护,以免损伤视网膜;会阴、肛门部用尿布遮盖,其余均裸露。

Remember to use black eye mask to protect eyes, so as not to damage the retina; perineum, anus covered with diapers, the rest are exposed.

用单面蓝光或双面蓝光照射,持续24--48小时(一般不超过4天),等胆红素下降到7毫克/公升以下即可。

Use single blue light or double-sided blue light irradiation for 24-48 hours (generally no more than 4 days), and wait for bilirubin to drop below 7 mg/L.

1.3、换血疗法换血疗法可以有效地降低胆红素,换出已致敏的红细胞,减轻贫血。

1.3. Exchange therapy exchange transfusion therapy can effectively reduce bilirubin, exchange sensitized red blood cells and reduce anemia.

不过这种方法的实施需要一定的条件,且也会生一些不良反应,所以用时要严格注意掌握指证。

However, the implementation of this method requires certain conditions, and will also produce some adverse reactions, so we should strictly pay attention to the evidence.

生理性黄疸的血清胆红互足月儿不超过204μmol/l(12mg/dl),早产儿不超过255μmol/l(15mg/dl)。

The serum bilirubin level in term infants with physiological jaundice was no more than 204 μ mol/L (12mg/dl) and that in preterm infants was no more than 255 μ mol/L (15mg/dl).

但个别早产儿血清胆红素不到204μmol/l(12mg/dl)也可发生胆红素脑病,对生理性黄疸应有警惕,以防对病理性黄疸的误诊或漏诊。

However, some premature infants with serum bilirubin less than 204 μ mol/L (12mg/dl) can also have bilirubin encephalopathy. We should be alert to physiological jaundice to prevent misdiagnosis or missed diagnosis of pathological jaundice.

百分之六十的足月新生儿和百分之八十的早产儿,在出生后1个星期内会出现皮肤发黄的现象,这就是“新生儿黄疸”。

Sixty percent of full-term newborns and 80 percent of preterm infants have yellowing skin within one week after birth, which is called neonatal jaundice.

足月出生宝宝的黄疸正常值与早产儿又有所不同。

The normal value of jaundice in full-term infants is different from that in preterm infants.

通常,足月新生儿黄疸正常值是12.9毫克/100毫升,也就是100毫升的血液中的胆红素水平低于12.9毫克。

In general, the normal value of jaundice in full-term newborns is 12.9 mg/100 ml, that is, the bilirubin level in 100 ml blood is lower than 12.9 mg.

当宝宝的黄疸值超过12.9mg/dl或新生儿黄疸指数上升过快时(每日上升超过5mh/dl),或黄疸持续时间超过足月儿在14天内消退,早产儿在4周内消退这个时间,或者黄疸退而复现。

When the jaundice value of the baby exceeds 12.9mg/dl or the neonatal jaundice index rises too fast (more than 5mh/dl per day), or the duration of jaundice exceeds that of full-term infants, the jaundice subsides within 14 days, the premature infants subside within 4 weeks, or the jaundice subsides and reappears.

新生儿黄疸的病因1、先天因素:同族免疫性溶血如rh血型不合、abo血型不合、其他血型不合。

The etiology of neonatal jaundice 1. Congenital factors: homologous immune hemolysis, such as Rh blood group incompatibility, ABO blood group incompatibility and other blood group incompatibility.

红细胞酶缺陷如葡萄糖-6-磷酸脱氢酶(g-6-pd)缺陷等。

Red blood cell enzyme defects such as glucose-6-phosphate dehydrogenase (G-6-PD) deficiency.

红细胞形态异常如遗传性球形红细胞增多症、遗传性椭圆形红细胞增多症、遗传性口形红细胞增多症、婴儿固缩红细胞增多症。

Red blood cell morphological abnormalities, such as hereditary spherocytosis, hereditary oval polycythemia, hereditary oral polycythemia, infantile pyknosis erythrocytosis.

红细胞增多症如母儿-胎盘、双胎之间输血、宫内发育迟缓、糖尿病母亲的婴儿等,可致红细胞增多,破坏也增多。

Polycythemia, such as maternal fetal placentas, blood transfusion between twins, intrauterine growth retardation, and infants of diabetic mothers, can cause erythrocytosis and damage.

体内出血如头颅血肿、皮下血肿、颅内出血等。

Internal bleeding such as head hematoma, subcutaneous hematoma, intracranial hemorrhage, etc.

如何护理黄疸宝宝1、判断黄疸的程度。

How to care for jaundice baby 1, judge the degree of jaundice.

爸妈可以在自然光线下,观察新生儿皮肤黄染的程度,如果仅仅是面部黄染,为轻度黄疸;躯干部皮肤黄染,为中度黄疸;如果四肢和手足心也出现黄染,为重度黄疸。

Parents can observe the degree of jaundice of newborn skin under natural light. If it is only facial jaundice, it is mild jaundice; if the skin of trunk is yellow, it is moderate jaundice; if the limbs and hands and feet are also yellow, it is severe jaundice.

如果黄疸程度较重、出现伴随症状或大便颜色异常应及时去医院就诊,以免耽误治疗。

If the degree of jaundice is severe, accompanied by symptoms or abnormal stool color, timely go to the hospital to avoid delay in treatment.

3、尽早使胎便尽早排出。

3. Let the fetus out as soon as possible.

因为胎便里含有很多胆红素,如果胎便不排干净,胆红素就会经过新生儿特殊的肝肠循环重新吸收到血液里,使黄疸增高。

Because fetal feces contain a lot of bilirubin, if the fetus is not discharged clean, bilirubin will be absorbed into the blood through the special liver and intestinal circulation of the newborn, so that jaundice increases.

4、给新生儿充足的水分,小便过少不利于胆红素的排泄。

4. To the newborn adequate water, urine too little is not conducive to the excretion of bilirubin.

5、在黄疽期间要注意给予足够的糖水及热力,并保护好肝脏。

5. During the period of jaundice, we should give enough sugar water and heat, and protect the liver.

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