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饮食养生:引起黄疸的原因

先天性溶血性贫血:如地中海贫血(血红蛋白病)、遗传性球形红细胞增多症。

Congenital hemolytic anemia: such as thalassemia (hemoglobin disease), hereditary spherocytosis.

后天性获得性溶血性贫血:如自身免疫性溶血性贫血、遗传性葡萄糖-6-磷酸脱氢酶缺乏(蚕豆病)、异型输血后溶血、新生儿溶血、恶性疟疾、伯氨奎林等药物、蛇毒、毒蕈中毒、阵发性睡眠性血红蛋白尿等。

Acquired hemolytic anemia: such as autoimmune hemolytic anemia, hereditary glucose-6-phosphate dehydrogenase deficiency (faba bean disease), hemolysis after heterotypic blood transfusion, hemolysis of newborn, falciparum malaria, primaquine and other drugs, snake venom, poisonous mushroom poisoning, paroxysmal nocturnal hemoglobinuria, etc.

阻塞性黄疸(胆汁郁积性黄疸)根据阻塞的部位可分为肝外胆管及肝内胆管阻塞两类。

Obstructive jaundice (cholestatic jaundice) can be divided into extrahepatic bile duct and intrahepatic bile duct obstruction according to the location of obstruction.

临床上表现为巩膜、黏膜、皮肤及其他组织被染成黄色。

Clinically, the sclera, mucosa, skin and other tissues were stained yellow.

需要和假性黄疸鉴别。

It needs to be differentiated from pseudojaundice.

假性黄疸见于过量进食含有胡萝卜素的胡萝卜、南瓜、西红柿、柑桔等食物。

Pseudojaundice occurs in excessive consumption of carotene containing carrots, pumpkins, tomatoes, oranges and other food.

假性黄疸时血胆红素浓度正常。

Serum bilirubin concentration was normal in patients with pseudojaundice.

黄疸怎么治疗当出现病理性黄疸时,就必须接受治疗,不然会留下后遗症甚至危及生命。

How to treat jaundice? When pathological jaundice appears, it must be treated, otherwise it will leave sequelae and even endanger life.

让宝宝躺在光疗箱内,将双眼、会阴和肛门遮盖,其余部分裸露在外。

Let the baby lie in the phototherapy box, cover the eyes, perineum and anus, and expose the rest.

然后用单面光和双面光照射,持续照射2-48小时,但一般不超过4天,直至胆红素降低到7毫克/分升以下就可以停止治疗。

After that, the treatment can be stopped when the bilirubin is reduced to less than 7 mg/dl.

当然,如果天气比较冷的话,必须要做好保暖措施,防止新生儿着凉,并且注意在给新生儿照射阳光的时候不要直接照到新生儿的眼睛,每次照射阳光的时间不要太长。

Of course, if the weather is cold, we must do a good job in keeping warm to prevent the newborn from catching cold, and pay attention not to directly shine on the newborn's eyes when the sun shines on the newborn, and the time of each exposure to the sun should not be too long.

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