What are the symptoms of pathological jaundice in newborns? How should I take care of it during this

The most basic and main manifestation of jaundice is the yellowing of the whole body, and the area of yellowing can involve the whole body, especially the yellowing of the face color, especially the yellowing of the eyes, which is the most obvious symptom of jaundice, so most people can distinguish it by themselves. In addition to yellowing, some patients will be accompanied by symptoms of slight pain in the body. Observe the color of the stool.

If the stool is clay-colored, pathological jaundice should be considered, usually due to congenital biliary malformations. If the jaundice is severe, accompanied by symptoms or abnormal stool color, you should go to the hospital in time to avoid delay**.

First of all, pathological jaundice lasts for a long time, about more than two weeks. And it doesn't go away on its own, and he needs to take blue light or take medication.

Introduction: Once jaundice appears, the color of the baby's ** will deepen rapidly in the short term, and last for a long time, let me introduce you to the symptoms of neonatal pathological jaundice, let's go and find out!

If neonatal jaundice has one of the following conditions, it is pathological jaundice, and the cause needs to be identified in time and given **.

1. The symptoms of jaundice appear early, and if it appears within 24 hours after birth, it is definitely not normal.

2. The symptoms of jaundice develop rapidly.

3. The degree of jaundice is severe and long. It does not resolve for 2 weeks in term infants and 3 weeks in preterm infants.

4. Jaundice will recede after a long period of time, and then reappear.

It is very likely that the baby has pathological jaundice. Parents should closely monitor the occurrence of jaundice within 1-2 weeks of birth. When observing, the newborn must be placed in natural light, such as orange, white eyes, limbs, palms, soles of the feet have been yellow, urine is dark yellow and can be stained yellow diapers, and the stool is pale or even whitish, indicating that jaundice has exceeded the range of physiological jaundice, and should be immediately treated in the hospital.

1. During pregnancy, if the pregnant mother is hot and humid, it will also cause the baby to be prone to jaundice. So mom is pregnant'When you should pay attention to your diet, do not eat too much raw and cold food, but be too hungry, and avoid alcohol and hot food to prevent damage to the spleen and stomach.

2. After the baby is born, closely observe the jaundice of the sclera, find jaundice as soon as possible, and observe the color change of jaundice to understand the advance and retreat of jaundice.

3. Pay attention to the systemic symptoms of fetal yellow infants, whether there are symptoms such as malaise, drowsiness, difficulty in sucking breastfeeding, anxiety, squintism, stiffness of limbs or convulsions, so as to detect and deal with severe children as soon as possible.

4. Pay attention to protect the baby**, umbilicus and buttocks from being clean to prevent damage and infection.

Many novice parents are first-time parents, and they will be at a loss and panic when faced with an abnormal situation in their baby. Especially when I see that the baby's face is very bad and **dark yellow. In fact, this is because the baby has neonatal jaundice.

Jaundice is a disease that many newborns will suffer from, but many parents will be very worried because they do not understand this disease, so then as we understand the causes of neonatal jaundice, how should new parents take care of it. <>

First of all, let's understand the causes of neonatal jaundice, the first ** is excessive bilirubin production. This is because too many red blood cells can disrupt the enterohepatic circulation, making it difficult for serum to bind, resulting in an increase in bilirubin. The second ** is liver bilirubin metabolism disorder, because the liver cells have a low function of uptake and conjugation of bilirubin, which will cause the serum to be difficult to bind, resulting in an increase in bilirubin.

The third ** is bile excretion disorder, hepatocyte excretion and bilirubin disorder or bile duct obstruction, which will lead to hyperconjugated bilirubinemia and accompanied by impaired hepatocyte function. <>

Secondly, let's understand how novice parents should take care of newborn jaundice, first, pregnant women should pay attention to their diet during pregnancy, do not eat too much raw and cold food, do not be too hungry, and must avoid alcohol and spicy food to prevent damage to the spleen and stomach. Because many fetuses suffer from jaundice due to the dampness and heat of the pregnant woman, the baby must be fed many times after the birth of the newborn, which is conducive to the timely excretion of bilirubin. Second, the newborn should be closely observed for scleral jaundice after birth, and as soon as jaundice is found, it should be done.

In short, neonatal jaundice is actually divided into two types: physiological and pathological. Physiological jaundice is normal and does not require too much concern and special**, only pathological jaundice requires intervention. Therefore, novice parents should not be too worried and panic when they see their newborns turn yellow.

If you find something abnormal in your baby, you must go to the doctor and let the doctor check it out.

The causes of neonatal jaundice include excessive bilirubin, pregnagnadiol hormone in breast milk, immature liver function, hemolytic factors, and infectious causes. To let the child accept ** as soon as possible, parents should also take their newborn to spend more time in the sun.

Newborns will be prone to severe jaundice in 10 to 15 days of birth, as parents want to distinguish whether the child is pathological jaundice or physiological jaundice, you need to consider according to the child's **. If the newborn person has pathological jaundice, parents have to consider taking the child directly to the hospital for blue light when solving such a problem. By illuminating blue light, jaundice can be effectively removed from the child's body, and pathological jaundice may also be related to the child's breastfeeding.

After the newborn is born, the child will be affected by the environment, causing the child's ** to become particularly yellow. Some newborns are born with a particularly high jaundice value, and parents need to check whether the child is pathological jaundice or physiological jaundice. In the targeted treatment of children, most parents will want to reduce their children's jaundice by letting their children bask in the sun, but not every child is useful in the sun.

When parents want to solve their child's pathological jaundice, they should consider it according to the doctor's test value. If the doctor requires the child to be hospitalized to take blue light, then it is necessary to give the child blue light in time, because once the jaundice value is too high, it may seriously affect the child's brain and intellectual development. Don't take your child's illness as a trivial matter, and even many new parents don't know what pathological jaundice is when they are faced with the birth of their child.

There are many reasons for the occurrence of pathological jaundice, and as a parent, you should first judge it according to your own breast milk. There are many mothers who will insist on breastfeeding their children after the birth of their children, but it may be that the child's jaundice value will become higher and higher due to the process of breastfeeding. Parents try to choose a time period of 3 to 5 days apart, and wait for the child's jaundice value to go down before breastfeeding the child.

It may be caused by many factors, first of all, it is necessary to carry out ** for pathology, and then through drugs **, blue light**, to closely observe the baby's physical condition, and find a professional and formal medical institution for examination and **.

At this time, you should take the child to the hospital for a detailed examination, which should be based on the doctor's advice**, if it is serious, it should be through medication and hospitalization**, if it is not serious, you can give the child some sugar water, and you can properly let the child bask in the sun.

Parents should give their children some medicine or receive some blue light according to their children's conditions, which is better for their children.

The main causes of pathological jaundice in neonates:

1.Increased cell destruction: neonatal hemolytic disease or red blood cell glucose-6-phosphate dehydrogenase deficiency caused by maternal and fetal blood group incompatibility is common, and the latter is more common in Guangdong, Guangxi, Sichuan and other provinces in China.

Neonatal polycythemia, cranial hematoma, or bleeding from other sites also increase the destruction of red blood cells, causing jaundice.

2.Infection: There are some bacterial and viral infections that can cause jaundice. Infection can occur in utero or after birth. The incidence of jaundice is higher in sepsis and urinary tract infection.

3.Jaundice tends to be deep in people who are asphyxiated at birth, deprived of oxygen, or have delayed meconium excretion after birth.

4.Resolution of jaundice in children with congenital hypothyroidism (cretinism) is often delayed.

5.Breast milk jaundice: about all breastfeeding, it is thought that this type of breast milk contains a substance that inhibits the binding process of bilirubin and promotes the absorption of bilirubin from the intestine.

The jaundice peaked at the end of the second week, and it took 1 to 2 months before it cleared. Although jaundice is deep and persistent, there is no other abnormality in children, such as stopping breast milk for 2 to 3 days, jaundice will be significantly reduced, and after breastfeeding, jaundice may deepen a little but will not reach the original level. Breast milk jaundice does not cause adverse consequences, and breastfeeding should not be terminated after the diagnosis is confirmed.

Features of pathological jaundice in neonatesJaundice appears too early, often within 24 hours.

Severe jaundice, serum bilirubin 205-257umol l.

Jaundice progresses too quickly, and serum bilirubin rises daily to 85umol l.

How long does jaundice last, 2 weeks for full-term infants and 4 weeks for premature infants.

Jaundice fades and returns, or progressively worsens again.

serum conjugated bilirubin" 26umol l.

Pathological jaundice can be diagnosed if one of the above characteristics is met

Hemolytic jaundiceThe most common cause of hemolytic jaundice is ABO hemolysis, which is caused by the incompatibility of the blood group between the mother and the fetus, with the mother's blood group 0 and the fetal blood group A or B being the most common, and the jaundice caused is more severe; Others, such as maternal blood type A, fetal blood type B or AB; It is rare for the mother's blood group B and fetal blood group A or AB to cause mild jaundice. As a result, some parents may be very nervous and worried that their children will develop ABO hemolysis, but it is important to note that not all newborns with ABO system incompatibility will develop hemolysis.

The reported incidence of hemolysis in neonatal ABO blood group incompatibility is as follows: Neonatal hemolytic jaundice is characterized by jaundice that develops within the first 24 hours of life and gradually worsens.

Infectious jaundiceInfectious jaundice is jaundice that occurs due to damage to the function of liver cells, mainly due to viral infections or bacterial infections. Viral infections are mostly intrauterine infections, with Juwu wax cell virus and hepatitis B virus being the most common, while other infections such as rubella virus, Epstein-Barr virus, and toxoplasma are relatively rare. Bacterial infections are most common with sepsis jaundice.

Jaundice is characterized by persistent physiologic jaundice or persistent jaundice after the physiological jaundice has resolved.

Obstructive jaundiceObstructive jaundice is mostly caused by congenital biliary malformations, and congenital biliary atresia is more common, and its jaundice is characterized by jaundice appearing again 1-2 weeks or 3-4 weeks after birth, gradually deepening, and the color of the stool gradually changes to light yellow, or even white clay color.

Breast milk jaundice

This is a specific type of pathological jaundice. In a small number of breastfed neonates, jaundice is more severe than normal physiologic jaundice, and the reasons for this are not well understood. Its jaundice is characterized by:

Jaundice continues to worsen after the peak of physiological jaundice, bilirubin can reach 10-30 mg dl, if breastfeeding continues, jaundice continues at a high level for a period of time before slowly decreasing, such as stopping breastfeeding for 48 hours, bilirubin decreases significantly by 50%, and if breastfeeding is repeated, bilirubin rises again.

Pathological jaundice can be caused by any cause, when severe"Kernicterus", the prognosis is poor, and in addition to causing neurological damage, it can cause death in severe cases. Therefore, the prevention of pathological xanthomorphic erection in newborns should be emphasized, such as preventing infection of toxoplasma gondii and rubella virus during pregnancy, especially in the first trimester; prevent the onset of sepsis after birth; Newborns are vaccinated against hepatitis B at birth, etc. Parents should closely observe the changes of their children's jaundice, and if there are signs of pathological jaundice, they should be sent to the hospital for diagnosis and treatment in time.

Newborns with severe jaundice need to pay attention to feeding, and should be fed in small amounts and many times at a time, so as not to cause indigestion, vomiting, gastrointestinal cramping, and diarrhea. Wear loose clothes and don't cover too many quilts, so as not to sweat and affect his body metabolism. Provide a quiet and comfortable sleeping environment.

At home, pay attention to open windows for ventilation and do not let the room temperature be too high.

In general, many newborns are born with jaundice. It generally appears in the first few days of birth, **yellowing, physiological jaundice of newborns. At this time, parents don't have to worry too much, and it will slowly recover in about 10 days. If the child's yellowing is getting worse and worse, consult a doctor in time.

If we have jaundice, we should first do some high care in terms of diet, and in terms of diet, we should not eat things that are too oily, so as not to affect the departure of jaundice.