Numerous children born this year with jaundice are commonly not easily receding and generally recurring phenomenon, I am talking about jaundice, medically known as neonatal hyperbilirubinemia or neonatal jaundice.
So how can you tell if your child is physiologically jaundiced or pathologically jaundiced?
First, first of all, physiological jaundice
Physiological jaundice is generally good in newborns, jaundice appears 2-3 days after birth in full-term infants, peaks in 4-5 days, and can subside in 5-7 days, no later than two weeks; jaundice in preterm infants mostly appears 3-5 days after birth, peaks in 5-7 days, and subside in 7-9 days, and can be delayed up to 3-4 weeks, while the daily bilirubin level in the blood of newborns does not rise very rapidly, with total bilirubin levels higher than Parents must pay more attention to their children’s jaundice during this period, and once they feel that their child’s jaundice is developing very rapidly or is not fading for a long time, they should see a doctor promptly.
Second, pathological jaundice has the following characteristics
With any of the following, it may be pathological jaundice.
1, jaundice appears too early, within 24 hours after birth.
2, jaundice subsides too late, lasts too long, exceeds the normal time of remission, or jaundice has subsided and reappears, or jaundice gradually recedes after the peak time and then progressively worsens.
3.The degree of jaundice is too severe, often spreading throughout the body, and the skin mucous membrane is obviously yellow.
4.The bilirubin exceeds 12mg/dl when the serum bilirubin is checked, or rises too rapidly, more than 5mg/dl per day.
5.In addition to jaundice, it is accompanied by abnormalities such as poor spirit, less crying, less movement, less eating or no rise in body temperature.
The main danger of severe pathological jaundice is that it can be complicated by bilirubin encephalopathy, often called “nuclear jaundice”, which causes neurological damage and leads to serious sequelae such as mental retardation in children, and even death.
Treatment of jaundice in babies is recommended.
1, early breastfeeding: mothers do the three early that early contact, early sucking, early breastfeeding, within 30 minutes of birth, breastfeeding can make the newborn get colostrum, thus reducing the physiological jaundice of newborns. Daily feeding, pay attention to the milk on demand, in the stage of neonatal physiological jaundice, to ensure that the newborn energy intake early and sufficiently, can make the meconium excreted earlier, but also to establish the normal intestinal flora, thereby reducing the absorption of bilirubin from the intestine, which is conducive to neonatal jaundice subsided.
2, more observation, diligent measurement: to observe whether the newborn skin jaundice and the degree of jaundice in natural light, if only the face yellow stain, for mild jaundice, can continue to observe at home; if found trunk skin yellow stain, for moderate jaundice; if the limbs and hands and feet heart also appear yellow stain, for severe jaundice. This is the time to see a doctor.
3, the easiest way to determine the level of bilirubin is to take a rough measurement with a transcutaneous lateral bile instrument (the instrument can touch the skin). If it is very high, you need to promptly draw blood for laboratory tests
4, physiological jaundice suggest that parents feed their babies some probiotics, glucose water, which is conducive to the regulation of intestinal function, bilirubin excretion from the stool.
5, observation of urine and stool: more observation of the color of urine and stool, if the stool becomes white clay color, or found that the diaper is dyed by urine into a particularly yellow color, to seize the time to go to the hospital.
6, the application of drugs: intestinal probiotic preparations, with the help of these drugs, you can establish normal intestinal flora as early as possible so that the fetal stool is expelled as soon as possible. Because the fetal stool contains a lot of bilirubin, if the fetal stool is not excreted, bilirubin will be reabsorbed into the blood through the special liver and intestinal circulation of the newborn, making jaundice higher.
The Chinese medicine Yin Gardenia Huang granules, has the role of clearing heat and detoxifying, and relieving dampness and reducing yellow.
7, jaundice extended without panic: for various reasons, many children with physiological jaundice can be extended to a month, it is necessary to go to the hospital for examination. It should be noted that jaundice appears from the face, gradually spread from top to bottom to the whole body, while fading, but the reverse order of fading, that is, the child’s facial yellow last to fade, so many parents only pay attention to the child’s exposed face does not fade, the heart is very nervous. In fact, as long as the body is basically faded, the problem is not big, some children’s face will take more than a month to fade away. But if the child’s whole body is still yellow after a month, you must go to the hospital to see a doctor.