Tom qab yug los, tus menyuam lub cev tau ntsib kev ntxhov siab, thiab tag nrho nws cov nruab nrog tau sim yoog raws li cov xwm txheej tshiab. Qhov tshwm sim ntawm jaundice hauv cov menyuam mos thaum lub sijhawm no qhia tias muaj kev puas tsuaj ntawm cov menyuam mos-hemoglobin, uas txawv ntawm kev sib xyaw los ntawm hemoglobin ntawm cov menyuam yug tshiab.
Vim li cas qhov no tshwm sim
Kev puas tsuaj rau tus me nyuam hemoglobin yog nrog los ntawm kev nce qib hauv bilirubin hauv cov ntshav, uas ua rau tus menyuam lub cev muaj txiv ntseej. Tus txheej txheem no hu ua physiological jaundice, tshwm sim rau 3-4 hnub ntawm lub neej thiab ploj mus nws tus kheej los ntawm 3 lub lim tiam. Hom qau muag no tsis ua mob rau tus menyuam, tab sis yog tias tus mob no pheej nyob ntev dua, nws muaj lub laj thawj mus ntsib kws kho mob.
Hauv lwm qhov xwm txheej, qhov ua rau kom muaj bilirubin ntau ntxiv hauv cov ntshav yuav yog kab mob pathological, uas ua rau muaj qhov tsis txaus ntseeg los ntawm sab nraud: muaj menyuam hauv plab, niam mob thaum coj menyuam. Ib qho ntawm cov kev mob tseem ceeb ntawm pathological jaundice tuaj yeem yog niam ntshav qab zib mellitus. Lwm cov xwm txheej, nws muaj peev xwm tshwm sim tom qab kev mob plab intrauterine fetal hypoxia lossis ua tsis taus pa thaum yug menyuam.
Cov xwm txheej no tuaj yeem ua kev puas tsuaj rau tus menyuam lub siab, kev loj hlob ntawm cov tshuaj hormonal tsis zoo rau yav tom ntej, thiab tseem tuaj yeem ua rau tsis muaj kabmob tsis muaj kabmob. Muaj peev xwm muaj qee qhov laj thawj rau kev txhawb siab bilirubin hauv cov menyuam mos cov ntshav; tsuas yog tus kws kho mob menyuam yaus muaj peev xwm kuaj pom qhov tseeb tom qab kuaj ntshav mus kuaj ntawm bilirubin thiab nws cov feem. Tsis tas li, ntau yam kev kuaj mob ntawm tus menyuam tau raug sau tseg. Tsuas yog tom qab lawv tau coj mus kuaj, tus kws kho mob tuaj yeem kuaj thiab tso tshuaj kho.
Dab tsi yog qhov txaus ntshai ntawm qhov nce bilirubin
Lub ntsej muag daj thiab ntev bilirubin yog qhov txaus ntshai rau lawv cov kev mob lom rau ntawm cov chaw tseem ceeb ntawm tus menyuam, suav nrog nws lub hlwb. Nrog rau qhov nce siab hauv qib bilirubin, bilirubin encephalopathy tuaj yeem tshwm sim rau hnub thib ob tom qab yug los. Sab hauv, qhov no tshwm los ntawm kev tsaug zog tas li, qhov txo qis lossis qhaj ntawm nqus cov ntshav ntawm tus menyuam, qee zaum cov ntshav siab tuaj yeem txo qis, thiab qhov mob tshwm sim. Thaum palpating tus menyuam lub plab, tus kws kho mob muaj peev xwm txiav txim siab qhov nce ntxiv ntawm tus po thiab daim siab.
Yog hais tias tus mob no tsis tau kho, los ntawm rau lub hlis tus menyuam yuav pib poob qis hauv kev loj hlob ntawm lub hlwb thiab lub cev, nws txoj kev hnov lus thiab lub zeem muag tsis muaj zog, thiab kev tuag tes tuag taw thiab paresis yuav tshwm sim yav tom ntej. Yog li, nws yog ib qho tseem ceeb kom pib kho raws sij hawm, thiab yav tom ntej koj yuav tsum tau saib xyuas los ntawm tus kws kho mob hlwb.
Yuav ua li cas kho kom bilirubin hauv cov menyuam mos tau kho?
Nrog kev pib kho mob kom ncav sijhawm, koj tuaj yeem siv cov qauv yooj yim thiab ua tau zoo tshaj plaws - kws kho duab, tsis yog hu ua phototherapy Nyob rau hauv kev cuam tshuam ntawm lub teeb tshwj xeeb, tshuaj lom rau indirect bilirubin sai sai rhuav tshem thiab tawm ntawm lub cev hauv cov quav thiab tso zis. Tus me nyuam raug tso liab qab hauv qab UV teeb, tsuas yog cov caj ces thiaj li tau kaw. Ib daim ntaub qhwv tshwj xeeb muab tso rau ntawm lub qhov muag, lub sijhawm ua haujlwm ntawm irradiation yog tshuaj los ntawm kws kho mob. Tom qab cov txheej txheem, tev ntawm daim tawv nqaij thiab cov tsos ntawm xoob, tso quav ntau tau muaj.
Txhawm rau pab kom tus menyuam rov zoo tom qab mob caj dab, koj yuav tsum siv nws rau lub mis ntau dua, koj yuav tsum tshwj xeeb tsa tus menyuam sawv thaum txog sijhawm pub mis. Kev noj niam mis pab txhawb kev tshem tawm cov bilirubin tawm hauv lub cev thiab pab ntxuav cov kab mob thiab cov raum.
