High jaundice in newborns is a common condition, but it is also very harmful to them. The causes of high jaundice include hemolysis, severe infection, or neonatal hepatitis, and metabolic diseases, which are all detrimental to their growth and healthy development. Therefore, we need to judge through certain symptoms, such as whether the child has yellow palms and soles, and observe the color of the stool. 1. What are the hazards of high neonatal jaundice? The jaundice caused by excessive bilirubin production, immature liver function and enterohepatic circulation in newborns leads to increased bilirubin concentration, which is clinically called physiological jaundice. Physiological jaundice of full-term infants appears on the 2nd to 3rd day. At this time, the skin is light yellow, the sclera (white of the eye) is mainly blue with a slight yellow tint, the urine is slightly yellow, and the general condition is good. It reaches its peak on the 4th to 5th day and disappears in the 1st to 2nd week. Liver function examination shows normal and serum unconjugated bilirubin increases. Physiological jaundice in premature infants will appear earlier, be higher, and last longer, but it usually disappears within four weeks after birth. 2. Causes of pathological jaundice It is caused by hemolysis, severe infection, neonatal hepatitis, biliary atresia and metabolic diseases. Regardless of the cause, jaundice can cause "kernicterus" in severe cases, which has a poor prognosis. In addition to causing damage to the nervous system, severe cases can even cause death. Analyzing the causes of pathological jaundice, conducting relevant examinations and clinical observations on neonatal jaundice as early as possible, strengthening neonatal bilirubin monitoring, early detection of the causes, and conducting causal treatment can effectively reduce the damage of bilirubin encephalopathy to the central nervous system and is the key to reducing the mortality and disability rates of neonatal bilirubin encephalopathy. 3. How to care for babies with jaundice 1. Determine the degree of jaundice. Parents can observe the degree of yellowing of the newborn's skin under natural light. If only the face is yellow, it is mild jaundice; if the skin on the trunk is yellow, it is moderate jaundice; if the limbs and the palms and soles of the feet are also yellow, it is severe jaundice. 2. Observe the color of stool. If the stool is clay-colored, pathological jaundice should be considered, which is mostly caused by congenital bile duct malformations. If the jaundice is severe, associated symptoms occur, or the stool color is abnormal, you should go to the hospital immediately to avoid delaying treatment. 3. Expel meconium as soon as possible. Because meconium contains a lot of bilirubin, if the meconium is not completely discharged, the bilirubin will be reabsorbed into the blood through the special enterohepatic circulation of the newborn, causing jaundice to increase. 4. Give the newborn plenty of water. Too little urination is not conducive to the excretion of bilirubin. |
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