How to check if your baby has yellow eyes

In fact, in daily life, many people who have just become parents seem to be in a hurry to take care of their children, which may cause problems for their babies, such as yellow eyes. So let us learn how to check for yellow eyes in babies.

Inspection method:

1. Urine examination mainly detects urobilinogen and bilirubin in urine. In hemolytic jaundice, urobilinogen increases significantly while urobilirubin is negative; in hepatocellular jaundice, urobilinogen increases, is normal, or decreases (depending on the presence or absence of intrahepatic cholestasis), while urobilirubin is positive; in obstructive jaundice, urobilinogen generally decreases or is even absent (depending on the degree of obstruction), while urobilirubin increases significantly.

2. Blood test: In hemolytic jaundice, both hemoglobin and red blood cells are reduced, reticulocytes and metablasts in peripheral blood are increased, and the red blood cell system in the bone marrow shows significant hyperplasia. In thalassemia, red blood cell fragility is often reduced; in hereditary spherocytosis, red blood cell fragility is increased; in autoimmune hemolytic anemia or neonatal hemolytic anemia, the anti-human globulin test (Coombs Test) is positive.

3. Liver function tests

(1) Serum bilirubin determination: 1-minute bilirubin (1'B) is equivalent to conjugated bilirubin (the bilirubin content measured 1 minute after the serum and reagent are mixed), which generally accounts for 20% of the total bilirubin (TB). In hemolytic jaundice, the ratio of l'B/TB is generally less than 20%; in hepatocellular jaundice, the ratio of l'B/TB is often between 20% and 60%; in obstructive jaundice, the ratio is often greater than 60%. The experimental identification of bilirubin metabolism of the three types of jaundice is shown in Table 1.

(2) Serum protein determination and protein electrophoresis: In the middle and late stages of hepatocellular jaundice, serum total protein and albumin decrease, globulin increases, and the albumin/globulin ratio decreases or even inverts (the normal ratio is 2:1). In rare cases, such as when globulin is significantly elevated, total protein may be normal or above normal. Protein electrophoresis showed that in patients with acute icteric hepatitis, beta and gamma globulins were slightly elevated; in cirrhosis, beta and gamma globulins were significantly elevated; in the middle and late stages of obstructive jaundice, alpha 2 and beta globulins were elevated; in primary biliary cirrhosis, alpha 2, beta and gamma globulins were elevated.

The above article gives you a detailed introduction to the examination methods for yellow eyes in babies. I believe that everyone has a relatively preliminary understanding, so in daily life, you still need to do a detailed examination to find out the most correct cause and prescribe the right medicine.