Treatment of hemolytic jaundice

Hemolytic jaundice is a disease with a relatively high incidence rate. This disease has a serious impact on many children. Therefore, for many parents, when their children develop this disease, in order not to affect their children's health, they must understand the treatment method as soon as possible. The following content gives a detailed introduction so that you can have a comprehensive understanding.

Hemolytic jaundice is mainly caused by intrinsic defects in red blood cells themselves or damage to red blood cells by exogenous factors, which causes a large number of red blood cells to be destroyed and release a large amount of hemoglobin, resulting in an increase in the content of non-fat bilirubin in plasma. When it exceeds the processing capacity of liver cells, jaundice occurs.

Disease treatment

1. Phototherapy: Exposure of children to light with a wavelength of 440nm can reduce serum bilirubin and prevent the occurrence of kernicterus. If kernicterus has already occurred, it can speed up recovery. After exposure to this light, bilirubin is photooxidized into a colorless substance and excreted from the body through urine and bile. This treatment is simple and easy and has certain efficacy. A simple method is to use 7 40W blue fluorescent tubes as the light source. Place the child in an incubator, remove the child's clothes and diapers, and cover the child's eyes with a black eye patch (gauze wrapped in black paper). Place the light source 33 to 35 cm from the body surface and change the body position once an hour to increase the illuminated area. The lighting time is mostly 24 to 48 hours, and can reach up to 96 hours. During the treatment, attention should be paid to fluid replenishment (to prevent dehydration) and liver protection treatment. With this treatment, skin jaundice disappears and serum bilirubin decreases quickly.

2. Blood transfusion: If serum indirect bilirubin exceeds 20 mg/dl (342 μmol/L), exchange blood transfusion is required. Blood donors must first undergo a screening test for G6PD deficiency. Only those without G6PD deficiency can donate blood to avoid worsening of jaundice and jaundice after transfusion. Avoid blood donation from relatives. Patients with mild jaundice do not need blood transfusion.

If hemolytic jaundice is not treated in time, it will cause serious harm to the child's body. Therefore, for many parents, after learning about the treatment methods, they must take their children to a large hospital as soon as possible. After a comprehensive examination and finding out the cause of the disease, they must give the child the correct treatment as soon as possible to help the child recover as soon as possible.