How to judge whether the newborn has high jaundice

There are many patients with neonatal jaundice in our lives. In fact, most neonatal jaundice is physiological and does not require treatment. It can disappear on its own as long as it is exposed to the sun frequently. Only patients with severe jaundice need treatment. In addition, breastfeeding should be stopped as much as possible during neonatal jaundice. During treatment, light should be avoided from shining into the child's eyes. So how to judge whether the neonatal jaundice is high?

What to do if a newborn baby has jaundice?

1. How to care for neonatal jaundice? You should first confirm the type of jaundice. Physiological jaundice generally does not require treatment and will subside naturally. If it is found to be pathological jaundice, the doctor must examine and identify the cause and then treat it appropriately. If the baby has severe jaundice 2 to 7 days after birth, it is easy to cause "kernicterus" and cause neurological sequelae, which requires early intervention and treatment.

2. Pathological jaundice is generally treated with blue light irradiation. During phototherapy, the baby's eyes and perineum should be shielded. At the same time, the doctor will prescribe medicine to reduce jaundice. Generally speaking, the stomach of a newborn is very sensitive to medicine, so vomiting may occur. Mothers should not panic and deal with it in time.

3. If the jaundice has not completely subsided after the baby is discharged from the hospital, you can expose the baby's skin to direct sunlight, and pay attention to shielding the eyes from partial light, which will help the jaundice subside. If it is breast milk jaundice, you can stop breastfeeding for 3 days and switch to artificial feeding, which will help the jaundice subside.

Western medicine treatment of neonatal jaundice

1. Phototherapy: The newborn lies naked in a phototherapy box, with both eyes and testicles covered with black cloth, and is irradiated with single or double light for 24-48 hours. The treatment can be stopped when the bilirubin drops below 7 mg/L.

2. Enzyme inducers: Phenobarbital is commonly used, dosage: 5-6 mg/kg/day. It can heal itself. Feeding more sugar water can accelerate the disappearance of jaundice, and no treatment is needed. However, if the jaundice is more serious, phototherapy should be given and further examination should be carried out to prevent mixed pathological jaundice.

3. Exchange blood transfusion: Exchange blood transfusion is the fastest way to treat high cholesterol. It is mainly used for severe hemolytic disease caused by maternal and fetal blood type incompatibility. It can timely replace antibodies and sensitized red blood cells, reduce hemolysis, reduce serum bilirubin concentration, prevent bilirubin encephalopathy, correct anemia, and prevent heart failure.

Traditional Chinese Medicine Treatment of Neonatal Jaundice

1. Damp-heat fumigation syndrome

【Symptoms】The face and skin are yellow, bright in color, like orange, irritable and crying, yellow and red urine, constipation or gray stool. The tongue is red, with thick and greasy yellow fur, and fingerprints are stagnant.

【Therapeutic Method】 Clear away heat and dampness, promote bile secretion and reduce jaundice.

[Prescription] Yinchenhao Decoction. Main ingredients: Yinchen, Gardenia, Rhubarb. Often add Centella asiatica, Curcuma, Alisma orientalis, Plantago seed to enhance the effect of removing dampness and jaundice. For patients with vomiting, add Pinellia ternata and Rhizoma Anemarrhenae to relieve nausea and stop vomiting; for patients with abdominal distension, add Magnolia officinalis and Citrus aurantium to regulate qi and remove stagnation; for patients with severe heat, add Scutellaria baicalensis, Coptis chinensis, Polygonum cuspidatum to clear heat and remove dampness.

2. Cold-dampness stagnation syndrome

【Symptoms】The face and skin are yellow and dull, the child is mentally lethargic, does not want to suckle, cries all the time, has bloated abdomen and loose stools, or has grayish-white stools and yellow urine. The lips and tongue are pale, the tongue coating is white and slippery, and the fingerprints are pale.

【Therapeutic Method】Replenishing Qi and strengthening the spleen, warming the middle and eliminating dampness.

【Prescription】Yinchen Lizhong Decoction with modifications. Main drugs: Yinchen, Codonopsis, Atractylodes, Poria, Dry ginger, Licorice. For those with cold limbs, add processed Aconite to boost yang and dispel cold; for those with abdominal distension, add Aucklandia and Cibotium bark to promote qi and dissipate distension; for those with loose stools and sluggish appetite, add Poria and Amomum villosum to dissipate dampness and soothe the stomach.

3. Yellowing due to blood stasis

【Symptoms】The face and skin are yellow and dull in color, the abdomen is bloated and the veins are exposed, the liver and spleen are enlarged and hard, the urine is short and yellow, the stool is constipated or grayish white, the lips are dark red, or there is bleeding. There are petechiae on the tongue and the fingerprints are purple.

【Therapeutic Method】Activate blood circulation and remove blood stasis, promote bile secretion and reduce jaundice.

[Prescription] Xuefu Zhuyu Decoction combined with Yinchenhao Decoction. Main ingredients: Radix Rehmanniae, Angelicae Sinensis, Achyranthes Bidentatae, Safflower, Semen Persicae, Radix Bupleuri, Fructus Aurantii Immaturus, Paeoniae Rubra, Rhizoma Chuanxiong, Platycodon Grandiflorum, Artemisia Capillaris, Gardenia Jasminoides, Rhubarb.