Is hemolytic jaundice easy to treat?

Is hemolytic jaundice easy to treat?

For newborn babies, jaundice is very common, but jaundice is divided into many types. One type is called hemolytic jaundice, which is difficult to treat because it not only causes yellow ringworm on the child's skin, but also easily causes anemia in the child and may even cause some other complications. So is hemolytic jaundice easy to treat?

It is mainly due to the intrinsic defects of the red blood cells themselves or the damage of the 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 the plasma, which exceeds the processing capacity of liver cells, and jaundice occurs. Suggestions: In this case, it is generally better to go to the hospital for further review. In addition, in this case, you should also pay attention to increasing nutrition and exercising appropriately.

Physiological jaundice appears 2 to 3 days after birth, reaches its peak on the 4th to 6th day, and disappears on the 7th to 10th day. It lasts longer in premature infants and, except for mild loss of appetite, has no other clinical symptoms. If jaundice appears within 24 hours after birth, does not subside within 2 to 3 weeks, or even continues to deepen and worsen, or reappears after subsiding, or jaundice begins to appear within one to several weeks after birth, it is pathological jaundice. Treatment of neonatal jaundice: 1. Blue light irradiation 2. Use of enzyme inducers: commonly used phenobarbital, dosage: 5-6mg/kg/day Light treatment can heal itself. Feeding more sugar water can speed up the disappearance of jaundice, no treatment is needed 3. Traditional Chinese medicine clears away heat and dampness, regulates qi and activates blood circulation, strengthens the spleen and eliminates dampness, and promotes bile secretion and reduces jaundice.

Neonatal jaundice should be considered as pathological jaundice if any of the following conditions are present: ① Jaundice occurs too early: full-term infants develop jaundice within 24 hours after birth, and premature infants develop jaundice within 48 hours; ② Severe jaundice: serum bilirubin exceeds the average value of normal infants of the same age, or increases by more than 85.5 μmol/L (5 mg/dl) per day; ③ Jaundice lasts too long (more than 2 weeks for full-term infants and more than 3 weeks for premature infants), or jaundice reappears after it subsides; ④ Jaundice is accompanied by other clinical symptoms, or serum conjugated bilirubin is greater than 25.7 μmol/L (1.5 mg/dl).

In order to prevent hyperbilirubinemia in newborns, pregnant mothers should be cautious in taking medications before delivery, and try not to use medications that can be avoided; close monitoring should be carried out during delivery to prevent fetal asphyxia and birth injuries; after birth, attention should be paid to maintaining the newborn's body temperature and feeding should be provided early. If neonatal hyperbilirubinemia has occurred, in addition to etiological treatment, phototherapy, plasma or albumin treatment can be used.

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