Ƙariyar jarirai
Yaran jariran da yawa sun zama jaundiced-samun samfurin launin rawaya zuwa fata da idanu daga manyan bilirubin (hyperbilirubinemia).
Sau da yawa al'ada, yawancin jarirai da jaundice na physiological zasu sami matakan jaundice da zasu koma al'ada ba tare da wani magani ba. Yawancin lokaci suna da bilirubin da yawa saboda rashin hanta ba zai iya sauke shi da sauri ba, wanda zai haifar da matakan tashi a kwana biyu da uku kuma a cikin rana hudu da biyar bayan an haife su.
Abin baƙin ciki, saboda jaundice yakan iya kaiwa gagarumar matsananciyar hatsari, wani lokaci yana haifar da kernicterus da yiwuwar lalacewar ƙwaƙwalwa, yana da muhimmanci cewa jaundice ba'a kula ba.
Jaundice Signs da cututtuka
Babies suna haifar da jaundice, zane-zane mai launin fata da fatar jikinsu, kamar yadda bilirubin ke gina jini da fata.
Alamar gargadi da bayyanar cututtuka cewa jaundice jaririn zai iya samun mummunan mataki na iya hada da:
- vomiting
- barihargy
- ba ciyar da kyau
- zazzabi
- yana da murya mai girma
- duhu da fitsari ko tsabta
Tarihin iyali na jaundice mai mahimmanci ya kamata ya zama alamar gargaɗin cewa jariri zai iya bunkasa matakan jaundice masu girma.
Jaundice Jiyya
Don ƙayyade matakin jaundice na jariri, zazzafan kwayar cutar (TSB), gwajin jini, ko mataki na bilirubin (TcB) mai sassauci za'a iya yi.
Kawai kallon jariri don kimanta matakin jaundice ba'a ba da shawarar saboda yana da kuskure.
Hanya na bilirubin mai sassauci shine wata hanya mai kyau ga gwajin jini lokacin da za'a iya yin shi, domin kawai ya shafi rarraba matakin bilirubin a cikin jikin jaririn ta amfani da na'urar kamar BiliCheck machine.
Bayanan Bilirubin za'a iya yin la'akari a kan takaddama na musamman na sa'a don taimakawa wajen gane idan yaro yana buƙatar magani, wanda ya hada da magungunan ƙwayar magunguna, wanda ake maimaita shi a matsayin mai haske.
Phototherapy yana amfani da ƙananan bakan gizo na haske mai haske don taimakawa dan jariri maida tuba zuwa cikin haruffa wanda za'a iya cire shi cikin fitsari da kuma bile. Baya ga magungunan banki na gargajiya na gargajiyar gargajiya da aka saba yi a asibiti, wasu lokuta ma ana kula da jariri da biliblankets (wani fiberoptic pad) ko kuma a kan Belibed. Ana kuma yin amfani da hoton waya a wasu lokuta don wa] annan jaririn da ba su da wata haɗari ga yaduwar jaundice wanda zai iya kaiwa ga matakan da ya dace.
Wani jiyya ga matakan jaundice masu girma shine musayar musayar musanya, wanda aka cire yawan jini na jaririn kuma an maye gurbin da jini wanda aka bayar.
Jaundice shawarwarin
Don taimakawa wajen hana lokuta masu tsanani na jaundice, AAP yana bada shawarar cewa:
- iyaye masu uwa masu shayarwa a kalla sau 8 zuwa 12 a rana don kwanaki na farko bayan an haife jariri kuma su guje wa kayan aiki tare da ruwa ko ruwan sha
- Yaran jarirai suna kula da su don jaundice a cikin gandun daji a kalla a kowace 8 zuwa 12 hours
- Dole ne a duba matakin jaundice idan jariri ya bayyana jaundant kafin su kai 24 da haihuwa
- da jariran suna dauke da matakan bilirubin a lokacin da aka fitar da su daga gandun daji domin a iya tantance jaririn saboda haɗarin haɓaka jaundice mai tsanani
Yawancin mahimmanci, ya kamata yara su riƙa ganin jarirai a cikin 'yan kwanakin nan da za a cire su daga wurin gandun daji don samun nauyin nauyin su, kashi daga sauyin nauyin haihuwa, da kuma hadarin jaundice. Wannan ziyarar na farko zuwa dan jaririn yana da muhimmanci don kada a rasa matakan kisa da manyan matakan jaundice.
Wannan yana da mahimmanci ga jarirai tare da wasu haɗari masu haɗari don tasowa babban matakin jaundice, ciki har da jariri, da jarirai tare da matsaloli masu cin abinci, mai tsanani ko gishiri, ko bambancin jini daga mahaifiyarsu (ABO ko Rh incompatibilities).
Alternative Remedies ga Jaundice
Dole a kauce wa wasu magunguna don jaundice.
Wani maganin gida na gida don jaundice da ya kamata a kauce masa shine sa a cikin jariri a hasken rana. Bugu da ƙari, haske mai haske wanda aka hade shi a cikin ƙwayar phototherapy, hasken rana yana nuna jaririnka ga haske ultraviolet da haske infrared. Kuma ɗan gajeren lokacin da jaririnka zai iya jurewa wannan hasken rana zai iya yin kome ba ga matakan jaundice.
A cewar AAP, "matsalolin da ke tattare da yaduwar jaririn da ke tsirara zuwa rana a ciki ko waje (da kuma kauce wa kunar rana) ya hana yin amfani da hasken rana a matsayin kayan aikin likita."
Dalilin Jaundice
Bugu da ƙari, jaundice na physiology na jariri, wasu nau'in jaundice sun hada da:
- jaundice nono - jaundice da ke damuwa saboda rashin talauci mai yaduwa ko rashin kulawa da jinya a cikin makon farko na jaririn, wanda ya haifar da rashin jin dadi da hasara mai nauyi.
- jaundice nono - ba kamar nono jaundice nono ba, waɗannan jariri suna kulawa sosai kuma suna da matakan jaundice wanda zai iya tsayawa cikin wata biyu ko uku.
- Abun ciwo na Gilbert - yanayin kwayar da zai iya haifar da matakan jaundice mai saurin da zai zo da yaron yayin da yaro ya yi rashin lafiya, ko da tare da cututtuka marasa lafiya, yin amfani da karfi, ko kuma a ƙarƙashin wasu matsaloli.
- Abun ciki-Nijjar syndrome - yanayin kwayar halitta wanda zai iya haifar da matsalolin rayuwa tare da jaundice saboda rashin cikas ko rashin rashi na enzyme wanda ya rushe bilirubin a cikin hanta
- cututtukan jini - yanayin da ke haifar da jinin jinin raguwa, da sake jan bilirubin, kamar misalin bambancin jini, halayyar spherocytosis, da raunin G6PD, da dai sauransu.
Kuma ba shakka, ƙananan yara da yara za su iya samun jaundice daga wasu mawuyacin hali, ciki har da hepatitis, halayen miyagun ƙwayoyi, da kuma guda ɗaya.
Sources:
Harkokin Kasuwancin Harkokin Ilimin Harkokin Ilimin Harkokin Ilmin {asashen Amirka. Gudanar da Hyperbilirubinemia a cikin jaririn jariri 35 ko karin makonni na Gestation. Ilimin yara na 2004; 114: 1 297-316.
Burke, Bryan L. Trends in Hospitalizations for Neonatal Jaundice da Kernicterus a Amurka, 1988-2005. Fediatrics Fabrairu 2009; 123: 2 524-532.
Newman, Thomas B. Bincike da Jiyya na Jaundice a cikin ɗan gajeren lokaci: A Kinder, Gentler Approach. Ilimin yara na yara 1992; 89: 5 809-818.
Maisels, et al. Hyperbilirubinemia a cikin jaririn jariri ≥35 Gwaje-kwana: An Sabunta Tare da Bayyanawa. PEDIATRICS Volume 124, Lamba 4, Oktoba 2009