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Neonatal Jaundice

Neonatal Jaundice

Neonatal Jaundice
Neonatal Jaundice are also called jaundice yellowing.

It is a common condition, especially in children born before 38 weeks (preterm infants), and is caused by the high bile (bilirubin) in the blood, a substance that appears when old red blood cells break down to be replaced by new red blood cells, so that bile filters into the liver and exits through the stool.

• The accumulation of bile (bilirubin) in the blood, resulting in yellowing of the skin and eyes in newborns.
• It occurs because the liver is incomplete and mature, and therefore cannot get rid of bile.
• Unsatisfactory jaundice in infants often disappears within two weeks without any treatment that needs to be followed up.
• When treatment is neglected in advanced cases, your child may develop brain problems.
• Taking care to breastfeed (8 to 12 times a day) in the first days of life is one of the most important prevention methods.
Introduction: It is a common condition, especially in children born before 38 weeks (preterm infants), and is caused by the high bile (bilirubin) in the blood, a substance that appears when old red blood cells break down to be replaced by new red blood cells, so that bile filters into the liver and comes out through Stool.

Causes: Natural yellowing: While the baby is in the womb the placenta disposes of yellow matter from his body, and after birth the role of the liver begins to do the job, and needs some time to complete its growth and do so very efficiently, so it cannot get rid of yellowing matter before it is complete, resulting in natural yellowing In most babies between the ages of two and four days, the proportion of yellow matter in the body does not exceed 200 micromol/L, and often disappears within two weeks.
What are the causes Neonatal Jaundice?
• Break down blood cells (e.g., mismatch of mother and child blood types, bean anemia).
• Infection: Prenatal (e.g. cat disease, rubella, syphilis), after birth.
• Carpenter Syndrome.
Long-term yellowing: which lasts for more than two weeks, more than 21 days in preterm infants, and its causes:
• Infection (such as urinary tract infection).
• Digestive problems (e.g. problems with the bile duct, neonatal hepatitis).
The first sign of jaundice is yellowing of the baby’s skin and eyes from the second day after birth.
When should you see a doctor? The baby will be examined within 72 hours of birth to check for jaundice, and you should see a doctor if there is a development in the symptoms in the child after this time such as:
• Increase the yolk of the skin.
• Difficulty waking up the child.
• Do not gain weight.
• the tone of the child’s cry rose.
• Decrease duping or rejection of lactation.
• Jaundice lasted more than two weeks.
Diagnostic:
• Clinical examination.
• Laboratory tests: Yellow matter test and additional analysis if necessary.
Neonatal Jaundice  Risk factors:
• A family member is yellowed.
• Family history of hematology.
• child malnutrition in the early days of his life.
• Premature birth (premature babies).
• Low birth weight of the baby.
• The child has bruises during childbirth.
• The difference in the blood type between mother and child.
• The mother has diabetes.
Complications: When the jaundice lasts more than three weeks, it exposes the child to:
• Deafness.
• Cerebral palsy and other forms of brain damage.
Treatment: Jaundice often disappears in infants within two weeks without any treatment that needs to be followed up, treatment is usually recommended only if tests show that the child has very high levels of bile in the blood (more than 200 micromol/l), and there are two main treatments that can be performed in the hospital:
• Light therapy that helps break down bile in the skin.
• In severe cases, treatment is by changing blood.
You can now get a full program on the pregnancy at Ram clinics.

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