Patient's question:
The child is energetic at night, sleeps a lot during the day, has a big appetite, and has relatively good deep sleep. There is frequent urination and defecation, and the weight has slightly increased. Jaundice appeared 3 days after birth and did not subside by the 13th day. There is a suspicion of pathological jaundice symptoms. After taking Yinzhihuang oral liquid for 2 days, the stool became watery, and he/she ate...Doctor's answer:
Jaundice is a process that every child must go through. Pathological jaundice also does not require excessive worry. Follow the doctor's advice, give the child medicine and care on time. It will be better soon.Neonatal jaundice (pathological)
1) Infection-related:
① Neonatal hepatitis: Most cases are caused by viruses transmitted to the fetus through the placenta or during childbirth, with cytomegalovirus and hepatitis B virus being common.
② Neonatal sepsis, urinary tract infection: Due to bacterial toxins slowing red blood cell destruction and damaging liver cells.
2) Non-infection-related:
① Neonatal hemolysis;
② Biliary atresia;
③ Breast milk jaundice;
④ Delayed passage of meconium;
⑤ Hereditary diseases such as a deficiency of glucose-6-phosphate dehydrogenase (G6PD) in red blood cells;
③ Drug-induced jaundice, such as vitamin K;
① Other conditions such as hypoglycemia, acidosis, aspiration, skin breakdown, and dehydration can also cause jaundice.
Symptoms:
① Jaundice reappears within 24 hours;
② Severe jaundice with rapid expansion, serum bilirubin > 205 μmol/L (12 mg/dL) or daily increase > 85 μmol/L (5 mg/dL).
③ Prolonged jaundice (full-term infants > 2 weeks, preterm infants > 4 weeks) or recurrence with progressive worsening;
④ Serum conjugated bilirubin > 26 μmol/L (15 mg/dL).
1) Identify the cause and take corresponding treatment.
2) Reduce serum bilirubin, phototherapy; early feeding and maintaining bowel regularity.
3) Protect the liver, suppress infection, and avoid using drugs that are harmful to the liver or may cause hemolysis and jaundice.
4) Administer appropriate plasma and albumin to prevent recurrence of bilirubin encephalopathy.