What should I do if the newborn's jaundice level is particularly high the day before starting blue light treatment?

Patient's question:

Newborn jaundice started taking Yinzhihuang on the 10th day and controlled it to 9.6. On the 25th day, blue light treatment began. The jaundice has subsided, but there was a whole day of continuous yellowing with a value of around 19. Will this day lead to kernicterus??

Doctor's answer:

Neonatal jaundice refers to the condition during the neonatal period where abnormal bilirubin metabolism leads to elevated levels of bilirubin in the blood, resulting in the yellowing of the skin, mucous membranes, and sclera. It is the most common clinical issue in newborns. This condition can be categorized into two major types: physiological and pathological. Based on the current situation, it may be related to viral jaundice. Pathological jaundice requires blue light therapy to reduce jaundice and prevent kernicterus.

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