The blood that is present in our body, it breaks the blood and creates new blood. Bilirubin is released from here. Its color is yellow. When it grows up, jaundice occurs. When this is the newborn, we call it a newborn’s jaundice.
Many babies have jaundice after birth. This jaundice is due to high bilirubin levels in the newborn’s blood. Junkies can be seen in the first week of 60% of the full-term pregnancy (term) and 80 percent of the pre-term, ie premature babies. But most of them are innocent jaundice, which is called physiological jaundice.
Why is the newborn jaundice?
Every person has bilirubin in the blood and it is removed or removed from the body through the liver. When the child is born, the bilirubin leaves the body through the placenta attached to the mother’s body. The mother’s lever does not have to work to break the bilirubin of the pregnant baby.
But after birth, it is the child’s liver. But at this time the liver takes time to be fully operational. During this time, many babies who have been exposed to red blood cells, that bilirubin can be produced, cannot be carried out outside the body due to liver processing. Because of this excess bilirubin, the color of the blood becomes yellow. Generally, this problem may occur from the third day after birth, which is called physiologic jaundice and it decreases in two weeks. However, in the case of premature, it can be more than 5-7 days after birth and may take up to two months to complete.
Junk’s yellowish appearance is usually seen in the face of the baby, then the throat and chest, and it can extend to the legs if it is complex.
However, in some cases, jaundice may occur due to any physical condition of the child. These are:
Pre-matriculation baby: Birth can be jaundice if it is born prematurely. If the level is higher (more than 14 mg / Deciliter), then the phototherapy should be done and if the jaundice level is low (under 14 mg/deciliter) it becomes good in sunlight.
Misty-blood of blood group: The blood group of the mother and the baby is different. In particular, if the mother’s blood is negative in RH and the baby is positive, this jaundice is growing very rapidly. Because the antibodies of the mother’s body break the blood cells of the baby. It can also appear in A, B, and Group. It may happen if the mother and the group and the child are at A or B.
Hemolytic anemia: In this case, the neonatal body has anemia. His liver and spleen grow up and the eyes become yellowish. If you do not take treatment at the right time, newborns may be liver félios or liver cirrhosis. In this case, the child may die.
Because of infection: If the infection of the newborn is spreading, it is called septicemia. This is also jaundice. If there is a disease like infections such as hepatitis or cystic fibrosis, the liver may not function properly as jaundice may occur.
Haipo Thiradism: In this case, jaundice occurs when the baby is breast milk.
G-6-P-D Dysfunction: An enzyme regulates the function of red blood cells. Newborn’s jaundice may also occur due to its insufficiency.
Because of breast milk: Jaundice may occur if the child does not have enough breastmilk at the right time or if there is not enough formula for those children who are given formula. It is also sometimes called breastfeeding jaundice. It can also be due to the lack of proper milk for the baby, and due to the lack of proper milk in the mother’s chest.
Breast milk jaundice: Excessive breastfeeding can only result in jaundice from the fourth day after the birth of a newborn baby completely healthy as a result of breast milk feeding. This is called breast milk jaundice. Every one hundred people may have a newborn baby’s breast milk jaundice. In this type of jaundice, after the fourth day to the seventh day after birth, Bilirubin increased in the blood and then started to decrease. It may go from jaundice to shorter doses for one to two months. But it does not cause any harm to the body.
There may also be several other reasons such as when a child in the same family has jaundice, or when a child is born during delivery (bilirubin levels increase when the injury is due).
Then the phototherapy should be done and if the jaundice level is low (under 14 mg/deciliter) it becomes good in sunlight.
If jaundice breastfeeding can be fed?
In any case, a newborn baby cannot be prevented from breastfeeding. The baby should be breastfed regularly after two to three hours. The primary treatment of physiologic or normal jaundice is to breastfeed the baby properly.
How to understand the child’s jaundice:
The usual jaundice of the newborn can be seen in the body after three to four days, the body becomes yellow. The first look will be yellow, then the hands, the yellow on the legs, the chest and the stomach will be yellow. Lastly, the bottom of the foot and the palm of the hand will be yellow. Also-
- The white part of the eyes of the jaundiced child may become yellow.
- Wicker color fascia.
- Feeling fever can be fever or be feeling feverish.
- The child does not drink milk properly.
- Sleep does not wake up or do not want to sleep at all.
- The stomach swells.
- Reduce the movement.
- The body may have a severe fever. The body may become too cold again.
- There may be seizures in some cases.
Notice whether the palm of the baby’s hand has become yellow for understanding jaundice. Usually, the face of the child’s face, hands, and chest or abdomen and the white part of the eye is yellow. It is well understood in light of normal day or fluorescent light. Put a light on the baby’s forehead, nose or chest finger. See if there is a yellow tint in the baby’s skin after lifting fingers. If the child is Shyamalan or jackal, it can be difficult to understand the yellowing of the skin. In that case, examine the white gums and white parts of the eye.
When the fear is the reason:
If the child’s jaundice levels increase then it is very harmful. It is but permanent damage. Maybe now nothing can be understood, but it can be seen later that the child’s intelligence is low, or the hearing less – this type of incident is happening. The following topics are dangerous in the case of newborn jaundice-
- Appears in the first 24 hours of the earthquake.
- Bilirubin levels exceed 15mg / ds.
- Not exactly after 2 weeks of age.
- If the level of Bilirubin is rising at 0.5 mg/ ds/hourly then it is dangerous.
Normal jaundice usually clears within seven days. If jaundice occurs within 24 hours of birth and does not last even after 7 or 10 days if the child is stopped or reduced if there are symptoms of fever or infection if you have acute crying and bilirubin levels are rising, then you should consult the specialist doctor quickly. Remember, excessive bilirubin can cause damage to the baby’s brain. There may be a cerebral pulse, ear loss, Karnicitors etc. However, they are seen in very little children.
Determination of newborn jaundice
Shortly after the birth of a newborn baby, a child’s jaundice was tested in a hospital. After 3-5 days of birth, again the jaundice test should be done. Because at this time the level of Bilirubin in the baby is highest. Generally enough to test blood bilirubin. But if any abnormality is suspected it is necessary to examine more. Baby and mummy’s blood group, reticulocyte count, direct cubes test, torch screenings are tested to determine the cause of jaundice.
Most of the jaundiced newborns do not need any treatment. If the child has gentle jaundice, then the doctor may tell you to breastfeed more so that he has high urine and stool. The baby’s body was out of Bilirubin. Junkies are usually done by the formula-fed children in two weeks. However, breastfeeding may take 2-3 weeks to feed. If the child’s jaundice is more than 3 weeks then the doctor will have to tell.
If the child’s jaundice increases, then the following treatment can be given:
Phototherapy or lighting treatment and sunlight treatment
Generally, babies get phototherapy and light treatment when the level of Bilirubin increases. Most babies get better if they get phototherapy from one to two days. Although there are differences in the benefits and efficacy, this process is still being used till now.
In this method, the baby is placed under a special type of light which transforms the body’s body bilirubin into a form so that it can go through the urine of the baby. In a kind of purple light, the child should be kept for some time in light hot weather. The child is usually covered in the eyes. Many times such fiber optic blankets with lights are used which are known as Billy Lights or Billy Blanket. These are safe for the child.
In addition, doctors advised keeping the newborn in the sunlight for half an hour every morning. However, it must be ensured that it is early morning and mild sunny. The sun’s dark sunshine and ultraviolet rays can damage the skin of the baby.
If there is a lot of bilirubin in the baby after phototherapy, then a special type of blood transfusion may be needed, which is known as Exchange Transfusion. In this case, the blood is given to the baby with the addition of high bilirubin blood, instead of the normal level of Bilirubin. Occasionally intravenous immunoglobulin may also occur.
However, whatever the child’s jaundice is seen (more or less), consult a doctor immediately, know the child’s condition. You can take care of your newborn as well as you can be at ease on one side.