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      新生儿生理性黄疸

      【导读】“新生儿生理性黄疸”不少妈妈闻之如同梦魇,最担心这个小恶魔会给宝宝带来什么样的危害。而事实上,新生儿黄疸有病理性和生理性之分。生理性黄疸其实并没有那么可怕,妈妈们认清情况就可以轻松应对了。

      什么是黄疸?黄疸与血清中的胆红素息息相关。当胆红素升高时,就会导致宝宝的皮肤、黏膜和巩膜发黄,这种症状和体征就成为黄疸。生理性黄疸是正常发育过程中出现的黄疸症状,黄疸一般是轻度的,新生儿也没有其他不适症状。

      新生儿生理性黄疸是一种十分正常的生理现象,而不是由任何其它疾病因素引起的黄疸。 五到六成的足月新生儿和八成的早产儿都可能出现生理性黄疸的状况。

      gt;>>相关文章     【为娘虐心事】新生儿黄疸是一道坎                【知识专题】新生儿黄疸的治疗与护理

      1、新生儿生理性黄疸,如果宝宝的症状较轻,则皮肤会呈现为浅黄色。一般仅局限于面颈部,或波及躯干,巩膜亦可黄染,2~3日胆红素后消退,至第5~6日皮肤颜色恢复正常。若新生儿生理性黄疸较重,则宝宝的皮肤同样先头后足变黄,但可遍布全身,还会出现呕吐的症状。呕吐物及脑脊液等也能黄染,时间长达1周以上,特别是个别早产宝宝可持续至4周,其粪仍系黄色,尿中无胆红素。

      2、新生儿生理性黄疸色泽轻者呈浅花色,重者颜色较深,但皮肤红润,黄里透红。

      3、新生儿生理性黄疸的宝宝一般不会出现贫血、肝脾肿大等症状,肝功能也正常,更不发生核黄疸。

      4、如果是早产儿,发生生理性黄疸的情况则比足月的宝宝更为多见。并有出现迟、消退延迟的情况发生。

      不少妈妈一听到“新生儿黄疸”几个字就神经紧绷,而事实上,如果宝宝属于新生儿生理性黄疸,则一般不需特殊处理,可以自愈。早产儿生理性黄疸消退较慢,感染和缺氧也可使黄疸延迟消退,必要时可照蓝光。

      宝宝出现黄疸时,多喂糖水可使黄疸加快消退。但遇黄疸较溶时,要作进一步检查,以防夹杂病理性黄疸。

      gt;>>相关文章   六成足月宝宝有生理性黄疸 妈妈别惊慌

      生理性黄疸,即指新生儿出生后2~3天出现皮肤、眼球黄染等病症。一般而言,足月新生儿在两周内可消退,早产儿则在3~4周内消退。轻者黄疸可局限在面部、颈部和躯干,颜色呈浅黄色,而重者可波及全身。那么,新生儿生理性黄疸怎么预防?下面一起来了解下吧。

      1、孕妈妈如果曾经生过有胎黄的婴儿,再妊娠时应作预防,按时服用中药。

      2、婴儿出生之后应密切观察心率、心音、贫血程度及肝脏大小变化,早期预防和治疗心力衰竭。

      3、婴儿出生后就密切观察其巩膜黄疸情况,发现黄疸应尽早治疗,并观察黄疸色泽变化以了解黄疸的进退。

      4、如需进行换血疗法时,应及时做好病室空气消毒,备齐血及各种药品、物品,严格操作规程。

      5、预防新生儿黄疸还应注意?;びざし?、脐部及臀部清洁,防止破损感染。

      6、注意观察胎黄婴儿的全身症候,有无精神萎靡、嗜睡、吮乳困难、惊惕不安、两目斜视、四肢强直或抽搐等症,以便对重症患儿及早发现及时处理。

      7、妊娠期间,孕妈妈应注意饮食有节,不过食生冷,不过饥过饱,并忌酒和辛热之品,以防损伤脾胃。

      新生儿生理性黄疸和病理性黄疸还是有区别的,父母要学会分辨。下面一起来了解下吧。

      1、外形

      生理性黄疸是新生儿的一种特殊生理现象,正常新生儿几乎都有。生理性黄疸有一定限度,皮肤不呈橘黄色,而呈浅黄色。眼白微带黄色,口腔黏膜微黄,手心、脚心不黄。一般4—5天黄疸程度达到高峰,约10天内逐渐消失。病理性黄疸则于新生儿出生后24小时内出现,且持续的时间较长,个别患儿还会有反复。病理性黄疸色深呈橙黄色,遍及全身。

      2、时间

      生理性黄疸一般在出生后3天左右出现,少数在生后第二天起就可以看到皮肤轻微发黄,或延迟到生后5天出现。以后逐渐加重,通常于黄疸出现后第2—3天最为明显。病理性黄疸常在生后24小时内出现。如果一个新生儿生后几小时就出现黄疸,一般最早出现的部位是巩膜和面部,这是一个危险的信号。

      3、程度

      生理性黄疸主要靠测定血清胆红素来判定。生理性黄疸的最高值,是新生足月儿不应超过12mg%,早产儿不应超过15mg%?;起愠鱿值乃承蚴亲钕却庸?、面部、颈部然后蔓延到躯干和四肢。病理性黄疸则进展快,从面部逐渐波及到躯干、四肢,如果发现新生儿手足心均被黄染,多提示其血胆红素值超过12mg%。

      4、治疗

      生理性黄疸在黄疸期间多喂新生儿温开水或葡萄糖水利尿,不需特殊治疗。病理性黄疸目前在治疗上多采用照光治疗。通过照光,能让体内的胆红素转换成其他物质,使得体内不断堆积的胆红素找到另一个出口,黄疸的症状就能改善。但是照光后仍无法改善的宝宝,必须以药物或换血来治疗。如果黄疸是由于胆道闭锁所形成的,就需要用手术治疗了。

      查一查能不能吃
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      • 选择食物分类
      • 五谷杂粮
      • 食物加工篇
      • 蔬菜/食用菌
      • 肉禽蛋/野味
      • 水果
      • 水产品/海鲜
      • 调味品
      • 饮品/饮料
      • 零食/小吃
      • 豆/乳/奶制品
      • 干果
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      适用人群
      • ??
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      查看结果
      • 索引
      • 什么是新生儿生理性黄疸
      • 新生儿生理性黄疸有哪些症状
      • 新生儿生理性黄疸需要治疗吗
      • 新生儿生理性黄疸怎么预防
      • 新生儿生理性黄疸和病理性黄疸的区别
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