What reason is jaundice retreats slowly?
summary
Jaundice is a common symptom and sign, which is caused by the increase of serum bilirubin concentration due to bilirubin metabolism disorder. Clinically, sclera, mucous membrane, skin and other tissues were dyed yellow. Because sclera contains more elastin and has strong affinity with bilirubin, scleral yellow staining is often detected first in jaundice patients than in mucosa and skin. When the serum total bilirubin was between 17.1 and 34.2 μ When jaundice can not be seen with naked eyes, it is called subclinical jaundice or recessive jaundice; When the serum total bilirubin concentration exceeds 34.2% μ The jaundice can be found in clinic, also known as dominant jaundice. What reason is jaundice retreats slowly? Now let me talk about it
What reason is jaundice retreats slowly?
1. Bilirubin production more (1) red blood cell destruction More: fetal baby in the mother's uterus in hypoxia environment, red blood cells compensatory increase, but short life, increased blood oxygen content after birth, excessive red blood cells were rapidly destroyed( 2) The content of heme oxygenase is high: it is high within 7 days after birth and has great potential to produce bilirubin.
2. Immature liver function (1) the ability of liver to absorb bilirubin is poor: the content of Y and Z protein in liver cells is insufficient, which makes the liver absorb bilirubin insufficiently( 2) The function of liver conjugated bilirubin is poor: the content of glucuronosyltransferase in liver is low and the activity is insufficient, resulting in the poor function of conjugated bilirubin( 3) Liver excretion function of bilirubin is poor: excretion function of conjugated bilirubin is poor, easy to cause cholestasis.
If it is mainly indirect bilirubin increase, Yinzhihuang granules can be used to treat jaundice. If it is mainly direct bilirubin rise, we need further examination, to exclude the possibility of Toxoplasma gondii, cytomegalovirus, hepatitis B virus and other infections, we also need to do hepatobiliary B ultrasound to exclude the possibility of hepatobiliary obstruction.
matters needing attention
Can also take other measures to help the baby reduce neonatal jaundice. For example, make sure your baby has enough breast milk or formula to defecate more. If you have any questions about your baby's neonatal jaundice, be sure to consult your doctor to ensure that your mother has chosen the right treatment for neonatal jaundice.