How long does it take for jaundice in newborns to go away
There is a difference between physiological and pathological neonatal jaundice, and the general physiological ones do not need to be treated and will recede on their own, while the pathological ones need to be detected and treated early.
1. Characteristics of physiological jaundice
Physiological jaundice in newborns is generally not deep and has the following characteristics:
1. Jaundice generally begins to appear 2-3 days after birth.
2. Jaundice gradually deepens, reaches a peak on the 4th-6th day, and gradually decreases thereafter.
3. For newborns born at term, jaundice generally subsides 2 weeks after birth.prematureIt usually resolves 3 weeks after birth.
4. The degree of jaundice is generally not deep, the skin color is pale yellow, jaundice is often limited to the face and upper body, the general condition of the child is good when jaundice, the body temperature is normal, the appetite is normal, the color of urine and urine is normal, and the growth and development are normal.
5. The serum bilirubin test exceeds the normal 2mg/dl, but is less than 12mg/dl. If this is the case with a child's jaundice, parents need not worry.
2. Characteristics of pathological jaundice
Pathological jaundice is caused by a disease that causes abnormalities in bilirubin metabolism, which occurs in a specific period of the newborn, which makes physiological jaundice significantly aggravated and confused with physiological jaundice, making it difficult to diagnose jaundice. However, pathological jaundice has some features that differ from physiological jaundice:
1. Jaundice appears too early, within 24 hours after birth.
2. The jaundice subsides too late, lasts too long, exceeds the normal subsidence time, or the jaundice has subsided and appears, or the jaundice gradually recedes and progressively worsens after the peak time.
3. The degree of jaundice is too severe, often affecting the whole body, and the skin and mucous membranes are obviously yellow.
4. When checking serum bilirubin, bilirubin exceeds 12mg/dl, or rises too fast, rising more than 5mg/dl per day. ...
Pediatric jaundice Newborn jaundice is what is going on
Why are babies prone to jaundice after birth? What is neonatal jaundice? Neonatal jaundice refers to the condition characterized by the appearance of yellowing of the skin, mucous membranes and sclera due to the increase in the level of bilirubin in the blood due to the accumulation of bilirubin in the newborn, which is generally divided into physiological jaundice and pathological jaundice.
After the baby is born, it must use the lungs to breathe directly to obtain oxygen, the hypoxic environment in the body is changed, and the demand for red blood cells is reduced, so a large number of red blood cells in the newborn baby's body are destroyed and decomposed into unconjugated bilirubin. The liver function of newborns is imperfect, the enzyme system is immature, glucuronosyltransferase takes 3~5 days for full-term infants, and 5~7 days for immature infants to mature, and too much bilirubin can not be excreted from the body after treatment, and can only accumulate in the blood. This bilirubin, like a yellow dye, is added to various neonatal bilirubin metabolism characteristics with the flow of blood, and the skin and sclera of newborns are dyed yellow, so neonatal physiological jaundice appears.
Treatment of pediatric jaundice neonatal jaundice
Jaundice is a common disease in newborn babies, to treat neonatal jaundice, first distinguish whether the baby has physiological jaundice or pathological jaundice, and then take the right treatment measures. There are several treatments for neonatal jaundice, and you need to treat the symptoms according to the actual symptoms of the baby.
Physiological jaundice generally does not need to be treated, the yellowing will disappear on its own after 1-2 weeks of onset, and mothers can also feed their babies glucose water to speed up the resolution of jaundice. Physiological jaundice does not require specialized treatment to recover on its own, and there are no sequelae after healing.
Pathological jaundice is more serious and is likely to cause serious diseases such as kernicterus, which is life-threatening. Pathological jaundice occurs within 24 hours of birth and does not subside for 2-3 weeks, or even continues to worsen or recur, or if jaundice does not appear until 1 week to a few weeks after birth. When pathological jaundice appears, it must be treated, and there are three main types of treatment for pathological jaundice: phototherapy, exchange transfusion and drug therapy.
Phototherapy: This method is the simplest and most effective way to treat jaundice, and the treatment cost is not high. First, let the baby lie in the light box, cover the eyes and reproductive organs, and leave the rest of the body exposed. Treatment is then discontinued with blue light for 2 to 48 hours, but generally not more than 4 days, until bilirubin is reduced to less than 7 mg/dL.
Exchange transfusion: Exchange transfusion is the fastest and most effective method for neonatal jaundice, but exchange transfusion has high requirements for medical technology and is more expensive, and not every jaundice baby is suitable for exchange transfusion, and this therapy may also produce some adverse reactions, so this therapy is mainly used for babies with severe pathological jaundice.