How long does it take for neonatal jaundice to go away Listen to what the experts say

We must pay attention to the appearance of neonatal jaundice, especially to distinguish the type, and then carry out reasonable treatment in a targeted manner, and also pay attention to the reasonable care and care of the baby.

How long does it take for neonatal jaundice to go away

Physiological jaundice of neonates: jaundice begins to appear in newborns 2-3 days after birth, which is most obvious after 4-5 days, and naturally resolves in 7-14 days, with good general condition and no adverse reactions, called "physiological jaundice".prematureJaundice appears later, probably on day 3 or 4, and lasts longer because the liver function is more immature.prematureJaundice can last for 14 days or more.

Neonatal breast milk jaundice: jaundice begins 4-7 days after birth and lasts for about 2 months, mainly with elevated unconjugated bilirubin, and no clinical symptoms.

Neonatal pathological jaundice: jaundice appears early, within 24 hours of birth. Jaundice is persistent and persists or even deepens after 2 to 3 weeks of age, or decreases and then deepens. The jaundice is severe, golden yellow or jaundice all over the body, and there is also obvious jaundice in the palms and soles of the feet or serum bilirubin is greater than 12-15 mg/L. Those with anemia or pale stool color. Those with abnormal body temperature, poor appetite, vomiting and other manifestations.

If it is physiological jaundice, it does not need treatment, and if it is pathological jaundice, the main treatment method is to illuminate blue light, so it is necessary to go to the hospital for pediatric treatment and retest transcutaneous bilirubin to understand the treatment effect. Pathological jaundice, regardless of the cause, can cause kernicterus in severe cases, and its prognosis is poor, in addition to causing neurological damage, severe can cause death.

Treatment of neonatal jaundice

1. Characteristics of neonatal pathological jaundice: neonatal jaundice often appears within 24 hours after the baby is born and lasts for more than 2 weeks.prematureMore than 3 weeks; Jaundice disappears and recurs after birth and progressively worsens.Jaundice is mostly nearly golden yellow in color, and can appear all over the body, and the palms and soles of the feet are more obvious. Severe jaundice can be combined with kernicterus. In addition, depending on the cause of the occurrence, there are often accompanying symptoms of the primary disease that causes jaundice.

2. Treatment of neonatal pathological jaundice:

(1) Phototherapy: It is a safe and effective method, which can be given for 24-48 hours, and repeated irradiation if necessary. Note that the sick baby should be naked during phototherapy, but care should be taken to protect the baby's eyes and genitals.

(2) Hormone therapy: hormone therapy can increase liver enzyme activity, promote the binding of glucuronic acid to bilirubin, and prevent antigen-antibody reactions.

(3) Transfusion of plasma or albumin: plasma protein can bind to indirect bilirubin (1g albumin can bind to 15mg of bilirubin), thus reducing indirect bilirubin binding to brain cells, which can reduce the incidence of kernicterus.

(4) Phenobarbital, as an enzyme inducer, can activate glucuronosyltransferase and accelerate indirect bilirubin glucuronidation at a dose of 5 mg/kg body weight/day, orally.

(5) Traditional Chinese medicine treatment: Fungus Chenhuang (Coptis chinensis, Huangling, Phellodendron chinensis, Gardenia, Fungus Chen, Rhubarb) or Fungus Chenhao decoction orally.

Neonatal jaundice care

1. Neonatal hemolysis nursing method: If the baby is diagnosed with neonatal hemolysis, it must be treated as soon as possible and must not be delayed. Generally, blue light irradiation is effective, and if the solubility is severe, exchange transfusion is required.

2. Neonatal biliary atresia nursing method: If the baby is diagnosed with neonatal biliary atresia, surgery must be performed within 2 months after birth. If surgery is not performed in time, the disease will gradually develop after 3 months, which will lead to:cirrhosis

3. Neonatal hepatitis nursing method: If the baby is diagnosed with neonatal hepatitis, it will get better soon after hepatoprotective treatment, and there will generally be no serious consequences.

Precautions for neonatal jaundice

1. Judge the degree of jaundice. Parents can observe the degree of yellowing of the newborn's skin under natural light, if it is only facial yellowing, it is mild jaundice; yellowish skin on the trunk, moderate jaundice; If the limbs and the hearts of the hands and feet are also yellow, it is severe jaundice.

2. Observe the color of the stool. If the stool is clay-colored, pathological jaundice should be considered, usually due to congenital biliary malformations.If the jaundice is severe, accompanied by symptoms or abnormal stool color, you should go to the hospital in time to avoid delaying treatment.

3. Make the meconium expel as soon as possible. Because the meconium contains a lot of bilirubin, if the meconium is not cleared, the bilirubin will be reabsorbed into the blood through the special enterohepatic circulation of the newborn, making jaundice increase.

4. Give the newborn enough water, too little urine is not conducive to the excretion of bilirubin.

5. During the period of jaundice, pay attention to give enough sugar water and heat, and protect the liver.

6. If jaundice appears too early or disappears too late, or the jaundice is too severe, or gradually decreases and then aggravates, and the baby is in poor spirit, sucking less milk or refusing to milk and other clinical symptoms, it is pathological jaundice and should go to the hospital for diagnosis and treatment in time.