Yu smɔl pikin de tɔn yɔlɔ? Lɛ wi lan bɔt nyu bɔbɔ we gɛt janda!

Yu dɔn ɛva notis se yu pikin we yu jɔs bɔn in skin de luk yɔlɔ smɔl? Sɔntɛnde, di wayt na dɛn yay kin luk yɔlɔ bak. Bɔku nyu mama ɛn papa dɛn kin wɔri smɔl we dɛn si dis. Bɔt nɔ wɔri , dis na tin we kin apin to pikin dɛn we dɛn jɔs bɔn. Lɛ wi tɔk bɔt dis tide.

Wetin na janda pan pikin dɛn we dɛn jɔs bɔn?

Fɔ tɔk am simpul wan, janda na we di pikin we dɛn jɔs bɔn in skin tɔn yɔlɔ. dכkta dεn kכl dis ``Hyperbilirubinemia.'' Dis yכlכ kכla de kכz fכ wan yכlכ tin we dεn kכl ``Bilirubin'' we pasmak na di pikin in bכdi.

Tink bɔt am, `bilirubin` na sɔntin we de mek we wi rɛd blɔd sɛl dɛn brok. we yu bεlε, yu liva de pul dis `bilirubin` fכ yu pikin. Bɔt afta di pikin dɔn bɔn, di pikin in liva gɛt fɔ du dis wok. so, sכmtεm, if di pikin in liva nכ fulכp yet, i nכ kin pul dis `bilirubin` fayn fayn wan. afta dat, di pikin in skin de tכn yכlכ bikoz fכ dis εkstra `bilirubin`.

Jandis kin rili bɔku pan pikin dɛn we dɛn jɔs bɔn. Bɔrku tɛm, e nɔr kin siriɔs ɛn i go go fɔ insɛf insay tu wiks. Bɔt i impɔtant fɔ kɛr yu pikin go to dɔktɔ fɔ chɛk if i gɛt janda. Sɔntɛnde, if di janda de kam tranga ɛn dɛn nɔ trit am fayn, i kin mek di bren pwɛl.

Difrɛn kayn janda de?

Yɛs, bɔku kayn janda de we kin kam pan pikin dɛn we dɛn jɔs bɔn.

Fisiɔlɔjik Jandis

Dis na di kayn janda we dɛn kin si pan pikin dɛn. Dis na nɔmal tin. Bɔku pikin dɛn kin gɛt dis sik insay tu to tri dez afta dɛn bɔn dɛn. As di pikin in liva de gro smɔl smɔl, i kin bigin fɔ pul di bilirubin. Dis kayn janda nɔr kin siriɔs ɛn i kin bɛtɛ fɔ insɛf insay tu wiks.

Jaundice we yu de gi pikin in mama in bɛlɛ

di pikin dεm we dεn gi bεlε kin gεt janda pas di pikin dεm we dεn gi fכmula. dis kayn we dεn kכl ``Breastfeeding jaundice'', de apin insay di fכs wik we di pikin de liv. Dis na bikɔs di pikin nɔ de gɛt in mama in milk . I kin bi bikɔs di pikin nɔ de sɔk fayn, ɔ di mama nɔ bigin fɔ mek milk fayn yet. Dis kayn janda kin tek sɔm tɛm fɔ wɛl.

Breast Milk Jaundice we gɛt di sik

dis difrεn frכm di wan we wi bin dכn tכk bכt `(Breastfeeding jaundice)`. sכm tin dεm we de insay di mama in bεlε milk kin afekt di pikin in liva insay wan we we de brok dכn `bilirubin`. Dis kin mek bak `bilirubin` gɛda. dis kכndyushכn we dεn kכl `(Breast milk jaundice)` yu kin si am afta di fכs wik we di pikin bכn, εn i kin tek wan mכnt כ ​​ivin lכng fכ i dכn.

Apat frɔm dis, if di pikin gɛt ɛni ɔda mɛrɛsin, i kin mek i gɛt janda bak.

Aw dis sik kin kɔmɔn?

Wetin na janda pan pikin dɛn we dɛn jɔs bɔn?I rili kɔmɔn. infakt, lεk 60% pan di pikin dεm we ful tεm kin gεt janda insay di fכs wik we dεn de liv. εn lεk 80% pan di pikin dεm we dεn bכn bifo tεm kin gεt janda insay di fכs wik. So yu kin si aw dis kin apin.

Wetin na di sayn dɛm we de sho se yu gɛt dis sik? Aw yu no am?

Di men sayn fɔ janda na we di pikin in skin de yɔlɔ . Dis kin notis mɔ na say we gɛt natura layt, lɛk bifo winda. Bɔku tɛm, di pikin in fes kin tɔn yɔlɔ fɔs. Dɔn di wayt pat na di pikin in yay ɛn di layn na di tɔŋ kin tɔn yɔlɔ. as di bilirubin lεvεl de go כp, dis yכlכ kin spre to di pikin in chεst, bεlε, in an dεm, εn in leg dεm.

If yu pikin in skin kɔlɔ dak smɔl, i kin at smɔl fɔ no dis yɔlɔ kɔlɔ. Bɔt yu kin stil no if yu pikin gɛt janda bay we yu luk di kɔlɔ we in yay gɛt ɛn ɔnda in tɔŋ.

Wetin mek bebi dɛn kin gɛt janda?

As wi bin dɔn tɔk, janda kin apin we bilirubin bɔku pasmak na di pikin in blɔd. Bilirubin na kemikal we de mek we ol rɛd blɔd sɛl dɛn brok na wi bɔdi. Nɔmal wan, wi liva kin filta dis bilirubin frɔm di blɔd ɛn pul am. Dɔn i kin kɔmɔt na wi bɔdi insay di stɔl.

So, if yu pikin in liva nכ de divεlכp inof fכ pul bilirubin, i de bigin fכ bכku na di bכdi. dis bilirubin we de bכku na in de mek di pikin in skin tכn yכlכ. Bɔku pikin dɛn kin gɛt jaundice insay di fɔs de dɛn we dɛn de liv fɔ dis rizin. dis na biכs i de tek fכs de fכ di pikin in liva fכ divεlכp εn ebul fכ pul bilirubin fayn fayn wan.

Sɔntɛnde, janda kin rili bad . I kin bi bikɔs ɔf:

• If di pikin gɛt blɔd infɛkshɔn (sepsis).
• If di pikin in blɔd tayp difrɛn frɔm yu yon.
• If dɛn bɔn di pikin wit prɔblɛm ɛn brus bin de.
• If di pikin gɛt tumɔs rɛd blɔd sɛl dɛn.
• if di pikin gεt wan kכndishכn we dεn kכl ``haypoksia`` usay di כksijεn lεvεl de lכw.
• If yu gɛt liva sik lɛk biliary atresia.

Aw dɔktɔ dɛn kin no dis kɔrɛkt wan?

We yu de na ɔspitul, yu pikin in dɔktɔ ɔ nɔs go chɛk yu pikin fɔ si if i gɛt sayn dɛn we de sho se i gɛt janda. di bilirubin lɛvɛl na yu pikin kin rich bitwin tri ɛn fayv ia . So, i rili impɔtant fɔ go to yu pikin in dɔktɔ bak insay dis tɛm.

di dכkta kin put wan sכmכl tin na di pikin in ed fכ gεt aidia fכ wetin na di bilirubin lεvεl. dis tεst de mכsu di lεvεl fכ ``Transcutaneous bilirubin - TcB''. If dis lɛvɛl ay, di dɔktɔ go ɔda fɔ mek dɛn du blɔd tɛst fɔ no if i gɛt am. Fɔ dis, dɛn kin tek smɔl blɔd sɛmpul frɔm di pikin in il. dis bכdi tεst de mכsu di lεvεl fכ ``Tכtal sεrum bilirubin - TSB''.

di dכkta dεm de yuz ``nyu bכn janda lεvεl chכt`` fכ no if di pikin nid tritmεnt, akɔdin to di standad dεm we dεn aksept (lεk di wan dεm we di American Academy of Pediatrics rεkomεnd). dis chכt dεm de bays pan di pikin in ``TSB`` lεvεl εn di pikin in ej.

Aw dɛn kin trit janda?

Bɔku pan di nyu bɔbɔ dɛn we dɛn jɔs bɔn nɔ nid ɛni spɛshal tritmɛnt . Bɔku tɛm, di smɔl smɔl janda kin dɔn fɔ insɛf we di pikin in liva de gro. Dis kin tek wan ɔ tu wiks. If yu gi yu pikin in mama in bɛlɛ ɔltɛm (10-12 tɛm insay di de) i go ɛp am fɔ muv in bɔdi ɔltɛm. Dis go ɛp di pikin fɔ pul di ɛkstra bilirubin we de na in bɔdi.

Di tin we impɔtant pas ɔl na fɔ gi yu pikin in bɛlɛ fayn fayn wan. Dis kin ɛp fɔ pul bilirubin na di bɔdi.

Bɔt if yu pikin in bilirubin lɛvɛl rili ay ɔ i kɔntinyu fɔ go ɔp, yu dɔktɔ kin tɛl yu fɔ tek wan tritmɛnt we dɛn kɔl fototɛrapi. Insay dis fototɛrapi, dɛn kin lɛf di pikin we i nɔ wɛr klos ɛn put am ɔnda wan spɛshal blu layt. Dɛn kin jɔs drɛs di pikin wit smɔl dayapɛt ɛn mask fɔ protɛkt dɛn yay. dis fכto tεrapi de εp di pikin in liva fכ pul di εkstra bilirubin. Dɛn layt ya nɔ go du bad to di pikin. Di fototɛrapi tritmɛnt go las fɔ wan ɔ tu dez. If yu pikin in bilirubin lɛvɛl nɔ rili ay, yu kin ebul fɔ du dis layt tritmɛnt na os.

Sɔntɛm, if fototɛrapi nɔ wok, yu dɔktɔ kin tɛl yu fɔ gi yu tritmɛnt we dɛn kɔl ɛkshɛnj transfyushɔn. Dis min se dɛn kin pul sɔm pan di pikin in blɔd ɛn put nyu blɔd we dɛn dɔn gi in ples.

Yu tink se yu go ebul fɔ mek yu nɔ gɛt jaundice?

Jandis kin apin to pikin dɛn we dɛn jɔs bɔn, ɛn bɔku tɛm, dɛn nɔ kin ebul fɔ avɔyd am kpatakpata . Bɔt yu kin ridyus di risk fɔ mek yu pikin gɛt siriɔs janda. Dis kin bi bay we yu de gi yu pikin in bɛlɛ ɔltɛm . We yu de gi yu pikin in bɛlɛ ɔltɛm, dat kin ɛp fɔ mek i gɛt bɔdi ɔltɛm, we kin ɛp fɔ pul bilirubin na di bɔdi.

• fכ pikin dεm we de gi bεlε: Gi yu pikin bεlε 8 to 12 tεm insay di de insay di fכs wik we i de liv.
• fכ pikin dεm we dεn gi fכmula: Insay di fכs wik we di pikin de liv, gi wan to tu כns (30-60 mililita) fכmula εvri tu to tri awa. Mek shɔ se yu gi yu mama in bɛlɛ at le 8 tɛm insay 24 awa.

Dɔn bak, nɔ fɔgɛt fɔ mek yu dɔktɔ chɛk yu pikin in bilirubin lɛvɛl bifo yu go na os frɔm ɔspitul. Dɔn bak, mek apɔntinmɛnt fɔ go to dɔktɔ fɔ chɛk yu pikin in bilirubin lɛvɛl bak insay di fɔs wik we i dɔn liv.

Aw lɔng janda kin las?

I kɔmɔn fɔ mek pikin dɛn we dɛn jɔs bɔn gɛt janda. Bɔku tɛm i kin bigin insay tu to tri dez afta dɛn bɔn am.

• Jaundice pan pikin dεm we dεn gi fכmula kin bεtε fכ insεf insay tu wiks.
• Bebi dɛn we dɛn de gi dɛn mama in bɛlɛJandis kin las fɔ wan mɔnt ɔ mɔ.

Us kayn impak dis kin gɛt pan di pikin? (Autluk) .

Jaundice na tin we kin apin to pikin dɛn we dɛn jɔs bɔn. Bɔku pikin dɛn kin wɛl insay wan ɔ tu wik we dɛn nɔ gɛt tritmɛnt. Bɔt i impɔtant fɔ chɛk yu pikin in bilirubin lɛvɛl . If di bilirubin lɛvɛl tumɔs, if dɛn nɔ trit am kwik, i kin mek yu gɛt siriɔs wɛlbɔdi prɔblɛm. Dɛn tin ya kin bi se yu gɛt sɛribra palsi, dɛf, ɛn ivin wan sik we de pwɛl yu bren we dɛn kɔl kernicterus. Na dat mek dɔktɔ dɛn de wɔri bɔt am.

Ustɛm a fɔ kɛr mi pikin go to dɔktɔ bak?

Yu fɔ go to yu pikin in dɔktɔ bak jɔs afta yu go na os frɔm ɔspitul. di bilirubin lεvεl na di pikin kin rich bitwin tri εn fayv dez, so i impɔtant fכ tεst insay da tεm de. Di nɛks apɔntinmɛnt go dipen pan yu pikin in ej we yu kɔmɔt na ɔspitul, di bilirubin lɛvɛl da tɛm de, ɛn ɔda tin dɛn.

Wetin na di imejensi sayn dɛm we yu nid fɔ kɔl dɔktɔ?

If i tan lɛk se yu pikin in janda de wɔs , ɔ if i dɔn de fɔ pas tu wiks, mek shɔ se yu kɔl yu dɔktɔ. Di sayn dɛm wae de sho se yu gɛt siriɔs jaundice kin bi:

• Di pikin in skin kin gɛt dak yɔlɔ ɔ ɔrɛnj kɔlɔ .
• Di pikin de slip bad bad wan , ɛn i at fɔ wek am fɔ gi am tin fɔ it.
• Di pikin nɔ de rɛst bad bad wan .
• di pikin nכ de sכk fayn (frכm in mama in milk כ bכtul).
• Di pikin nɔ de pis ɛn/ɔ defekt inof .

Ustɛm yu nid fɔ go na di ER (Imejɛnsi Rum)?

If yu pikin gɛt ɛni wan pan dɛn sik ya , kɔl 911 ɔ go na di imejensi rum we de nia yu :

• Kray lawd wan .
• A gɛt fiva .
• Bεnd di bכdi lεk bכw (hεd/nεk כ il bεnd bak εn bכdi fכ go bifo).
• Di bɔdi stif, i nɔ gɛt layf, ɔ i de hang .

Us kwɛstyɔn dɛn yu fɔ aks di dɔktɔ?

I nɔmal fɔ fil smɔl wɔri we yu nyu bɔn pikin gɛt janda. Ilɛksɛf na ɔspitul ɔ afta yu rich na os, yu kin gɛt bɔku kwɛstyɔn dɛn if yu pikin gɛt janda. Na sɔm kɔmɔn kwɛstyɔn dɛn we yu kin aks yu dɔktɔ:

• Aw a go no fɔ tru if mi pikin gɛt janda?
• Us prɔblɛm dɛn kin apin we pɔsin gɛt janda?
• Mi pikin go nid tritmɛnt fɔ janda?
• A kin trit mi pikin in janda na os?
• Fɔtotɛrapi kin ambɔg mi pikin?
• Aw lɔng i kin tek fɔ mek di jaundice bɛtɛ?
• Ustɛm wi fɔ kam bak fɔ ɔda chɛk-ap?

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

I kin mek yu fred fɔ si yu pikin tɔn yɔlɔ, bɔt mɛmba se, janda na tin we kin apin to pikin dɛn we dɛn jɔs bɔn . Yu fɔ mek yu dɔktɔ chɛk yu pikin in bilirubin lɛvɛl bifo yu go na os frɔm ɔspitul ɛn bak insay fayv dez afta yu bɔn am. Bɔku tɛm, jandi nɔ kin siriɔs, bɔt i kin denja if dɛn nɔ trit am . If i tan lɛk se yu nyu bɔbɔ in janda nɔ de bɛtɛ, ɔ if i tan lɛk se i de wɔs, kɔl yu pikin in dɔktɔ wantɛm wantɛm . Dɔn i kin tɛst yu pikin in bilirubin bak fɔ mek shɔ se yu pikin gɛt wɛlbɔdi. Tugeda, di kia we yu de kia fɔ yu ɛn di gayd we yu dɔktɔ de gi yu kin mek yu smɔl pikin gɛt wɛlbɔdi!

` Infant janda, bilirubin, nyu bɔbɔ, janda, fototɛrapi, liva, pikin wɛlbɔdi