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Bệnh vàng da ở trẻ sơ sinh  

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02:02 25/02/2016

vàng da là một tình trạng rất phổ biến đối với trẻ sơ sinh, chia 2 loại vàng da sinh lý và vàng da bệnh lý [..]

Chứng vàng da xuất hiện là do sự phá hủy hồng huyết cầu sớm ngay sau sinh gây nên. Tiến trình phá hủy này tạo ra tình trạng dư thừa sắc tố bilirubin trong máu và chính sắc tố này đã khiến cho da em bé sơ sinh bị nhuốm màu vàng. Chứng vàng da ở trẻ sơ sinh sẽ mất dần khi gan bé hoàn thiện, giúp bé có khả năng bài xuất bilirubin đủ nhanh để cân bằng thành phần này trong máu. Thời điểm gan hoàn thiện thường là sau khi bé được khoảng 1 tuần đến 10 ngày tuổi.

* Một số biểu hiện của vàng da sinh lý:

- Vàng da sinh lý thường xuất hiện từ ngày thứ 3 đến 5 sau đẻ

- Thường không kéo dài quá 1 tuần ở trẻ đủ tháng và 2 tuần ở trẻ non tháng

- Vàng nhẹ, thường từ mặt đến thân, chi, vàng nhạt dần

- Thể trạng chung: bình thường

- Phân vàng, tiểu trong

* Một số biểu hiện của vàng da bệnh lý:

- Vàng da xuất hiện sớm hoặc muộn, kéo dài trên 14 ngày

- Vàng nhẹ hoặc đậm. Xuất hiện ngay vàng toàn thân. Vàng tăng dần

- Thể trạng chung: kém

- Phân vàng hoặc bạc màu, nước tiểu vàng

* Cho đến nay, tại các khoa Sơ sinh, VDSS được điều trị bởi ba phương pháp chính, đó là:

1.Cung cấp đầy đủ nước và năng lượng (qua cho bú hoặc truyền dịch), truyền Albumine và dùng một số loại thuốc để gia tăng tốc độ chuyển hoá bilirubin gián tiếp.

2.Chiếu đèn là phương pháp điều trị vàng da sơ sinh hiệu quả nhất, an toàn, đơn giản và kinh tế nhất.

3.Thay máu khi bé có triệu chứng đe dọa nhiễm độc thần kinh do Bilirubin trong máu tăng cao.

Các bác sĩ có thể sử dụng một, hai hay ba phương pháp cùng lúc tuỳ theo từng trường hợp.

Nguồn : Tổng hợp.

Chú ý: Trên đây là những thông tin bạn có thể tham khảo . Nếu có bất kì vấn đề thắc mắc hãy gọi điện đến tổng đài 19006180 để được các bác sỹ chuyên khoa tư vấn trực tiếp.


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