What are the symptoms of neonatal jaundice? Treatment of neonatal pathological jaundice

If the bilirubin in the baby's body is too high, it will cause epilepsy. Babies are too young and their physical health is not as good as adults in prevention and recovery, so we need to pay more attention. So what are the symptoms of neonatal jaundice? Treatment of neonatal pathological jaundice.

What are the symptoms of neonatal jaundice

1. Physiological jaundice

It appears 2-3 days after birth, is most obvious on the 4-5th day, and disappears naturally on the 7-10th day. Generally speaking, the jaundice in immature infants may be more severe and may last for 2-3 weeks. The serum bilirubin of mature infants is usually <12mg%, and that of immature infants may be <15mg%. If the daily increase is >5mg%, or if jaundice occurs soon after birth or the jaundice is more severe, it should be considered abnormal and the cause should be further investigated.

2. Hemolysis

It is caused by ABO or RH blood type incompatibility between mother and child. Jaundice appears early and is severe, often accompanied by anemia, edema, and hepatosplenomegaly. The diagnosis can be confirmed by checking the blood types of the parents and the child, the specific antibodies in the mother's blood, and the bilirubin content of the child.

3. Infection or sepsis: Most of them have infected lesions, accompanied by fever and other symptoms of poisoning.

4. Viral hepatitis

The disease usually develops slowly 1 to 3 weeks after birth, accompanied by gastrointestinal symptoms such as loss of appetite and liver damage.

5. Congenital biliary atresia

Jaundice appears 1-2 weeks after birth and progressively worsens. The liver is enlarged and hard, the urine is dark, the stool is gray and clay-like, and the blood bilirubin (direct bilirubin) is elevated.

6. Other hemolytic anemias

Vitamin K2 and sulfonamide drug poisoning, metabolic and endocrine abnormalities, such as galactosemia, cretinism and congenital hereditary hyperbilirubinemia, etc.

Treatment of neonatal pathological jaundice

(1) Phototherapy: It is a safe and effective method that can be given for 24-48 hours and repeated if necessary. Note that the 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 combination of glucuronic acid and bilirubin, and prevent antigen-antibody reaction. Hydrocortisone or dexamethasone can be injected intravenously or taken orally.

(3) Plasma or albumin transfusion: Plasma protein can bind to indirect bilirubin (1g albumin can bind to 15mg bilirubin), thereby reducing the binding of indirect bilirubin to brain cells, thus reducing the incidence of kernicterus.

(4) Phenobarbital, as an enzyme inducer, can activate glucuronyl transferase and accelerate the glucuronidation of indirect bilirubin. The dose is 5 mg/kg body weight/day, orally.

(5) Treatment with traditional Chinese medicine: oral administration of Junchenhuang (Coptis chinensis, Phellodendron chinense, Phellodendron amurense, Gardenia jasminoides, Junchen, and Rhubarb) or Junchenhao decoction.

Is it normal for a baby not to cry or make a fuss?

It is normal for babies not to cry or make a fuss. Not every baby is like this. Crying and making a fuss is a sign of discomfort in babies. Usually pay attention to the baby's diet and sleep. As long as the baby eats well and is in good spirits, it will be fine.

Is it normal for a newborn baby not to cry or make a fuss?

Originally, the baby mainly sleeps in the mother's belly, and it will be normal in a few days. The baby sleeps most of the time within a month. Generally, a one-month-old newborn baby sleeps 20-22 hours a day, and basically sleeps except for eating, drinking, defecating and urinating; babies between 1 and 2 months old sleep about 18 hours a day and can play with their parents for a while; babies between 3 months old generally sleep about 16 hours, have more time to communicate with their parents, and will turn over, turn their heads, and kick the quilt; after half a year, babies usually sleep 12-14 hours, and then slowly decrease.

Opinion and suggestions: Newborn babies are like that, they sleep more and wake up less, and they don’t eat much. When you feel like he should eat, wake him up and let him eat, and he will be fine after a while.

Normal newborns always cry for a few times a day. If the baby is very quiet, does not cry or make a fuss, and seems too "well-behaved", it is worth paying attention to it. We need to judge whether his brain development is normal. In the first week of normal newborns, they will close their eyes when their noses are touched. If they are suddenly touched or make a sound, they will have a startle reflex---stretching their necks, shaking their heads back, and stretching their limbs first and then tightening them in front of their chests. Straighten your arms and bend your arms; gently touch the soles of your feet, bend your knees and feet; support your arms and stand up, and the newborn will step; pat the back of your hands or feet, arch your body, contract your limbs, and hold the hand that pats him tightly; pat your palms and soles of your feet, and hold your limbs tightly; pat your toes, and the big toe will be raised and the toes will be spread. They have a visual response to dark patterns; they can see objects about 20 cm away from them. Beyond this range, their reactions are slow. They are very sensitive to the source of sound. If their hands accidentally touch an object, they will hold it tightly. They will actively look for the nipple; they can show excitement and sadness. These are the main growth and development indicators of babies one week after birth. You can compare and observe your baby. These indicators are not absolute and may be earlier or later because babies are unpredictable. It is best to take your child to a regular hospital for examination as soon as possible to avoid delaying the child's growth.