What medicine should be taken for neonatal jaundice? How to detect neonatal jaundice?

Many newborn babies will suffer from jaundice, and there are many reasons for babies to suffer from jaundice. Many mothers will be very anxious when they see their babies suffering from jaundice, and think of giving medicine to treat them. So what medicine should be taken for neonatal jaundice? How to detect neonatal jaundice?

Without the guidance of a doctor, it is not recommended to blindly use drugs for newborns. Neonatal jaundice refers to the most common clinical problem in newborns due to abnormal bilirubin metabolism in the neonatal period, which leads to increased blood bilirubin levels and symptoms of yellow staining of the skin, mucous membranes and sclera. Neonatal jaundice is a product of bilirubin metabolism. Under normal circumstances, bilirubin can be dissolved in water after processing and metabolism in the liver and can be excreted with body fluids; secondly, when the value of neonatal bilirubin exceeds the normal range, it can be treated by phototherapy; therefore, when neonatal jaundice occurs, go to the hospital as soon as possible. In newborns, this situation requires understanding of jaundice and the severity of jaundice. If jaundice is more severe, it is pathological and yellow, and it needs to be treated or treated with drugs for blue light. Treatment is required according to the severity of yellow fever in children. Because the blood-brain barrier of newborns is not fully developed, it is easy to cause bilirubin encephalopathy, so it is necessary to actively treat and improve the condition of yellow blood vessels.

1. Liver biopsy: liver puncture is used for examination. In hepatitis, disordered liver lobule structure, multinucleated giant cells, insignificant bile duct hyperplasia, and cholestasis can be seen. In bile duct atresia, normal liver lobule structure, obvious bile duct hyperplasia and cholestasis, and multinucleated cells can also be seen. This is very helpful in the differential diagnosis of obstructive jaundice liver disease, but this examination is generally not performed in the neonatal period.

2. Carbon monoxide measurement in exhaled breath: Based on the principle that CO is released under the action of heme oxygenase during the degradation of heme into bilirubin, the rate of blood bilirubin generation can be predicted early by measuring the CO released in the airway. It can be measured by non-dispersive ultraviolet analysis or CO gas trace method.

3. Electrophysiological examinations of auditory and visual functions, including brainstem auditory evoked potentials (BAEP) and flash visual evoked potentials, can be used to evaluate the functional status of auditory and visual conduction nerve pathways, early predict brain damage caused by bilirubin toxicity, and help diagnose temporary or subclinical bilirubin neurotoxicity.

Jaundice in babies under one month old is called neonatal jaundice. This is the result of the body's bilirubin metabolism slowly adapting after the child is born. Because the bilirubin content in the blood increases, the child's skin will also show symptoms of yellowing. Physiological jaundice often occurs three days after the child is born and gradually disappears within two weeks. There is also pathological jaundice, which is completely different from physiological jaundice. The onset of this jaundice is uncertain. It will appear within one day after birth, or it will appear after a few weeks. It often lasts for a long time, even up to two to three weeks. This is pathological jaundice, which needs to be treated in time, such as blue light exposure or other drugs. Jaundice often starts from the baby's head and then slowly spreads from the head to the limbs. Often only the trunk is yellow, which is mild jaundice. If the limbs are yellow, the symptoms are somewhat serious and need to be treated with blue light exposure, or sunbathing at ordinary times. If the child's jaundice continues to be severe and does not heal, it is best to see a doctor immediately.

Neonatal jaundice generally does not recur. If it recurs, it is considered pathological jaundice. Children with jaundice should pay more attention. Generally, physiological jaundice disappears within a week. Physiological jaundice appears 2 to 3 days after birth, reaches a peak in 4 to 6 days, and disappears in 7 to 10 days. It lasts longer in premature infants. Except for a slight loss of appetite, there are no other clinical symptoms. If jaundice appears within 24 hours after birth, does not disappear within 2 to 3 weeks, or even continues to deepen and worsen, or reappears after disappearing, or jaundice begins to appear within one to several weeks after birth, it is pathological jaundice.