Why do we need to do MRI for neonatal jaundice? What should we pay attention to for neonatal jaundice?

Many newborns will suffer from jaundice, which is a very normal phenomenon. At the same time, jaundice can be divided into physiological and pathological. When the baby suffers from jaundice, there are many things that the mother should pay attention to. So let's first understand why MRI is required for neonatal jaundice? What should be paid attention to for neonatal jaundice?

For newborns with jaundice, it is not necessary to do a head MRI. It depends on the specific situation of the child. The main purpose of doing a head MRI is to confirm the intracranial situation. For children with neonatal jaundice, if it is physiological jaundice, it does not have much impact on the child, and no serious complications such as bilirubin encephalopathy will occur, so there is no need to do a head MRI. If it is pathological jaundice, if it is not particularly serious, there is no particularly obvious abnormal neurological manifestation, and the jaundice level may not be particularly high, a head MRI may not be performed. However, if the jaundice level is very high, and there may be related neurological manifestations, such as some drowsiness, poor mental response, refusal to feed, etc., or even if these manifestations do not appear, but the jaundice level is very high, it has obviously exceeded the normal upper limit, then you can also consider doing a head MRI to help confirm the intracranial situation and see if there is a serious problem such as bilirubin encephalopathy. The diagnosis of bilirubin encephalopathy requires a comprehensive judgment based on symptoms and MRI-related manifestations, so it is not necessary to do an MRI for neonatal jaundice. It needs to be comprehensively judged based on the child's situation and the type of jaundice.

1. Let the baby's meconium be discharged as soon as possible. Feed the newborn as early as possible in the early stage to discharge the meconium as soon as possible, because the meconium contains a lot of bilirubin. If the meconium is not discharged cleanly, the bilirubin will be reabsorbed into the blood through the special enterohepatic circulation of the newborn, causing jaundice to increase. To see whether the meconium is discharged cleanly, it mainly depends on whether the meconium changes from black meconium to yellow meconium.

2. Give the newborn plenty of water. The way to judge whether the newborn's fluid intake is sufficient is to look at the newborn's urine. Generally, a normal newborn urinates 6-8 times a day. If the frequency is insufficient, it is possible that his fluid intake is insufficient. Too little urine is not conducive to the excretion of bilirubin. We should ensure the newborn's fluid intake. Generally, the meconium of the newborn should be excreted in 2-3 days, which can reduce the degree of jaundice.

3. Get more sun exposure, which is helpful for the early elimination of neonatal jaundice.

4. Pay attention to cleanliness, keep the baby's skin, umbilicus and buttocks clean to prevent damage and infection. When blood transfusion therapy is required, the air in the ward should be disinfected in time, blood and various medicines and items should be prepared, and the operating procedures should be strictly followed.

This question needs to be decided based on the child's recovery. Generally speaking, the child can be discharged from the hospital in about a week. First of all, it depends on whether the child's jaundice is physiological or pathological. If it is physiological, in most cases, the serum bilirubin value is basically lower than 205.2umol/l, and it will disappear on its own in about two weeks. But if it is pathological, it is usually necessary to actively cooperate with the doctor's treatment. The more commonly used method in clinical practice is blue light irradiation. In addition, some of it is breast milk jaundice. At this time, you can stop breastfeeding first, and then breastfeed after the jaundice subsides. Avoid recurrence of symptoms.

Neonatal jaundice, also known as neonatal hyperbilirubinemia, refers to the yellowing of the skin, mucous membranes and other organs caused by the accumulation of bilirubin in the body. It is the most common disease in the neonatal period. About 80% of full-term infants and almost all premature infants have varying degrees of jaundice in the early days after birth, especially 2 to 3 days. Does neonatal jaundice need to be monitored every day? It mainly depends on whether it is physiological or pathological, because physiological jaundice in full-term infants usually appears 2 to 3 days after birth, disappears in 5 to 7 days, and does not exceed two weeks, while premature infants usually appear 3 to 5 days after birth, and no later than 3 to 4 weeks. Therefore, it is recommended to monitor the jaundice situation every day within one week after birth.