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Просмотр полной версии : Hello, to the newborn child for the first day of a life the inoculation is made...



Galina
22.08.2004, 02:32
Hello, to the newborn child for the first day of a life the inoculation from hepatitis B is made. Therefore the child has turned yellow, a bilirubin 200. Whether there can be through an inoculation an infection gepotitom.

The anonym
24.08.2004, 22:05
The facts not svjazy among themselves. Without an inoculation he so would turn yellow

Talla
25.08.2004, 17:24
At the child has developed fiziologiheskaja zhiltuha which the Inoculation is observed at all newborns has no any otnoshenija to it or this

The anonym
27.08.2004, 21:17
Icterus physiological (an icterus of newborns) - the transitional (time or temporary) pairing icterus arising at the majority of healthy newborns in the first days of a life because erythrocytes of a fetus contain a special kind of a hemoglobin (hemoglobin F - fetalnyj) and these erythrocytes after a birth collapse or are blasted. Besides newborns have also a deficiency of special fiber which provides carry of a bilirubin through membranes of hepatic cells. Delay of maturing of enzymatic systems of the liver participating in transformation of an indirect bilirubin in a straight line promotes superfluous accumulation of a bilirubin. One more factor influencing rate of deducing or removing of a bilirubin from an organism is a low secretory ability of a liver at newborn children.
The physiological icterus of newborns by a staining of a skin in yellow color on 3 4 j day after a birth is shown. The liver and a lien do not increase or are not enlarged, attributes of the strengthened disintegration (hemolysis) of erythrocytes and are not present an anemia. In process of improvement of job of system of allocation of a bilirubin and disappearance or eradication of superfluous bloody cells from a bed or channel of a blood, the icterus disappears (usually in 1 2 weeks) and does not cause or cause any harm to the child. At the expressed icterus sometimes use intravenous injection of solutions of a glucose, Acidum ascorbinicum, Fenobarbitalum, cholagogue agents for acceleration of deducing or removing of a bilirubin.

The icterus at not full-term children meets more often, than at full-term, she is more expressed and keeps is longer - till 3 4 weeks. The level of a direct bilirubin at this form of an icterus reaches or achieves a maximum on 5 6 j day of a life of the child. In case of an intensive icterus in addition use medicamental agents and phototherapy (therapy by light from a special lamp). Under influence of light there is a structural isomerization of a bilirubin and is formed so-called "ljumirubin" which has other way of deducing or removing, quickly gets into bile and urine.
The expression of rising of a level of a bilirubin in a blood at not full-term does not depend on mass of a body at a birth, and is in direct dependence on a degree of a maturity of a fetus and presence of diseases of mother during pregnancy.

EXTREMELY SELDOM there is an icterus caused by milk of mother (it or she should be distinguished from an icterus at thoracal feeding), she meets approximately at 1 % nursed newborns appreciable displays of an icterus. There is she after 1 j weeks of a life of the child. It is supposed, that this form of an icterus is connected with the maintenance or contents in milk of mother of substances from a class of fat acids which oppress function of hepatic cells of the child and reduce activity of the enzymes providing "transformation" of an indirect bilirubin in a straight line.

The icterus at thoracal feeding develops on 2 4 j day of a life, frequency of its or her occurrence - up to 15 % of cases dies away or goes out on 3 4 j to week. At this kind of an icterus of the child it is necessary a thicket to feed (it is possible more than 8 once a day) thoracal milk as thoracal feeding promotes more frequent chair and faster deducing or removing of a bilirubin from an organism. As at children with the raised or increased level of a bilirubin often the raised or increased sleepiness them recommend to awake necessarily for feeding.
Stop thoracal feeding at children with an icterus only at some hereditary diseases connected with disturbance by a metabolism, for example, at a galactosemia

The lecturer
31.08.2004, 08:05
Similar lectures are necessary for parents for general or common, more detailed representation about a status of their child. And you Talla, instead of gratitude for lecture would check elementary grammatic mistakes or errors in your answers is better. For the doctor very much it is not solid. Write, how lazy vtorogodnik.

zhanna
03.09.2004, 04:25
The diet for the child of 6 months who have had been ill an icterus is necessary to me