PDA

Просмотр полной версии : On December, 12th the wife, 34 years from a sort, has given birth to the perfect boy, the truth, neskol...



Lion
22.07.2004, 11:25
On December, 12th the wife, 34 years from a sort, has given birth to the perfect boy, the truth, is a little bit premature - in 37 weeks. 14 go in it or him have found out an icterus of the newborn and at once have appointed or nominated seansja phototherapies; today, on December, 16th, the analysis of a blood has shown 250 units of a bilirubin, instead of put 130; the doctor has offered a dropper of an admixture of a glucose and magnesia in current of 10 hours. The wife in a panic, I too am nervous, what is it - an ordinary icterus, or complications have begun? Please, respond - more quickly.
Yours faithfully, the Lion.

The anonym
22.07.2004, 18:40
The lion, under an available information to give the concrete answers to your question is impossible. Hyperbilirubinemias of newborns there are some kinds. The ordinary ("physiological") icterus in the majority and is treated - phototherapy, but it is better not sessions, and is constant during several, probably, day, and as infusional therapy ("droppers") + enterosorbtsija (smekta, the polyfan through a mouth and cleansing enemas).
Sometimes it is necessary to stop feeding by maternal milk for the short period.
The level of a bilirubin 250 mkm/l is, certainly, mnogovato, but digits not critical (it is more important to estimate or appreciate its or his hourly gain).
If the child " is a question of the immune conflict " mat--that treatment should be more massive.
About "complications" while to speak early - most dangerous of them t. n. The "nuclear" icterus (= pora-zhenie cells of a brain) develops on higher digits and at a modern level, as a rule, it is not supposed.
Success!

The doctor
23.07.2004, 04:12
In the age of more than 72 hours at a level of a bilirubin 250, according to references of the American academy of pediatrics, observation over a level of a bilirubin is shown only. The phototherapy usually to be spent at this age at the general or common bilirubin above 290 340. At conservation of an icterus till 2 weeks (artificial feeding) and till 3 weeks (thoracal feeding) definition of fractions of a bilirubin is shown. In any case - the decision for treating vrachem.