Please, help or assist advice or council! To our boy on reception in 1 mes potavili di...

[Tatyana]

Please, help or assist advice or council! To our boy on reception in 1 mes potavili diagnoses giperbilerumija an obscure etiology, PPTSNS, GGS also have appointed or nominated Fenobarbitalum. On reception have noted yellowness of a skin and scleras and augmentation of a liver on 0, 5 1, 0 see After that have handed over the analysis on billirubin, result 150 mkmol/l. By results of US and survey the neuropathologist has appointed or nominated Diacarbum and Asparkam and has told or said, that need for Fenobarbitalum is not present. Please, tell or say, whether it is possible to treat Fenobarbitalum any hyperbilirubinemia? What it is necessary to hand over analyses to learn or find out its or her reason? Whether there Are medicines more sparing for a liver? Reception of Fenobarbitalum in this situation is how much dangerous, and how much dangerous for TSNS such level of a bilirubin?

[Lanj]

Madam Tatyana, at me to you some questions: whether the status of your child was broken, whether your child was full-term, whether has been spent to him zamennoe a hemotransfusion and whether disintoxication therapy was spent. What analyses direct and an indirect bilirubin in a blood. Please, specify once again parameters of a pigmental or pigmentary exchange in krovi-the general or common bilirubin, probably, you were mistaken, the same as and in a writing or spelling of the diagnosis. A hyperbilirubinemia. And how much months now to your child?

[Tatyana]

Dear doctor Lani, the child was born scheduled cesarean section in 39 weeks (the indication - cicatrixes on shejke uteruses). Weight at a birth 3500, body height 52, about. A goal. 35, breasts of 34 sm. It is native. 2, 52, 5, seams are closed. A parameter on Apgar 8/9. Transfusion to him was not spent, to mum at operation transfused own blood. Group of a blood at mum IV +. In a maternity home of the child treated nothing also the diagnosis a bilirubinemia did not put. The analysis of a blood on a bilirubin did not hand over. At research of an afterbirth have noted disturbance of a circulation and risk on a fetal hypoxia. Have put or applied to a breast right after an output or exit from a narcosis. The boy on thoracal feeding. Sleeps and sucks well, cries seldom. In a month weight 4250, body height 56. Yellowness at the boy marked or celebrated at home nursing about one month and have appointed or nominated the activated coal. On reception in 1 4 days have diagnosed a hyperbilirubinemia of an obscure etiology, have written down in a map " to hand over a blood on a bilirubin ", have appointed or nominated Fenobarbitalum, a glucose, Essentiale, the activated coal and without a direction have sent to hand over the analysis. Result of the analysis 150 mkmol/l. I think, what is it the general or common bilirubin. The US and survey nevrapotologa were spent in 4 days. On US have found 2 cysts in temporal share TKV 3, 13. 7 and 4, 13, 3. Other parameters in norm or rate. At survey the neuropathologist has noted the raised or increased tonus of muscles in sgibateljah, sagittalnyj a seam 3. It is native. 2, 52, 5 see, SMN without patalogii, reflexes and development in norm or rate, about. Heads 39 see - on survey did not measure the Breast. On our measurements in 1. 10 dn. - 39 see the Neuropathologist has written out Diacarbum and Asparkam and has told or said, that Fenobarbitalum to drink it is not necessary. Now to the child 1 months of 13 days. To us the following control of a bilirubin over 4 days, and by results of - gospitilizatsija is appointed or nominated. Very much I ask you, tell or say, it is necessary to hand over what analyses for finding-out of the reasons of a hyperbilirubinemia. Yours faithfully, Tatyana

[Tatyana]

Forgive or Excuse, again opiska: In the conclusion nevropotologa napsano not SMN and NSG without patalogii.

[Lanj]

Dear Tatyana, Fenobarbitalum (luminal) is used in pediatrics for treatment of a hyperbilirubinemia. He raises or increases activity mikrosomalnyh enzymes of a liver which participate in a biotransformation of medicines, in an inactivation of a bilirubin. Diacarbum to you is appointed or nominated by the neuropathologist (though well-known, that till 1, 5 months Diacarbum is ineffective) for podshchelachivanija urine, that leads to faster depression of concentration of Fenobarbitalum in a blood. Probably, on any data the neuropathologist doubts. I consider or count, that the child is necessary for hospitalizing. At such bilirubin it do or make immediately. As the child goes on group of risk of a hypoxia. It is necessary to turn vnimanie-what duration a narcosis has been applied to mum and why the child has been enclosed at once to a breast. Probably, in it or this one of the reasons of a hyperbilirubinemia is covered.