Showing posts with label Cardiovascular disease. Show all posts
Showing posts with label Cardiovascular disease. Show all posts

3/9/11

Neonatal jaundice do?

After birth the baby all right. But 3-5 days after baby\'s face is yellow, and the trend of more and more yellow. This is going on about? It doesn\'t matter, mostly due to physiological jaundice of the newborn.


, Neonates in physiological jaundice is a special physiological phenomenon, almost all normal newborn. Its characteristics are:


1, 2-3 day jaundice occurs after birth, the skin is pale yellow, the sclera (white eyes) with slightly yellow, slightly yellow urine, discomfort-free performance, most obviously di4-6 days jaundice, term infants jaundice dissipated di10-14 days after birth, preterm infants may be extended to di3-4 weeks receded.


2, the value of determination of serum bilirubin is high.


Physiological jaundice of newborn is the main reason the body produces too much bilirubin, transformation and excretion of bilirubin and liver capacity, resulting in accumulation of bilirubin in the blood and the jaundice. Physiological phenomenon, generally without treatment, more drinking glucose water, promoting diuresis, discharge of bilirubin. Some serious jaundice complicated with bilirubin encephalopathy (kernicterus) cause permanent brain damage, so once baby\'s jaundice have increased timely medical treatment, so as not to delay the illness, unfortunately for life.


Second, to distinguish between pathological jaundice, pathological jaundice caused by the disease. Its characteristics are:


1 occur within 24 hours after birth, jaundice, or occur after 1 week, dissipated or jaundice and complex appears.


2, long duration over time of physiological jaundice of jaundice.


3 excessive, jaundice, serum bilirubin exceeds the value of physiological jaundice. Common in hemolytic disease of newborn pathological jaundice, neonatal sepsis, neonatal hepatitis, neonatal biliary tract deformities, cretinism, cephalhematoma, once pathological jaundice, diagnosis and treatment should seek medical advice immediately and avoid contact with patients with respiratory tract infection.

What happened to the hemolytic disease of newborn

Hemolytic disease of newborn refers to as the mother and the child\'s blood group incompatibility and hemolytic disease caused by, the most common are ABO blood group incompatibility, Rh blood group incompatibility less seen, occasionally you can see other blood group incompatibility.


Cause hemolysis of human blood groups a, b, AB and O type. Is on the red blood cells have a type a Antigen, b-type b antigens, AB has both a and b antigens, O-type is not any antigen. Blood type is hereditary, decided jointly by the mother and father\'s genes. When the mother\'s blood type is O-, children when hemolysis occurs for a type, b type, called ABO hemolysis; Rh negative mother, children as Rh positive and sometimes causing hemolytic, called Rh hemolytic disease. Rh blood group incompatibility in rare, due to the frequency of Rh negative racial differences in: about 15% in Caucasian populations, United States in the black 5%, in Chinese Han population of less than 0.5%.


So how can blood of the mother and child are met together, are all blood group incompatibility will cause hemolysis of mother? mothers after pregnancy, fetal blood in the blood of mother and child are separated by a layer of film, you can exchange nutrients, metabolites, and oxygen. But blood does not directly circulation, only in some causes Xia as trauma, and inflammatory,, fetal of blood cells can inflow maternal, and fetal was since father of blood type if precisely and mother not, so, as long as fetal of red blood cells entered maternal, its red blood cells Shang of Antigen on can stimulation mother produced corresponding of antibody, this antibody then by placenta entered fetal of blood cycle, and children red blood cells Shang of Antigen work, is occurs Antigen antibody reaction, makes large red blood cells was damage, dissolved, occurs anemia. At the same time generate large amounts of bilirubin, and jaundice.


Hemolytic disease of newborn outstanding performance are: 1, jaundice occur within 24 hours after the health and rapidly deepened. Level 2, jaundice, scleral development to face, neck, trunk, limbs and the palms and soles. 3, progressive development of the skin from light yellow to golden yellow, Cang yellow when accompanied by anemia, edema occurs. 4, laboratory examination showed manifestations of hemolytic anemia and jaundice: elevated indirect bilirubin obvious, hemoglobin low, elevated reticulocyte and blood group incompatibility of mother. 5, also confirmed the need for mother and child for special laboratory tests of blood, such as mother and child cross immunological test (Qom test).


Observed in medical practice, not all of the mother and child hemolytic disease of the blood group incompatibility, accounted for only a few of onset and severity can vary greatly, clinical manifestations of light, similar to the physiological jaundice; weight dangerously ill, such as delayed diagnosis and treatment can be life-threatening. What caused this difference, there is not particularly clear. In General, Rh hemolytic than ABO hemolytic symptoms early and heavy, fetal Rh hemolytic typically occurs in the second, ABO hemolysis can occur in the first. Hemolytic disease of newborn and genetic factors are closely related, so the fetus pregnant again more incidence, symptoms are more severe.

Neonatal jaundice do?

After birth the baby all right. But 3-5 days after baby\'s face is yellow, and the trend of more and more yellow. This is going on about? It doesn\'t matter, mostly due to physiological jaundice of the newborn.


, Neonates in physiological jaundice is a special physiological phenomenon, almost all normal newborn. Its characteristics are:


1, 2-3 day jaundice occurs after birth, the skin is pale yellow, the sclera (white eyes) with slightly yellow, slightly yellow urine, discomfort-free performance, most obviously di4-6 days jaundice, term infants jaundice dissipated di10-14 days after birth, preterm infants may be extended to di3-4 weeks receded.


2, the value of determination of serum bilirubin is high.


Physiological jaundice of newborn is the main reason the body produces too much bilirubin, transformation and excretion of bilirubin and liver capacity, resulting in accumulation of bilirubin in the blood and the jaundice. Physiological phenomenon, generally without treatment, more drinking glucose water, promoting diuresis, discharge of bilirubin. Some serious jaundice complicated with bilirubin encephalopathy (kernicterus) cause permanent brain damage, so once baby\'s jaundice have increased timely medical treatment, so as not to delay the illness, unfortunately for life.


Second, to distinguish between pathological jaundice, pathological jaundice caused by the disease. Its characteristics are:


1 occur within 24 hours after birth, jaundice, or occur after 1 week, dissipated or jaundice and complex appears.


2, long duration over time of physiological jaundice of jaundice.


3 excessive, jaundice, serum bilirubin exceeds the value of physiological jaundice. Common in hemolytic disease of newborn pathological jaundice, neonatal sepsis, neonatal hepatitis, neonatal biliary tract deformities, cretinism, cephalhematoma, once pathological jaundice, diagnosis and treatment should seek medical advice immediately and avoid contact with patients with respiratory tract infection.

What happened to the hemolytic disease of newborn

Hemolytic disease of newborn refers to as the mother and the child\'s blood group incompatibility and hemolytic disease caused by, the most common are ABO blood group incompatibility, Rh blood group incompatibility less seen, occasionally you can see other blood group incompatibility.


Cause hemolysis of human blood groups a, b, AB and O type. Is on the red blood cells have a type a Antigen, b-type b antigens, AB has both a and b antigens, O-type is not any antigen. Blood type is hereditary, decided jointly by the mother and father\'s genes. When the mother\'s blood type is O-, children when hemolysis occurs for a type, b type, called ABO hemolysis; Rh negative mother, children as Rh positive and sometimes causing hemolytic, called Rh hemolytic disease. Rh blood group incompatibility in rare, due to the frequency of Rh negative racial differences in: about 15% in Caucasian populations, United States in the black 5%, in Chinese Han population of less than 0.5%.


So how can blood of the mother and child are met together, are all blood group incompatibility will cause hemolysis of mother? mothers after pregnancy, fetal blood in the blood of mother and child are separated by a layer of film, you can exchange nutrients, metabolites, and oxygen. But blood does not directly circulation, only in some causes Xia as trauma, and inflammatory,, fetal of blood cells can inflow maternal, and fetal was since father of blood type if precisely and mother not, so, as long as fetal of red blood cells entered maternal, its red blood cells Shang of Antigen on can stimulation mother produced corresponding of antibody, this antibody then by placenta entered fetal of blood cycle, and children red blood cells Shang of Antigen work, is occurs Antigen antibody reaction, makes large red blood cells was damage, dissolved, occurs anemia. At the same time generate large amounts of bilirubin, and jaundice.


Hemolytic disease of newborn outstanding performance are: 1, jaundice occur within 24 hours after the health and rapidly deepened. Level 2, jaundice, scleral development to face, neck, trunk, limbs and the palms and soles. 3, progressive development of the skin from light yellow to golden yellow, Cang yellow when accompanied by anemia, edema occurs. 4, laboratory examination showed manifestations of hemolytic anemia and jaundice: elevated indirect bilirubin obvious, hemoglobin low, elevated reticulocyte and blood group incompatibility of mother. 5, also confirmed the need for mother and child for special laboratory tests of blood, such as mother and child cross immunological test (Qom test).


Observed in medical practice, not all of the mother and child hemolytic disease of the blood group incompatibility, accounted for only a few of onset and severity can vary greatly, clinical manifestations of light, similar to the physiological jaundice; weight dangerously ill, such as delayed diagnosis and treatment can be life-threatening. What caused this difference, there is not particularly clear. In General, Rh hemolytic than ABO hemolytic symptoms early and heavy, fetal Rh hemolytic typically occurs in the second, ABO hemolysis can occur in the first. Hemolytic disease of newborn and genetic factors are closely related, so the fetus pregnant again more incidence, symptoms are more severe.

What is neonatal pathological jaundice?

Although many neonatal jaundice appears, but most are rational. So what is neonatal hyperbilirubinemia? pathological jaundice of newborn should have the following characteristics:

1, jaundice appears early: often occur within 24 hours after birth. If a neonatal jaundice appears a few hours after birth (General first part is the sclera and face) then prompt this is a dangerous signal, children are likely to suffer from hemolytic disease.


Level 2, jaundice: mainly jaundice progress quickly, from the face gradually spread to the trunk, limbs, if children are found the palms and soles are yellow dye, prompting Pediatric blood bilirubin value exceeds 12mg%. (Term infants with serum bilirubin greater than 12mg/DL; greater than 15mg/DL in preterm infants, tips for neonatal hyperbilirubinemia, referred to as Gao Dan)


3, long duration of jaundice, often more than 2 weeks (preterm infants over 3 weeks). If 2 weeks after the child still have jaundice, no matter how much serum bilirubin is tip is unusual circumstances, parents best brought children to the hospital for the necessary checks, in order to identify the cause of jaundice caused by.


4 dissipated, jaundice appears after.


Many causes of neonatal hyperbilirubinemia, particularly jaundice occurs more attention should be paid within 24 hours after, often prompts with acute severe disease, immediate to the hospital.


In order to detect pathological jaundice, must observe the development of jaundice. If you are giving birth in hospitals, at discharge not forget to ask the doctor, newborn has jaundice? is already a few days? to understand delay no rebate of neonatal jaundice; home also often hold children in natural light, see if the skin is yellow, because as light in the room dark or light observation, often result in missed see jaundice. If the newborn is not only skin, white eyes yellow, torso and hands and feet are also yellow, it means jaundice serious, should go to hospital for treatment as soon as possible.

What is neonatal physiological jaundice

Physiological jaundice of newborn is a determined by the characteristics of neonatal bilirubin metabolism, physiological phenomena must occur, rather than from any other disease factors causing the jaundice.


How to tell if jaundice is rational?


First, note the jaundice appears at: usually occurs about 3 days after birth, a few to see slight yellowing of the skin on the second day after birth, or delay occurred to 5 days after birth. Gradually increased in the future, typically in jaundice di2-3 days after the most obvious.


Extent of jaundice: mainly rely on the determination of serum bilirubin to the judgment. Physiological jaundice of the highest value is the Moon should not exceed 12mg%, should not exceed 15mg% in preterm infants. Is the first from scleral jaundice in the order, face, neck and then spread to the trunk and limbs. Parents can jaundice appears part of a rough estimate of lycopene concentration in the blood, only in the face and neck to see jaundice, blood concentrations of red pigment from about 6-8mg%; spread to the upper body, approximately 9-12mg%; spread to lower body, about 12-16mg%, the palms and soles are yellow, generally above the 15mg%.


Development of jaundice speed: Although the extent of jaundice does not exceed the normal range of bilirubin, but appears earlier, faster development, prompt may also have a serious disease. Jaundice speeds also depend on the development of determination of serum bilirubin to judge. Normal is a month of neonatal cord blood bilirubin up to 2.5mg%, within 24 hours after birth than 6mg%,48 hours not exceeding 7.5%, within 72 hours of not more than 12mg%.


Jaundice retreat time: term infants jaundice dissipated 7-10 days of general health, no more than 2 weeks after birth at the latest, may be delayed until after birth in preterm infants 3-4 weeks back the net, if jaundice receded more than normal time, or stand back and returns are not working properly.
Other: a physiological jaundice of newborn apart from jaundice, other aspects are normal, such as infants, sleep, cry, urinary and fecal discharge, temperature, etc.


In short, the judgment is a physiological jaundice on people\'s livelihood should be based on jaundice of newborn began dissipated, the extent, development speed, and time and the total of all aspects of it are normal to judgment. General after successfully, do not need to be treated.

How to determine the treatment of intracranial hemorrhage in newborn

Neonatal intracranial hemorrhage caused by hypoxia and birth trauma. Parts in subdural, subarachnoid hemorrhage, cerebral ventricle and cerebral organization under any part of.


The main symptoms are:


1, excitement or sleepiness after birth, pale or bruising, without milk, milk.


2, with the condition of irritability, whining behavior occurs.


3, seizures occurred in severe cases, neck hard, irregular breathing, anterior Fontanelle full or raised, the pupil changes.


Treatment:


Neonatal intracranial hemorrhage where suspected to be, it is timely to the hospital for treatment.


Care:


1, keep quiet, raising children with head, and to minimize the moving, close observation condition changes.


2, when vomiting, head bias side, clean up the vomit in a timely manner to avoid asphyxia caused by inhalation of trachea.

Breast milk jaundice is going?

More and more popular as breastfeeding, neonatal jaundice occurs also has increased significantly in the past. In addition to skin of varying degree of severity of jaundice occurs in children, other areas, such as spirit, nurse, sleep, bowel, and so on are quite normal, child weight gain is also satisfactory. Went to the hospital, doctors often consider breast milk jaundice, are children: jaundice due to mother\'s milk is not good? what about do you want to stop breastfeeding?


Breast milk jaundice is an indirect hyperbilirubinemia due to increased bilirubin, high incidence, causes it to it is not yet very clear. It was speculated that in mother\'s milk contains a hormone, this hormone can compete with indirect bilirubin in combination with glucuronic acid in the liver enzyme; also expressed that the fatty acids in breast milk can inhibit this enzyme activity in liver, both cases can make indirect bilirubin will not translate into direct bilirubin, making indirect hyperbilirubinemia. At present most people think that breast milk jaundice is primarily due to increased intestinal absorption of bilirubin, bilirubin of normal bowel caused by the circulation increases. In short, the theory of a variety of causes, but are not sure.


How can I determine to breast milk jaundice? since there is no special tests check to be certain, so only exclude all can cause diseases of neonates with high bile before considering this disease, so doctors do not diagnosis is very cautious. In addition, you can try Diagnostics, or stop breastfeeding 3-5 days later, significantly reduce jaundice or recede; bilirubin has dropped to more than half of the original level; again after breastfeeding, child might appear slight jaundice or increased, when to consider breast milk jaundice.


Good prognosis of breast milk jaundice, children apart from jaundice, without any other do not apply, nor does it affect the normal growth and development, also found no cases of breast milk jaundice caused by kernicterus, you generally do not need to stop breastfeeding, but for clear diagnostic analysis should go to hospital doctors. Attention is the best stop breastfeeding when the bilirubin level is particularly high 3-5 day. This will enable more than halve the bilirubin in the blood, when Fu again when breastfeeding, bilirubin in the blood may be mild \"rebound\", but no more than the original levels, then will gradually subside, which also help to clear diagnosis of breast milk jaundice. Stop when feeding the baby formula milk breast milk, while mother the milk out on time, to maintain full of milk secretion, retreat to continue breastfeeding after fed infant jaundice. Jaundice of light, to the children drinking glucose water, regression of jaundice can be helped.

What is hemorrhagic disease of newborn

Hemorrhagic disease of newborn, also known as low blood disorder, such as vitamin k deficiency of prothrombin, is due to vitamin k deficiency in the body. Due to vitamin k after poor placental permeability, fetal uptake of vitamin k is small, so generally low vitamin k levels in the blood of infants at birth. Vitamin k deficiency, resulting in vivo coagulation factors (II, VII, IX, and x) biological activities cannot be started, cannot be involved in the coagulation process and easy spontaneous bleeding or bleeding after injury more than. Newborns have a tendency to hemorrhage occurs after birth. In addition, maternal liver and gall diseases; or taking vitamin k inhibiting drugs (such as anticonvulsants, such as anticoagulant drugs, isoniazid), vitamin k in the fetal body store less bleeding occurs after birth is more likely. Should be noted that breastfeeding infants opportunities for vitamin k deficiency bleeding occurs is 15-20 times the milk feeding infants because of vitamin k in breast milk is much less content than milk, breastfeeding and infant intestinal flora produce less vitamin k there is a relationship.


The disease occurs in the early neonatal, 2-4 days of common health, individual children can be made within 24 hours after onset. Hemorrhage in children with varying parts, for a single site, or for many bleeding, gastrointestinal bleeding up to see, characterized by vomiting blood or black discharge. Also be manifested in other forms of bleeding, such as the stump of the umbilical cord blood, skin bleeding, such as intracranial hemorrhage. When there is a minor hemorrhage, children generally is good, is often a lack of attention, sometimes easy failure condition. If the blood loss, and can occur in children with anemia if intracranial hemorrhage, the children with life-threatening, high mortality rate.


According to the time of onset of neonatal hemorrhage sooner or later divided into two types. Some children health Hou 24 hours within on onset, this and its mother during pregnancy suffers from Hepatobiliary disease, or prenatal medication, led fetal body vitamin k storage further reduced about, called early made sexual newborn bleeding syndrome; also has part children in newborn advanced (is is greater than 14 days) just occurs bleeding, this more due to in children with Department pure breast feeding, vitamin k intake insufficient caused by, so and called late made sexual vitamin k rely on coagulation blood factor lack bleeding syndrome. This type of bleeding commonly occurs in the brain, such as bleeding, site wide prognosis is very poor. Therefore, for exclusive breastfeeding of children, unexplained irritability, crying, easy irritation, appear pale, to timely medical treatment, the sooner the diagnosis and treatment, prognosis, the better. From this point of view, exclusive breastfeeding also has its negative side, should remind women\'s attention to the prevention of this disease during pregnancy.


In the prevention of hemorrhagic disease of newborn severe, while stressing the benefits of breastfeeding on infant at the same time, to remind the possibility of occurrence of neonatal hemorrhage. At present, hospitals and health departments have strongly encouraged breastfeeding, but we must not ignore the existence of these problems, vitamin k deficiency in that exclusive breastfeeding of children with apparent. A mother worked hard after shiyue pregnant finally successfully gave birth to her baby, follow the doctor\'s instructions, only giving children breast-fed her lactation is enough, children growing up day by day, white fat, but suddenly one day, his cry more, pale, young mother out of their wits, rushed to the hospital seeking treatment. Results children is intracranial hemorrhage due to vitamin k deficiency. Fortunately, processing time, intracranial hemorrhage volume is less, children receive timely medical treatment. From this we again reminded parents: as long as the early prevention of neonatal hemorrhage, was completely avoidable.


First of all, is for pregnant women vitamin k in the late. Currently some people advocated motherhood begins after 37 weeks K10 mg once daily oral vitamin; production back to once a week, dose is 10 mg, until the 12th week. In addition neonatal health after intramuscular injection of 10 mg can be play a role in prevention. If the child has bleeding manifestations, must go with time in children with medical care. If the blood loss, more serious condition, doctors may consider blood transfusion therapy, and transmission and new blood as possible so that you can better complement coagulation factors, and to correct the anemia.

What is neonatal pathological jaundice?

Although many neonatal jaundice appears, but most are rational. So what is neonatal hyperbilirubinemia? pathological jaundice of newborn should have the following characteristics:

1, jaundice appears early: often occur within 24 hours after birth. If a neonatal jaundice appears a few hours after birth (General first part is the sclera and face) then prompt this is a dangerous signal, children are likely to suffer from hemolytic disease.


Level 2, jaundice: mainly jaundice progress quickly, from the face gradually spread to the trunk, limbs, if children are found the palms and soles are yellow dye, prompting Pediatric blood bilirubin value exceeds 12mg%. (Term infants with serum bilirubin greater than 12mg/DL; greater than 15mg/DL in preterm infants, tips for neonatal hyperbilirubinemia, referred to as Gao Dan)


3, long duration of jaundice, often more than 2 weeks (preterm infants over 3 weeks). If 2 weeks after the child still have jaundice, no matter how much serum bilirubin is tip is unusual circumstances, parents best brought children to the hospital for the necessary checks, in order to identify the cause of jaundice caused by.


4 dissipated, jaundice appears after.


Many causes of neonatal hyperbilirubinemia, particularly jaundice occurs more attention should be paid within 24 hours after, often prompts with acute severe disease, immediate to the hospital.


In order to detect pathological jaundice, must observe the development of jaundice. If you are giving birth in hospitals, at discharge not forget to ask the doctor, newborn has jaundice? is already a few days? to understand delay no rebate of neonatal jaundice; home also often hold children in natural light, see if the skin is yellow, because as light in the room dark or light observation, often result in missed see jaundice. If the newborn is not only skin, white eyes yellow, torso and hands and feet are also yellow, it means jaundice serious, should go to hospital for treatment as soon as possible.

What is neonatal physiological jaundice

Physiological jaundice of newborn is a determined by the characteristics of neonatal bilirubin metabolism, physiological phenomena must occur, rather than from any other disease factors causing the jaundice.


How to tell if jaundice is rational?


First, note the jaundice appears at: usually occurs about 3 days after birth, a few to see slight yellowing of the skin on the second day after birth, or delay occurred to 5 days after birth. Gradually increased in the future, typically in jaundice di2-3 days after the most obvious.


Extent of jaundice: mainly rely on the determination of serum bilirubin to the judgment. Physiological jaundice of the highest value is the Moon should not exceed 12mg%, should not exceed 15mg% in preterm infants. Is the first from scleral jaundice in the order, face, neck and then spread to the trunk and limbs. Parents can jaundice appears part of a rough estimate of lycopene concentration in the blood, only in the face and neck to see jaundice, blood concentrations of red pigment from about 6-8mg%; spread to the upper body, approximately 9-12mg%; spread to lower body, about 12-16mg%, the palms and soles are yellow, generally above the 15mg%.


Development of jaundice speed: Although the extent of jaundice does not exceed the normal range of bilirubin, but appears earlier, faster development, prompt may also have a serious disease. Jaundice speeds also depend on the development of determination of serum bilirubin to judge. Normal is a month of neonatal cord blood bilirubin up to 2.5mg%, within 24 hours after birth than 6mg%,48 hours not exceeding 7.5%, within 72 hours of not more than 12mg%.


Jaundice retreat time: term infants jaundice dissipated 7-10 days of general health, no more than 2 weeks after birth at the latest, may be delayed until after birth in preterm infants 3-4 weeks back the net, if jaundice receded more than normal time, or stand back and returns are not working properly.
Other: a physiological jaundice of newborn apart from jaundice, other aspects are normal, such as infants, sleep, cry, urinary and fecal discharge, temperature, etc.


In short, the judgment is a physiological jaundice on people\'s livelihood should be based on jaundice of newborn began dissipated, the extent, development speed, and time and the total of all aspects of it are normal to judgment. General after successfully, do not need to be treated.

How to determine the treatment of intracranial hemorrhage in newborn

Neonatal intracranial hemorrhage caused by hypoxia and birth trauma. Parts in subdural, subarachnoid hemorrhage, cerebral ventricle and cerebral organization under any part of.


The main symptoms are:


1, excitement or sleepiness after birth, pale or bruising, without milk, milk.


2, with the condition of irritability, whining behavior occurs.


3, seizures occurred in severe cases, neck hard, irregular breathing, anterior Fontanelle full or raised, the pupil changes.


Treatment:


Neonatal intracranial hemorrhage where suspected to be, it is timely to the hospital for treatment.


Care:


1, keep quiet, raising children with head, and to minimize the moving, close observation condition changes.


2, when vomiting, head bias side, clean up the vomit in a timely manner to avoid asphyxia caused by inhalation of trachea.

Breast milk jaundice is going?

More and more popular as breastfeeding, neonatal jaundice occurs also has increased significantly in the past. In addition to skin of varying degree of severity of jaundice occurs in children, other areas, such as spirit, nurse, sleep, bowel, and so on are quite normal, child weight gain is also satisfactory. Went to the hospital, doctors often consider breast milk jaundice, are children: jaundice due to mother\'s milk is not good? what about do you want to stop breastfeeding?


Breast milk jaundice is an indirect hyperbilirubinemia due to increased bilirubin, high incidence, causes it to it is not yet very clear. It was speculated that in mother\'s milk contains a hormone, this hormone can compete with indirect bilirubin in combination with glucuronic acid in the liver enzyme; also expressed that the fatty acids in breast milk can inhibit this enzyme activity in liver, both cases can make indirect bilirubin will not translate into direct bilirubin, making indirect hyperbilirubinemia. At present most people think that breast milk jaundice is primarily due to increased intestinal absorption of bilirubin, bilirubin of normal bowel caused by the circulation increases. In short, the theory of a variety of causes, but are not sure.


How can I determine to breast milk jaundice? since there is no special tests check to be certain, so only exclude all can cause diseases of neonates with high bile before considering this disease, so doctors do not diagnosis is very cautious. In addition, you can try Diagnostics, or stop breastfeeding 3-5 days later, significantly reduce jaundice or recede; bilirubin has dropped to more than half of the original level; again after breastfeeding, child might appear slight jaundice or increased, when to consider breast milk jaundice.


Good prognosis of breast milk jaundice, children apart from jaundice, without any other do not apply, nor does it affect the normal growth and development, also found no cases of breast milk jaundice caused by kernicterus, you generally do not need to stop breastfeeding, but for clear diagnostic analysis should go to hospital doctors. Attention is the best stop breastfeeding when the bilirubin level is particularly high 3-5 day. This will enable more than halve the bilirubin in the blood, when Fu again when breastfeeding, bilirubin in the blood may be mild \"rebound\", but no more than the original levels, then will gradually subside, which also help to clear diagnosis of breast milk jaundice. Stop when feeding the baby formula milk breast milk, while mother the milk out on time, to maintain full of milk secretion, retreat to continue breastfeeding after fed infant jaundice. Jaundice of light, to the children drinking glucose water, regression of jaundice can be helped.

What is hemorrhagic disease of newborn

Hemorrhagic disease of newborn, also known as low blood disorder, such as vitamin k deficiency of prothrombin, is due to vitamin k deficiency in the body. Due to vitamin k after poor placental permeability, fetal uptake of vitamin k is small, so generally low vitamin k levels in the blood of infants at birth. Vitamin k deficiency, resulting in vivo coagulation factors (II, VII, IX, and x) biological activities cannot be started, cannot be involved in the coagulation process and easy spontaneous bleeding or bleeding after injury more than. Newborns have a tendency to hemorrhage occurs after birth. In addition, maternal liver and gall diseases; or taking vitamin k inhibiting drugs (such as anticonvulsants, such as anticoagulant drugs, isoniazid), vitamin k in the fetal body store less bleeding occurs after birth is more likely. Should be noted that breastfeeding infants opportunities for vitamin k deficiency bleeding occurs is 15-20 times the milk feeding infants because of vitamin k in breast milk is much less content than milk, breastfeeding and infant intestinal flora produce less vitamin k there is a relationship.


The disease occurs in the early neonatal, 2-4 days of common health, individual children can be made within 24 hours after onset. Hemorrhage in children with varying parts, for a single site, or for many bleeding, gastrointestinal bleeding up to see, characterized by vomiting blood or black discharge. Also be manifested in other forms of bleeding, such as the stump of the umbilical cord blood, skin bleeding, such as intracranial hemorrhage. When there is a minor hemorrhage, children generally is good, is often a lack of attention, sometimes easy failure condition. If the blood loss, and can occur in children with anemia if intracranial hemorrhage, the children with life-threatening, high mortality rate.


According to the time of onset of neonatal hemorrhage sooner or later divided into two types. Some children health Hou 24 hours within on onset, this and its mother during pregnancy suffers from Hepatobiliary disease, or prenatal medication, led fetal body vitamin k storage further reduced about, called early made sexual newborn bleeding syndrome; also has part children in newborn advanced (is is greater than 14 days) just occurs bleeding, this more due to in children with Department pure breast feeding, vitamin k intake insufficient caused by, so and called late made sexual vitamin k rely on coagulation blood factor lack bleeding syndrome. This type of bleeding commonly occurs in the brain, such as bleeding, site wide prognosis is very poor. Therefore, for exclusive breastfeeding of children, unexplained irritability, crying, easy irritation, appear pale, to timely medical treatment, the sooner the diagnosis and treatment, prognosis, the better. From this point of view, exclusive breastfeeding also has its negative side, should remind women\'s attention to the prevention of this disease during pregnancy.


In the prevention of hemorrhagic disease of newborn severe, while stressing the benefits of breastfeeding on infant at the same time, to remind the possibility of occurrence of neonatal hemorrhage. At present, hospitals and health departments have strongly encouraged breastfeeding, but we must not ignore the existence of these problems, vitamin k deficiency in that exclusive breastfeeding of children with apparent. A mother worked hard after shiyue pregnant finally successfully gave birth to her baby, follow the doctor\'s instructions, only giving children breast-fed her lactation is enough, children growing up day by day, white fat, but suddenly one day, his cry more, pale, young mother out of their wits, rushed to the hospital seeking treatment. Results children is intracranial hemorrhage due to vitamin k deficiency. Fortunately, processing time, intracranial hemorrhage volume is less, children receive timely medical treatment. From this we again reminded parents: as long as the early prevention of neonatal hemorrhage, was completely avoidable.


First of all, is for pregnant women vitamin k in the late. Currently some people advocated motherhood begins after 37 weeks K10 mg once daily oral vitamin; production back to once a week, dose is 10 mg, until the 12th week. In addition neonatal health after intramuscular injection of 10 mg can be play a role in prevention. If the child has bleeding manifestations, must go with time in children with medical care. If the blood loss, more serious condition, doctors may consider blood transfusion therapy, and transmission and new blood as possible so that you can better complement coagulation factors, and to correct the anemia.

Of common vascular \"birthmarks\" feature

Vascular \"birthmark\", also known as a vascular tumor, is a more common type of birthmark, it belongs to the congenital vascular malformation, or benign tumors formed by residual embryonic vascular. Generally divided into the following 4 types:


Port wine stain Nevus


Also known as flame-mole or Nevus, and telangiectasis port wine stains, commonly known as \"red birthmark\". General appears shortly after birth or at, a performance of-or a realm of clear light Aubergine, mauve, or red plaques; size, at first not higher than leather, if not treated can be nodular hyperplasia in the future, fading, often the baby is crying, force, or take a shower when hot color burn. Lesions seen in every part of the body, face, neck, limbs to see. Lesions with the baby\'s growth and expand the scope not generally subside on their own by the General Assembly.


Strawberry Hemangioma


Also known as capillary Hemangioma. General Yu baby was born Hou soon appears, is size ranging of round or oval red color spot block, surface some rough, but most only for minimal of small red points, expanded and mutual fusion into block, often high out skin 3~4 mm, surface is many particles shaped, boundary clearly, texture soft, due to similar Strawberry and named, pressure of can faded, with baby of age gradually increases. Some babies are usually dissipated in 1~4sui itself.


Cavernous Hemangioma


Cavernous Hemangioma is a more deeper Hemangioma, is more common in infants. Boundary is not clear, feel soft, can be compressed. Occurs after birth or shortly after birth, onset there only after the age of 1. Prejudice to the generally larger, slower growth, lesions found in every part of the body, face, limbs and trunk for many, often involving the buccal mucous membrane of oral cavity, pharynx; round, flat or irregular shape, size, soft and high leather uplift of tumor, after extrusion can be narrow, flexible. Huge cavernous Hemangioma with thrombocytopenia and Purpura, baby younger, bleed more frequently; lower platelet, bleeding easier. Particularly infections secondary to cerebral hemorrhage, respiratory difficulties, such as, serious and even life-threatening.


Mixed Hemangioma

Two and more vascular tumors exist simultaneously to one of the types of Hemangioma. At first mostly have sizes ranging from small erythematous skin surface, no strange with Strawberry Hemangioma simplex, but with the development of Hemangioma on the surface, at the same time invade the DermIS and subcutaneous tissue, forming uplift of the masses, form irregular, appear on the face and extremities. Violations sometimes very broad, that eyes, lips, nose, or ears, and other tissues and organs is covered by this ever-expanding vascular tissue can cause breathing, eating, such as Visual and auditory dysfunction.

Of common vascular \"birthmarks\" feature

Vascular \"birthmark\", also known as a vascular tumor, is a more common type of birthmark, it belongs to the congenital vascular malformation, or benign tumors formed by residual embryonic vascular. Generally divided into the following 4 types:


Port wine stain Nevus


Also known as flame-mole or Nevus, and telangiectasis port wine stains, commonly known as \"red birthmark\". General appears shortly after birth or at, a performance of-or a realm of clear light Aubergine, mauve, or red plaques; size, at first not higher than leather, if not treated can be nodular hyperplasia in the future, fading, often the baby is crying, force, or take a shower when hot color burn. Lesions seen in every part of the body, face, neck, limbs to see. Lesions with the baby\'s growth and expand the scope not generally subside on their own by the General Assembly.


Strawberry Hemangioma


Also known as capillary Hemangioma. General Yu baby was born Hou soon appears, is size ranging of round or oval red color spot block, surface some rough, but most only for minimal of small red points, expanded and mutual fusion into block, often high out skin 3~4 mm, surface is many particles shaped, boundary clearly, texture soft, due to similar Strawberry and named, pressure of can faded, with baby of age gradually increases. Some babies are usually dissipated in 1~4sui itself.


Cavernous Hemangioma


Cavernous Hemangioma is a more deeper Hemangioma, is more common in infants. Boundary is not clear, feel soft, can be compressed. Occurs after birth or shortly after birth, onset there only after the age of 1. Prejudice to the generally larger, slower growth, lesions found in every part of the body, face, limbs and trunk for many, often involving the buccal mucous membrane of oral cavity, pharynx; round, flat or irregular shape, size, soft and high leather uplift of tumor, after extrusion can be narrow, flexible. Huge cavernous Hemangioma with thrombocytopenia and Purpura, baby younger, bleed more frequently; lower platelet, bleeding easier. Particularly infections secondary to cerebral hemorrhage, respiratory difficulties, such as, serious and even life-threatening.


Mixed Hemangioma

Two and more vascular tumors exist simultaneously to one of the types of Hemangioma. At first mostly have sizes ranging from small erythematous skin surface, no strange with Strawberry Hemangioma simplex, but with the development of Hemangioma on the surface, at the same time invade the DermIS and subcutaneous tissue, forming uplift of the masses, form irregular, appear on the face and extremities. Violations sometimes very broad, that eyes, lips, nose, or ears, and other tissues and organs is covered by this ever-expanding vascular tissue can cause breathing, eating, such as Visual and auditory dysfunction.