Normal range of neonatal jaundice

When a baby is pushed out from the operating room, I can\’t help but go to find out what\’s going on, but my name is never called. I feel disappointed again and again, and I wait anxiously! Like a bird that has lost its wings, it can only walk around slowly and obediently, feeling a little scared inside, afraid that something will go wrong. People are like this. When they can\’t see the goal clearly, they always like to make themselves exhausted mentally and physically… In the end, it turns out that their thoughts are superfluous. Mother and son are safe! I felt excited all of a sudden and felt unspeakably happy (happy) deep in my heart. When I saw the baby’s cute appearance, my mind went blank! The first day passed. When I went to give the baby a bath the next day, the normal range for neonatal jaundice was a little higher, so the doctor gave the baby some medicine and thought it would be over. But when I went to take a shower every four days in the morning, the doctor was shocked by the detected value, which suddenly reached 16.2. It came so suddenly that we were not prepared at all. After the baby had taken a shower, we could only send him for blue light treatment according to the doctor\’s instructions, so we could only leave the baby alone in the hospital. Because it was our discharge date at that time, I was really reluctant to let go. The baby was still so young, would there be an aunt to take good care of him? No matter what, what is supposed to come will always come, and we still have to face the realization, so after returning home, I went to study to recharge, only to learn that jaundice is the most common symptom in pediatrics. It means that the skin and mucous membranes (especially the sclera of the eye) are yellow. It should be checked under natural light. It is easy to miss the diagnosis under light inspection. Jaundice is divided into two types: neonatal jaundice and pediatric jaundice: (1) Neonatal jaundice: Neonatal jaundice is divided into physiological and pathological jaundice: ① Physiological jaundice: appears on 2-3 days after birth, 4-5 days after birth It reaches a peak, then gradually recedes, until it clears out between July and October 10th. Jaundice is usually not serious and does not require treatment. ② Pathological jaundice: If jaundice occurs on the first day after birth, or jaundice lasts for too long, or jaundice is reduced and then deepened, it should be considered pathological jaundice, which has many causes. (1) Hemolytic disease of the newborn is jaundice that occurs on the first day after birth. First, consider hemolytic disease of neonatal mother-infant blood group incompatibility. In Guangdong, Sichuan, Yunnan and other places, glucose-6-phosphate dehydrogenase (G-6-PD) deficiency should be considered, which is jaundice caused by hemolysis. (2) Breast-feeding jaundice If the physiological jaundice of newborns who are breastfed is particularly deep, persists, or reappears after the physiological jaundice subsides, but the general condition is good, breast-milk jaundice should be considered. The incidence rate in China is quite high. Breast milk jaundice generally lasts from 2 weeks to 1 month, and can last up to 2 months, with no other symptoms except jaundice. The jaundice will be significantly relieved after stopping breastfeeding for three or four days, and the diagnosis can be made. This disease cannot be used as a reason to stop breastfeeding, because jaundice is relieved after breastfeeding is stopped, and jaundice does not necessarily get worse when breastfeeding is resumed; on the contrary, it may be reduced or no longer reappear. (3) Intrauterine infection of jaundice caused by infection, such as giant cell inclusion disease, congenital rubella, toxoplasmosis infection, neonatal jaundice appearing on the first day after birth or later, others such as sepsis, vertical transmission from mother to child Viral hepatitis, congenital intrahepatic bile duct atresia, or choledochal cyst can cause jaundice and may persist.Continue beyond the neonatal period. (2) Jaundice in children: There are many causes of jaundice in children. Here are a few common diseases. (1) Hemolytic jaundice is prehepatic jaundice. It is caused by the deficiency of grape-6-phosphate dehydrogenase (G-6-PD) in red blood cells. Acute hemolysis occurs within hours to days after eating broad beans and jaundice occurs. and fever, with a duration of 2-6 days. Breastfeeding mothers who eat broad beans can also cause hemolysis and jaundice in babies with G-6-PD deficiency, so this disease is also called broad bean yellow. (2) Among viral hepatitis A, B, C, D, and E, acute jaundice hepatitis caused by hepatitis A virus is more common in children, and jaundice can also occur in other types of hepatitis. (3) Jaundice caused by other infections such as red blood cell destruction caused by malaria can cause jaundice. Jaundice can also occur when typhoid fever and paratyphoid fever are accompanied by toxic hepatitis. Infectious mononucleosis caused by EB virus is mainly characterized by fever and jaundice may also occur. (3) The normal value range of neonatal jaundice: The normal value of neonatal jaundice is based on serum bilirubin as a reference index. As long as it does not exceed 204 μmol/L (12 mg/dl) in full-term infants and 255 μmol/L (12 mg/dl) in premature infants. 15mg/dl) is normal. In addition, apart from yellowing of the skin, children with physiological jaundice will not have much impact on their appetite and mental state, and the symptoms will usually disappear automatically within a month. Children with pathological jaundice not only have skin changes, but also usually cry, fuss and refuse milk. In this case, parents must take the child to the hospital for treatment as soon as possible, otherwise it may cause kernicterus. Neonatal jaundice is mainly due to the A disease caused by imperfect liver function, abnormal bilirubin metabolism, and elevated bilirubin concentration in the blood. Many people think that breastfeeding is related to a high jaundice index, but this is not necessarily the case. Experts believe that other causes of jaundice must be eliminated before it can be said that jaundice is caused by breast milk. The jaundice in the first week may be due to dehydration due to insufficient feeding. At this time, if the index is less than 20 mg/dL, there will be no problem. Because there are no reports of brain lesions caused by breast milk jaundice, so it is generally not recommended to terminate Breastfeeding, but if the jaundice index exceeds 20mg/dL, you can temporarily stop breastfeeding and use infant formula to assist. If the jaundice improves within 48 hours and breastfeeding is resumed, the bilirubin may rise slightly by 2 to 4 mg/dL, which will not affect the baby. Jaundice caused by breast milk will completely disappear within 1 to 3 months. Okay, it’s getting late, so let’s stop here on the topic of the normal range of jaundice in newborns. This common sense is everywhere on the Internet, and it is a good thing for parents to understand it.