How to treat jaundice with abo hemolytic jaundice is the symptom and sign of yellowing of skin, sclera and mucosa due to the increase of bilirubin in serum. The maximum normal bilirubin is 17. 1? Mol/L, in which bilirubin is 3.42? Mol/L, unconjugated bilirubin 13.68? mol/L。 Hemolytic jaundice is caused by the destruction of a large number of red blood cells and the formation of a large number of unconjugated bilirubin, which exceeds the ability of liver cells to ingest, combine and excrete. On the other hand, due to anemia, hypoxia and toxic effects of red blood cell destruction products caused by hemolysis, the metabolic function of liver cells to bilirubin is weakened, so that unconjugated bilirubin remains in the blood and exceeds the normal level.
First of all, determine whether there is jaundice. Yellow skin and mucous membrane may not necessarily have jaundice, which may be caused by eating a lot of carotene food or some medicine.
Secondly, it is clear what type of jaundice is. The classification of jaundice includes hemolytic, hepatocyte, cholestasis and congenital non-hemolytic jaundice. The patients with hemolytic jaundice have anemia, reticulocyte increase, mainly unconjugated bilirubin increase, obvious manifestations such as urobilinogen (+), urinary bilirubin (-) and erythroid hyperplasia in bone marrow, so as to make a diagnosis.
The treatment of hemolytic jaundice, first of all, is aimed at the treatment of hemolytic disease itself: clearing the cause, removing the inducement, symptomatic treatment (such as using adrenocortical hormone for autoimmune hemolytic anemia, plasma exchange, splenectomy for patients with hereditary spherocytosis, certain types of thalassemia, autoimmune hemolysis who are ineffective in drug treatment, etc.); Secondly, the symptomatic treatment of jaundice, such as Yinzhihuang and Smeitai, is commonly used in clinic, but it must be emphasized that jaundice is difficult and the effect is temporary if hemolysis is not relieved.
To sum up, we can see that there are many diseases that cause hemolytic jaundice. Therefore, when we find ourselves suffering from hemolytic jaundice, we need to do corresponding tests to find out what kind of hemolytic jaundice we are suffering from. Understanding the causes and treating the causes will have a better effect.
Causes of neonatal jaundice So for parents, there are many reasons for neonatal hemolytic jaundice. As parents, the most important thing is that if a child has neonatal hemolytic jaundice, it is natural to cooperate with the doctor in a targeted manner, and then let the child recover.
After 24 hours of birth, the serum bilirubin of newborns changed from17 ~ 51? Mol/l (1~ 3 mg/dl) gradually rose to 86? Jaundice with mol/L(5mg/dl) or above appears clinically without other symptoms, and subsides within1~ 2 weeks, which is called neonatal hemolytic jaundice.
The most common cause is ABO hemolysis, which is caused by the incompatibility of blood types between mother and fetus. The mother's blood type is 0 and the fetus's blood type is A or B, which is the most common cause, and the jaundice caused is serious. Others, such as mother's blood type A and fetal blood type B or AB; It is rare that the mother's blood type is B and the fetal blood type is A or AB, and the jaundice caused is mild. In this way, some parents will be very nervous and worry that their children will have ABO hemolysis. In fact, it should be noted that not all newborns with ABO system blood group incompatibility will have neonatal hemolytic jaundice. It is reported that the incidence of ABO blood group incompatibility hemolysis in newborns is 1 1.9%.
Of course, for parents, in fact, the severity of neonatal hemolytic jaundice is different, and the natural treatment methods are also different. The most critical issue is the need to cooperate with the doctor's treatment, so that the child's health will not be affected.
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