Infant jaundice is a yellow discoloration in a newborn baby's skin and eyes. Infant jaundice occurs because the baby's blood contains an excess of bilirubin , a yellow-colored pigment of red blood cells.
Infant jaundice is a common condition, particularly in babies born before 38 weeks gestation (preterm babies) and some breast-fed babies. Infant jaundice usually occurs because a baby's liver isn't mature enough to get rid of bilirubin in the bloodstream. In some cases, an underlying disease may cause jaundice.
Treatment of infant jaundice often isn't necessary, and most cases that need treatment respond well to noninvasive therapy. Although complications are rare, a high bilirubin level associated with severe infant jaundice or inadequately treated jaundice may cause brain damage.
Causes--Excess bilirubin (hyperbilirubinemia) is the main cause of jaundice. Bilirubin, which is responsible for the yellow color of jaundice, is a normal part of the pigment released from the breakdown of "used" red blood cells.
Normally, the liver filters bilirubin from the bloodstream and releases it into the intestinal tract. A newborn's immature liver often can't remove bilirubin quickly enough, causing an excess of bilirubin. Jaundice due to these normal newborn conditions is called physiologic jaundice, and it typically appears on the second or third day of life.
Other causes
An underlying disorder may cause jaundice. In these cases, jaundice often appears much earlier or much later than physiologic jaundice. Diseases or conditions that can cause jaundice include:
· Internal bleeding (hemorrhage)
· An infection in your baby's blood (sepsis)
· Other viral or bacterial infections
· An incompatibility between the mother's blood and the baby's blood
· A liver malfunction
· An enzyme deficiency
· An abnormality of your baby's red blood cells that causes them to break
Symptoms-- Yellowing of the skin and the whites of the eyes is a sign of infant jaundice that usually appears between the second and fourth day after birth.
To check for infant jaundice, press gently on your baby's forehead or nose. If the skin looks yellow where you pressed, it's likely your baby has mild jaundice. If your baby doesn't have jaundice, the skin color should simply look slightly lighter than its normal color for a moment.
Examine your baby in good lighting conditions, preferably in natural daylight.
Risk factors- Major risk factors for jaundice, particularly severe jaundice that can cause complications, include:
· Premature birth. A baby born before 38 weeks may not be able to process bilirubin as quickly as full-term babies do. Also, he or she may feed less and have fewer bowel movements, resulting in less bilirubin eliminated through stool.
· Significant bruising during birth. If your newborn gets bruises from the delivery, he or she may have a higher level of bilirubin from the breakdown of more red blood cells.
· Blood type. If the mother's blood type is different from her baby's, the baby may have received antibodies through the placenta that cause his or her blood cells to break down more quickly.
· Breast-feeding. Breast-fed babies, particularly those who have difficulty nursing or getting enough nutrition from breast-feeding, are at higher risk of jaundice. Dehydration or a low calorie intake may contribute to the onset of jaundice. However, because of the benefits of breast-feeding, experts still recommend it. It's important to make sure your baby gets enough to eat and is adequately hydrated.
Complications-
High levels of bilirubin that cause severe jaundice can result in serious complications if not treated.
Acute bilirubin encephalopathy
Bilirubin is toxic to cells of the brain. If a baby has severe jaundice, there's a risk of bilirubin passing into the brain, a condition called acute bilirubin encephalopathy. Prompt treatment may prevent significant lasting damage.
The following may indicate acute bilirubin encephalopathy in a baby with jaundice:
· Listlessness or difficulty waking
· High-pitched crying
· Poor sucking or feeding
· Backward arching of the neck and body
· Fever
· Vomiting
Kernicterus
Kernicterus is the syndrome that occurs if acute bilirubin encephalopathy causes permanent damage to the brain. Kernicterus may result in:
· Involuntary and uncontrolled movements (athetoid cerebral palsy)
· Permanent upward gaze
· Hearing loss
· Improper development of tooth enamel
HOMOEOPATHIC REMEDIES
3LUPULUS 0-Lupulus is one of the most effective Homeopathic medicines for jaundice in newborns, also known as neonatal jaundice. The symptoms are yellow pigmentation of the skin and a slow pulse.
LYCOPODIUM CLAVATUM 30—Lycopodium is another effective remedy for infantile jaundice. It is prescribed when the babies are irritable and constipated. The belly rumbles and is full of gas. The irritability and colic are worse from 4 pm to 8 pm.
ARNICA MONTANA 30-Arnica Montana is indicated for jaundice caused by difficult traumatic birth. The baby is bruised or swollen . Give Arnica immediately after a difficult to prevent jaundice from developing.
ACONITUM NAPELLUS 30-Aconitum napellus is used for jaundice that appears acutely and suddenly . It is used especially if mother and/ or baby are suffering shock after a difficult or unexpectedly short labour .
CHAMOMILLA 30- A specific remedy for infant jaundice. Jaundice immediately after birth.
CHELEDONIUM MAJ. 30-Cheledonium majus is a prominent liver and jaundice remedy in which there is marked lethargy and sluggish bowels.
MERCURIUS SOL 30-Merc sol is an effective remedy for infant jaundice. It should be given when the jaundice is not cured within one week
CHINA 30-Chica is another good remedy for infant jaundice. It should be given after Merc. sol
Tidak ada komentar:
Posting Komentar