Does jaundice exceed 15 and need hospitalization? Parents are advised to pay attention to jaundice no matter how much, because jaundice is very urgent once it comes on. Generally speaking, with the increase of months, jaundice can gradually subside, which has little effect on the baby's growth and development, so don't worry too much. So do you need to be hospitalized if jaundice exceeds 15?
Does jaundice exceed 15 and need hospitalization? 1 1. Jaundice should never exceed 15. If it exceeds 15, blue light therapy is needed, otherwise it may lead to hyperbilirubinemia and abnormal intelligence and hearing of children. Your child has just 15, so it is recommended to draw blood to check the serum bilirubin level, because the skin test is for reference only, and the specific treatment standards are based on serum. Don't take medicine or bask in the sun casually, the effect is too slow and the illness is delayed.
2. Generally, the data measured through the skin should be less than 10 (the value is slightly different due to different instruments). The normal value of bilirubin in blood is generally less than 205umol/l( 12mg/dl) if it is measured by blood drawing. The normal value of total bilirubin in 30-day normal infants is1.7 ~17.1umol/l (0.1~1.0 mg/dl). Direct bilirubin is 0 ~ 6.8 umol/l (0 ~ 0.4 mg/dl). Indirect bilirubin is1.7 ~10.2 umol/l (0.1~ 0.6 mg/dl).
3, blood test can get the real bilirubin level. Because percutaneous bilirubin measurement will be affected by children's skin color and fat thickness, percutaneous bilirubin measurement is generally used to dynamically observe the change of jaundice or roughly estimate the degree of jaundice. It measures the value of total bilirubin.
How to treat jaundice?
1. Fetal jaundice often affects the fetus due to the invasion of damp heat by pregnant mothers, leading to jaundice after birth. Therefore, during pregnancy, pregnant mothers should pay attention to moderate diet, but eat cold food, but not too hungry, and avoid alcohol and irritating products to prevent damage to the spleen and stomach.
2. If a woman has given birth to a baby with fetal jaundice, she should take preventive measures when she is pregnant again and take Chinese medicine on time.
3. After the baby is born, closely observe its scleral jaundice and find that jaundice should be treated as soon as possible, and observe the color change of jaundice to understand the advance and retreat of jaundice.
The above is a brief introduction about whether jaundice 15. 1 needs hospitalization. In short, jaundice 15. 1 must be hospitalized. This situation is very dangerous. Children with jaundice must be carefully taken care of to avoid irreparable adverse consequences caused by jaundice, even life-threatening and affecting the happiness of a family.
Does jaundice exceed 15 and need hospitalization? 2 physiological jaundice-normal.
First, how to identify
The baby began to appear two or three days after birth, and the full-term baby lasted for about 4-6 days, and gradually subsided after 7- 10. Jaundice in premature infants will be severe and will subside in the later stage, which may take 2 to 3 weeks to subside. Baby's skin is light yellow or light lemon yellow; Generally limited to the face (including white eyes) and trunk, but the knees, elbows, palms and soles will not yellow. The stool is yellow; Urinating generally does not dye diapers yellow, even if they are yellow, they are easy to clean. Babies are generally in good condition, breastfeeding, sleeping, mental state and reaction are normal.
Second, what is the reason?
When the baby is in the mother's womb, it is in an anoxic environment, and the red blood cells will increase compensatory, and bilirubin exists in the red blood cells. After the baby is born, the blood oxygen content increases obviously, and these redundant red blood cells will be quickly destroyed, releasing bilirubin.
In addition, because the baby's meconium contains more bilirubin, it can be reabsorbed into the blood through the intestinal and hepatic circulation, which will aggravate jaundice.
Third, the coping methods
No special treatment is needed, this is a natural process for healthy babies. Early milk opening and adequate breastfeeding are very important, which can promote the baby to remove meconium as soon as possible, effectively reduce the degree of physiological jaundice and shorten the jaundice period. Mothers only need to breastfeed on demand and observe the baby carefully.
Pathological jaundice-abnormal
First, how to identify
1 appears very early, and it will appear within one or two days after birth, and it will increase rapidly, and it will often fade in the later stage, sometimes it will not fade for two or three weeks or even more than one month; Or in the process of jaundice gradually fading, jaundice is aggravated again.
2, the baby's skin color is dark yellow, often orange or golden yellow; Jaundice can spread to the knees and elbows, sometimes the palms and soles will turn yellow, and the sclera (white eyeball) is also yellow.
3. Sometimes the stool is white (doctors call it "clay-like stool"); Urine is yellow, which will dye the diaper yellow and make it difficult to wash it off. For the baby with pathological jaundice, what the mother needs to do is to find his abnormal performance in time and seek medical treatment in time.
Second, what is the reason?
Newborn hemolysis: the baby also has anemia, edema, hepatosplenomegaly and severe bilirubin encephalopathy (ie "nuclear jaundice").
Neonatal septicemia: there are symptoms of infection and poisoning, such as not eating milk, poor response, low crying and hypothermia. It is a systemic infection caused by bacteria invading the blood circulation of infants and reproducing in it to produce toxins.
Neonatal hepatitis: accompanied by nausea, vomiting, loss of appetite, indigestion, weight loss and other symptoms, sometimes the stool color is light and sometimes dark. This is because the baby is infected with hepatitis B virus, cytomegalovirus, herpes simplex virus, rubella virus and coxsackie virus.
Congenital biliary atresia: the color of stool gradually becomes lighter, from brown to light beige, and it is gray clay-like stool by contrast. The bile duct atresia inside and outside the baby's liver causes bile secreted by the liver to be unable to be discharged and accumulated in the liver. If left untreated, it will eventually lead to cirrhosis and liver failure.
Breast-feeding jaundice: the baby's skin is slightly yellow than physiological jaundice, but there is no other discomfort except jaundice, breastfeeding and reaction are good, nutritional status is good, and stool color is normal. At present, the pathogenesis of breast milk jaundice is not completely clear, but most medical circles believe that some enzymes in breast milk cause the increase of bilirubin intestinal and liver circulation in infants, which leads to jaundice.
Third, the coping methods
Because of the different causes, the treatment methods are different.
Hemolysis of newborn: taking medicine, phototherapy (according to blue light) and exchange blood treatment.
Neonatal septicemia: Need to be treated with sensitive antibiotics.
Neonatal hepatitis: using drugs to protect the liver and treat other infections.
Congenital biliary atresia: surgical treatment is the only way.
Breast milk jaundice: mothers don't have to worry. If the baby is full-term healthy, you can continue breastfeeding, and jaundice will slowly recede; If the infant's serum bilirubin exceeds 15ml/dL(256.5μmol/L), the doctor will ask the mother to stop breastfeeding for 72 hours and feed formula instead. When bilirubin drops to 50% of the original level, breastfeeding can be resumed. After restarting breastfeeding, the infant's serum bilirubin level can be slightly increased, and then gradually decreased.