「產兒科護理學」新生兒高膽紅素血症neonatal jaundice

 新生兒時期,血液中膽紅素濃度過高,導致皮膚、眼白等部位發黃的現象。

Neonatal jaundice is a condition where a newborn's skin and the whites of their eyes appear yellow due to an excessive level of bilirubin in the blood. 


膽紅素是紅血球分解後產生的黃色色素。新生兒肝臟發育尚未成熟,無法有效地將膽紅素轉換為水溶性物質排出體外,容易導致高膽紅素血症。

Bilirubin is a yellow pigment produced when red blood cells break down. Newborn babies have immature livers, which are unable to efficiently convert bilirubin into a water-soluble form for excretion, leading to high levels of bilirubin in the blood.   


嚴重者可能導致核黃疸,影響寶寶的神經系統。

Severe cases can lead to kernicterus, a condition that affects the baby's nervous system. 


及早餵食則能促進膽紅素的排泄:

Early and frequent feeding can help promote the excretion of bilirubin:

促進腸道蠕動: 餵食能促進腸道蠕動,加速膽紅素的排出。

Stimulates bowel movement: Feeding promotes bowel movement, accelerating the excretion of bilirubin.

增加排便次數: 排便次數增加,有助於將膽紅素從體內排出。

Increases bowel movements: Increased bowel movements help to eliminate bilirubin from the body. 

提供能量: 足夠的奶量能提供新生兒所需的能量,維持生理機能的正常運作。(母乳中的某些成分有助於膽紅素的代謝。)

Provides energy: Adequate milk intake provides the newborn with the necessary energy to maintain normal physiological functions. (Certain components in breast milk can help metabolize bilirubin.)

One of the primary treatments for neonatal jaundice is phototherapy.  



新生兒高膽紅素血症的主要治療方式之一就是光照治療

翻身確實有助於照光效果,但頻率不一定需要每4小時一次,應根據寶寶的狀況和醫囑調整。

照光距離會因光源種類和寶寶體重而異,並非固定距離。

While turning the baby can indeed enhance the effectiveness of phototherapy, the frequency may not necessarily be every 4 hours. It should be adjusted based on the baby's condition and medical advice.

The distance of the light source from the baby will vary depending on the type of light source and the baby's weight, and is not a fixed distance.

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