 Bilirubin eziphakeme usana: IzimbangelaOkwaholela ekubhujisweni wegazi elithwala umoya-mpilo namanye amaprotheni eziqukethwe plasma bese Bile sombala kokuba ophuzi-nsundu ngombala - kuba bilirubin. Izinga wegazi akufani: ezinganeni phezu inyanga eyodwa ubudala kanye nabantu abadala lokuhlushwa lo mbala kuyinto 8,5-20,5 umol L ezinsaneni - kuze kufinyelele 205 mmol l noma ngaphezulu.Ngakho bilirubin ephakeme e izinsana izinto uqondakala kahle. Ingane akakwazi ukuphefumula bebodwa, kuyilapho esibelethweni. izicubu oxygen enikeziwe esebenzisa erythrocyte aqukethe i-hemoglobin-fetus. Kuba ezingadingekile ngemuva ukubonakala ingane ezweni, ukuze libhujiswa. Ngakho-ke, kukhona bilirubin zandiswe ezisanda kuzalwa. Kuyinto khulula, ngamanye amazwi, isithako sombala engaqondile ukuba zingaxazululeki. Izinso Angeke ukwazi ukudonsa, ngakho-ke ukhiphela igazi nje umzimba akuyona ngokugcwele ovuthiwe enzyme izinhlelo. Uma lokhu kwenzeka, i-bilirubin engaqondile uguqulwe umugqa oqondile nokuboniswa.Jaundice ezinsanenibilirubin kwaphakanyiswa izinsana kuhilela okuvela jaundice. Izingane eziningi kuba bokuphila, esibonwa cishe izinsuku ezingu-3-4 ngemva kokuzalwa futhi ekugcineni ubalekela benganakwa, ngaphandle kokudala yimuphi ukulinyazwa emzimbeni. Jaundice ngokuvamile kwenzeka ezimweni lapho kukhona intrauterine hypoxia fetus, isifo sikashukela kwabakhulelwe. Kuyaphawuleka bilirubin eziphakeme izinsana angase avuse ukuthuthukiswa jaundice sokugembula. Izizathu ivela khona zihlanganisa ukubhujiswa erythrocyte kubangelwa umama zofuzo awahambisani futhi baby at Rhesus noma amaqembu igazi lesion ezithathelwanayo imvelo isibindi, wamathumbu isimiso, iziyaluyalu hormone, ngokomthethosisekelo ukungasebenzi hepatic, nabanye. Ukuze uthole ukuthi yini eyabangela abantu okuvela zokugula, kwangathi kuphela onguchwepheshe, esekelwe imiphumela yegazi nezinye nophenyo.Uma kukhona ukwanda oluqinile bilirubin e izinsana, kunengozi sokungena yayo ku isimiso sezinzwa futhi benikela it imiphumela anobuthi. Kuyingozi emsipheni izikhungo kanye ingqondo isimo ngokuthi bilirubin, noma zenuzi, encephalopathy. izimpawu zawo ekunciphiseni osanda kuzalwa oncelayo reflex, ukwehlisa umfutho wegazi, ukozela ezinzima, nokuquleka. Lapho sengineminyaka engu-izinyanga eziyisithupha ingane ingase ibe ukulahlekelwa kukuzwa, ukukhubazeka, retardation engqondo.bilirubin Ukwandiswa: ukwelashwaUma umntwana has a jaundice bokuphila, indlela ephumelela kakhulu kwelashwa phototherapy. Ukusebenzisa ukuchayeka ukukhanya bilirubin unconjugated is kuguquka non-enobuthi, okuyinto ke excreted ku umchamo kanye endleni kungakapheli amahora 12. Nokho, ukwelashwa ukukhanya kungase kumkhathaze imiphumela emibi njengesifo sohudo, isikhumba uyaxebuka. Ngemva ukumisa phototherapy bephumelela. Ngaphezu kwalokho, ukuba ukuqedwa okusheshayo ngaphezulu jaundice bokuphila ngokuvamile Kunconywa ukondla ubisi yakho umntwana ibele. Ngenxa colostrum kusukela umzimba ukuboniswa indle yokuqala meconium kanye bilirubin. Ngo-jaundice sokugembula, ngaphandle usebenzisa lokhu kwelashwa kumelwe futhi ukukhiqiza therapy okuhloswe ngalo ukuqeda izimbangela zesifo.Abasebenzi bezokwelapha izandla kwenhlanzeko: imithetho imaliKwekhanda Wezingane ku izinwele ezinde nge enomqhele 