Frequent questions He asks the doctor Beginning  
JAUNDICE NEONATAL AND PHOTOTHERAPY
JAUNDICE NEONATAL PHOTOTHERAPY TO CONSULT

JAUNDICE NEONATAL

The jaundice (yellow dye of the skin and the mucous membranes) is a situation that happens when called bilirrubina there increase the levels in blood of a yellow pigment.

The bilirrubina comes from the degradation of another pigment, the hemoglobin, which the red globules keep in his interior and that is necessary for the oxygenation of the textiles. When the red globules break for any motive, the hemoglobin is liberated and turns in bilirrubina. Once the hemoglobin has turned in bilirrubina, this one comes to the liver, conjugates with an acid that makes her more soluble, and is eliminated this way by the biliary vesicle, in the shape of bile, to the intestine (where it serves as help in the digestion process).
The jaundice in newborn babies happens when the newborn baby rejects the maternal blood that circulates an along his glasses and begins using its own blood to become oxygenated. The hemoglobin of the maternal blood turns this way in bilirrubina, that in the first days of life it can increase very much in blood.
 
The jaundice in newborn babies is so, generally, physiological, benign, and autolimited.
 
There are many other causes of jaundice in newborn babies associated with illnesses, which are characterized fundamentally by a very serious and persistent jaundice. There are all those situations associated with congenital problems in the biliary routes, and that are necessary immediate pediatric evaluation.

PHOTOTHERAPY

The jaundice in newborn babies appears on the first day of life in almost every newborn baby and yields alone in the first days. If it is not like that, one of the treatments used in the jaundice neonatal physiological or "normal" is the exhibition of the newborn baby to visible light, well in the bogey of the blue, or to white light of wide bogey.

The light turns the bilirrubina into isomers (forms of the molecule) more soluble, that are eliminated quickly by the liver without need to conjugate with an acid, like the normal bilirrubina.

Since many biological effects take place for the exhibition to the brilliant light, the phototherapy must only be used when it is indicated specially (bilirrubina in blood near to 3-4 mg/dL and exclusion of problem of biliary routes). And the beams must always filter ultraviolet by means of a screen of crystal or Plexiglas, as well as protect the eyes of the child.

The simplest form of phototherapy consists of placing the newborn baby close to the indirect light of a window, in a luminous quarter. This will help the child to overcome his jaundice neonatal normal.

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Writing: Medical equipment   Update: June, 2009


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