Jaggility in newborns: causes, treatment, consequences. Jaundice newborn: causes, treatment, consequences Children's jaggility than dangerous

Date: 23.06.2020

Sometimes the idea comes to mind that 9 months of pregnancy lasts forever. The whole family is looking forward to the birth of a baby.

Only the karapuz is not in a hurry - after all, in the tummy mom, he is calm and reliable. All this time he dwells in sterile conditions. And so flew these long 40 weeks. Cute creation appeared.

How many joys are experiencing family members! But something went wrong. Did the long-awaited child suddenly yellow? It becomes anxious on the soul, and the body is trembling from thought - what is it?

There was no doubt left - jaundice. After all, crumbs and mucous membranes took a golden color. Interestingly, such a shade of the skin is an indicator of the normal development of a newborn or a sign of pathology?

"Gilding" baby bilirubin. You ask what it is and from where it takes.

Everything is very simple. The fact is that the baby who is still in the womb is not ordinary blood with a special (fetal) hemoglobin.

Embryonic hemoglobin is needed in order to carry oxygen over blood vessels.

When the baby appears on the light, breathing it becomes independent.

Then the composition of the blood changes: it contains "alive" hemoglobin, and the fruit is destroyed. As a result of the decay of unnecessary protein, bilirubin appears. For a child, he is absolutely extra, and a small organism begins to get rid of hazardous substances.

For crumbs, this is a very difficult process - because the gall pigment is not easy to remove. First, the harmful substance enters the liver, after dissolving in the urine, and only then easily displayed. But if the liver does not cope and the bilirubin will become a lot, the jaundice will begin. Most often, there is no reason for concern, such a state is due to some physiological features of the organism of a newborn baby.

But if the kid has a bile outflow, then the speech is already talking about a pathogenic jaundice. For her appearance there are reasons:

incompatibility in the Rh Factor;
hemorrhage;
mommy during pregnancy took a large amount of drugs;
congenital infections;
premature childbirth;
artificial feeding;
diabetes of mother;
hormonal violations in the infant;
diseases of the circulatory system;
introduction of antibiotics of crumbling or the use of drugs by the female in the period of the generic process;
intestinal diseases, liver or gallbladder in a newborn.

Only the survey will help find out the true cause of the disease.

What kind of variety is dangerous?

Whatever the results of the survey should not be afraid of ahead of time. Physiological jaundice is a normal state of a newborn. This will pass by itself.

It is alarming pathological, because it has varieties and requires treatment:

mechanical;
conjunction;
hepatic (parenchymal);
sUNTING (OBRATIONAL).

It is necessary to be afraid of a nuclear jaundice.

How does the jaundice flow?

In order to stop the disease in time, it must be detected.

Symptoms serve good assistants in this:

the newborn immediately changes skin color;
three to four days, yellow color becomes brighter;
for more than a month, a yellow shade is preserved;
in addition to yellow, the skin is capable of purchased and green shade.

Not only on skin color should be paid attention, but also for additional symptoms:

discolored feces;
dark urine;
bruises appear;
the liver and spleen are enlarged;
child is bad.

How to recognize the disease?

To identify pathology, it is necessary to make a whole set of procedures:

donate blood;
determine the level of bilirubin;
find out how the liver works;
make samples for hemolysis;
ask for ultrasound of the abdominal organs.

How to cure a jaundice in a newborn?

All analyzes are handed over. The diagnosis is made - jaundice. But this is not a sentence. We go to the doctor for treatment. I will definitely write proper treatment for crumbs. The children's body is unpredictable, therefore requires an individual approach and a neat selection of medicines.

The course is saturated with drugs:

if you need to withdraw the blood pigment, then - the smect, enterosgel, polysorb;
want to restore balance after phototherapy: take a solution of glucose, soda, electrolytes;
choleretic and diuretic agents: hofitol, forte essential, magnesia solution for intake;
to protect and restore liver cells, you will be prescribed ursofalk, phosphoglie, ursosan, collapse;
homeopathic remedies: Hepel, Galstina;
you wish to improve the metabolism - here you have drops Elkar;
antibacterial agent: bifidumbacterin.

The treatment is over, but there is no positive result. If the level of bilirubin in the blood exceeds the critical marks, blood transfusion is prescribed.

Have you heard anything about phototherapy? This is also one of the ways of treating jaundice in newborns. The essence of therapy is that the infants irradiate ultraviolet rays. Under the influence of radiation, toxic substances become harmless and soluble well in water.

Here this scheme is carried out this procedure:

Baby eyes are protected by a bandage.
Baby is under a special lamp.
Next to the cloth is there a doctor all the time, in order to prevent burns, overheating or dehydration of the child.
The feeding mode is not interrupted, because the mother is also always near.

Babushkina recipes

Good for treatment and folk remedies. Grandmothers always have any uncomplicated recipe.

To remove toxic products from the body of the child, you will prepare a decoction of richness.

Instructions for no wise:

glass boiling water;
several dry, crushed rosehip berries (2-3);
pour and insist 5-6 hours. Serve the decoction of 1-2 teaspoons between feeding.

Useful baby and water treatments in healing herbs. Such sessions improve blood circulation, soothe, have an anti-inflammatory effect and quickly remove bilirubin of tissues.

We write a recipe:

4 liters of water;
200 grams of colors of calendula or chamomile;
allogour and insist 3-4 hours. In the bath, you can add a lessed decoction of yellow colors of Marigold, the folk name - carnation.

Just do not harm your baby. It is possible to be treated with folk remedies if the doctor approved. Do not self-medicate - it will not lead to good.

Is the jaundice dangerous and how can harm?

Is it worthwhile to fear the jossing and how can it harm the newborn? Yes, there is fears. Threatens the life and health of the baby only the pathological species of the jossing. The absence of treatment is fraught with complications: - the best medicine from all diseases.

From the first minutes of the life of the newborn, applied to the chest so that he can get the most valuable drops of colosure.

It is not necessary to limit the crumb into food, let him eat when he wants.

Mamino Milk creates wonders: it helps the children's body to cope with many diseases, and will also help get rid of harmful toxic substances. Useful sunbathing and walking outdoors. Dr. E. O. Komarovsky recommends entering fresh air into any weather.

This is all that every parent knows. As the folk proverb says: "Who is warned, he is armed." Have you noticed that the skin of the baby changed the color? Do not panic, just consult a doctor. And then he himself will take the necessary measures and decides which infantry of jaundice is normal or pathological.

Doctors often diagnose jaundice disease in children in the first months after birth. Signs of this disease are easy to notice with a naked eye. The skin of the kids becomes dark with a yellow tint. The eye protein acquires unnatural yellowness. Such changes are concerned with their parents. Below we will try to figure out how dangerous there is a similar disease and whether to panic. Perhaps all the fault will be the usual physiological processes in the body, which are capable of provoking pronounced symptoms.

Why the jaundice appears

In fact, it is necessary to seek the cause of the disease in Bilirubin. The child, even in the womb, has a specific composition of the blood enriched with a unique set of hemoglobin substances. This hemoglobin is responsible for the transfer of oxygen inside the circulatory system of the children's body. After birth, the baby can already breathe independently through the lungs. Accordingly, there is a change in blood. As a result, a "new" hemoglobin, called Bilirubin, appears on the site of fetal hemoglobin. There is no function like this substance, so the body is trying to get rid of the excess component of blood.

As a rule, the kids are quite painfully experiencing this process, since the bilirubin derivation takes time and may affect the activities of some organs. If you get into the liver, bilirubin interacts with other enzymes. Then it is dissolved in the urine, which is derived from the body. When the liver does not have timely withdraw all decay products in a timely manner, and the level of bilirubin in the blood increases to a critical limit, the first symptoms of jaundice appear.

In some cases, the drain of the jaundice has a pathogenic nature and is determined by insufficient bile definition due to:

Non-compliance with blood type;
The emergence of rhesv conflict;
Liver diseases;
Metabolic disorders and hormonal background;
Diseases transmitted at the genetic level;
Break of biliary canals or liver walls.

Permissible level of bilirubin

According to official medical sources, the Bilirubin rate in the blood of the baby should be within 8.5-20.5 μmol / l, which is determined after the molecular analysis of blood. The results of the analysis give reason to believe in what cases this indicator exceeds the permissible norm. If the level of bilirubin reaches more than 35 μmol / l, it is safe to argue that the child is sick of the jaundice.

Specialists involved in diseases of newborns make distinction between physiological and pathological jaundice.

Such a type of disease in the kids at the first time of life is only occasionally occasionally, but it brings with him a hidden threat. Cases of pathological jaundice are accompanied by a certain list of additional symptoms that parents do not always notice.

Hemolytic disease

According to statistics, about 1% of children suffer from hemolytic disease, the reason for which, for the most part, the incompatible rezv conflict becomes the child and the difference in blood groups. A similar type of jaundice is easy to recognize compared to other modifications of the disease. As soon as the baby appears on the light, his skin becomes a yellowish tint. When inspection it becomes obvious that the spleen and the liver inflamed and Nobuchley. Treatment is appointed immediately. In severe cases, the disease passes into the stage of nuclear jaundice, when the level of bilirubin is so critical that he begins to refuse the children's brain.

Mechanical jaundice

Another type of pathological disease. The causes of the development of the disease include: disruption of the gallbladder and the passability of biliary canals, lesion of the liver.

In some cases, with a mechanical jaundice, they are dealing if they face genetic disorders or when the baby was injured during childbirth. It is possible to notice the first signs of pathology only after 2-3 weeks. The skin of the child looks yellow-green. The chair is discolored, the spleen increases, the walls of the liver is tight. To make sure that the diagnosis is correct, doctors conduct a set of additional analyzes and assign an ultrasound. Proper treatment is generally determined by the type of disease.

In addition to the main types of jaundice, there are other types of disease, under which the prolonged postpartum jaundice acquires pathological forms.

For example, the state of the conjugation jaundice echoes the difficulty of the liver when the enzymes cease to bind bilirubin and do not have time to remove the substance from the body.

The cause of a nuclear jaundice is called a sharp jump of the bilirubin rate in the child's blood during the development of the disease of the postpartum jaundice. As a result, the bilirubin components fall into the nervous system and cause poisoning.

If the liver is exposed to a viral infection for a long time, it gives a reason for the development of hepatic jaundice.

To date, even official medicine recognizes the fact that physiological jaundice should be attributed to the normal reaction of the organism of the infant. However, no one cancels the observation of the child's condition during this period.

Joliek breast milk

The Baby's body is rarely subjected to the aforementioned disease. It happens under the condition of high estrogen content in breast milk. After the absorption of milk, the liver first tries to remove estrogen, and then bilirubin of blood. Because of this, the duration of the disease can stretch for several months. However, this kind of jaundice practically does not affect the well-being of the baby. The child does not have problems with development and sleep well. Over time, the symptoms stop and the disease retreats. When the newborn is subjected to the jaundice of breast milk, doctors recommend mothers still not to give up the milk feeding. Of course, the yellow skin of the child will pass faster, but do not forget about the value of children's immunity, which is strengthened by natural nutrition.

Neonatal jaundice

Neonatal jaundice is considered one of the most common forms of physiological jaundice. Many kids face such a disease. No complex medical events are held. Soon the overloaded liver is restored and operates in the same mode. The baby in this period is important just paying special attention.

All the varieties of jaundice have characteristic symptoms, for example, darkness of the skin and mucous membrane. Eye proteins turn yellow and look almost lemon in the midst of the disease.

If after two weeks the baby's leather is still an unnatural shade, then there is a reason to start worrying and visiting the doctor. To find out the look of jaundice and the rate of bilirubin, it is necessary to pass the blood test. Only after that appropriate treatment is prescribed. Since the Bilirubin indicator is in close relationship with a number of factors, it is guaranteed to interpret the obtained tests will not be possible. Doctors make a conclusion about the course of the disease and outline the overall picture. The signal of the development of pathology is always reduced to an abnormal change in the color of the skin.

The manifestation of symptoms differ in time and other characteristics:

Metamorphoses with skin covers occur in the first days of the baby's life;
After 3-4 days, the yellowness becomes rich;
Yellow skin color may not disappear for 30 days;
The origin of symptoms sometimes occurs intermittently;
In addition to the yellowness, green shade is possible.

In addition to the above signs of the disease, it is observed:

Discoloration of the chair;
Darkening of urine;
The occurrence of blue sequins;
Inflammation of the liver and spleen;
General deterioration of health status.

With the disease of the children's organism, the nuclear jaundice of kids look sled and weakly show a sucking reflex.

Any pathological variations of the disease need operational treatment. Mother with the child should hold some time under the supervision of doctors, take tests and pass the course of therapy. For example, in the incompatibility of children's and maternal rees-factors or blood groups, transfusion acts as effective treatment. Sometimes for complete recovery it is required to pour more than half of the child in a child. In difficult cases, the procedure has to repeat more than once. The described method allows you to cope with a violation of the state of bilirubin in the blood, but at the same time the entire body is weakened. Additionally assign the course of antibiotics and regular visits to physiotherapy.

Stop the development of mechanical jaundice is often manifested only with the operation. The decision on the need for surgery is adopted by a medical commission after a thorough examination. Rehabilitation period Mother and child will be forced to spend in the hospital.

More common cases of physiological jaundice require no treatment, as just supporting the kid needs. The child's body is easier to transfers the disease when the mother begins breastfeeding very soon after birth, the diet sticks, walks with the baby in the sun. Fresh air and breast milk - indispensable factors to strengthen immunity. Provide access to fresh air is much easier in the summer than in winter. Even short-term sunbathing will be useful to the baby. Doctors recommend walking with a stroller in a light shadow, as such multiple lighting will not damage the delicate children's skin. Thanks to the daily walks in the fresh air, bilirubin is faster from the body, the jaundice passes, and the child's health improves.

Mother's milk is considered the most efficient and prophylactic means to combat neonatal jaundice. Mother's milk is considered. That is why so important babies immediately after birth to apply to the chest. The colostrum has a specific taste and has a strong laxative effect that accelerates the bilirubin removal simultaneously with the chair.

As additional procedures in the hospital, the infants irradiate under a special lamp. During the phototherapy session, the baby's eye is tied up with a bandage and only after that laid under the lamp. The total course should be about four days.

Often, phototherapy is accompanied by side effects: drowsiness and lethargy of the child, peeling of skin, problems with a chair. Sunbaths are capable of rendering a similar effect. In the children's body under the influence of light, the production of vitamin D is activated, which in turn begins to get rid of bilirubin faster.

If the jaundice acquires an aggressive form, doctors prescribe glucose and activated carbon. The glucose function is to improve hepatic operation, and coal adsorbs harmful substances that have fallen into the body. Thus, bilirubin comes out of the body through the steels.

After the diagnosis announcement, the doctors begin to plan a methodology for treating pathology, given the combination of factors and features of the kid's birth. We are talking about the complexity of childbirth, pregnancy, mother's disease, obtained analyzes and ultrasound results. To make sure in the correctness of the diagnosis, the Commission of Specialists of the Narrow Direction is collected.

Varieties of therapeutic methods

There are various methods of therapy:

Antiviral;
Antibacterial;
Choleretic;
Disintellation;
Immune.

The use of listed methods is carried out individually under stationary treatment. The appointment of procedures and drugs depends on the variety of japless and the causes of its development in the child.

In the case of pathological forms of the above-described disease, it is impossible to argue, when the disease is over and the baby will finally recover. The duration of the disease is determined by the severity of the flow and characteristics of the body.

What is first necessary to do with the jaundice and how to determine the beginning of the disease? If the yellowing of the skin takes place in the first clock of the baby's life, all signs indicate the conflict of the blood of the mother and the child. Weak development and drowsiness are considered to be confirmed by hemolytic disease and disruption of the liver. When sick children arise cramps, and they are constantly crying, it is worth immediately to seek help from specialists. Such pronounced symptoms may accompany a nuclear jaundice.

Nuclear jaundice has serious consequences. We are talking about the problems with hearing, the motor apparatus. According to official medical sources, even deaths are fixed.

At the first signs of jaundice, you should not leave a child without observation, otherwise there is a possibility to miss the signals of the development of pathology. The timely and correct course of treatment will speed up the process of recovery and protect against consequences.

As mentioned earlier, complications from physiological jaundice are not observed. Its duration usually does not exceed 2-3 weeks.

As a rule, at the age age of the kids are already overwhelming jaundice and restored. When maternal milk is the cause of the disease, the oppression of the body is delayed for several months. Then the eyes are brighten, and the skin loses the yellow shade.

After the little man was born, his health becomes the only care of his parents, which is at this moment such a vulnerable and fragile. Unfortunately, the jaundice in newborns is what almost 80% of young families have to face.

Someone belongs to this phenomenon calmly, knowing that this is the norm. Some go crazy, considering this symptom dangerous and requiring hospitalization and treatment. Nevers and those and others. In this case, the Golden Middle is very important: it is impossible to treat it too frivolously, but also you should not panic. Let's deal with why.

The skin of the newborn becomes yellow due to the bilirubin - the product of the decay of hemoglobin. In the womb, the erythrocytes of the fetus is saturated with a certain type of hemoglobin, which, after birth, begins to decay actively. A huge amount of bilirubin (indirect and very toxic) is entered into the liver so that it transforms it into indirect and derived from the body. But the liver does not always cope with such a load.

Doctors call the following causes of jaundice in newborns:

pathological organisms affecting the liver;
disorders in the structure or work of the biliary bubble and bilny channels;
natural rearrangement of the body as a result of its adaptation to the new environment;
a large number of carotene in the diet of a nursing mother;
premature delivery: the jaundice in premature newborn meets 80%, as the liver is not yet formed enough;
diabetes of mother;
genetics;
diseases of the circulatory system;
asphyxia;
hormonal disorders (the child will treat an endocrinologist);
incompatibility: I Blood Group at Mom, II or III - at the child;
intrauterine infection;
problems with the stomach, when bilirubin will be constantly absorbed in the body back, - only a surgical operation saves such situations;

These are the main causes of jaundice in newborns. Each of them is distinguished by its features. In some cases, bilirubin is still gradually withdrawn by the body without consequences. But there are such forms of the disease under which immediate medical care is required. Depending on the factors that provoke the development of jaundice, doctors call groups of risk.

Medical terminology. The concept of "bilirubin" goes back to the Latin words of Bilis, which means bile, and Ruber - translated red.

At-risk groups

Even during pregnancy, the doctor includes special categories of women in the risk group, whose children have a high chance of haggle. These include:

age less than 18 and more than 40 years;
early abortions, miscarriage;
previously happening premature births;
smoking, alcoholism, drug addiction during pregnancy;
negative rhesus factor;
intrauterine infections;
jaundice in previous children.

Women who fell into a risk group throughout the pregnancy are under the unreasonable observation of the doctor, pass additional analyzes. Nevertheless, all 100% warn the jaundice in the newborn is impossible, even if you constantly take care of the prevention of the disease. It is very important to recognize it in time on time to help distinguish one kind of jaundice from the other.

Capital truth. If a woman behaves a healthy lifestyle during pregnancy, it reduces the risk of a jaundice from his baby.

Types of japties

Doctors diagnose different types of japless in newborns, which under normal conditions, without laboratory research, it is difficult to establish. This is a very important point, since it is precisely from the type of disease that the need for further treatment and the risk of possible complications will depend on.

Physiological

Physiological jaundice - the norm for newborns, due to the natural restructuring of the body as a result of its adaptation to the new environment. It manifests itself in the first month of the life of the baby, but not immediately after birth. Represented by the following species.

Karotinova

Carotic postpartum jossing occurs due to the large number of carotene in the diet of a nursing mother. This substance is a lot in orange products: pumpkin, carrots, oranges.

Jaundice breast milk

This postpartum jaundice occurs if a mother in breast milk has a lot of estrogen. The liver displays it primarily and only then - bilirubin. The child remains yellow for about 3 months. But at the same time it develops, according to the norms of its age. This condition is not dangerous and does not require the abolition of lactation.

Neonatal

Neonatal jaundice is the most common appearance. Does not relate to pathologies, does not require treatment. Itself itself, does not cause complications.

Pathological

Associated with serious diseases of the internal bodies of the kid. It appears in a few days after birth. Represented by different types.

Hemolytic

Conducted to problems with the blood system: due to the rhesus conflict, mom and baby, discrepancies in blood groups, incompatibility of antigens. It is found only in 1% of cases. This is a generic jossing in newborns, as it is recognized instantly, in the first days and even hours after the appearance of the light.

Mechanical

The bile is not separated from the liver due to disorders in the structure or operation of the biliary bubble and the billaries. Most often, generic injuries are becoming the cause. Manifests only 2-3 weeks after birth.

Nuclear

In the circulatory system there is a special barrier that does not let into the brain toxic substances, filtering them. But at a very high level of bilirubin, it may not cope with the load. In this case, the destruction of nerve cells is possible. Symptoms - lethargy, rejection of food, monotonous cry, backing the head.

Conjugation

Due to poor liver function. Enzymes do not bind bilirubin and do not bring it out of blood.

Liver

Diagnosed after lesion of liver cell by bacteria or viruses.

Not dangerous and by itself the passing physiological jaundice of newborns should not scare parents. Everything is much worse if it is dictated by serious pathologies inside the body. To suspect the wrong and timely appeal to doctors allow the symptoms of the disease.

Likbez for parents. Why the jaundice conjugation? This word is formed from the Latin "Conjugation", which means "conjugate". That is, this disease is conjugate with the pathology of the liver.

Symptoms

Depending on the type of disease, the symptoms of the jossing can be different. If they do not go beyond the framework of the norm and indicate only the physiological form of the disease, you do not need to beat the alarm. After 3 weeks, everything will safely end. But if there is anxious signs of more serious pathology to them, it is necessary to inform the doctor about it - and as soon as possible.

Signs of physiological jaundice

The skin and proteins of the eye acquire yellow, almost orange shade;
minor stool disorders.

Symptoms of pathological jappies

More intense yellow skin color;
point hemorrhages, bruises;
wavely flow of the disease: the skin color is periodically restored to pink, and then returns to the jaundice;
the child is inhibited and sluggish, refuses food;
elevated muscle muscle tone;
monoton or strong shrill crying;
dark urine;
discolored feces;
convulsions;
slowdown heart rhythm;
stupor or coma.

Clinical picture of specific pathologies

Lethargy, rejection of food, monotonous cry, backstage of the head, cramps, attenuation of a sucking reflex - symptoms of nuclear jaundice;
the preservation of the jaggility of the skin after 3 weeks, the dark urine and the discredited feces indicate serious pathologies of biliary ducts;
if the skin and sclera are yellow immediately after birth, the child is sluggish and sleepy, and in the diagnosis there are larger spleen and the liver is a hemolytic jaundice;
the skin acquires a yellow shade with a greenish tide in 2-3 weeks after delivery, the chair is abnormally light, the liver is sealed, the spleen is increased - the symptoms of the mechanical type of disease.

The faster parents recognize the dangerous type of japless in the newborn, the faster doctors prescribe treatment and can help. Very often there is a precious time to be missed, and the complications affecting the entire subsequent life of the child cannot be avoided. That this does not happen, you need a mandatory diagnosis of the disease.

Align the jaundice from hepatitis! When hepatitis, the newborn increases the temperature, and the skin coats are yellowing sharply and unexpectedly.

Diagnostics

Only laboratory indicators can accurately determine which jaundice in a newborn is harmless physiological or dangerous pathological. To obtain them, the following studies can be carried out:

blood test: common and bilirubin;
cumbas test for hemolysis;
Ultrasound abdominal cavity;
consultation endocrinologist, surgeon and other specialists.

Table of bilirubin rate in newborns

Table of normal indicators of direct and indirect bilirubin

According to the standards, direct bilirubin should be no more than 25% of the total indicator, indirect - at least 75%. Depending on the results obtained, an accurate diagnosis will be made (not only the jossing, but also provoked its illness) and has been prescribed treatment.

Helpful information.The Cumbax test is carried out immediately after delivery, using blood after circumcision of umbilical cord.

Treatment

All parents are concerned about how to treat the jaundice so that it goes as quickly as possible. Such kids are under the permanent supervision of the doctor, but if this is a physiological disease and proceeds within the normal range, the therapy is not required. If pathology is found, treatment may acquire different focus: antiviral, antibacterial, choleretic, disintellation or immune.

Medication tools

If the indicators of bilirubin are rapidly, special preparations are prescribed from the jaundice.

URSOFALK - jaundice medicine for newborns in the form of a suspension aimed at protecting and maintaining normal liver work. Assigned when a tightening jaundice. Dosage - 10 mg per 1 kg of weight.
Hofitol is another effective drug from the jaundice in the form of a solution based on natural extract of artichoke, activating bile outflow and simplifying the liver. Assign from 1 to 3 drops 3 times a day.
Infusion therapy for phototherapy for water balance restoration: glucose solutions, electrolytes, soda, membranestabilizers, cardiotrophics. Such treatment necessarily requires a delayed jaundice.
To normalize the work of the liver can be appointed Ziksorin, Fenobarbital, Benzonal.
In the absorption of bilirubin, the intestines use sorbents: enterosgel, polyfepan, smecta, activated carbon.
Fat-soluble vitamins: cholecalciferol (D3), retinol (a), tocopherol (E), philloxinone (K).
Microelements: phosphorus, zinc sulfate, calcium.

Interesting fact. The drug is based on the drug from the jaroughly, ursodeoxycholic acid, which is contained in the bearish bile. To date, it has learned to produce in laboratory conditions.

Procedures and phototherapy

With this disease, a solution may decide on the following procedures:

blood transfusion in the diagnosis of nuclear jaundice;
liver transplant with cirrhosis.

Also, when the baby, the child needs a sun rays, but in such a small age they can be dangerous, therefore the treatment of the lamp is appointed - phototherapy. Under the influence of bright light, harmful bilirubin is actively displayed. This procedure is absolutely safe. The baby is put under it for a few hours a day, if there is no complications. With a serious course of the disease, it will be under it almost whole days.

The apparatus of phototherapy for the treatment of jaundice in a newborn

Parents should understand that not always the jaundice in the newborn requires therapy. Therefore, you do not need to be surprised and renounce, if the child is glad, and he, together with her mother, is discharged from the maternity hospital. But this is possible only in cases where blood tests are in order, the content of bilirubin in the body does not excavatize and no internal pathologies did not find the doctors. Accordingly, at home the baby does not need to be heal.

Folk remedies

Independent treatment at home during the jaundice in the newborn is carried out only with the permission of the doctor. Even the most harmless, at first glance, the remedy that the neighbor or Mom advised may be very dangerous for a small organism, many systems of which are still adaptable to a new environment. Among the most recommended preparations approved by pediatricians, the following can be noted:

dandelion root tincture: 3 drops 4 times a day;
good remedy for the jaundice - tincture of alfalfa: 2 drops 4 times a day;
activated coal solution: 10 Gg of coal extended to dilute in 50 ml of boiled warm water, to give the baby every 2 hours 1 pipette;
rubber branch;
infusion of cornflowers;
after feeding, attach to the newborn by the liver moistened in the Magnesian Bandage solution;
tea "Collection for a nursing mother": drink daily 1 liter.

It is impossible to use several funds from this list at once, because many of them are mutually exclusive of each other or their totality will be too powerful to affect a small organism. Much great favor the newborn, suffering from the jaundice, will have the right care.

Secrets of phytotherapy. Lucerne is a medicinal plant rich in vitamin K, which improves the liver work.

Care

It was not possible to avoid the jossing, discharged with such an unpleasant diagnosis home - what in such a situation to take worrying parents? Proper care for newborns will facilitate his condition and speed up recovery. That's what items he includes.

For a few minutes a day of the breeding baby, lay out the sunny rays.
Frequent feeding and abundant drinking normalize the work of the liver.
With galaktosemia, feed the child with mixtures without lactose and galactose: non-empty, registry, brine nan.
In tyrosinemia, a diet is required: mixtures without phenylalanine, methionine, tyrosine (xp analog, apolylak, lofenolak).
Full breastfeeding.
Mom diet: Exclusion from the diet of yellow products, spices, first and salted dishes.
Daily walks in the fresh air.
Phototherapy at home.

If some of the points of care for the jaundice newborn is in doubt, it is better to consult with the doctor, but not to do anything independently and not experiment. Especially carefully you need to treat the solar rays, which are fraught with a burn. With the right approach to this issue, you can speed up recovery and avoid complications.

You should know it. Galaktozhemia is a hereditary genetic disease, lactose intolerance.

Complications

Parents are experiencing than dangerous jaundice in newborns than this disease can end up in the end, except for recovery. The physiological form is rarely fraught with complications. But the pathological can entail the following consequences:

Sometimes a prolonged jaundice in newborns can cause complications that are further on the nervous system, since the indirect bilirubin has toxic effect on the CNS.
Phototherapy with an incorrectly chosen treatment scheme may entail burns, dehydration, hemolysis, lactose intolerance ,.
The effects of nuclear jaundice are deafness, full or partial paralysis, mental retardation.
Toxic poisoning and intoxication.
Albuminia is a decrease in albumin protein.
Bilirubinic encephalopathy is the defeat of the brain.

Knowing than dangerous jaundice in newborns, parents will be able to assess the entire degree of risk and take appropriate measures so that nothing terrible happens. It is much easier to prevent the disease than to treat it - if during the pregnancy period constantly thinking about the prevention, the baby will be able to avoid problems with Bilirubin after its appearance.

Forecasts for the future. The modern level of medicine will eliminate even bilirubin encephalopathy. True, with timely diagnosis and compliance with all medical requirements.

Prevention

The prevention of the japless Future Mom should be engaged in the toddle of the baby and after his birth. This is enough to comply with the following rules.

Mother's full-fledged nutrition during pregnancy.
Her refusal of bad habits.
Prevention and treatment of any diseases.
Refusal to the injection of newborn vitamin K, which are practiced in the maternity hospital.
Sunbath.
Frequent breast feeding.
Abundant drinking nursing mother.
Cutting the umbilical cord on the second hour after childbirth when the pulsation ceases at the base of the navel. This will allow to normalize blood circulation.

Considering the prevention of the japless, you can prevent the disease so that the first days of the baby nothing overshoot. If there are any additional questions about this phenomenon, it is better to learn all the information in the pediatrician.

Controversial question. About how the time of circumcision of umbilical cord on the manifestations of japless is affected, doctors argue so far. About the direct dependence of these two facts of scientific evidence.

Frequently asked Questions

When should the jaundice have a newborn?

The answer to the question, after how much the jaundice passes in newborns, depends on the type of disease and the individual characteristics of the body. Normally, physiological jaundice passes in 2-3 weeks.

Which lamp is treated with newborn?

These are special lamps emitting a bright ultraviolet, the spectrum of its rays accelerates the collapse of the bilirubin.

Is jaundice in the newborn?

Unlike the hepatitis virus, the jaundice in the newborn is not infection.

Can the jaundice return from newborns?

Yes maybe. But when repeated manifestations of the disease requires urgent consultation of the doctor to eliminate complications.

What day does the jaundice appear in the newborn?

She can start 4-5 days after birth.

Why The newborn does not pass the jaundice 1or even 2 months?

The causes of the protracted jossing can be several:

the bilirubin removal cycle failed;
liver dysfunction due to a congenital defect or hepatitis;
stast of bile due to violations in the work of biliary tract and gallbladder;
education is all new and new bilirubin due to blood diseases.

In any case, the dragging jaundice requires the diagnosis of causes and immediate treatment.

If the newborn fell ill with the jaundice, parents should closely monitor its condition. If he feels good, is physiology and nothing more. The best medicine in this case is breast milk. If he is sluggish, often crying - it is already a pathology that requires advice to the doctor, analyzes and treatment.

Approximately 60% of newborn babies born on time, and 80% of premature children leather for 1-2 weeks after the appearance of the light has a yellowish tint. Wines to all bilirubin. It is the high level of this pigment in the blood gives the skin a yellow shade. For most children, such a state does not carry danger and does not require special interference or serious medication treatment. But you should not let the situation on samonek, since in some cases high bilirubin can be toxic for a growing organism. About the dangerous jaundice in newborns, tell us in our article. We will definitely focus on the causes of this condition, the possible consequences and features of treatment.

Physiological and pathological jaundice

The condition at which the surface of the skin of the crumbs turns yellow is considered not a disease, but rather a physiological phenomenon. After birth, the Baby's body begins to adapt to new conditions of existence. As a result of the splitting of erythrocytes during the decay of the fetal (fruit) hemoglobin, a biliary pigment is formed - bilirubin. For his removal, the liver is responsible, which in the kids is immature, like the whole enzyme system. Accumulating, bilirubin becomes toxin, which, spreading through the body, is able to affect the cells of the brain. And this is only one of the reasons than the dangerous jaundice for newborns.

Coloring of the skin in yellow is usually happening on the third day. But when the jaundice passes the newborn, it is impossible to precisely predict. It all depends on how quickly the liver will receive the desired enzymes and start working in full force. Usually it happens on day 7 after discharge from the maternity hospital or 10 days from the birth of the baby, if he appeared on the light of the docking.

Physiological jaundice is natural for newborns. Such a state should not cause anxiety from the parents. The danger to the rapid organism of the newborn carries a pathological jossing. It arises as a result of the massive decay of red blood cells, not only those that already need to be replaced, but also new ones.

Pathological jossing occurs in the first hours after birth and is accompanied by severe anemia. The level of bilirubin at this moment is very high. At the same time, not only the liver suffers, but also the central nervous system and the brain. In order to prevent such a condition, the baby requires constant control of the level of bilirubin in the blood and timely treatment.

Most often, the child becomes yellow on the third day after the appearance of the light. The main cause of physiological jaundice is associated with natural processes in the body, the result of which is the substitution of fetal hemoglobin normal or alive. Such a condition rarely requires special treatment, since it is considered normal for the newborn body. The growth of bilirubin in this case may cause starvation, hypothermia, accumulation of meconia. To quickly cope with a high level of gall pigment, it is recommended to apply a child to the chest more often. The first milk - colostrum - acts as a laxative, which contributes to the speedy disbursement of Mekonia. Bilirubin is reduced much faster.

More close attention deserves a pathological jaundice in newborns. The causes, consequences and norms of such a state are perfect by others. It occurs in 65 children out of 1000. The reasons for the development of the pathological jossing can be several:

resh conflict;
incompatibility of blood groups of mother and fetus;
infectious diseases of the liver;
liver failure;
low weight child at birth;
premature childbirth;
artificial feeding;
sugar diabetes in a woman;
hormonal disorders in the body;
mechanical damage to the liver or biliary tract;
hereditary metabolic disorders.

Most of the factors listed above lead to a violation of bile outflow from the body. Such a state requires constant observation by specialists.

Symptoms and diagnosis of pathology

The main sign of the japless in newborns is the characteristic shade of its skin and the scool eyes. A crater scale is used to estimate the state. Inspection is carried out with natural daylight, as artificial light distorts the results. To determine the yellow skin of the child, it is necessary to completely sit. As a result of the inspection, it is possible to determine the approximate level of bile pigment in the body:

Jaundice is limited to head and neck - indirect bilirubin in blood plasma is 100 mmol. This indicator is averaged and can be confirmed or refuted by blood test.
The jaggility of the head, neck and top of the body - 150 μmol / l.
Including the bottom of the body - 200 μmol / l.
Including hands and legs below the knees - 250 μmol / l.
Including handbrushes, palm and foot foot - more than 250 μmol / l.

Depending on the level of bilirubin in the blood, we can talk about

If the main symptom of the physiological state is the yellow skin shade, the pathological phenomenon is accompanied by the following additional features:

arises on the first day or a week after birth;
the disease has a complex and wave-like flow;
the bilirubin increase exceeds 85 μmol / l per day;
discoloration of the chair;
urine coloring in bright yellow color;
changes in the normal state of the body (excitation or lethargy).

The pathological condition does not pass independently and requires medication intervention.

The rate of bilirubin with a jaundice in newborns

In order, if necessary, the baby was given timely help, it is necessary to control the level of the bile pigment, painting the skin in a characteristic color. Normally, the Bilirubin rate in the kid is 8.5-20.5 mmol / l. This means that the liver of the child works well during the period of destruction of the fetal hemoglobin and the appearance of living. The maximum value of the bilirubin level reaches the third day after birth. At this time, the gall pigment is usually fixed at a value of 205 μmol / l. Starting from the fourth day, the intensity of the jaundice shade is gradually reduced, and after about 10 days, skin cover comes to normal.

How much jaundice in the newborn will last, directly depends on the bilirubin and the general condition of the body. If, by the third week of the life of the baby, the value of the indicator of the gall pigment is not reduced and is 160 μmol / l and higher, the doctor decides on hospitalization. If the child's condition is not impaired, the jaggility of the skin moderate and decreases, the hepatic samples are normal, then the treatment can be carried out at home.

Features of japless breast milk

Sometimes staining of the skin of the child in a characteristic color is not associated with neither physiology, nor with pathological disorders in the body. In this case, we are talking about another variety of japless, which occurs with breastfeeding. Despite the fact that in most cases maternal milk is a valuable source of nutrients, sometimes the substances contained in it are capable of bringing harm.

The cause of the jaundice of breastfeeding is a high level of hormones and fatty acids in milk. All this suppresses the normal functioning of the liver, as a result of which bilirubin begins to accumulate in the tissues. There is such a fortune about 7 days from birth. But when the jaundice passes the newborn, it depends on how quickly the correct diagnosis and adequate treatment is appointed.

To reduce the level of bilirubin in the blood, a child for 3-4 days is translated into feeding with a mixture or enclosed and pasteurized in a water bath with breast milk. In such nutrition, estrogens and other hormones affecting liver enzymes are almost inactive. If after the specified time the level of the bile pigment falls, then the child really is a jaundice of breast milk. When restoring natural feeding in a few days, bilirubin in the child will rise again.

When is the jaundice in the infants?

This question interests everyone without exception to young mothers, first faced with a similar phenomenon. It is safe to say that the newborn passed the jaundice when the level of bilirubin in the blood was normalized. This usually happens 10-14 days after birth if the phenomenon is associated with physiology. If a month later, the child's condition has not improved, and the jaggility of the skin is preserved, it is necessary to immediately consult a doctor.

The treatment of pathological jaundice may be needed to three months, subject to the treatment prescribed by the doctor. The level of bilirubin is determined by putting venous blood in the laboratory.

What is dangerous jaundice in newborns?

Most children have skin covers acquire a yellowish shade for physiological reasons, which should not be concerned with parents. Already after one or two weeks, the skin and the schgle of the eyes will be brushed. Jaundice caused by the presence of enzymes and fatty acids in breast milk can delay for 2-3 months. However, all this time, the kid is fully developed. Thus, physiological jaundice, like that, which is associated with breastfeeding, can not be dangerous for the newborn.

But the child can get yellow and for other reasons. For example, a pathological jossing is more dangerous for a newborn than physiological and breastfeeding, hundreds of times. First, with this disease, the condition of the child every day only worsens. Secondly, recovery without the help of doctors is impossible, because the consequences can be the most unpredictable:

High level bilirubin toxic for child. In turn, this can lead to violations in the work of the central nervous system and brain.
With the penetration of bilirubin into the brain, nuclear jaundice is developing. This condition is accompanied by muscle spasms and deviations in mental development. With often deafness occurs.
With a protracted jaundice, it is possible to loss control over the musculoskeletal system and partial paralysis

The toxic effect of bilirubin on the nervous system has the hardest consequences.

Treatment of japless light

If the yellowing of the skin is due to physiological causes, then the therapy in this case is not required. In this case, it is not necessary to talk about treatment, but how to help a small organism to cope with this state faster. All recommendations give a doctor. Do not be a child to be a child with some dubious drugs on the advice of acquaintances. The newborn baby during this period of his life must be provided:

daily walks in the fresh air;
taking solar and air baths;
full breastfeeding.

In addition to the above-mentioned mother, the diet must be observed, eliminating those products that create an additional liver load from its diet. In general, the best prevention of the jaundice of newborns is breastfeeding on demand from the first minute of the life of the kid.

In some cases, the doctor recommends the treatment of the jaundice of newborns under the lamp. This method of bringing the level of bilirubin in the blood to normal is the name of phototherapy. In the process of treatment, the child is placed under the lamp, pre-sticking his eyes with a bandage. Under the influence of light, the bile pigment in the blood is destroyed, and the substances formed are easily derived from the body along with urine and feces. It should be noted that phototherapy is advisable at the level of bilirubin above 100 μmol / l. Then the liver enzymes will be able to split and bring it on their own. And when the Bilirubin rate is lowered to 8.5-20.5 μmol / l, we can say that the jaundice in the newborn passed.

When the skin of the baby turns yellow as a result of pathology, in addition to the phytotherapy, medication treatment is prescribed under hospital. Depending on the reasons that caused the jaundice, even blood transfusion (with a rhesus conflict) can be applied.

Medicia treatment

To bring the level of bilirubin while the jaundice of newborns is normal, one of the following drugs is prescribed:

"Hofitol". One of the safest and most effective means for neonatal jaundice. The drug is a vegetable-based solution designed to receive inside. The main action is in protecting the liver. In addition, the drug provides normalization of metabolic processes, improving the work of the kidneys and a choleretic effect.
"Galstina". This is a homeopathic preparation of vegetable origin, which is prescribed during the jaundice to eliminate intoxication. For children is appointed in the form of droplets.
"Uroofalk" from the jaundice for newborns. Under the influence of this drug, liver cells begin to work more active. They produce more enzymes that contribute to the bilirubin escape from the body. The dosage of the medication is determined by the doctor based on the level of bile pigment in the blood.

The opinion of Dr. Komarovsky about the problem

It is a physiological process. Dr. Komarovsky advises Mama to calm down and not focus on this state. For the treatment of physiological jaundice in modern medicine, the use of special medical drugs is not recommended, unless it is prolonged. However, a blue lamp can be used to speed up the process of normalizing the child's skin. With the jaundice in the newborn, the freedom allows to split bilirubin on substances that are easily removed by the body with feces and urine.

At home, Evgeny Komarovsky in the absence of a blue lamp recommends using ordinary white. It explains this by the fact that its bright light also neutralizes the toxicity of bilirubin. Approximately the same action has multiple sunlight.

As for the pathological jossing, Dr. Komarovsky warns that the drug "Phenobarbital" may be appointed for its treatment in our country. It categorically does not recommend Mama to apply this tool towards his children. This drug, despite its effectiveness to enhance the work of certain enzymes in the liver, is prohibited to use all over the world due to side effects. "Phenobarbital" has a destructive effect on the nervous system of the child, leads to a decrease in intellect and learning ability at school age. The doctor does not say exactly when the jaundice in newborns must pass. He notes only a prolonged nature of the disease.

Dr. Komarovsky advises with a jaundice to dope the child with water and not refuse to vaccinate from hepatitis B, since in this case the risk of disease increases at times.

Jaundice - staining in the yellow color of the skin, scool and mucous meal due to the deposits of bile pigments in them. The skin accumulates fat-soluble bilirubin, which is formed during the decay of red blood cells.

The liver does not have time to neutralize the decay products. Therefore, in the blood, the redundant amount of this pigment appears.

Bilirubin happens:

non-contiguous or indirect. He is fat-soluble;
conjugated or direct. Such bilirubin is water soluble.

Therefore, direct bilirubin is freely excreted with bile and urine, and indirect bilirubin is derived as a result of a complex biochemical process in the liver.

Direct bilirubin does not have a neurotoxic effect. Its level is determined only for the purpose of diagnosis. Indirect bilirubin neurotoxic.

It happens like only with its very high level. Children have one level - above 342 μmol / l, in prematurenies, from 220 μmol / l, in deeply premature third - from 170 μmol / l.

The threshold level of neurotoxicity also depends on the duration of the impact and a number of other circumstances. Jaundice in newborns is common enough. In 60% of the docking and 80% in premature.

Neonatal jaundice newborn and its types

Physiological jaundice of newborns is becoming noticeable for the second - the third day, reaching the maximum on the second - the fourth. Jaundice must pass when the child will be 5 - 7 days from the genus.

If this is, this is a classic physiological chest associated with the failure of the bilirubin conjugation in the liver. But such it is considered only after the elimination of other causes of the postpartum jaundice.

The jaundice in the newborn can occur both on the first birthday, and appear later. It depends on the cause.

When the jaundice of newborns are regarded as hard?

Manifest in the first day of life.
With viral and bacterial infections.
In the presence of hemorrhage.
With the incompatibility of the mother and the child along the rhesus-antigens and also for the blood group.
In case of prematurity or immaturity of the newborn.
With insufficient nutrition.
In the presence of a jaundice from older children in the family.

Jaundice at the child begins with a face. The higher the lower the body (yellowing).

Jaundice has bright yellow, even orange color due to indirect bilirubin and greenish or olive due to direct bilirubin. The difference is clearly visible with a pronounced jaundice.

Pathological jaundice happens:

conjugation during enzyme lack of liver;
hemolytic when changing the normal structure of hemoglobin and erythrocytes;
liver with liver diseases;
obstrument, or mechanical, jaundice when violating the normal outflow of yellow.

With the strengthening of the jaundice, the symptoms of hemolysis, infections necessarily laboratory testing of blood. The total bilirubin, direct and indirect, blood group and the rhesv factor are determined. Conduct the blood smear microscopy with the determination of the percentage of reticulocytes and the Cumbac sample. To determine the level of bilirubin, use non-invasive percutaneous definition of bilirubin.

This definition of a pigment with a reflective photometer, which in the color of the skin determines the level of bilirubin in the blood.

When can you suspect a pathological jaundice in newborns?

if the children's jaggility developed already at birth, or in the first day, it requires increased attention.

It is necessary to exclude the child from the child: newborns, infections (syphilis, toxoplasmosis, rubella), hidden hemorrhages;

on the fourth - the seventh day of jaundice occurs more often with congenital infections;
the cause of jaundice after the 1st week of life is infections, hypothyroidism, hepatitis, the atresia of the biliary tract, fibrosis;
with a yellow jaundice, over the first month of life, it is necessary to exclude infections, hereditary genetic pathologies;
the hemolytic disease of the newborn among the causes has a syndrome of thickening bile, stagnation of bile, atrosia of biliary tract and other pathologies.

Clinically healthy children who do not consist of a risk group, suffice to control the level of bilirubin.

Jaundice in newborns can develop after the 1st week of life. This is connected with the beginning. The elevated level of bilirubin in infants can hold up to 10 weeks when breastfeeding.

If breastfeeding is canceled for 1 to 2 days, then the jossing from passing, and the Billirubine indicators in the blood will quickly decrease. When breastfeeding, the habilibinemia is usually not refundable. The general condition of the child is usually normal.

Although such jaundice in infants is rarely accompanied by bilirubinova, cases of its occurrence are described. Why this happens, medicine is not yet clear.

What is dangerous bilirubinic encephalopathy, is it a nuclear jaundice of newborns?

The risk of bilirubin encephalopathy is higher in immature newborns. Bilirubin penetrates the brain neurons and has a toxic effect on them.

Clinically manifests:

relaxing sucking;
re-installing neck;
intensity;
lethargy;
convulsions.

During progression, reflexes disappear, respiratory disorder appears, a sharp shrill cry. Heavy damage to the nervous system leads to a fatal outcome.

The effects of nuclear jaundice in newborns

the child with a greater share of probability develops a delay of motor development;
after the first year of life, motor disorders, deafness;
to three years -, oligophrenia, hearing loss, squint, motor disorders;
under apparent neurological symptoms, the forecast is unfavorable, mortality reaches 75%.

Bilirubinic encephalopathy in our time phenomenon is rare.

But always exist risk factors:

extract from the hospital earlier than the 3rd day without subsequent observation within two days;
lack of caution and underestimation of the severity of jaundice.

How to treat the jaundice in newborns?

The treatment of japless in newborns is aimed at reducing the level of bilirubin to indicators that do not exceed the threshold of neurotoxicity (the ability to hit the neurons of the brain).

One of the opinion, with what level of bilirubin must begin the phototherapy, no. But since 6 -12 hours should pass for a visible result, then the phototherapy should be started with a safe level of bilirubin.

In the process of phototherapy, the indirect bilirubin turns into a straight, "non-hazardous", and is easily derived from the body. The usual phototherapy is carried out continuously.

The child often turns to highlight the skin as much as possible. Conducted phototherapy until the level of the bilirubine fell to the most secure as possible.

The skin color is not always indicative, since under the influence of light the jaundice of the skin is decreased, and the content of bilirubin in the blood remains high.

When conducting phototherapy, protect the baby's eyes.

Complications of phototherapy - rash on the skin, diarrhea. After passing the course of phototherapy, the "Bronze Child" syndrome can be marked - skin painting in a gray-brown color.

Professional effects of phototherapy are not registered, but it is not recommended to assign phototherapy without readings. Scientific research in vitro has shown the possible pathological effect of used light radiation on DNA.

With the ineffectiveness of phototherapy, blood exchange transfusion is used. Treatment of jaundice in newborns in this way is a very unsafe procedure conjugate with the risk of serious side effects. But if necessary, it is possible to repeated blood transfusion.
Other treatment methods include single intramuscular administration in the first day of the life of the drug Tinmezoporphyrin, which reduces the need for phototherapy. This method is practically not used by small learning.
Infusion therapy (intravenous solution of solutions) is used as needed when carrying out phototherapy when a child loses a lot of fluid. Indirect bilirubin is not displayed using intravenous administration of any solutions.
The purpose of drugs that reduce the dense of bile, makes sense in the syndrome of bile thickening.
The effectiveness of the appointment of sorbents has not been proven.

Prevention of jaundice

It is held at the stage of having a child.

Full survey pregnant.
Prevention of risk factors in pregnant.
Early applying to the chest.

It is also necessary to understand that even harmless, at first glance, the jaundice needs to consult an neonatologist or pediatrician. You can judge the safety of the child only after the exception of pathological conditions when monitoring the level of bilirubin.