Bilirubin encephalopathy

Bilirubin encephalopathy

Patients with bilirubin encephalopathy are mostly newborns. This is because some functions of newborns are not fully developed and they are easily disturbed and harmed by the outside world. This disease can damage brain tissue. If not treated early, it will have a great impact on the future development and growth of the newborn's brain function. The onset of this disease varies in severity and gradualness. Some children with this disease may not have any abnormal symptoms at first, but will experience convulsions in the later stages, and in severe cases may even take the child's life.

Therefore, this bilirubin encephalopathy is a disease that cannot be ignored. If parents do not cure this disease in their children's early years, the children will have many problems when they grow up. For example, hearing impairment, slurred speech, and physical underdevelopment. No one wants to see these conditions in their children, and we have the following methods to treat this disease.

The 48 cases of bilirubin encephalopathy also had symptoms such as mental retardation, convulsions or clonus, difficulty raising the head, and drooling.

1. General treatment: If there are high-risk factors for bilirubin encephalopathy, symptomatic treatment should be given.

2. Enzyme inducer: phenobarbital 5 mg/(kgod), orally taken in 3 divided doses.

3. Inhibit hemolytic process: large doses of immunoglobulin; generally used in the early stage of severe hemolytic disease, the dosage is 1g/kg, intravenous drip within 4 to 6 hours.

4. Reduce free unconjugated bilirubin: Albumin: Generally used for severe hyperbilirubinemia within 1 week after birth, the dosage is 1g/kg plus 10-20ml of glucose solution for intravenous drip; plasma 25ml/time intravenous drip can also be used, 1-2 times a day. Albumin should be infused once 1 to 2 hours before exchange transfusion.

Neonatal hyperbilirubinemia must be treated early to avoid the development of bilirubin encephalopathy.

1. Provide prenatal examinations and health education to prevent premature birth, difficult labor and infection. For those who are expected to have hemolytic disease, make preparations for delivery.

2. Vitamin K3, sulfonamides, sodium benzoate, caffeine and salicylic acid drugs should not be routinely used for newborns, especially premature infants, and jaundice detection must be taken seriously.

Because children have no protection when they are young, they are easily invaded by external viruses. Therefore, friends who have children or elderly people at home should pay attention and must regularly sterilize and disinfect their living environment to prevent children from being exposed to too many bacteria, which will cause some stubborn diseases. I hope you can adopt the relevant suggestions and methods.

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