What are the methods to cure neonatal jaundice?

Neonatal jaundice is a common disease in the neonatal period. Babies often suffer from jaundice after birth. Generally speaking, parents do not need to be too anxious and should observe the abnormal changes of jaundice in time. Most pediatric jaundice is normal jaundice, and only a small number of newborns will have abnormal jaundice. So, what are the methods to cure neonatal jaundice? Let's take a look.

1. Light therapy

The newborn is completely naked and placed under ultraviolet light. The newborn can be exposed to light on one side or both sides at the same time. During treatment, the eyes need to be shielded to avoid damaging the retina, and the genitals and anus need to be covered with diapers. Under the action of ultraviolet rays, the excess bilirubin in the body will be converted into certain water-soluble substances and excreted with urine. This method can reduce the bilirubin content of the newborn to 7 mg/L. Or the blanket-type jaundice treatment device (shaped like a blanket) can be used to wrap the newborn's body for light treatment, which can achieve the same effect.

Precautions

(1) This therapy should generally not be used continuously for more than 4 days. If the patient does not recover within 4 days, blood transfusion therapy should be considered.

(2) The main side effects are rash and diarrhea, which can return to normal after treatment.

2. Exchange blood therapy

This is an emergency measure for children with severe hemolytic jaundice. The mechanism of this treatment:

(1) It can eliminate immune antibodies in the body;

(2) Reduce the level of bilirubin in the blood;

(3) Improve a series of adverse effects caused by hemolysis, such as anemia and insufficient oxygen supply.

3. Bilirubin reabsorption prevention method

Giving newborns breast milk can help them build up their own beneficial bacteria in the digestive tract. These beneficial bacteria can break down bilirubin and excrete it in the feces. Or giving newborns oral activated carbon to prevent the reabsorption of bilirubin, which should be combined with light therapy.

4. Enzyme inducer therapy

Typical enzyme inducers, such as phenobarbital, can stimulate the function of liver cells and convert bilirubin from a free state to a bound state. The therapeutic effect is better when used in combination with chloramine. Note: If jaundice lasts for a long time and the condition is more serious, the possibility of pathological jaundice should be considered, and the baby should receive phototherapy and take a further physical examination.

5. Albumin

Albumin can absorb free bilirubin in the blood and prevent it from binding to brain cells. This therapy has a good effect on the treatment of kernicterus.

6. Adrenal cortex hormone

This type of product blocks the combination of antigen and antibody, thereby reducing hemolysis. At the same time, it strengthens the activity of liver glucuronyl transferase and accelerates the glucuronidation of bilirubin. Prednisone can be taken orally, or hydrocortisone can be dripped intravenously. Because of many side effects, it should be reduced or stopped once the condition improves. It is not recommended to be used in combination with phototherapy. In view of the anti-immune effect of this type of drug, infected people should use it with caution.

7. Traditional Chinese Medicine

Such as Xiaohuangli Granules, Sanhuang Decoction and other medicines.

According to the above article, everyone has a certain understanding of the methods for neonatal jaundice. If your child has jaundice, don't panic too much. Ask the doctor in time and observe carefully. Jaundice will generally disappear on its own within a certain period of time. If you find that jaundice does not subside, you should seek medical treatment in time and treat it, and don't delay the condition.