What are the symptoms of neonatal hepatic jaundice?

Neonatal hepatic jaundice is caused by abnormal bilirubin metabolism due to incomplete development or damage of liver function, which manifests as yellowing of the skin and whites of the eyes. Treatment requires light therapy, drug therapy or exchange transfusion therapy depending on the cause.

1. The main symptom of neonatal hepatic jaundice is yellowing of the skin and whites of the eyes, which usually appears 2-3 days after birth. In severe cases, it may be accompanied by dark yellow urine and lighter stools. The degree of jaundice can be assessed by bilirubin level testing. Mild jaundice may not require special treatment, but moderate to severe jaundice requires timely intervention.

2. The causes of hepatic jaundice include hereditary metabolic diseases, infection, biliary atresia, etc. Hereditary metabolic diseases such as congenital bilirubin metabolism disorder, infection such as neonatal hepatitis, and biliary atresia require surgical treatment. Environmental factors such as maternal and fetal blood type incompatibility may also cause jaundice.

3. Treatment methods include phototherapy, drug therapy and exchange transfusion therapy. Phototherapy breaks down bilirubin through blue light irradiation and is suitable for mild to moderate jaundice. Drug therapy, such as the use of phenobarbital, promotes bilirubin metabolism and is suitable for specific causes. Exchange transfusion therapy is used for severe jaundice to quickly reduce bilirubin levels.

4. In terms of diet and care, breastfeeding can help promote bilirubin excretion, but you need to pay attention to changes in jaundice. Keep the newborn's skin clean and avoid infection. Regularly monitor bilirubin levels and adjust treatment plans in a timely manner.

Neonatal hepatic jaundice requires targeted treatment based on symptoms and causes. Early detection and intervention are key. Parents should closely observe changes in neonatal jaundice and seek medical attention in a timely manner to avoid delaying treatment. Through scientific treatment and care, most neonatal jaundice can be effectively controlled to ensure healthy growth.