NEONATAL SARIQLIKLARNI QIYOSIY TASHHISLASH VA OLIB BORISH
Abstrakt
So'nggi o'n yillar davomida neonatal sariqlik bilan og'rigan bolalarni davolash taktikasi bo'yicha qarashlar sezilarli darajada o'zgardi, shuning uchun amaliyotchi neonatologlar orasida ushbu muammoga qarashlar ko'p farqlanadi. Bizning ishimizning maqsadi differentsial diagnostika va neonatal sariqlik bilan og'rigan bolalarni olib borish taktikasining asosiy munozarali masalalarini dalillarga asoslangan tibbiyot nuqtai nazaridan tahlil qilish. Zardobdagi umumiy bilirubin darajasini sezilarli darajada oshiradigan omillar 38 haftagacha bo'lgan homiladorlik muddati, faqat ko’krak suti bilan emizishning yetarli emasligi va hayotning dastlabki 24 soatida ko'rinadigan sariqlikning paydo bo’lishi. So'nggi yillarda emizishda sariqlikning etiologiyasi haqidagi qarashlar sezilarli darajada o'zgardi. Tadqiqotlar shuni ko'rsatadiki, bolaning dastlabki 5 kunida yetarli ko’krak suti bilan bog’liq sariqlikning namoyon bo'lish darajasi sun'iy oziqlantirishdan farq qilmaydi. Ko’rrak suti bilan bog’liq bo’lgan sariqlikda bog’lanmagan bilirubinni har doim normal holatga tushadi. Neonatal sariqligi bilan kasallangan yangi tug'ilgan chaqaloqlarni iloji bo'lsa, kaloriya tanqisligi va / yoki suvsizlanishini rivojlanish xavfini kamaytirish va shu bilan giperbilirubinemiyani kamaytirish uchun tungi tanaffussiz kuniga kamida 8-12 marta emizdirish kerak. Suv yoki glyukoza eritmasini peroral yuborish giperbilirubinemiya rivojlanishiga va bilirubin darajasini pasaytirmaydi. Infuzion terapiya faqat qabul qilingan ona suti miqdori suyuqlikning kerakli sutkalik hajmini ta'minlay olmasa ko'rsatiladi. Infuzion terapiya faqat qabul qilingan ona suti miqdori suyuqlikning kerakli sutkalik hajmini ta'minlay olmasa ko'rsatiladi.
Mualliflar haqida
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