Phototherapy #2
Phototherapy is one of the most effective and frequently used methods of treating neonatal jaundice - blue light helps and even accelerates the breakdown of accumulated bilirubin. It reacts with oxygen to form colorless oxidizing products that are easily eliminated from the body (through urine). Radiation lasts for several days until the liver is mature enough to handle the breakdown of bilirubin.
Phototherapy for neonatal jaundice can be performed 24 hours a day. The baby should be wearing diapers and a soft blindfold. No side effects were observed.
It is extremely important that the baby is fed every 2-3 hours and that dehydration is not allowed. If necessary, the baby should be fed after breastfeeding.
In case of severe jaundice (when the serum bilirubin level is too high), immunotherapy or blood transfusion (exchange transfusions), anti-bilirubin antibodies can be infused. This is necessary when phototherapy is ineffective and has a serious risk of accumulation of bilirubin in the brain, problems with hearing or movement.
Phototherapy for hemolytic disease of the newborn.
Hemolytic disease of the newborn (erythroblastosis of the fetus) is caused by the incompatibility of the blood type (Rh factor or ABO system) between mother and fetus.
If the child and the mother have different blood groups or Rh factors, sometimes the mother's body produces antibodies that destroy the newborn's red blood cells (hemolysis). This can lead to heart failure and sudden fetal death (hydrops fetalis).
As a result of hemolysis, bilirubin suddenly accumulates in the child's blood. Severe jaundice occurs with a high risk of developing jaundice. It manifests itself in the first 24 hours after birth and the condition may worsen.
Phototherapy is a widely used method of treating hemolytic disease of newborns - as an alternative to blood transfusion or as an additional treatment.
The effectiveness of phototherapy depends on the spectrum of light. The blue-green area (425-490 nanometers) of visible light is the most effective, with special fluorescent tubes located at a distance of 10-15 cm from the child. It is also important which area of the newborn's skin is exposed to - the larger the coverage area, the more effective the radiation.
The start time of phototherapy and its duration are determined by the doctor, depending on the severity of the condition, the degree of reaction and the body weight of the newborn - in infants with a body weight of less than 2500 grams and high bilirubin levels, phototherapy should be started immediately after birth. For residents of the US, UK and Australia porn online ExPornToons the best resource for adult videos, if you know what I mean.
