How to treat neonatal jaundice
Neonatal jaundice is the most common phenomenon during the neonatal period and generally falls into two categories: physiological jaundice and pathological jaundice. As the name suggests, physiological jaundice is a normal physiological phenomenon. It typically appears in full-term babies on days 2-3, peaks on days 4-5, and gradually decreases around day 7, and completely subsides within two weeks. This type does not require intervention as the baby is generally in good condition and usually does not need treatment. Jaundice that appears early, progresses quickly, is severe, or lasts a long time is considered pathological jaundice. The diagnosis of pathological jaundice is generally made by a doctor. It is recommended that babies be monitored daily for jaundice within the first two weeks after birth. Based on the bilirubin levels, if it is high, it is advisable to seek a thorough examination from a neonatologist. Pathological jaundice requires timely intervention, especially considering liver function. If there is a significant increase in indirect bilirubin, this type of jaundice can be neurotoxic. Persistent high jaundice might affect the brain, so prompt intervention is necessary. Hospitalization for jaundice treatment will depend on the cause, and treatment will be symptomatic. The cause might be other pathological factors; removing the cause while treating the jaundice is the usual approach. Common treatment for high indirect bilirubin involves phototherapy. If conjugated bilirubin is elevated, the underlying cause might be more complex and treatment more challenging. Therefore, if jaundice is detected and there is uncertainty, it is advised to promptly visit a hospital for intervention by a neonatal specialist and necessary treatment.
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