This is an automatically translated article.
Video content is professionally consulted by Specialist Doctor II Tran Lien Anh - Neonatology Department - Vinmec Times City International Hospital
Jaundice in newborns or babies jaundice is a very common phenomenon, occurs when high blood levels of Bilirubin seep into the skin and tissues, causing jaundice, yellowing of the mucous membranes. Physiological neonatal jaundice occurs in almost all newborns and appears around the second day of life.
Besides, there are other causes of baby jaundice than normal, the risk is due to the accumulation of more Bilirubin in the blood, increasing the possible consequences for the baby if not early intervention. The method commonly applied to the phenomenon of pathological jaundice in babies is the yellow light irradiation.
Jaundice phototherapy is one of the most common methods currently used to treat indirect hyperbilirubinemia in newborns. The method of irradiation with jaundice uses white or blue light with a wavelength of 400-480 nm to shine on the body of the newborn, penetrates the skin layer and then subcutaneous fat to convert indirect bilirubin into Photobilirubin capable of Water-soluble, non-toxic to children and can be eliminated by the liver or kidney.
Yellow light therapy helps:
Bilirubin in the child's blood is excreted through urine; Baby jaundice will subside quickly; Prevents Bilirubin from entering the nervous system (injuring the brain). The technical process of neonatal jaundice illumination includes:
Prepare, notify the baby's family; Examination - evaluate all the organs of the newborn; Assess the degree of jaundice in the baby; Ensure sterile, warm and airy hygiene when conducting the yellow light treatment method; Cover the child's eyes with a dark cloth; Use a diaper to cover the child's genitals to limit testicular atrophy, affecting future reproductive functions; Expose the baby's whole body to ensure the maximum amount of light shines on the baby's skin; Provide enough water for the baby before the yellow light is shown, it is best to breastfeed. Put the baby in the incubator in the center of the light; Turn on the yellow light projector switch and adjust the jaundice projector temperature to suit the child's body temperature; Change the child's position every 2-4 hours; Check blood Bilirubin levels continuously every 12-24 hours to decide the duration of yellow light exposure. During the process of irradiation of the yellow light, the child's skin color will turn blue-violet, the child is continuously monitored for the following indicators: pulse, breathing rate, heart rate, oxygen saturation...
After that, it is necessary to monitor Children's factors such as weight, child's nutrition, baby's jaundice, neurological symptoms, blood glucose levels, blood bilirubin levels, electrolytes to promptly detect side effects of illuminant yellow skin and promptly handled.
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