The treatment of physiological jaundice today has many debating issues and different clinics can practice different methods of treatment. But in Ukraine the effectiveness of these or other medications is not proven, although their use, despite this is very broad. The most effective and recommended method of treatment is phototherapy today. It is very important in the treatment to organize not only the correct treatment regimen, but also the baby's nutrition and caring for it.
The frequency of breastfeeding a child with jaundice should be at least 8-12 times a day without a night break, which reduces the risk of developing a calorie deficit or dehydration of the child and, thus, increased hyperbilirubinemia. At the same time, oral administration to newborns with jaundice of water or glucose does not prevent the development of hyperbilirubinemia and does not reduce the level of bilirubin. Therefore, the diet should be thoracic if possible or artificial. If it is not possible to provide adequate breastfeeding, it is advisable to supplement the baby with expressed breast milk. In the event that the amount of breast milk received can not provide the required daily volume of fluid, intravenous fluid may be administered.
Phototherapy is certainly the most effective method of lowering the level of bilirubin. The effect of phototherapy is due to three phenomena - photoisomerization, photodegradation and photo-oxidation. That is, bilirubin under the action of direct monochromatic light rays with a length of 450 nanometers splits into more nontoxic water-soluble compounds. Thus, it is quickly excreted from the body.
The technique of phototherapy involves a round-the-clock treatment with interruptions only for feeding. The child lies under a source of artificial color for several days until the symptomatology disappears. At the same time, the child is naked to ensure maximum radiation and he is given special glasses for protection, and also protects the genitals. Such therapy is accompanied by a decrease in the level of bilirubin by 20-30 units, which is a good indicator.
It is very important to monitor the child's condition during the phototherapy. After all, intense irradiation can cause overheating, fever, dehydration. Therefore, the doctor must monitor the condition of the child and his reaction to treatment.
With regard to the use of drugs in the treatment of physiological jaundice, it is often possible to see their use in prolonged jaundice already at the stage of treatment in policlinic conditions. It can not be said that this is a completely wrong approach, because many drugs have a different mechanism of action. The most commonly used drugs are:
- Hofitol with physiological jaundice is often used as a drug that has a cholagogic and hepatoprotective effect. This helps to accelerate the maturation of hepatocytes in newborns and, at the same time, speeds up the metabolism of bilirubin. The main active ingredient of the preparation is an artichoke extract, therefore the plant composition of the preparation contributes to its wide application. The way the drug is used for children in the form of tablets, since the syrup has a significant amount of alcohol. Dosage of the drug for children one tablet per day with breast milk. Side effects - the most commonly observed diarrhea in a child, can also be vomiting, spasmodic colic in the abdomen and allergic manifestations.
- Galstena is a complex drug that has an antispasmodic effect on the bile ducts and improves the outflow of bile, and also improves the function of hepatocytes. The active substance of the drug is Carduus, Taraxacum, Chelidonium, Natrium sulfuricum and Phosphorus. Such a composition of the drug allows you to use it for jaundice in the dosage of one drop of solution per day. Side effects can also be in the form of an action on the intestines.
- The use of probiotics is widely used in the treatment of jaundice, since the restoration of normal microflora of the intestinal tract of the child allows to normalize the processes of metabolism and excretion of bilirubin.
Acidolac - a drug that has in its composition lactobacilli, which form lactic acid and do not allow the reproduction of pathogenic bacteria. Due to this, the preparation forms favorable conditions for the development of useful intestinal microflora. Lactobacillus reuteri, which is a part of the medicine, is a priority "resident" of the intestine of the child, therefore it takes an active part in the exchange of bilirubin and its excretion with feces. The dosage sufficient to restore the microflora in children is half the packet per day in two divided doses. The powder can be dissolved in milk and given to the baby before feeding. Side effects are diarrhea, stool color disorder, rumbling in the intestine.
- Sorbents are also widely used in the treatment of physiological jaundice and the main principle of the drug is the absorption of toxic metabolic products in the intestine. This allows parts of bilirubin to be excreted in the intestine, and against a background of normal excretory function of the intestinal jaundice quickly passes.
Smecta is a drug that is an active sorbent due to the content of many bonds that can bind pathological products in the intestine. Dosage of the drug - one packet per day. Given that the drug has an antidiarrheal effect, it is necessary to ensure the normal feeding of the child to improve the excretion of metabolic products even with feces. The way of using the drug - you can dilute the sachet of medicine in boiled water. Side effects can be in the form of constipation in prone children.
Alternative treatment of physiological jaundice
Alternative therapies are not applied to newborn babies, since additional fluid administration may be dangerous for them. Therefore, among the alternative methods used herbs, which contribute to the improvement of liver function and thus accelerate the excretion of bilirubin. Such alternative methods are used in the form of herbal teas and infusions for taking a mother who is breastfeeding.
- Artichoke leaves extract is a natural herbal remedy for the protection of liver cells and improving their function. In addition, artichoke leaves have a choleretic effect and increase the metabolism of bilirubin also in the intestine by excretion with bile. Therapeutic infusion can be prepared by infusing 60 grams of artichoke leaves in a liter of water. Mom should take such tea twice a day for 50 milliliters.
- Corn stigmas are also one of the most effective natural hepatoprotective agents. Infusion of them speeds up the exchange of bile acids, promotes the excretion of bile into the ducts and duodenum, which allows bilirubin to be split in the liver and also excreted with bile. To prepare the infusion, you need to take corn stigmas (this is the hair of corn) or buy in the pharmacy already packaged tea and fume. Take every six hours for a hundred grams of tea.
- Milk thistle has its effect in the treatment of jaundice by improving the synthesis of bile acids, which contribute to the elimination of toxic metabolic products of bilirubin. To make tea, you need to take twenty grams of grass and fry in 750 milliliters of boiled water. Take a night for a glass of tea.
Vitamins can be used by the mother even when the child is fully recovered. As for physiotherapeutic methods of treatment, they are not used for newborns. Considering the positive effect of sunlight, it is recommended that mothers, after discharge for residual effects of jaundice, walk in the open sun. Prevention of rickets according to the scheme is mandatory for such children.
Homeopathy can be used in the treatment of jaundice, because many hepatoprotective drugs are based on homeopathic products.
- The chole-gran is a homeopathic complex preparation of plant origin. It is used to treat jaundice, which is accompanied by significant child anxiety and problems with stool. Due to the complex composition, the drug eliminates spasms and normalizes the metabolism in the liver. Method of application of the drug in droplets. Dosage of the drug for a child - one drop twice a day in an acute period. Side effects can only be in the form of allergic manifestations.
- Likopodium - a homeopathic remedy of inorganic origin. This drug acts by increasing bile formation and removing the final products of bilirubin metabolism. Used in the treatment of jaundice in children with the addition of a drug to a nursing mother. Dosage of the drug is two drops every four hours. Side effects are possible in the form of allergic reactions. Precautions - do not use the drug in case of suspected organic brain damage or with severe pathological jaundice.
- Sodium sulfur is an organic homeopathic preparation that is used in 200 dilutions. It is used to treat jaundice in children of any genesis, as a quick-acting drug. The way of application of the preparation is oral in the form of drops for the baby. Dosage in case of taking drops - one drop twice a day during feeding. Side effects are possible in the form of increased salivation.
- Mercurius solubilis is a homeopathic medicine that is used to treat prolonged jaundice. The drug is most effective in sluggish and low-fat children, which are poorly emptied, which further contributes to the delay of bilirubin. For treatment, the dosage is two drops for the baby once a day. Side effects can be in the form of constipation.