bookpower Chapter 473
Chapter 473
As for roundworms entering the biliary tract, why does it cause jaundice?
Because the biliary tract is blocked, the pressure inside the gallbladder increases, and the bile ducts dilate to cause the small bile ducts and capillary bile ducts to rupture, and the bilirubin in the bile will flow back into the bloodstream and enter the body.
And the female patient in front of her, Huang Jiayi, was not infected with fever and did not fear the cold.
It shows that the condition is not serious, and it is considered lucky.
"What? There are roundworms! "
The female patient Huang Jiayi was shocked by Lin Feng's words.
"No, how can I have roundworms?"
When I thought of a roundworm in my body, I suddenly felt sick.
"It must be that the food is not clean... Pay attention to your diet in the future, don't eat raw fish, and don't drink raw water..."
Lin Feng said.
Yusang...
Huang Jiayi understood at once.
She herself is very fond of sashimi, which may be the reason for the appearance of roundworms.
"Doctor Lin, what should I do next?"
"Hospitalize... Take anthelmintic medicine first, conservative treatment... Drink as much water as possible in these two days to replenish electrolytes... After 2 days, if the bugs have not come out, or the condition is more serious, surgery is required, and duodenoscopy is required to clamp the bugs out..."
Lin Feng said.
Huang Jiayi nodded repeatedly: "Okay, okay." "
......
The next patient.
A young mother, holding an infant baby, walked into the consultation room.
Lin Feng was stunned again when he saw it.
"How is it jaundice again!!"
I saw this little baby in front of me, covered in gold.
That's right
It's not yellow anymore, it's yellow! Gold! Hue!
The whole person is like a little golden man.
This shows that jaundice is already serious.
Lin Feng suddenly became serious.
"Dr. Lin, help me see my baby..."
"How old is your baby?"
"It's been 13 days..."
"Why are you only being sent to the hospital now?"
Lin Feng said a little reproachfully.
As soon as she said this, Bao's mother began to cry.
"It's all my mother-in-law who has always refused, saying that the soil is good, and then sending it to the sun, and then using egg whites, let the baby lie on the bed after bathing early, and wipe the egg white on the baby's back... Still can't..."
Lin Feng: ".................."
At this time, Bao's mother was very emotional, it should be said that she was angry and crying:
"In the end, the baby was still not good, but it was more serious, and my mother-in-law actually listened to a home remedy from relatives in her hometown, saying that she would send it and cut her mouth!"
Lin Feng: "!!!! "
Cut your mouth?!
I'm Nima!!
Bao's mother cried and cursed: "Of course I refused, I wanted to send the baby to the hospital, and then quarreled with my mother-in-law, but the mother-in-law took the baby back to her hometown in the middle of the night and went to find an old god wife in the countryside, fortunately, I arrived in time, and the old god mother actually said that she wanted to cut her cheeks!" It is said that what is cut and squeezed out is a yellow grain and the same thing as an oil grain! It only takes two or three days..."
Lin Feng: "...................................."
The whole person is completely stupid!
And this operation?
The student Xiaoru listened to the sidelines, feeling his cold hair stand upright.
Bao's mother snorted and burst into tears: "When I heard it, I almost fainted, quickly snatched the baby, and then rushed back to find a doctor, this family, I used to tolerate them, I want to divorce in the future, I don't want to see their family again... Woo~~~~"
Lin Feng quickly comforted her: "You are already strong and protect your children... Now I'll see what's going on with the baby..."
The consultation begins.
"When did jaundice appear?"
"It started on the 2nd day of birth..."
"Is it developing fast?"
"I don't know if it's fast or not, but it's not so yellow halfway, but it's aggravated later..."
Here, we want to talk about two situations of jaundice in young children:
·「 Physiological jaundice": not a disease, but an inevitable condition of newborns, excessive bilirubin
·「 Pathological jaundice": there is a certain disease that causes bilirubin to appear on the body surface.
"Show me the baby..."
Lin Feng first looked at the mental state:
Pathological jaundice: mental state will be significantly worse, sometimes screaming or convulsions,
Physiological jaundice: the baby's breastfeeding, sleeping, etc. will not be affected.
Obviously, the baby in front of him is asleep, so he can't see his mental state.
Lin Feng: "Does the baby usually sleep well and eat well?" "
Bao's mother: "It's hard to sleep, it's easy to wake up suddenly, and then wow and cry, the food is not good, and I often vomit milk, five or six times a day, I have checked the information, try to let the baby not drink milk when the air ... By the way, sometimes it twitches..."
Lin Feng nodded.
The last jaundice baby (Chapter 2), apparently no problem.
And this jaundice baby, the condition is a little prominent.
Pathological jaundice is considered more likely.
Lin Feng began to observe the baby's skin.
Eyes, sclera very deep yellow.
Skin: Golden, little golden
And jaundice will go over the knee and elbow, and the palms of the hands and feet are yellow.
Whether it is a small golden man, or yellowing of the palms of the hands and feet, it is a characteristic of pathological jaundice, and physiological jaundice is generally not so serious.
"Yellow urine?"
"It's yellow!!" Bao's mother nodded repeatedly, "Every time I change the diaper, I can feel that the diaper is very yellow." "
"What about poop?"
"It's a little white..."
(Generally, the feces are darker when the baby is born, the feces will turn yellow after a day or two, the healthy stool is white, and if you eat red pulp (red dragon fruit, blueberries, cherries, etc.), the feces will turn black.) ）
When Lin Feng heard this, he was more sure that it was pathological jaundice.
The color of the baby's skin with physiological jaundice is light yellow, generally limited to the face, torso, generally no more than knees and elbows, and the color of the stool is yellow...
Since pathological jaundice has been identified, further diagnosis is required.
Pathologic jaundice is classified as follows:
Excessive bilirubin production: (accelerated destruction of red blood cells) hemolysis, sepsis...
Bilirubin metabolism is too slow: hypothyroidism... (Lenovo: Is that side remedy for cutting cheeks for this?) ）
Bilirubin is blocked: hepatitis syndrome, biliary atresia...
There are so many reasons,
Eliminating them one by one is a bit difficult and costs a lot of money.
Lin Feng thought about it and said to Bao's mother:
"You hold the baby, I'll press the baby..."
Hold tight.
Lin Feng wore gloves and pressed the position of the baby's right liver and gallbladder.
。