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Li Jiao Yan
Neonatology
About me
Li Jiaoyan, female, attending physician, Master of Pediatric Medicine integrating Chinese and Western medicine. Graduated from Hunan University of Chinese Medicine.
Research interests include integrating Chinese and Western medicine for neonates and pediatric internal medicine, with expertise in treating common and frequent diseases in neonates and children, as well as emergency rescue of critical conditions. Proficient in monitoring the growth and development of children in early stages, assessing their developmental levels, and providing guidance.
Proficient in diseases
Treatment of common and multiple diseases in newborns and children, as well as emergency treatment of critical illnesses, monitoring of early childhood growth and development, assessment of early childhood developmental levels, and guidance.
Voices
Do newborns with jaundice need to be hospitalized?
Neonatal jaundice is one of the common symptoms in newborns, especially in premature newborns. It can either be a normal developmental symptom or an indication of certain diseases. In severe cases, it can lead to brain damage. Generally, about 80% of full-term newborns show visible signs of jaundice under normal conditions. However, it is crucial to differentiate between physiological and pathological jaundice. Physiological jaundice generally does not require intervention. If it is pathological jaundice, timely intervention and treatment are necessary because it can be an indication of various diseases. Without timely intervention, the baby might develop other serious complications. The most severe cases can see a continuous increase in bilirubin levels that might enter the brain, leading to kernicterus, and even cause hearing loss, possibly endangering life. Generally, if jaundice persists for a longer time, progresses rapidly, and is severe, it is crucial to seek medical attention promptly. If it is pathological jaundice, hospitalization for timely treatment is necessary. Neonatal jaundice is a critical indicator that requires close attention and monitoring.
How long should a newborn be exposed to blue light for jaundice?
If a baby's jaundice requires blue light therapy, it indicates that the jaundice is quite severe and is pathological. Blue light is one of the most effective treatments for jaundice, typically administered either continuously or intermittently. Continuous exposure is generally for a longer duration, such as for more severe conditions like hemolysis or serious infections, which cause a significant increase in jaundice levels, and typically requires 24 to 48 hours of continuous light treatment. If the jaundice is not very severe but still elevated, intermittent light treatment is usually adopted, lasting anywhere from 6 to 16 hours. Generally, if the jaundice does not rebound significantly after light treatment, there is no need for further light exposure. However, if the jaundice rebounds, additional treatment may be necessary. The duration of light therapy for jaundice depends on the baby's condition. If the cause of the jaundice is identified and treated, and the condition stabilizes, the duration of blue light therapy may be reduced. However, if the jaundice repeats or rebounds severely and is associated with significant pathological factors that are not fully controlled, then the treatment duration for jaundice will be longer.
Can rickets be cured?
Rickets is a type of disease caused by a lack of vitamin D, leading to disturbances in calcium and phosphorus metabolism in the body, and resulting in abnormal bone development. The most common form of this disease is nutritional rickets caused by a deficiency of vitamin D. This type of rickets is curable as it is a self-limiting disease. Generally, timely supplementation of vitamin D and calcium, along with sufficient outdoor activities, can lead to recovery after treatment. However, there are some special cases, such as severe liver and kidney diseases, which require addressing the root cause before the symptoms of vitamin D deficiency can be alleviated. Additionally, there are some genetic diseases for which vitamin D supplementation is ineffective, making their treatment more challenging.
What are the dangers of neonatal jaundice?
Neonatal jaundice is one of the most common symptoms during the newborn period and may also be an indication of certain diseases. Usually, if the neonatal jaundice is within the normal range, it is referred to as physiological jaundice, which is generally not a major concern. The baby's condition is typically okay, and the jaundice tends to gradually recede on its own, having minimal impact. If the jaundice is pathological, it generally appears early, progresses rapidly, and recedes slowly. Pathological jaundice, depending on the type of bilirubin increase in the blood, can be divided into high direct bilirubin and high indirect bilirubin elevations. If the increase in indirect bilirubin is significant and continuous, there is a risk of it entering the brain, potentially leading to a severe condition known as bilirubin encephalopathy, or even kernicterus. This could result in serious neurological sequelae, possibly affecting intelligence, hearing, and in more severe cases, it might endanger the baby’s life. If there is a significant increase in direct bilirubin, it might be due to liver or biliary disease. If not treated timely, the condition might progress and potentially lead to liver damage or liver failure, which are also serious complications. Therefore, if jaundice levels are high and there is a suspicion of pathological jaundice, it is crucial to seek medical attention promptly and intervene with treatment in a timely manner.
neonatal jaundice standard values
Neonatal jaundice is one of the common symptoms during the neonatal period. It can be a normal physiological phenomenon or a manifestation of certain diseases. Jaundice is generally divided into physiological jaundice and pathological jaundice. Physiological jaundice does not appear very early, progresses slowly, lasts a short time, and is not very severe. Generally, for jaundice monitoring, it is recommended that newborns be closely monitored for changes in jaundice. Jaundice within 24 hours after birth generally does not exceed 6 milligrams per deciliter. From 24 to 48 hours, it generally does not exceed 9, and from 48 to 72 hours it does not exceed 12. After 72 hours, the jaundice level should not exceed 15. If monitoring shows that the jaundice level exceeds the normal range, it is advisable to go to the hospital promptly. The doctor will then determine the specifics of bilirubin levels in the blood. If bilirubin in the blood is indeed elevated, timely intervention and treatment are recommended.
What are the impacts of neonatal jaundice?
Neonatal jaundice is one of the most common phenomena in the neonatal period. It is divided into physiological jaundice and pathological jaundice. Due to the metabolic characteristics of bilirubin in newborns, about 50%-60% of full-term infants and 80% of preterm infants will experience physiological jaundice. The general condition of babies with physiological jaundice is good; the degree of jaundice is not severe, it does not progress rapidly, and then the jaundice gradually subsides on its own. At this time, no intervention treatment is needed, and it has no impact on the baby. If it is pathological jaundice, where the jaundice continues to rise, if not timely intervened, it might lead to serious complications such as bilirubin encephalopathy and cirrhosis, and may even lead to sudden cessation of respiration and heartbeat, posing a threat to life safety. Therefore, timely intervention and treatment are necessary for pathological jaundice, as jaundice might be the only manifestation of some serious diseases in newborns, such as rapid progression and severe jaundice, which are indications of the illness in the baby.
Can newborns with jaundice eat probiotics?
Neonatal jaundice can be treated with probiotics. Probiotics primarily help establish a normal gut flora in newborns. Once the gut flora is established, bacteria break down bilirubin into urobilinogen, significantly reducing bilirubin's circulation in the liver, which aids in alleviating jaundice. Clinical studies have shown that formulations such as lactobacillus and bifidobacterium can alter the intestinal environment and reduce jaundice, especially breast milk jaundice, serving as an adjunct treatment. The reduction of jaundice with live bacteria treatment has proven effective, so probiotics can be used for neonatal jaundice.
Rickets lacks what element
Rickets, also known as Vitamin D deficiency rickets, is caused by a deficiency in Vitamin D, which leads to abnormal calcium and phosphorus metabolism in the body. Calcium salts cannot deposit normally in the growing parts of bones, resulting in incomplete mineralization of bone tissue during growth phases and ultimately leading to skeletal abnormalities. This condition is characterized by a chronic nutritional disease closely related to lifestyle. The main symptoms are a deficiency of Vitamin D levels in the blood, followed by low levels of calcium and phosphorus, meaning that the levels of these elements significantly drop. The primary treatment for rickets involves supplementing Vitamin D, thus the main cause of rickets is due to a deficiency of this vitamin.
When does neonatal jaundice completely disappear?
Neonatal jaundice is one of the most common conditions in newborns. Due to the metabolic characteristics of bilirubin in newborns, about 50%-60% of full-term infants and 80% of preterm infants experience jaundice. Jaundice is categorized into physiological jaundice and pathological jaundice. If it is physiological jaundice, the duration typically does not exceed two weeks in full-term infants, and in preterm infants, it can extend up to three to four weeks, generally not exceeding four weeks. If the jaundice progresses quickly and is severe, and if its resolution is delayed, there might be an underlying pathological jaundice. Pathological jaundice may involve certain pathological factors, necessitating a hospital visit. Based on the baby’s specific conditions, targeted examinations should be conducted, and treatment should focus on the underlying cause to actively manage the jaundice. The length of time jaundice takes to resolve may vary depending on the cause or the condition of the baby. How the jaundice subsides depends on the condition. If pathological jaundice is not promptly managed, the severity of the jaundice may increase, and there may be a risk of severe complications. Therefore, if the jaundice level is high and parents are unsure, it is advised to have it checked at a hospital. If pathological jaundice is confirmed, timely intervention and treatment are necessary.
Can rickets be inherited by the next generation?
Rickets, called vitamin D-deficiency rickets, is caused by a lack of vitamin D which leads to abnormal calcium and phosphorus metabolism in the body. This prevents calcium salts from properly depositing in the growing parts of the skeleton, resulting in incomplete mineralization of bone tissue during growth. It produces a systemic, chronic nutritional disease characterized by skeletal lesions and closely related to lifestyle. The primary causes of rickets are due to a combination of factors leading to vitamin D deficiency. Feeding methods, cod liver oil supplementation, living environment, time spent outdoors, recurrent respiratory infections, maternal calcium deficiency during pregnancy, and the season of birth are all significant contributing factors to the incidence of rickets. Generally, most cases of rickets are not inherited to the next generation. However, if there is a clear hereditary disease causing insufficient levels of vitamin D, it could potentially be inherited by the next generation.