Bebeklerde sar\u0131l\u0131k tedavisi, sar\u0131l\u0131k yapan nedene ve sar\u0131l\u0131\u011f\u0131n derecesine(bilirubin de\u011ferine) g\u00f6re de\u011fi\u015fmektedir. Ancak neden ne olursa olsun y\u00fcksek indirekt bilirubin seviyelerini d\u00fc\u015f\u00fcrme amac\u0131yla verilen\u00a0ortak tedavi y\u00f6ntemleri vard\u0131r.<\/p>\n

\u0130ndirekt bilirubin seviyesine ve sar\u0131l\u0131k nedenine g\u00f6re takip, fototerapi, kan de\u011fi\u015fimi ya da ila\u00e7 tedavisi yap\u0131labilmektedir.<\/p>\n

Bebe\u011finizi S\u0131k S\u0131k Emzirin<\/h2>\n

Bebeklerde sar\u0131l\u0131k nas\u0131l ge\u00e7er\u00a0sorusunu soran \u00e7o\u011fu annenin yapabilece\u011fi en etkili tedavi y\u00f6ntemi, bebe\u011fi anne s\u00fct\u00fc ile yeterli beslemek olacakt\u0131r. Bilirubin y\u00fcksekli\u011fi ile anne s\u00fct\u00fcyle beslenme aras\u0131nda g\u00fc\u00e7l\u00fc bir ili\u015fki g\u00f6sterilmi\u015ftir.* Yetersiz beslenen bebeklerde d\u00fc\u015f\u00fck kalori al\u0131m\u0131 nedeniyle olu\u015fan dehidratasyon(v\u00fccudun su kaybetmesi) hem sar\u0131l\u0131k geli\u015fmesinde hem de var olan sar\u0131l\u0131\u011f\u0131n \u015fiddetlenmesinde rol oynar.<\/p>\n

Emzirme s\u0131kl\u0131\u011f\u0131n\u0131 artt\u0131rmak bilirubin y\u00fcksekli\u011fi dolay\u0131s\u0131yla sar\u0131l\u0131k riskini azalt\u0131r. Bundan dolay\u0131 annelerin, ilk g\u00fcnden itibaren\u00a0bebe\u011fi en az 8-12 kez emzirmeleri\u00a0\u00f6nerilir.<\/p>\n

E\u011fer bebe\u011finizde sar\u0131l\u0131k geli\u015ftiyse kendinize soraca\u011f\u0131n\u0131z ilk soru \u201cBebe\u011fimi yeterli s\u0131kl\u0131kta ve miktarda emziriyor muyum?\u201d olmal\u0131d\u0131r.<\/p>\n

Ge\u00e7 anne s\u00fct\u00fc sar\u0131l\u0131\u011f\u0131 bu konuda tek istisnad\u0131r. Bu durumda anne s\u00fct\u00fcne ara verilmez ve fototerapi tedavisi uygulan\u0131r.\u00a0Fototerapiye\u00a0ra\u011fmen bilirubin\u00a0de\u011ferleri d\u00fc\u015fmezse\u00a0anne s\u00fct\u00fcne 24 saat ara verilir. Sonras\u0131nda yeterli ve s\u0131k emzirmeye devam edilir.<\/p>\n

S\u0131v\u0131 Kayb\u0131n\u0131\u00a0Engelleyin<\/h2>\n

S\u0131v\u0131 kayb\u0131(dehidratasyon)\u00a0bebe\u011fin yetersiz beslenmesi sonucu olu\u015fur ve bebeklerde sar\u0131l\u0131\u011fa neden olur. Dehidratasyonu \u00f6nlemede en etkili, en do\u011fal ve en iyi\u00a0tedavi y\u00f6ntemi bebe\u011fin anne s\u00fct\u00fc ile s\u0131k ve yeterli\u00a0beslenmesidir. Ancak herhangi bir sa\u011fl\u0131k sorunundan dolay\u0131 bebe\u011finizi emziremiyorsan\u0131z, doktor \u00f6nerisi ile verilecek sa\u011f\u0131lm\u0131\u015f s\u00fct,form\u00fcle s\u00fct gibi ek besinler s\u0131v\u0131 kayb\u0131n\u0131 \u00f6nleyerek bebe\u011fin sar\u0131l\u0131\u011f\u0131n\u0131 ge\u00e7irmeye yard\u0131mc\u0131 olacakt\u0131r.<\/p>\n

Kullan\u0131lan \u0130la\u00e7lar<\/h2>\n

Yenido\u011fan bebeklerde geli\u015fen sar\u0131l\u0131klarda kullan\u0131labilecek ve bebeklerde sar\u0131l\u0131k nas\u0131l ge\u00e7er sorusuna yan\u0131t olabilecek\u00a0birka\u00e7 ila\u00e7 grubu bulunmaktad\u0131r.<\/p>\n

\n
• Glukorinil transferaz enziminin aktivitesini artt\u0131ranlar; fenobarbitalin isimli ila\u00e7 karac\u011ferdeki bu enzimin aktivitesini artt\u0131rarak indirekt bilirubinin direkt bilirubine d\u00f6n\u00fc\u015f\u00fcm\u00fcn\u00fc dolay\u0131s\u0131 ile at\u0131l\u0131m\u0131n\u0131 h\u0131zland\u0131r\u0131r.<\/li>\n
• Barsaklardan bilirubinin emilimini azalt\u0131lmas\u0131; aktif k\u00f6m\u00fcr gibi maddeler bunu yapsa da pratikte \u00e7ok kullan\u0131lmaz.<\/li>\n<\/ul>\n

  Yukar\u0131da anlatt\u0131\u011f\u0131m\u0131z genel prensipler indirekt bilirubinin bebe\u011fe zarar vermesini engellemek yani sar\u0131l\u0131\u011f\u0131n kendisinden do\u011facak hasarlar\u0131 \u00f6nlemek\u00a0i\u00e7in yap\u0131lmaktad\u0131r. Bunlara ilaveten sar\u0131l\u0131k nedeninin ortadan kald\u0131r\u0131lmas\u0131 gerekmektedir.\u00a0Bebeklerde sar\u0131l\u0131k nas\u0131l ge\u00e7er sorusuna verilecek cevaplardan birisi de sar\u0131l\u0131k nedeninin ortadan kald\u0131r\u0131lmas\u0131 olacakt\u0131r.<\/p>\n

  \n
  • immunglobulin tedavisi\u00a0(IVIG); kan uyu\u015fmazl\u0131\u011f\u0131nda \u00f6zellikle Rh uyu\u015fmazl\u0131\u011f\u0131na ba\u011fl\u0131 sar\u0131l\u0131kta etkin bir tedavidir.<\/li>\n
  • Hipotroidi nedeniyle sar\u0131l\u0131k geli\u015fmi\u015fse verilecek troid hormonu verilmesi sar\u0131l\u0131\u011f\u0131 ge\u00e7irecektir.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"

    Bebeklerde…<\/p>\n","protected":false},"author":15,"featured_media":46551,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[129,1525],"tags":[],"_links":{"self":[{"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/posts\/110297"}],"collection":[{"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/users\/15"}],"replies":[{"embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/comments?post=110297"}],"version-history":[{"count":1,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/posts\/110297\/revisions"}],"predecessor-version":[{"id":110298,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/posts\/110297\/revisions\/110298"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/media\/46551"}],"wp:attachment":[{"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/media?parent=110297"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/categories?post=110297"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.coolkadin.com\/wp-json\/wp\/v2\/tags?post=110297"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}