socalfunplaces Chapter 471
Chapter 471
Lin Feng understood the pregnant woman's concern.
In the hospital, every big doctor has a team, and then you think that the big doctor is doing the operation, but in fact, the big doctor does not have so much time, and often the team doctor is doing the operation for you.
This pregnant woman's first child, almost lost her life, naturally began to be dissatisfied with the big doctor.
Then I happened to learn about Lin Feng again, knowing that Lin Feng was very powerful in obstetrics, so I specially came to the emergency department to find Lin Feng.
Lin Feng: "You just said how much amniotic fluid comes?" "
Pregnant woman: "Amniotic fluid depth 9.3cm, amniotic fluid index 230 (the index is the sum of the maximum vertical radial lines of the four quadrants)..."
Lin Feng nodded: "The index of 230 is not much at present, and it will not be until 250 to calculate the baseline of excessive amniotic fluid..."
The pregnant woman was worried: "But now I am only 34 weeks, it is still a long time before 40 weeks, and it will soon rise to 250..."
Lin Feng asked, "When was the last time B ultrasound?" What is the amniotic fluid index? "
Pregnant woman: "The last ultrasound was a week ago, when the amniotic fluid index was only 180..."
Lin Feng frowned: "This increase, there is indeed a problem..."
The pregnant woman was very anxious: "Dr. Lin, will the baby have fetal malformations?" I checked the information and said that polyhydramnios may be the cause of fetal malformations..."
Lin Feng: "If the fetus is malformed, you should have done B ultra-large abnormalities in twenty weeks, right?" Is there a problem? "
Pregnant woman: "No problem was detected at that time..."
Lin Feng: "If there is no problem, then there should be no deformity... And if it is deformed, it will already start to have polyhydramnios as early as twenty weeks, and it will not wait until 34 weeks..."
As soon as Lin Feng's words came out, the pregnant woman immediately breathed a sigh of relief.
She was really afraid that her baby would have a deformity, which would be really tormenting, after all, it is now 34 weeks.
Lin Feng: "Did you check your blood sugar?" Do you have diabetes? "
Pregnant woman: "I have already checked my blood sugar, there is no problem with blood sugar..."
After speaking, take out a few checklists (urine test, blood test) from your pocket.
Blood glucose: 3.8... (Normal)
Lin Feng: "You should have fasting blood sugar, right?" There is no problem with blood sugar, and it takes more than 6.1 to diagnose diabetes..."
After speaking, Lin Feng glanced at the other indicators,
"Huh~~~"
When Lin Feng saw the "ketone body ++++" in the urine test, he was shocked.
The pregnant woman frightened the bird: "What's wrong, Doctor Lin?" "
Lin Feng: "This urine test ketone body 4+, there is a problem..."
Pregnant woman: "Dr. Lin, what's the problem?" "
Lin Feng explained: "Ketone bodies generally appear when they consume fat, so you may not have enough sugar in your body, or diabetes, this ketone body will appear, and the ketone body is 4 +, pay attention in the future, do not starve yourself, otherwise there may be severe ketoacidosis (chapters 72-76, 219-221 wrote). "
The pregnant woman said embarrassedly: "I'm afraid of eating too much sugar and diabetes, so I can reduce my rice and noodles..."
Lin Feng: "You can't starve yourself like this in the future, in addition, the gigabit of ketoacidosis is vomiting, dizziness and the like, if you have this symptom, you must go to the hospital as soon as possible..."
A thousand reminders...
The pregnant woman nodded: "Thank you Dr. Lin... Dr. Lin, then I will give birth when the time comes... Can you be my obstetrician? "
Lin Feng hesitated for a moment: "I'll call the obstetrics department to ask, after all, you need to use the maternity room at that time..."
soon
Lin Feng called the director of the obstetrics and gynecology department and communicated.
The director of obstetrics was very angry and agreed directly.
Lin Feng said to the pregnant woman: "In the future, every week, you will come to the emergency department to find me, if you have been with too much amniotic fluid, you may have to give birth early... By the way, did B ultrasound assess the baby's weight? "
Pregnant woman: "Yes, 4 pounds." "
Lin Feng: "Then the baby's development is not bad, and early delivery should not be a big problem." "
The production of excessive amniotic fluid will be a little dangerous, plus the fatal risk of amniotic fluid embolism in the first birth of this pregnant woman, so she is a high-risk woman and cannot be underestimated.
......
Sending away pregnant women,
The next patient.
A mother with a newborn in her arms walked in.
The mother looked distressed: "Doctor Lin, help me see, my son's whole body is very yellow..."
Lin Feng: "How old is the baby?" "
Mom: "It's been 13 days..."
Lin Feng glanced at the baby's body.
Yellowing of the body...
Yellowing of the sclera of the eye (scleral yellowing)...
Obviously, the baby is "jaundice". (Written earlier, but not clear enough)
Jaundice is a disease that newborns 'must pass'.
It is also a word that is more often encountered by young children - (There is jaundice when vaccinating, can not be vaccinated.) ）
It is formed because:
Newborns have more red blood cells than adults when they are in their mother's belly, and these excess red blood cells, after coming out of the mother's body, will rupture due to oxidation.
When the newborn's liver function cannot withstand the metabolism of so many red blood cells at the same time, then bilirubin accumulates in the blood, and then the sclera, skin, mucous membranes and other places are dyed yellow.
When the newborn is just born, jaundice needs to be tested, which must be measured, indicating the 'inevitability' of jaundice.
"How long has jaundice been?"
"I had it the day after birth, and it's been 13 days now..."
12 days...
Lin Feng groaned.
12 days is a bit long.
Generally, the baby subsides quickly.
At this time, my mother is complaining:
"The baby had very obvious jaundice the next day, and then I checked Baidu and said on the Internet that I could bask in the sun and treat jaundice... I gave the baby a snort of the sun, and it didn't work..."
Lin Feng: ".................."
Does sun exposure reduce jaundice?
The answer is: a little bit of a thing.
Sun exposure is the most common way to treat jaundice in folk and less developed areas of the world, and even some doctors recommend it to parents.
However, it requires your baby's body to be adequately exposed to sunlight to function.
However, due to the delicate skin of newborns, direct skin exposure is easy to cause sunburn, but the gain is not worth the loss.
so
Why can sunlight reduce jaundice?
The reason is that bilirubin can absorb light, and under the action of light and oxygen, fat-soluble bilirubin oxidizes into a water-soluble product that can be excreted from bile or urine, thereby reducing serum unconjugated bilirubin concentration.
After research, it has been found that the absorption light band of bilirubin is 400~500 nm, especially in the time decomposition of 420~440 nm wavelength.
This band belongs to the blue light band (400 nanometers-450 nanometers).
So
In the hospital, the way to reduce jaundice for newborns is: irradiate the baby with "blue light"!
_____
ps； My college classmate's little baby, which is jaundice, and then the treatment is late, unfortunately.
.