sbdcsierra Chapter 474
Chapter 474
Chapter 474
Lin Feng understands this pregnant woman’s worries.
In the hospital, every major doctor has a team, and then you think that the major doctor is performing the operation, but in fact, the major doctor does not have so much time. Often the team doctors are performing the operation on you.
The pregnant woman almost died of her first child, and naturally began to be dissatisfied with the big doctor.
Then I got to know Lin Feng again, knowing that Lin Feng is very good in obstetrics, so I came to the emergency department to find Lin Feng.
Lin Feng: “How much amniotic fluid did you just say?”
Pregnant women: “Amniotic fluid depth is 9.3cm, amniotic fluid index 230 (the index is the sum of the maximum vertical diameters of the four quadrants)…”
Lin Feng nodded: “The 230 index is not much at present, and it won’t be considered as the baseline of excessive amniotic fluid until 250…”
The pregnant woman is worried: “But now I am only 34 weeks, and there is still a long time to go before 40 weeks, and it will soon rise to 250…”
Lin Feng asked: “When was the last B-ultrasound? What was the amniotic fluid index?”
Pregnant woman: “The last b-ultrasound was a week ago, when the amniotic fluid index was only 180…”
Lin Feng frowned: “This increase is indeed a bit problematic…”
The pregnant woman is very anxious: “Dr. Lin, will the baby have a fetal malformation? I checked the information and said that polyhydramnios may be the cause of the fetal malformation…”
Lin Feng: “For fetal malformations, you should have had a B-ultrasound malformation in twenty weeks? Is there a problem?”
Pregnant woman: “No problem was found at that time…”
Lin Feng: “If there is no problem, then there should be no deformity… and if it is deformed, it has already started to have polyhydramnios as early as 20 weeks, and it will not wait until 34 weeks…”
As soon as Lin Feng said this, the pregnant woman breathed a sigh of relief.
She is really afraid that her baby will be deformed, it will be really tormented, after all, it is now 34 weeks.
Lin Feng: “Have you checked your blood sugar? Do you have diabetes?”
Pregnant woman: “The blood sugar has been checked, the blood sugar is okay…”
After speaking, take out a few check sheets (urine test, blood test) from your pocket.
· Routine blood glucose: 3.8……(normal)
Lin Feng: “You should be fasting blood sugar, right? Blood sugar is okay. Diabetes is diagnosed only if it exceeds 6.1…¨々…”
After speaking, Lin Feng glanced at other indicators,
“Huh~~~”
Lin Feng was surprised when he saw the “ketone body++++” in the urine test.
The pregnant woman was frightened: “What’s wrong, Doctor Lin?”
Lin Feng: “This urine test has 4+ ketone bodies, there is a problem…”
Pregnant woman: “Dr. Lin, is there any problem?”
Lin Feng explained: “Ketone bodies usually appear when fat is consumed, so you may not have enough sugar in your body, or you have diabetes, and this ketone body will appear, and there are 4+ ketone bodies. Be careful in the future and don’t starve yourself. , Otherwise there may be severe ketoacidosis (written in chapters 72-76 and 219-221).”
The pregnant woman said embarrassedly: “I’m afraid of eating too much sugar and developing diabetes, so I can reduce the amount of rice and noodles…”
Lin Feng: “You can’t starve yourself like this in the future. In addition, the gigabytes of ketoacidosis are vomiting and dizziness. If you have this symptom, you should 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 at that time…Can you be my obstetrician?”
Lin Feng hesitated for a moment: “I called the obstetrics department to ask, after all, the obstetrics delivery room will be needed…”
soon,
Lin Feng called the director of the obstetrics and gynecology department and communicated with him.
The obstetrics director was very angry and directly agreed.
Lin Feng said to pregnant women: “Every week from now on, you will come to the emergency room to see me. If you keep having too much amniotic fluid, you may have to give birth early… By the way, does the B-ultrasound assess the baby’s weight?”
Pregnant woman: “Yes, 4 catties.”
Lin Feng: “The baby is well developed, and early delivery shouldn’t be a big problem.”
The production process of polyhydramnios can be a bit dangerous. In addition, the pregnant woman has had the fatal danger of amniotic fluid embolism in her first delivery, so she is a high-risk mother and cannot be underestimated.
…
Send away pregnant women,
The next patient.
A mother walked in with a newborn baby in her arms.
Mother looked distressed: “Doctor Lin, help me see, my son is very yellow…”
Lin Feng: “How old is the baby?”
Mom: “It’s been 13 days…”
Lin Feng glanced at the baby’s body.
·Yellow body…
·Yellow eye sclera (yellow sclera)…
Obviously, the baby is “jaundice”. (Written before, but not clear enough)
Jaundice is a disease that newborns must undergo.
It is also a word often encountered by young children-(I have jaundice when I get a vaccine, so I can’t fight it.)
The reasons for its formation are:
Newborns have more red blood cells than adults when they are in their mothers, and these extra red blood cells will rupture due to oxidation when they come out of the mother’s body.
When the newborn’s liver function cannot withstand so many red blood cells at the same time, bilirubin accumulates in the blood, and then stains the sclera, skin, mucous membranes and other places yellow.
When a newborn is just born, it is necessary to test for jaundice, which must be tested, indicating the inevitability of jaundice.
“｀” How long has the jaundice been? ”
“It was there on the second day of birth, and it is now 13 days…”
12 days……
Lin Feng pondered.
12 days is a bit long.
Generally the baby fades quickly.
At this time, my mother was complaining:
“The baby had very obvious jaundice the next day, and then I checked Baidu, and the Internet said that it was possible to get sunbathing and treat the jaundice… I gave the baby the sun, but it was useless…”
Lin Feng: “………………”
Does sun exposure relieve jaundice?
The answer is: it has a little effect.
Sun exposure is the most common way to treat jaundice in the folk and underdeveloped areas of the world, and even some doctors recommend it to parents.
However, it needs (get Zhao) to have the baby’s body fully exposed to the sun to be effective.
However, due to the delicate skin of newborns, direct sun exposure can easily cause sunburn, which is not worth the gain.
So,
Why can sunlight relieve jaundice?
The reason is that bilirubin can absorb light. Under the action of light and oxygen, fat-soluble bilirubin is oxidized into a water-soluble product, which can be excreted from the body in bile or urine, thereby reducing the serum unconjugated bilirubin concentration. still.
After research, it is found that the absorption band of bilirubin is 400-500 nanometers, especially at the wavelength of 420-440 nanometers.
And this band belongs to the blue band (400nm-450nm).
so,
In the hospital, the way to relieve jaundice for newborns is to irradiate the baby with “blue light”!
_____
ps; My college classmate’s baby has jaundice, and then the treatment is too late, which is a pity.
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