Hiperbilirrubinemia neonatal- UCIN IESS Ceibos
Fecha
2018
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
Resumen
La hiperbilirrubinemia neonatal representa un gran reto en la comunidad médica, teniendo en cuanta que puede presentarse de una manera fisiológica o puede tener una presentación patológica. Se la define como la coloración amarilla de la piel y mucosa, originada por concentraciones de bilirrubina sérica anormalmente altas, causado por una bilirrubina de predominio indirecto secundario a inmadurez hepática Según el INEC Instituto Nacional De Estadísticas y Censos en el año 2013 se considera según los datos obtenidos que la hiperbilirrubinemia neonatal es la tercera causa de morbilidad infantil en nuestro país. En el presente estudio se logró determinar las características clínicas de los pacientes con hiperbilirrubinemia neonatal en el área de cuidados intensivos neonatológicos del Hospital General del Norte IESS Los Ceibos en el periodo Mayo 2017 hasta Mayo del 2018. A base de un estudio con enfoque cuantitativo, no experimental de naturaleza descriptiva, analítica y retrospectiva, de corte transversal, que abarca el área antes mencionada.En nuestro medio se presenta con mayor frecuencia la ictericia neonatal en pacientes a término, que presentan como factor determinante incompatibilidad ABO, seguido de las infecciones maternas con un 23% y en menor grado la hemolisis con un 3.92%.Es de suma importancia trabajar en unión con el servicio de ginecología, ya que al encontrarse el paciente en una etapa muy importante de su vida es importante establecer los factores de riesgo y al tener la información adecuada se puede mejorar las condiciones de vida durante el periodo perinatal para evitar su presentación o sus complicaciones y educar a las madres que deben acudir a los establecimientos de salud cuando observen un color amarillo en la piel del niño y recomendar y recomendar baños de sol durante los primeros 7 días.
Neonatal hyperbilirubinemia represents a great challenge in the medical community, taking into account that it can occur in a physiological way or it can have a pathological presentation. It is defined as the yellow coloration of the skin and mucosa, caused by abnormally high serum bilirubin concentrations, caused by a bilirubin predominantly indirect secondary to hepatic immaturity According to the INEC National Institute of Statistics and Census in 2013, it is considered according to the data obtained that neonatal hyperbilirubinemia is the third cause of childhood morbidity in our country. In the present study it was possible to determine the clinical characteristics of patients with neonatal hyperbilirubinemia in the neonatal intensive care area of the Hospital General del Norte IESS Los Ceibos in the period May 2017 to May 2018. Based on a study with a quantitative approach, Non-experimental descriptive, analytical and retrospective nature, of a cross-sectional nature, which covers the aforementioned area. In our environment, neonatal jaundice occurs more frequently in term patients, who present ABO incompatibility as a determining factor, followed by maternal infections. with 23% and to a lesser extent, hemolysis with 3.92%. It is very important to work in conjunction with the gynecology service, since when the patient is at a very important stage of his life it is important to establish risk factors and Having the right information can improve living conditions during the perinatal period. to avoid their presentation or complications and educate mothers who should go to health facilities when they see a yellow color on the child's skin and recommend and recommend sunbathing during the first 7 days.
Neonatal hyperbilirubinemia represents a great challenge in the medical community, taking into account that it can occur in a physiological way or it can have a pathological presentation. It is defined as the yellow coloration of the skin and mucosa, caused by abnormally high serum bilirubin concentrations, caused by a bilirubin predominantly indirect secondary to hepatic immaturity According to the INEC National Institute of Statistics and Census in 2013, it is considered according to the data obtained that neonatal hyperbilirubinemia is the third cause of childhood morbidity in our country. In the present study it was possible to determine the clinical characteristics of patients with neonatal hyperbilirubinemia in the neonatal intensive care area of the Hospital General del Norte IESS Los Ceibos in the period May 2017 to May 2018. Based on a study with a quantitative approach, Non-experimental descriptive, analytical and retrospective nature, of a cross-sectional nature, which covers the aforementioned area. In our environment, neonatal jaundice occurs more frequently in term patients, who present ABO incompatibility as a determining factor, followed by maternal infections. with 23% and to a lesser extent, hemolysis with 3.92%. It is very important to work in conjunction with the gynecology service, since when the patient is at a very important stage of his life it is important to establish risk factors and Having the right information can improve living conditions during the perinatal period. to avoid their presentation or complications and educate mothers who should go to health facilities when they see a yellow color on the child's skin and recommend and recommend sunbathing during the first 7 days.
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HIPERBILIRRUBINEMIA NEONATAL, RECIEN NACIDO, UNIDADES DE CUIDADOS INTENSIVOS NEONATALES, HOSPITAL IESS LOS CEIBOS, CANTON GUAYAQUIL, ECUADOR