DISEASES OF CHILDHOOD : ANEMIA OF NEWBORN CONGENITAL (АNAEMIA CONGENITA NEONATORUM) - etiology, pathogenesis, symptoms and course of, recognition, prediction and prevention
The hemolytic anemia problems that arise in the fetus during prenatal development, due to the receipt to him from his mother entirety-agglutinins.
Symptoms. The child will be born full-term. Animic phenomena are clearly revealed by the end of the first - the beginning of the second week of life. In the early days pale skin is masked by jaundice. The amount of hemoglobin drops to 30 - 60%, the number of red blood cells up to 2 500 000 - 3 500 000, color index about adeniyi, antacids, polychromasia, reticulocytosis, erythroblasts. Reinforced the shift of neutrophils to the left. Liver and spleen were enlarged. Along with this form, there are congenital anemia newborns with severe jaundice (anaemia congenita neonatorum cum ictero gravis) see the severe neonatal Jaundice and congenital anemia newborns with hydrocephalus (apema neonatorum congenita cum oedemate). Children with this form is not viable, often born dead. Sharp General swelling, accumulation of transudate in the serous cavities (hydrops universalis). Sharp anemia: hemoglobin 20 - 40%, erythrocytes 1 000 000 - 1 500 000.
Over and prediction of severe anemia with dropsy prediction hopeless.
History (anemia, jaundice, stillbirths during the previous pregnancies); a lack of red blood cells: in the rhesus factor between mother (resuscitating) and child (resetprofile), mother (resuscitating) and father (resetprofile) of the child. Large fleshy placenta.
The defects of the Central nervous system: debilnosti, paralysis, ataxia and so on
To appoint women, the red blood cells which do not contain the RH factor in pregnancy drugs liver and iron and nutritious food, rich in vitamin C.
Repeated intravenous or vnutrishkolnye blood transfusion with resuscitative erythrocytes. Ascorbic acid. Subcutaneous and intravenous solutions of glucose and insulin injections (1 - 2 units). Vitamin K. during the first 1 0 - 15 days to feed expressed breast raw milk of another woman. In the future, to put baby to the breast of the mother.