{"id":2779,"date":"2018-06-29T16:32:59","date_gmt":"2018-06-29T16:32:59","guid":{"rendered":"https:\/\/guiadagravida.com\/?p=2779"},"modified":"2018-07-10T09:53:13","modified_gmt":"2018-07-10T09:53:13","slug":"ictericia-neonatal","status":"publish","type":"post","link":"https:\/\/guiadagravida.com\/ictericia-neonatal\/","title":{"rendered":"Icter\u00edcia Neonatal"},"content":{"rendered":"<h2>Conhe\u00e7a os riscos da Icter\u00edcia Neonatal<\/h2>\n<p><span style=\"font-weight: 400;\">A icter\u00edcia neonatal, <\/span><b>causada pelo excesso de bilirrubina <\/b><span style=\"font-weight: 400;\">no sangue, \u00e9 uma condi\u00e7\u00e3o extremamente comum no rec\u00e9m-nascido, afetando cerca de <\/span><b>60% dos beb\u00eas<\/b><span style=\"font-weight: 400;\"> de termo e <\/span><b>80% dos <\/b><a href=\"https:\/\/guiadagravida.com\/parto-prematuro\/\">beb\u00eas prematuros<\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A icter\u00edcia surge habitualmente por volta do<strong> 2.\u00ba dia de vida<\/strong> e caracteriza-se pelo <strong>tom amarelado da pele<\/strong> resultante dos <\/span><b>n\u00edveis elevados de bilirrubina<\/b><span style=\"font-weight: 400;\">, que pode tamb\u00e9m se estender para o branco do olhos (conjuntivas). Os sintomas tendem a desaparecer espontaneamente ao fim de 10 a 15 dias, podendo, num n\u00famero reduzido de casos, permanecer durante mais tempo.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A <\/span><b>bilirrubina<\/b><span style=\"font-weight: 400;\"> \u00e9 libertada no sangue de forma natural sempre que morrem gl\u00f3bulos vermelhos, sendo depois metabolizada pelo f\u00edgado e eliminada nas fezes. No entanto, devido \u00e0 imaturidade do organismo, em especial do f\u00edgado, o beb\u00ea pode produzir mais bilirrubina do que \u00e9 capaz de processar, causando um quadro de icter\u00edcia neonatal.<\/span><\/p>\n<h2>Causas da Icter\u00edcia Neonatal<\/h2>\n<p><span style=\"font-weight: 400;\">Na maioria dos casos a icter\u00edcia neonatal \u00e9 fisiol\u00f3gica (resultante da imaturidade do organismo), mas pode tamb\u00e9m ser resultante de uma patologia.<\/span><\/p>\n<h3>Icter\u00edcia fisiol\u00f3gica<\/h3>\n<p><span style=\"font-weight: 400;\">A maior parte dos casos de icter\u00edcia neonatal deve-se \u00e0 imaturidade do organismo, em particular do f\u00edgado, que n\u00e3o consegue processar de forma eficaz a bilirrubina libertada durante a destrui\u00e7\u00e3o dos gl\u00f3bulos. Este \u00e9 o cen\u00e1rio mais comum e a maioria dos beb\u00eas com icter\u00edcia fisiol\u00f3gica n\u00e3o necessita de qualquer tipo de tratamento.<\/span><\/p>\n<h3>Icter\u00edcia patol\u00f3gica<\/h3>\n<p><span style=\"font-weight: 400;\">Num pequeno n\u00famero de casos, a icter\u00edcia pode resultar de um problema de sa\u00fade. Entre as causas mais comuns de icter\u00edcia patol\u00f3gica, contam-se:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Incompatibilidade com o tipo de sangue da m\u00e3e (<a href=\"https:\/\/guiadagravida.com\/doenca-de-rhesus\/\">Doen\u00e7a de Rhesus<\/a>)<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Anemia falciforme <\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">N\u00edveis demasiado elevados de gl\u00f3bulos vermelhos (pode ocorrer em beb\u00eas de baixo peso e g\u00eameos) <\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Infe\u00e7\u00e3o<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Falta de determinadas enzimas<\/span><\/li>\n<\/ul>\n<h2>Riscos da Icter\u00edcia Neonatal<\/h2>\n<p><span style=\"font-weight: 400;\">A maioria dos beb\u00eas com icter\u00edcia recupera rapidamente e n\u00e3o apresenta sequelas. No entanto, quando um beb\u00ea com n\u00edveis elevados de bilirrubina n\u00e3o recebe tratamento adequado existe o risco de <\/span><b>encefalopatia bilirrub\u00ednica<\/b><span style=\"font-weight: 400;\">, que pode causar danos cerebrais permanentes.<\/span><\/p>\n<h2>Tratamento da Icter\u00edcia Neonatal<\/h2>\n<p><span style=\"font-weight: 400;\">A maioria dos casos de icter\u00edcia neonatal n\u00e3o necessita de tratamento, bastando amamentar o beb\u00ea regularmente para que este se mantenha devidamente hidratado, mantendo assim os n\u00edveis de bilirrubina sob controle at\u00e9 que o organismo os consiga processar devidamente.<\/span><\/p>\n<figure id=\"attachment_2780\" aria-describedby=\"caption-attachment-2780\" style=\"width: 640px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-2780 size-full lazyload\" data-src=\"https:\/\/guiadagravida.com\/wp-content\/uploads\/2018\/06\/ictericia-neonatal.png\" alt=\"Icter\u00edcia Neonata\" width=\"640\" height=\"480\" data-srcset=\"https:\/\/guiadagravida.com\/wp-content\/uploads\/2018\/06\/ictericia-neonatal.png 640w, https:\/\/guiadagravida.com\/wp-content\/uploads\/2018\/06\/ictericia-neonatal-300x225.png 300w\" data-sizes=\"(max-width: 640px) 100vw, 640px\" src=\"data:image\/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==\" style=\"--smush-placeholder-width: 640px; --smush-placeholder-aspect-ratio: 640\/480;\" \/><noscript><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-2780 size-full\" src=\"https:\/\/guiadagravida.com\/wp-content\/uploads\/2018\/06\/ictericia-neonatal.png\" alt=\"Icter\u00edcia Neonata\" width=\"640\" height=\"480\" srcset=\"https:\/\/guiadagravida.com\/wp-content\/uploads\/2018\/06\/ictericia-neonatal.png 640w, https:\/\/guiadagravida.com\/wp-content\/uploads\/2018\/06\/ictericia-neonatal-300x225.png 300w\" sizes=\"(max-width: 640px) 100vw, 640px\" \/><\/noscript><figcaption id=\"caption-attachment-2780\" class=\"wp-caption-text\">Sess\u00e3o de fototerapia para tratamento de Icter\u00edcia | Foto: Guia da Gr\u00e1vida <a href=\"https:\/\/creativecommons.org\/share-your-work\/public-domain\/cc0\/\">CC0<\/a><\/figcaption><\/figure>\n<p><span style=\"font-weight: 400;\">Quando os n\u00edveis de bilirrubina s\u00e3o mais elevados e a icter\u00edcia se manifesta nas<\/span><b> primeiras 24 horas de vida<\/b><span style=\"font-weight: 400;\">, \u00e9 normalmente recomendada a <\/span><b>fototerapia<\/b><span style=\"font-weight: 400;\">, tamb\u00e9m conhecida como \u201cbanho de luz\u201d. O tratamento consiste na emiss\u00e3o de luz num comprimento de onda espec\u00edfico, que ao ser absorvida pelo corpo altera a bilirrubina tornando-a mais f\u00e1cil de eliminar. Durante\u00a0as sess\u00f5es de fototerapia, os olhos do beb\u00ea s\u00e3o protegidos de forma evitar poss\u00edveis les\u00f5es oculares.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Por vezes, a bilirrubina pode atingir n\u00edveis muito elevados ou manter-se elevada ap\u00f3s a fototerapia. Nestes casos necess\u00e1rio utilizar uma t\u00e9cnica de transfus\u00e3o de sangue chamada <\/span><b>exsanguineotransfus\u00e3o<\/b><span style=\"font-weight: 400;\">, em que o sangue do beb\u00ea \u00e9 lentamente removido e substitu\u00eddo pelo sangue de um doador, de forma a eliminar a bilirrubina circulante.<\/span><\/p>\n<h2>Em resumo<\/h2>\n<p><span style=\"font-weight: 400;\">A icter\u00edcia neonatal \u00e9 um quadro bastante comum e resolve-se normalmente sem necessidade de tratamento, sendo apenas necess\u00e1rio vigiar os n\u00edveis de bilirrubina do beb\u00ea. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">No entanto, quando os n\u00edveis de bilirrubina s\u00e3o muito elevados pode ser necess\u00e1rio tratamento espec\u00edfico como fototerapia ou exsanguineotransfus\u00e3o.<\/span><\/p>\n<p><span style=\"font-size: 10pt;\">Foto em destaque por Martin Pot CC BY 3.0 @ <a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Jaundice_phototherapy.jpg#\/media\/File:Jaundice_phototherapy.jpg\">Wikimedia Commons<\/a><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Conhe\u00e7a os riscos da Icter\u00edcia Neonatal A icter\u00edcia neonatal, causada pelo excesso de bilirrubina no sangue, \u00e9 uma condi\u00e7\u00e3o extremamente<\/p>\n","protected":false},"author":2,"featured_media":2796,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[7,4,11],"tags":[53,55],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Icter\u00edcia Neonatal:conhe\u00e7a os sintomas e tratamento - Guia da Gr\u00e1vida<\/title>\n<meta name=\"description\" content=\"A Icter\u00edcia neonatal \u00e9 uma condi\u00e7\u00e3o muito comum nos rec\u00e9m-nascidos. 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