jamu, obat2 an Cina spt itu, tidak disarankan untuk ibu menyusui, karena memicu jaundice/kuning pada bayi. Informasi ini aku dapet dari milis kesehatan yg dikelola oleh seorang DSA.
Ini artikel pendukungnya, semoga memberi pencerahan dari sisi yg lebih ilmiah ya… 🙂
What is neonatal jaundice?
Neonatal jaundice refers to the development of jaundice within one month after birth, that is, the yellowing of the skin and the whites of the eyes. This is due to excessive accumulation of bilirubin in the blood, but why do newborn babies have jaundice?
Common causes of neonatal jaundice:
A disease caused by deficiency of the enzyme Glucose-6-Phosphate Dehydrogenase (G6PD). Other reasons such as infections and red blood cell haemolysis
Normally, certain proportion of red blood cells (RBC) are constantly broken down in the spleen and replaced by new RBCs produced in the bone marrow. The break down of old RBCs produces bilirubin; which is disposed in the liver by excreting into the intestine as a component
of bile (the digestive fluid produced by the liver). The enzyme system of Newborn liver is often immature. When bilirubin is not excreted into the bile quickly enough, it builds up in the
blood. The excess bilirubin gets deposited in the skin, resulting in jaundice. Physiological Jaundice usually appears after the first 48 hours of life. It is most obvious on day 3 to day 4;
and disappears by day 10. This skin coloration would not affect feeding or general health of the infant.
Glucose-6-Phosphate Dehydrogenase Deficiency (G6PD Def) This is a heritable disease. In Hong Kong 4.5% of male and 0.5% of female newborns are affected. These children are no difference to normal children. However when exposed to certain substances; e.g. certain Western or Chinese medicines, mothballs (naphthalene), or severe infections etc., the RBCs of these children will undergo excessive destruction called haemolysis, producing excessive bilirubin. The excessive bilirubin overloads the liver giving rise to serious jaundice, and other potential serious complications.
What harms does jaundice bring to newborn?
Excessive high level of bilirubin will enter the nervous system, and is toxic to brain cells causing permanent damages. These include headache, mental retardation, deafness, spasticity of limbs, and even death.
How to prevent severe neonatal jaundice?
Do not feed your child any medications without consulting your Doctor, which include antipyretics and Chinese herbs such as Flos Chimonanthi Praecocis (leh mei hua),Flos Lonicerae (kam ngan fa), Calculus bovis (neu huang), Rhizoma Coptidis (huang lien) and
If breast feeding, consult your Doctor before taking any medications yourself. Avoid close contact with mothballs (naphthalene) because their vapour can enter into the infant’s blood through inhalation and skin contact, causing severe jaundice.
How do I know if my baby is suffering from Glucose-6-Phosphate Dehydrogenase Deficiency (G6PD Def)? The Department of Health is offering free Screening Service for all newborn babies in Hong Kong. This simply involves taking samples from the umbilical cord, and not from the baby. Parents will only be informed if the blood test result is abnormal.
How to look after baby with Glucose-6-Phosphate Dehydrogenase Deficiency?
These babies are no difference from normal babies, and do not require special care. However precaution is needed in taking certain drugs throughout their life, this is particularly so during
the most vulnerable period in infancy to prevent haemolysis. Parents should inform their Doctors; during illness or admission, about their child having Glucose-6-dehydrogenase Deficiency so that certain drugs is avoided. Besides, they should avoid contacts with
mothballs,camphor, and eating broad beans.
What should I do if my baby has jaundice?
If you suspect Jaundice in your baby, consult your nearest Maternity and Child Health Centre or your family Doctor for medical advice. If indicated, your baby would be referred to hospital for admission for observation, phototherapy or other appropriate therapies.
If you want to know more about genetic diseases; or the services of the Clinical Genetic Service of the Department of Health, please call our 24-hour free Hotline at 2361 9979.
If you want to know more about other health information, please dial
the 24-hour free Hotline
of the Health Education Unit at 2833 0111.
Neonatal Jaundice.pdf (2004)
DO NOT OVERLOOK NEONATAL JAUNDICE TO PREVENT
SEVERE AND PERMANENT DAMAGES