English Українська
  • Main
  • Useful links
  • Information for Contributors
  • About
  • Editorial board

  • Article
    Yesipova S.I.

    IMPROVING DIAGNOSIS OF THE PROLONGED JAUNDICE IN FULL-TERM BREAST- FED INFANTS


    About the author: Yesipova S.I.
    Heading CLINICAL MEDICINE
    Type of article Scentific article
    Annotation The article presents clinical and anamnestic characteristics and features of the pro- and anti-inflammatory cytokines balance in infants with prolonged jaundice (PJ) at breastfeeding. Factors of prolonged jaundice in newborns on the part of mothers (risk of abortion, somatic pathology, impaired lactation) and infants (morphofunctional immaturity of the newborn, diseases during the neonatality) were identified. Distribution of infants in groups was based primarily on the of total bilirubin indices, and secondly, jaundice was divided into jaundice due to breastfeeding and jaundice from mother's milk. Pro-inflammatory cytokines indices growth and epidermal growth factor (EGF) in all infants with prolonged jaundice were determined. A correlation between IL-1β, EGF and total bilirubin in blood serum of infants with breast milk PJ was established. The prolonged course of jaundice from breast milk can be explained by the increased content of EGF in blood serum. In infants with PJ due to breastfeeding, inadequate lactation is accompanied by the increased hepatic circulation and the increased serum bilirubin concentration.
    Tags prolonged jaundice, cytokines, epidermal growth factor, breastfeeding
    Bibliography
    • Horlenko OM, Yankovska AO. Konyuhatsiyni zhovtyanytsi novonarodzhenykh: kliniko-anamnestychnyy analiz. Sovrem. pediatriya. 2009; 3: 70-73. [in Ukrainian]
    • Lenchenko AV, Cherneha NF, Shadrin OH, Dosenko VYe. MikroRNK yak biomarkery funktsionalnoho stanu hepatotsytiv u ditey rannyoho viku z prolonhovanoyu konyuhatsiynoyu zhovtyanytseyu. Sovrem. Pediatriya. 2014; 3(59): 116. [in Ukrainian]
    • Khaletskaya OV, Solntsev VV. Zatyazhnyye varianty techeniya konyugatsionnoy giperbilirubinemii u novorozhdennykh: faktory riska i ikh profilaktika. Meditsinskiy almanakh. 2009; 4(9): 99—102. [in Russian]
    • Shadrin OH. Osoblyvosti funktsionalnoho stanu biliarnoho traktu ta tsytokinovoho statusu u ditey z prolonhovanoyu zhovtyanytseyu. International Journal of Pediatrics, Obstetrics and Gynecology. 2013; 4(1): 84-85. [in Ukrainian]
    • Yankovska AO. Kharakterystyka pokaznykiv hiperbilirubinemiyi ta yiyi korektsiya u ditey iz neonatalnymy zhovtyanytsyamy. Probl. klinich. pediatriyi. 2010; 1: 57-68. [in Ukrainian]
    • Kumral A, Ozkan H, Duman N, Yesilirmak DC, Islekel H, Ozalp Y. Breast milk jaundice correlates with high levels of epidermal growth factor Pediatr Res. 2009; 66(2): 218-221.
    • Margaret A, Andrew S. Day causes of prolonged jaundice in infancy. New Zealand Med J. 2016;129:1429.
    • Preer GL, Philipp BL. Understanding and managing breast milk jaundice.Arch Dis Child Fetal Neonatal Ed. 2011; 96(6): 461-466.
    • Xiao LL, Zhang XF, Wang XY. Changes in epidermal growth factor concentrations in neonates with late-onset breast milk jaundice after stopping breast feeding. Zhongguo Dang Dai Er Ke Za Zhi. 2013; 15(12): 1079-1081.
    • Yesilirmak DC, Kumral A, Tuzun F, Baykara B, Tugyan K, Duman N, Özkan H. Milk-borne epidermal growth factor modulates bilirubin levels in neonatal rats. Clinical Nutrition Experimental. 2015; 3: 1-7.
    Publication of the article «World of Medicine and Biology» №3(69), 2019 year, 067-072 pages, index UDK 616.36-008.5-053.2-07:613.953.12
    DOI 10.26724/2079-8334-2019-3-69-67-72