bilirubin tinggi count

7/24/2019 Bilirubin Tinggi Count

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Bilirubin tinggi Count: Apnea

http://www.deep-picture.com/8BECC560-8E66-4250-A88B-

591C1ACB49EE.W5Doc!r"me#$%o& http://www.deep-picture.com/8BECC560-

8E66-4250-A88B-591C1ACB49EE.W5Doc!r"me#$%o &ctBilirubinctBilirubin

Bilirubin concentrationKonsentrasi bilirubin

DefinitionDefinisi

cBi'iru(i% "d"'"h tot"' )o%#e%tr"#i (i'iru(i% d"'"m p'"#m".*he #+#tem"tic #+m(o'

!or "rteri"' ('ood i# cBi'iru(i%,".im(o' #i#tem"ti# d"r"h "rteri cBi'iru(i% ,".

*he "%"'+er #+m(o' m"+ (e ctBi'.A%"'i#" #im(o' +"% d"p"t ctBi'.

What does cBilirubin tell you Apa cBilirubin memberitahu Anda

Bi'iru(i% i# !ormed "# " re#u't o! the c"t"(o'i#m o! hemo'o(i%. Bi'iru(i% ter(e%tu)#e(""i h"#i' d"ri )"t"(o'i#me hemo'o(i%.*+pic"''+ the m"3or p"rt o! (i'iru(i% i%

p'"#m" come# !rom the (re")dow% o! red ce''#.Bi"#"%+" ("i"% ut"m" (i'iru(i%

d"'"m p'"#m" (er"#"' d"ri pemec"h"% #e' d"r"h mer"h. o#t o! the i%iti"''+

produced u%co%3u"ted (i'iru(i% i# i% p'"#m" reer#i('+ (ou%d to "'(umi% (ut the

unbound part is toxic.e("i"% (e#"r dih"#i')"% u%co%3u"ted "w"'%+" (i'iru(i%

d"'"m p'"#m" teri)"t de%"% "'(umi% reer#i(e' tetapi terikat bagian yang

beracun.

C'i%ic"' i%terpret"tio% %terpret"#i )'i%i#7+per(i'iru(i%emi" i# due to i%cre"#ed productio% decre"#ed e'imi%"tio% or "

com(i%"tio% o! (oth. 7+per(i'iru(i%emi" i%i di#e("()"% o'eh pe%i%)"t"%

produ)#i pe%uru%"% e'imi%"#i "t"u )om(i%"#i )edu"%+".

A. Increased production:A. eningkatan produksi:

7emo'+#i#7emo'i#i#

Common causes:Penyebab umum:

%!ectio% %!e)#i

Chemic"'-toic"' re"ctio% Chemic"' re")#i toic"'! Immuni"ation #auto$immune disease or iso$immuni"ation%! Imunisasi

#auto$imun penyakit atau iso$imunisasi%

7eredit"r+ di#e"#e e%+")it )eturu%"%

B. Decreased elimination:B. enurunan eliminasi:

%tr"hep"tic cho'e#t"#i#%tr"hep"tic cho'e#t"#i#

Common causes:Penyebab umum:

ir"' i%!ectio% ,hep"titi# o! "%+ )i%d ir"' i%!e)#i ,hep"titi# 3e%i# "p"pu%

rim"r+ (i'i"r+ cirrho#i# iro#i# (i'ier primer *oic re"ctio%# ,medic"me%t# *oic re")#i ,o("t-o("t"%
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&e'eral diseases in the ne(born) ie) immuni"ation)i%!ectio% h+poth+roidi#m

(i'i"r+ "tre#i" "%d "'"cto#emi" m"+ c"u#e h+per(i'iru(i%emi" "%d "'thouh i%

mo#t c"#e# thi# i# #imp'e h+per(i'iru(i%emi" the c'i%ici"% h"# to (e "w"re o!

u%der'+i% di#e"#e. Beberapa penyakit pada bayi) yaitu) imunisasi) i%!e)#i

hipotiroidi#me "tre#i" (i'ier d"% "'"cto#emi" d"p"t me%+e("()"%

h+per(i'iru(i%emi" d"% me#)ipu% d"'"m )e("%+")"% )"#u# h+per(i'iru(i%emi"

#ederh"%" i%i p"r" do)ter h"ru# me%et"hui pe%+")it +"% me%d"#"ri. i%# o!

#uch "re hih cBi'iru(i% i% cord ('ood e"r'+ ,; 24 hr#. h+per(i'iru(i%emi" #teep

i%cre"#e i% cBi'iru(i% "%d pro'o%ed h+per(i'iru(i%emi". *"%d"-t"%d" #eperti

cBi'iru(i% ti%i d"'"m d"r"h t"'i "w"' ,;24 3"m. 7+per(i'iru(i%emi"

pe%i%)"t"% cBi'iru(i% cur"m d"% (er)ep"%3"%"% h+per(i'iru(i%emi".

http://www.i%e%t"co%%ect.com/co%te%t/(#c/e3ci/2002601/i#>0009/"i>2601000958

http://!i%d"rtic'e#.com/p/"rtic'e#/mi>2601/i#>0009/"i>2601000958

?eo%"t"' 3"u%dice : Description: Bilirubin " (+-product o! the (re")dow% o!

hemo'o(i% ,the o+e%-c"rr+i% #u(#t"%ce i% red ('ood ce''# i# produced whe%

the (od+ (re")# dow% o'd red ('ood ce''#. e%+")it )u%i% %eo%"t"': Deskripsi:

Bilirubin) +"% o'eh-produ) d"ri pemec"h"% hemo'o(i% ,#u(#t"%#i +"%

mem("w" o)#ie% d"'"m #e' d"r"h mer"h +"% dih"#i')"% )eti)" tu(uh memec"h

#e'-#e' d"r"h mer"h tu".?orm"''+ the 'ier proce##e# the (i'iru(i% "%d ecrete# it

i% the #too'. Bi"#"%+" h"ti d"% mempro#e# ecrete# (i'iru(i% d"'"m ti%3".

7+per(i'iru(i%emi" me"%# there i# " hih 'ee' o! (i'iru(i% i% the ('ood.

7+per(i'iru(i%emi" (er"rti "d" ti%)"t ti%i (i'iru(i% d"'"m d"r"h.*hi# co%ditio%

i# p"rticu'"r'+ commo% i% %ew(or% i%!"%t#. Be!ore (irth "% i%!"%t et# rid o!
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3/13

(i'iru(i% throuh the mother@# ('ood "%d 'ier #+#tem#.o%di#i i%i terut"m" #eri%

ter3"di p"d" ("+i ("ru '"hir. e(e'um )e'"hir"% ("+i me%hi'"%)"% (i'iru(i%

me'"'ui d"r"h i(u d"% #i#tem h"ti. A!ter (irth the ("(+@# 'ier h"# to t")e oer

proce##i% (i'iru(i% o% it# ow%. ete'"h '"hir h"ti ("+i h"ru# me%"m(i' "'ih

pe%o'"h"% (i'iru(i% #e%diri.A'mo#t "'' %ew(or%# h"e hiher th"% %orm"' 'ee'#

o! (i'iru(i%.7"mpir #emu" ("+i +"% ("ru '"hir memi'i)i 'e(ih ti%i d"ri ti%)"t

%orm"' (i'iru(i%. % mo#t c"#e# the ("(+@# #+#tem# co%ti%ue to dee'op "%d c"%

#oo% proce## (i'iru(i%. D"'"m )e("%+")"% )"#u# #i#tem ("+i teru# (er)em("%

d"% d"p"t #eer" mempro#e# (i'iru(i%.7oweer #ome i%!"%t# m"+ %eed medic"'

tre"tme%t to pree%t #eriou# comp'ic"tio%# which c"% occur due to the

"ccumu'"tio% o! (i'iru(i%.?"mu% (e(er"p" ("+i mu%)i% per'u per"w"t"% medi#

u%tu) me%ce"h )omp'i)"#i #eriu# +"% d"p"t ter3"di )"re%" ")umu'"#i (i'iru(i%.

Causes 0 symptoms enyebab 0 ge1alanya

% %ew(or% i%!"%t# the 'ier "%d i%te#ti%"' #+#tem# "re imm"ture "%d c"%%ot

ecrete (i'iru(i% "# !"#t "# the (od+ produce# it. "d" ("+i ("ru '"hir h"ti d"%

#i#tem pe%cer%""% +"% (e'um m"t"% d"% tid") d"p"t me%e)#)re#i)"% (i'iru(i%

#ecep"t tu(uh me%h"#i')"% itu. *hi# t+pe o! h+per(i'iru(i%emi" c"% c"u#e

3"u%dice to dee'op withi% " !ew d"+# "!ter (irth. e%i# i%i d"p"t me%+e("()"%

pe%+")it )u%i% h+per(i'iru(i%emi" u%tu) me%em("%)"% d"'"m (e(er"p" h"ri

#ete'"h '"hir. A(out o%e-h"'! o! "'' %ew(or%# dee'op 3"u%dice whi'e prem"ture

i%!"%t# "re much more 'i)e'+ to dee'op it. 2yperbilirubinemia is also more

common in some populations) such as 3ati'e American and Asian! . A''

i%!"%t# with 3"u%dice #hou'd (e e"'u"ted (+ " he"'th c"re proider to ru'e out more

#eriou# pro('em#. e)it"r #"tu #ete%"h d"ri #emu" ("+i +"% ("ru '"hir

me%em("%)"% pe%+")it )u%i% #eme%t"r" ("+i prem"tur 'e(ih mu%)i% u%tu)

me%em("%)"%%+". 2yperbilirubinemia 1uga lebih sering ter1adi pada

beberapa populasi) seperti penduduk asli Amerika dan Asia !. emu" ("+i

de%"% i)teru# h"ru# die"'u"#i o'eh pe%+edi" '"+"%"% )e#eh"t"% u%tu)

me%e#"mpi%)"% m"#"'"h +"% 'e(ih #eriu#.

#! Baby Casey is part Korean%#! Bayi Casey adalah bagian korea%

7+per(i'iru(i%emi" "%d 3"u%dice c"% "'#o (e the re#u't o! other di#e"#e# or

co%ditio%#. 7+per(i'iru(i%emi" d"% pe%+")it )u%i% 3u" d"p"t di#e("()"% o'eh

pe%+")it '"i% "t"u )o%di#i.7ep"titi# cirrho#i# o! the 'ier "%d mo%o%uc'eo#i# "re

di#e"#e# th"t c"% "!!ect the 'ier.7ep"titi# #iro#i# h"ti d"% mo%o%u)'eo#i# "d"'"h

pe%+")it +"% d"p"t mempe%"ruhi h"ti."''#to%e# " ('oc)ed (i'e duct or the u#e

o! dru# or "'coho' c"% "'#o c"u#e 3"u%dice. B"tu empedu #"'ur"% empedu +"%


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di('o)ir "t"u pe%u%""% o("t-o("t"% "t"u "')oho' 3u" d"p"t me%+e("()"% #")it

)u%i%.

Etreme'+ hih 'ee'# o! (i'iru(i% i% i%!"%t# m"+ c"u#e )er%icteru# " !orm o! (r"i%

d"m"e. &igns of se'ere hyperbilirubinemia include listlessness) high$pitched

crying) apnea,period# o! %ot (re"thi% ) arching of the back) and sei"ures.!

#eere h+per(i'iru(i%emi" i# %ot tre"ted it c"% c"u#e me%t"' ret"rd"tio% he"ri%

'o## (eh"ior di#order# cere(r"' p"'#+ or de"th."%"t ti%i )"d"r (i'iru(i% p"d"

("+i d"p"t me%+e("()"% )er%icteru# #u"tu (e%tu) )eru#")"% ot"). 4anda$tanda

hyperbilirubinemia parah meliputi kelesuan) menangis melengking) apnea

,periode tid") bernapas%) melengkungkan punggung) dan ke1ang. i)" p"r"h

tid") h+per(i'iru(i%emi" dio("ti h"' i%i d"p"t me%+e("()"% )eter(e'")"%"%

me%t"' "%u"% pe%de%"r"% "%u"% peri'")u cere(r"' p"'#+ "t"u )em"ti"%.

http://www.cdc.o/%cidod/d(id/+e''ow!eer/"cci%e/".htm

http://www.cdc.o/%cidod/d(id/+e''ow!eer/"cci%e/".htm

,urther i%!orm"tio% c"% (e !ou%d "t MMWR 2001F50:


5/13

4he potential association bet(een yello( fe'er 'accine and subse7uent se'ere

multisystemic illness has initiated further in'estigation. otensi hubungan

antara 'aksin demam kuning dan selan1utnya multisystemic penyakit parah

telah memulai penyelidikan lebih lan1ut.

8eferences 8eferensi

Ch"% IC e%%e+ D =itt'e D et "'. Ch"% IC e%%e+ D =itt'e D et "'. 7ep"titi#

"%d de"th !o''owi% "cci%"tio% with 1JD-204 +e''ow !eer "cci%e. Lancet

2001F


6/13

relation to other tissues and organs #6asalah dari Berat ;ahir:$al ini (uga

"ieta!ui ba!wa bayi baru lahir dari ibu diabetes cenderung lebih besar dan

gemuk (macrosomia) "ari non"iabetic ibu, sebua! respons ter!a"ap

meningatnya pasoan gi)i "an !iperseresi insulin ole! panreas (anin# *amun,

sebagian besar retrospetif "itin(au ole! %r Evelyne Rey "ari Montreal (uga

menemuan ba!wa bayi yang la!ir "ari ibu "engan "iabetes gestional memilii

tingat lebi! tinggi "ari bayi yang baru la!ir yang besar&untu&gestional&usia,

selain memilii ompliasi !ipogliemia "an !yperbilirubinemia' ,11. L%tu)

"'"#"% i%i +"% dire)"m u%tu) B"+i (er"t '"hir A'"% d"ri 5 pou%d d"% 8 o%#

mu%)i% te'"h p"'#u ti%i dengan peningkatan proporsi jaringan adiposa

dalam hubungannya dengan jaringan dan organ lain.

4he Issue of 2yperbilirubinemia: *he term h+per(i'iru(i%emi" de%ote# "%

ece## o! (i'iru(i% " co%ditio% which i# pote%ti"''+ %eurotoic. er%icteru# i# "%euro'oic #+#%drome re#u'ti% !rom depo#itio% o! u%co%3u"ted (i'iru(i% i% the

(r"i%.t c"% occur "t much 'ower 'ee'# o! #erum (i'iru(i% i% #ic) or prem"ture

i%!"%t# th"% i% he"'th+ !u''-term ("(ie#. 6asalah dari 2yperbilirubinemia:

#ti'"h h+per(i'iru(i%emi" me%u%3u))"% )e'e(ih"% (i'iru(i% #u"tu )o%di#i +"%

#ec"r" pote%#i"' %eurotoic. er%icteru# "d"'"h #+#%drome %euro'oi# +"%

dih"#i')"% d"ri pe%e%d"p"% u%co%3u"ted (i'iru(i% di d"'"m ot"). %i d"p"t ter3"di

p"d" ti%)"t 'e(ih re%d"h #erum (i'iru(i% d"'"m #")it "t"u ("+i prem"tur d"rip"d"

#eh"t pe%uh i#ti'"h ("+i.Whi'e toic 'ee'# !or he"'th+ i%!"%t# i# 'i#ted "t or "(oe25 m#/d= i% curre%t pedi"tric tet# 'ee'# "# 'ow or 'ower th"% '0 m#/d= c"%

c"u#e (r"i% d"m"ei% " #ic) or prem"ture i%!"%t.,12 ue#tio%#.htm

http://www.i%.o/i#dh/pror"m#/(re"#t!eedi%/h"%d(oo)/commo%>ue#tio%#.htm
http://translate.googleusercontent.com/translate_c?hl=id&langpair=en%7Cid&u=http://www.in.gov/isdh/programs/breastfeeding/handbook/common_questions.htm&rurl=translate.google.co.id&usg=ALkJrhjctMwmPqDcDLYztlhyF6lZg-Ce4ghttp://translate.googleusercontent.com/translate_c?hl=id&langpair=en%7Cid&u=http://www.in.gov/isdh/programs/breastfeeding/handbook/common_questions.htm&rurl=translate.google.co.id&usg=ALkJrhjctMwmPqDcDLYztlhyF6lZg-Ce4ghttp://translate.googleusercontent.com/translate_c?hl=id&langpair=en%7Cid&u=http://www.in.gov/isdh/programs/breastfeeding/handbook/common_questions.htm&rurl=translate.google.co.id&usg=ALkJrhjctMwmPqDcDLYztlhyF6lZg-Ce4ghttp://translate.googleusercontent.com/translate_c?hl=id&langpair=en%7Cid&u=http://www.in.gov/isdh/programs/breastfeeding/handbook/common_questions.htm&rurl=translate.google.co.id&usg=ALkJrhjctMwmPqDcDLYztlhyF6lZg-Ce4g


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=aundice and Breastfeeding enyakit kuning dan 6enyusui

MA reiew o! ""i'"('e !o''ow-up d"t" !or "pp"re%t'+ he"'th+ term i%!"%t# who#e

#erum (i'iru(i% co%ce%tr"tio%# were "# hih "# 25 m/d' #howed %o "pp"re%t i''

e!!ect# !or the#e co%ce%tr"tio%#.N1OA reiew +"% ter#edi" d"t" ti%d") '"%3ut u%tu)

3"%)" t"mp") #eh"t ("+i +"% )o%#e%tr"#i (i'iru(i% #erum +"% #eti%i 25 m /

d' me%u%3u))"% e!e) #")it +"% tid") 3e'"# u%tu) )o%#e%tr"#i i%i.O 1

>&ome e'idence indicates that fre7uent breastfeeding #?$@ times per

hours% may reduce the incidence of hyperbilirubinemia.1Beberapa bukti

menun1ukkan bah(a sering menyusui #?$@ kali per 1am% dapat

mengurangi insiden hyperbilirubinemia.1

Mupp'eme%ti% %ur#i% with w"ter or detro#e-w"ter wi'' %ot 'ower #erum

(i'iru(i% 'ee'# i% 3"u%diced he"'th+ (re"#t!eedi% i%!"%t#.N1 Oe%du)u%

me%+u#ui de%"% "ir "t"u de)#tro#"-"ir tid") ")"% me%uru%)"% ti%)"t (i'iru(i%

#erum )u%i% #eh"t me%+u#ui ("+i.O 1

MWhe% "% indirect serum bilirubin concentration is ele'ated by some

pathologic cause) there i# %o re"#o% to di#co%ti%ue (re"#t!eedi%.N1 Oeti)"

#e(u"h konsentrasi bilirubin serum tidak langsung diangkat oleh beberapa

penyebab patologis)tid") "d" "'"#"% u%tu) me%he%ti)"% me%+u#ui.O 1

M% the "(#e%ce o! deh+dr"tio% routi%e #upp'eme%t"tio% ,with detro#e-w"ter o!

i%!"%t# receii% photother"p+ i# %ot i%dic"ted.N 1ODe%"% tid") "d"%+" dehidr"#iruti% #up'eme% ,de%"% de)#tro#"-"ir !ototer"pi ("+i +"% me%erim" tid")

ditu%3u))"%.O 1

1 +merican +ca"emy of Pe"iatrics an" +merican College of bstetricians an"

-ynecologists. -ui"elines for Perinatal Care,4th Editio%. E') roe i''"e =:

AA 151 18


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*he ch"rt# o! 100 28 to


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Deried !rom the orii%"' 1JD P "cci%e #tr"i% the 'ie "tte%u"ted 1JD-204 "%d

1JDD P #tr"i%# "re the mo#t commo%'+ u#ed P "cci%e# ,5. Ber"#"' d"ri 1Jd

"#'i "'ur ")#i% P hidup di'em"h)"% 1Jd-204 d"% 1JDD P #tr"i% +"% p"'i%

umum diu%")"% ")#i% P ,5.% 1999 "%d 2000 two Br"i'i"% re#ide%t# "ed 5

"%d 22 +e"r# (ec"me i'' "!ter receii% 1JDD P "cci%e "dmi%i#tered duri% "

c"mp"i% i%iti"ted i% re#po%#e to " 'oc"' P epidemic. Duri% 1996--2001 !ie

per#o%# "ed 56--J9 +e"r# i%c'udi% !our L re#ide%t# "%d o%e Au#tr"'i"% re#ide%t

,two cou%trie# where P i# %ot e%demic (ec"me i'' "!ter receii% 1JD-204 P

"cci%e "dmi%i#tered i% "%ticip"tio% o! i%ter%"tio%"' tr"e'. "d" t"hu% 1999 d"%

2000 du" w"r" Br"#i' (eru#i" 5 d"% 22 t"hu% me%3"di #")it #ete'"h me%erim"

")#i% P 1JDD di(eri)"% #e'"m" )"mp"%+e dimu'"i #e(""i t"%"p"% terh"d"p

epidemi P 'o)"'. e'"m" 1996-2001 'im" or"% u#i" 56-J9 t"hu% term"#u)

emp"t w"r" A d"% #"tu w"r" Au#tr"'i" ,du" %e"r" dim"%" P tid") e%demi)me%3"di #")it #ete'"h me%erim" 1Jd-204 P "%ti#ip"#i ")#i% di(eri)"% d"'"m

per3"'"%"% i%ter%"#io%"'. *wo o! the !ie per#o%# were p'"%%i% to tr"e' to

cou%trie# where 'oc"' P tr"%#mi##io% h"d %eer (ee% reported. Du" d"ri 'im"

or"% +"% (ere%c"%" u%tu) (eperi"% )e %e"r"-%e"r" di m"%" tr"%#mi#i P

'o)"' (e'um per%"h di'"por)"%.

A'' #ee% per#o%# (ec"me i'' withi% 2--5 d"+# o! "cci%"tio% "%d reuired i%te%#ie

c"reF #i died. 3one had documented immunodeficiency) and all (ere in their

usual state of health before 'accination . ''%e## w"# ch"r"cteried (+ !eer'+mphoc+tope%i" throm(oc+tope%i" mi'd-to-moder"te e'e"tio% o! hep"toce''u'"r

e%+me# h+pote%#io% with poor ti##ue per!u#io% "%d re#pir"tor+ !"i'ure. o#t

p"tie%t# "'#o h"d he"d"che omiti% m+"'i"# hyperbilirubinemia "%d re%"'

!"i'ure reuiri% hemodi"'+#i#. emu" tu3uh or"% 3"tuh #")it d"'"m w")tu 2 - 5

h"ri ")#i%"#i d"% per"w"t"% i%te%#i! +"% diper'u)"%F e%"m me%i%"'. 4idak

ada telah didokumentasikan imunodefisiensi) dan semuanya dalam keadaan

kesehatan biasa sebelum 'aksinasi. e%+")it i%i dit"%d"i de%"% dem"m

'+mphoc+tope%i" trom(o#itope%i" ri%"% - #"mp"i #ed"% )eti%i"% e%im

hep"toce''u'"r hipote%#i de%"% per!u#i 3"ri%"% +"% (uru) d"% )e""'"%

per%"!"#"%. e("%+")"% p"#ie% 3u" memi'i)i #")it )ep"'" mu%t"h mi"'i"

hyperbilirubinemia)d"% ""' i%3"' memer'u)"% hemodi"'i#i#.

http://co%te%t.%e3m.or/thi#>wee)/


11/13

commo%. B"+i ("ru '"hir memi'i)i (i'iru(i% ti%i%+" ti%)"t produ)#i d"%

re%d"h%+" ti%)"t met"(o'i#me (i'iru(i% d"% c'e"r"%ce d"% #eme%t"r"

h+per(i'iru(i%emi" )"re%" itu #"%"t umum."tho'oic h+per(i'iru(i%emi" occur#

i% %ew(or% i%!"%t# with hemo'+tic "%emi" "%d tho#e with hep"tic di#order#

ch"r"cteried (+ imp"ired (i'iru(i% met"(o'i#m. 7+per(i'iru(i%emi" p"to'oi#

ter3"di p"d" ("+i ("ru '"hir de%"% hemo'iti) "%emi" d"% mere)" +"% memi'i)i

"%u"% h"ti +"% dit"%d"i o'eh "%u"% met"(o'i#me (i'iru(i%. Bi'iru(i% i#

toic e#peci"''+ to %euro%# "%d c"% c"u#e )er%icteru# poor !eedi% mu#c'e

h+poto%i" "%d h+perto%i" #eiure# "%d de"th. Bi'iru(i% "d"'"h r"cu% terut"m"

u%tu) %euro% d"% d"p"t me%+e("()"% )er%icteru# mi#)i% m")"% otot h+poto%i"

d"% h+perto%i" )e3"% d"% )em"ti"%.*hi# "rtic'e reiew# the p"thoe%e#i# o! "%d

ri#) !"ctor# !or p"tho'oic h+per(i'iru(i%emi" i% %ew(or% i%!"%t# curre%t method#

o! predicti% #eere h+per(i'iru(i%emi" "%d it# pree%tio% "%d tre"tme%t. Arti)e'i%i me%u'"# p"toe%e#i# d"% !")tor ri#i)o p"to'oi# h+per(i'iru(i%emi" di ("+i

("ru '"hir metode #""t i%i mempredi)#i h+per(i'iru(i%emi" p"r"h d"% pe%ce"h"%

d"% pe%o("t"%.

4itle: itamin * deficiency in the pathogenesis of haemolysis and

hyperbilirubinaemia of neonatal 1aundice. =udul: Kekurangan itamin *

dalam patogenesis hemolisis dan hyperbilirubinaemia dari penyakit kuning

bayi.

Author:H3o CH : D"wodu A7 : H#i!o BHA engarang:H3o CH: D"woduA7: H#i!o BHA

Citation:J&.rop&Pe"iatr# H!ord : H!ord L%ier#it+ re##. Citation:J&.rop&

Pe"iatr#H!ord: H!ord L%ier#it+ re##.Hct 1986.H)to(er 1986..


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hemolysis and bilirubin may be due to a 'itamin * deficiency)p"rticu'"r'+ i%

6D-de!icie%t er+throc+te#. ore'"#i %e"ti! p"d" pe%+")it )u%i% +"%

ditemu)"% "%t"r" it"mi% E d"% (i'iru(i% d"% "%t"r" it"mi% E d"% per#e%

hemo'i#i# d"% hu(u%"% po#iti! ditemu)"% "%t"r" it"mi% E d"% 6D. 2asil

penelitian menun1ukkan bah(a peningkatan hemolisis dan bilirubin mungkin

disebabkan oleh kekurangan 'itamin *) terut"m" d"'"m )e)ur"%"% 6D

eritro#it.

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id&u=http://legaljustice4john.com/bilirubin.htm

&ophie Bro(n$Blake&ophie Bro(n$Blake

Konstan demam) merasa buruk) bilirubinspikeu(mitted (+ Io(i% o% ri 02/1


13/13

pi)ir mere)" %eutrope%ic dem"m )"re%" itu tid") (er("h"+" tet"pi (erduri (i'iru(i%-%+"

(e(er"p" h"ri +"% '"'u ,mere)" (erhe%ti mi%um i" r=*# )ecu"'i u%tu) #eti"p (e(er"p"

h"ri .... #"+" pi)ir mere)" ")"% memi)ir)"% )em("'i ("hw" )"re%" (i'iru(i% me%i%)"t du"

)"'i 'ip"t d"% )it" tid") t"hu )"p"%. (i'iru(i% #pi)e# cou'd (e " !ew thi%#. p")u (i'iru(i%

(i#" (e(er"p" h"'. hemo'+#i# c"ued (+t he chemo ,'+ci% o! the red ('ood ce''# (+ thechemo or i%!ectio% c"% (oth c"u#e thi# )i%d o! (i'iru(i% hi)e. hemo'i#i# c"ued (+t i"

)emoter"pi ,'+ci% d"ri #e'-#e' d"r"h mer"h o'eh )emoter"pi "t"u )edu"%+" d"p"t

me%+e("()"% i%!e)#i #em"c"m i%i )e%"i)"% (i'iru(i%. o we w"it to #ee wh"t the c'ture# #"+.

"di )it" me%u%u u%tu) me'ih"t "p" +"% c'ture# )"t")"%. !ee' " 'itt'e (etter th"t #he i# o%

the#e "%ti(iotic# (ut '"#t rou%d #he h"d "% i%!ectio% th"t w"# re#i#te%t to the#e p"rticu'"r

"%ti(iotic# #o "m ho'di% m+ (re"th. A)u mer"#" #edi)it 'e(ih ("i) ("hw" di" "d"'"h

"%ti(ioti) ter#e(ut tet"pi put"r"% ter")hir i" i%!e)#i +"% re#i#te% terh"d"p "%ti(ioti) )hu#u#

i%i 3"di #"+" me%"h"% %"p"#. #"t up with her "'' %iht (ec"u#e the doctor# were tr+i% to

!i%d out !rom whether her 'ier %um(er h"d improed e%ouh to "''ow !or t+'e%o'. A)u

dudu) (er#"m"%+" #ep"%3"% m"'"m )"re%" p"r" do)ter (eru#"h" u%tu) me%c"ri t"hu d"ri

"p")"h %omor h"ti%+" te'"h cu)up u%tu) memu%)i%)"% *+'e%o'. "pp"re%t'+ %ot. rup"%+"

tid"). o we 3u#t et to #trip her dow% put " !"% o% her #ometime# "%d w"it !or the !eer to

come dow% o% it# ow%. "di )"mi h"%+" (i#" #trip )e ("w"h mem"#"% )ip"# di "t"#

)"d"%-)"d"% d"% me%u%u dem"m turu% de%"% #e%diri%+".

"# !or her 'ier %um(er# the+ "re "'' wor#e tod"+ %ot horri('e (ut 3u#t ("d "# the+ h"e (ee%

i% " whi'e. #eperti u%tu) %omor h"ti%+" mere)" #emu" 'e(ih (uru) h"ri i%i tid") me%eri)"%

t"pi (uru) )eti)" mere)" te'"h (er"d" di (e(er"p" #""t. o i "m hopi% it# i%!ectio% or m"+(e

the morphi%e c"u#i% the#e thi%#. o i "m (erh"r"p de%"% i%!e)#i "t"u mu%)i% mor!i%

me%+e("()"% h"' i%i. w"# hopi% to 3o+!u''+ w"tch her 'ier %um(er# improe duri% thi#

rou%d (ut the comp'ic"tio%# ,muco#iti# po##i('e i%!ectio% etc "re 'i)e'+ oi% to !orce u#

to w"it !or her A?C to retur% to %orm"' (e!ore her 'ier %um(er# do. A)u (erh"r"p u%tu)

de%"% em(ir" h"ti me'ih"t%+" #e'"m" i%i me%i%)"t)"% "%)"-"%)" (u'"t tet"pi

)omp'i)"#i ,muco#iti# mu%)i% i%!e)#i d'' mu%)i% ")"% mem")#" )"mi u%tu) me%u%u

di" A?C )em("'i %orm"' #e(e'um %omor h"ti%+" '")u)"%. "m #orr+ to )eep thi# #hort. "+"

mi%t" m""! u%tu) me%3"" #i%)"t i%i. "m eh"u#ted "%d io% to t")e " %"p. "+" 'e'"h d"%

io% ? u%tu) tidur #i"%. + mom i# here he'pi% out #o h"e thi# 'uur+ o! " %"p "%d

"m oi% to t")e it whi'e c"%. (u)u "d" di #i%i mem("%tu 3"di #"+" memi'i)i )emew"h"%

u%tu) tidur #i"% d"% #"+" ")"% me%"m(i'%+" #eme%t"r" ")u (i#". *h"%) +ou eer+o%e !or+our co%ti%ued pr"+er#. *erim" )"#ih #emu" u%tu) do"-do" teru#. p'e"#e )eep it up. #i'"h)"%

)eep it up. 'e"#e pr"+ #he et# throuh thi# rou%d #"!e "%d #ou%d "%d the% we wi'' de"' with

the 'ier pro('em#. i'")"% (erdo" di" me%d"p"t)"% me'"'ui ("(") i%i "m"% d"% #eh"t d"%

)emudi"% )it" ")"% (eruru#"% de%"% m"#"'"h h"ti. *h"%) +ou ""i%. *erim" )"#ih '"i.

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bilirubin tinggi count

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