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葡萄糖是一種單糖，這種糖進(jìn)入人體不需要經(jīng)過再次分解，可以直接進(jìn)入血液，一部分參與供能，一部分轉(zhuǎn)化為肌糖原和肝糖原儲(chǔ)存起來，在糖分?jǐn)z入不足時(shí)又被釋放出來為機(jī)體代謝提供能量來源。葡糖糖的醫(yī)學(xué)和營養(yǎng)用途，可概括為提供能量、、強(qiáng)心、等作用，屬于生理性糖類，其重要的作用是為機(jī)體供能。

Glucose is a kind of monosaccharide. This kind of sugar does not need to be decomposed again when it enters the human body. It can directly enter the blood. Part of it participates in energy supply, and part of it is converted into muscle glycogen and liver glycogen for storage. When the sugar intake is insufficient, it is released to provide energy source for the metabolism of the body. The medical and nutritional uses of glucose can be summarized as providing energy, detoxification, cardiotonic, diuretic and other functions. It belongs to physiological sugar, and its important role is to provide energy for the body.

新生兒黃疸是怎么發(fā)生的？

How does neonatal jaundice happen?

新生兒生理性黃疸，是胎兒為了適應(yīng)胎內(nèi)缺氧的環(huán)境，紅細(xì)胞體積大、數(shù)量多，以便攜帶更多的氧氣。但出生后，新生兒開始用肺呼吸，多余的紅細(xì)胞被破壞而產(chǎn)生過多的膽紅素。而其肝臟轉(zhuǎn)化排泄膽紅素的能力差，致使膽紅素在血中過多堆積所造成的。出生后2-3天發(fā)生，7天達(dá)到高峰，14天時(shí)基本消退。

Neonatal physiological jaundice, is the fetus in order to adapt to the environment of intrauterine hypoxia, red blood cell volume, a large number, in order to carry more oxygen. But after birth, the newborn begins to breathe with the lungs, and the excess red blood cells are destroyed to produce excessive bilirubin. However, the liver's ability of transforming and excreting bilirubin is poor, resulting in excessive accumulation of bilirubin in the blood. It occurred 2-3 days after birth, peaked at 7 days, and disappeared at 14 days.

病理性黃疸，在嬰兒出生后24小時(shí)內(nèi)出現(xiàn)，膽紅素濃度高，持續(xù)時(shí)間比生理性黃疸長，皮膚或者鞏膜易見發(fā)黃。多見新生兒溶血癥、乙肝病毒感染者。

Pathological jaundice occurs within 24 hours after birth, with high bilirubin concentration, longer duration than physiological jaundice, and yellowing of skin or sclera. Hemolysis of newborn and hepatitis B virus infection were more common.

目前市場上出現(xiàn)了降黃疸葡萄糖，它的作用怎樣？如何合理使用？

At present, hypoglycemic glucose appears on the market. What is its effect? How to use it reasonably?

膽紅素是如何排除體外的？

How is bilirubin excluded from the body?

正常血清膽紅素的小于1mg/dl(10mg/l),當(dāng)超過2mg/dl以內(nèi)時(shí)肉眼難察覺稱為隱形黃疸，當(dāng)達(dá)到7-8mg/dl，即為顯性黃疸。膽紅素在腸道中被水解、還原成膽素原（大量的糞膽原和小量的尿膽原），排出體外后被氧化成糞膽素、尿膽素，也是大便主要成色原因。

Normal serum bilirubin less than 1mg / dl (10mg / L), when more than 2mg / dl is difficult to detect by naked eye, it is called invisible jaundice, when it reaches 7-8mg / dl, it is called dominant jaundice. Bilirubin is hydrolyzed and reduced to bilinogen (a large amount of fecal bilinogen and a small amount of urobilinogen) in the intestine, and then oxidized to fecal bilinogen and urobilinogen after excretion, which is also the main reason for the quality of stool.
無水葡萄糖

由此可見，膽紅素的排出主要還是糞便，要讓新生兒膽紅素盡快排出，黃疸消退，比較快的方法就是“造糞”，排出大便。

It can be seen that the excretion of bilirubin is mainly feces. To let neonatal bilirubin excrete as soon as possible and jaundice subside, the faster way is to "make feces" to excrete stool.

葡萄糖真能退黃疸嗎？

Can glucose really reduce jaundice?

顯然，葡萄糖直接被吸收體內(nèi)，進(jìn)入血液循環(huán)進(jìn)行各項(xiàng)供能和轉(zhuǎn)化，沒有“造糞”的能力。那么葡萄糖是不是一點(diǎn)點(diǎn)作用也沒有，也不是，因?yàn)槠咸烟蔷哂凶饔?，能將部分轉(zhuǎn)化成尿膽原的膽紅素隨尿液排出。以上已經(jīng)表明，這個(gè)量很少，不嚴(yán)重的黃疸是有效果的，嚴(yán)重的黃疸，葡萄糖起的作用就很小了。

Obviously, glucose is directly absorbed into the body and enters the blood circulation for various energy supply and transformation, without the ability of "fecal production". So glucose is not a little effect, also not, because glucose has diuretic effect, can be part of the bilirubin into the urine bile with urine excretion. The above has shown that this amount is small, not serious jaundice is effective, serious jaundice, glucose plays a very small role.

建議選擇退黃疸有效的辦法

It is suggested to choose an effective way to reduce jaundice

新生兒生理性黃疸改善和恢復(fù)，盡量是早開奶，多吃奶，正常排便才是正道；其次是隔著玻璃曬太陽（避免陽光照射眼睛，只曬屁股、背部或手臂），其中的藍(lán)光波段可以穿過玻璃，促進(jìn)膽紅素的轉(zhuǎn)化；當(dāng)膽紅素含量太高時(shí)，需要去醫(yī)院直接照射藍(lán)光。

Neonatal physiological jaundice improvement and recovery, as far as possible early milk, more milk, normal defecation is the right way; followed by the sun across the glass (to avoid sunlight on the eyes, only the butt, back or arm), in which the blue light band can pass through the glass, promote the transformation of bilirubin; when the bilirubin content is too high, you need to go to the hospital to directly irradiate the blue light.

葡萄糖能清火嗎？

Can glucose clear the fire?

“上火”是一模棱兩可的概念，是中醫(yī)中的理論，曾經(jīng)有西方醫(yī)學(xué)者來研究“上火”近10年，也沒有得出個(gè)結(jié)論，他們發(fā)現(xiàn)中醫(yī)中的上火包括的疾病很多。我們把口腔炎癥、潰瘍、便秘、牙齦腫痛，還有些無病菌感染的炎癥都叫“上火”，截止目前為止，還沒有科學(xué)的理論告訴我們葡萄糖對(duì)這些癥狀是有效果的。

The first mock exam is a concept of ambivalence. It is a theory in TCM. Western medical researchers once came to China to study "excessive fire" for nearly 10 years, and did not come to a conclusion. They found that there were many diseases in TCM. We call oral inflammation, ulcer, constipation, gingival swelling and pain, and some inflammation without bacterial infection "Shanghuo". So far, there is no scientific theory to tell us that glucose is effective on these symptoms.

但是，這么看似有點(diǎn)作用

But that seems to work

葡萄糖能清火，我想得益于他能為機(jī)體供能，幫助代謝，具有一定的功能。如果遇到一些病毒感染引起的“上火”，多少有那么一點(diǎn)兒作用。

Glucose can clear fire. I think it can provide energy for the body, help metabolism, and has certain detoxification function. If you encounter some virus infection caused by "inflamed", how many have so little effect.

不建議用葡萄糖清火！

It is not recommended to clear the fire with glucose!

葡萄糖在人體內(nèi)是直接吸收利用的，的確對(duì)于一些疾病或手術(shù)后的人來說，可以快速補(bǔ)充能量，還具有強(qiáng)心效果，對(duì)恢復(fù)大腦意識(shí)也非常有幫助。但是中醫(yī)上的上火涉及的疾病太多，不建議用葡萄糖清火，葡萄糖攝入過多對(duì)寶寶也是非常不利的：

Glucose is directly absorbed and utilized in the human body. Indeed, for people with some diseases or after surgery, it can quickly replenish energy, has cardiotonic effect, and is also very helpful for the recovery of brain consciousness. However, Shanghuo in traditional Chinese medicine involves too many diseases, so it is not recommended to use glucose to clear the fire. Excessive glucose intake is also very harmful to the baby

因?yàn)槠咸烟翘鸲炔⒉坏?，寶寶喝葡萄糖水，?huì)導(dǎo)致寶寶不接受母乳的味道；

Because the sweetness of glucose is not low, the baby will not accept the taste of breast milk when drinking glucose water;

過多的糖分補(bǔ)充，會(huì)營養(yǎng)失衡，寶寶容易長胖，但不夠結(jié)實(shí)；

Too much sugar supplement will lead to nutritional imbalance, baby is easy to gain weight, but not strong enough;

過多的糖分?jǐn)z入，能量攝入過高，沒降火反而容易上火。

Too much sugar intake, too much energy intake, no fire, but easy to get angry.

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