How to Treat Biliary Atresia in Infants - Biliary atresia is a rare bile duct disease that only affects infants. The bile ducts in the liver, also called the hepatic ducts, serve to destroy fat, absorb fat-soluble vitamins, and bring toxins and waste products out of the body.
In biliary atresia, the channel swells and becomes blocked. As a result, bile fluid increases in the liver and causes liver damage. This makes it difficult for the heart to get rid of toxins in the body.
2 types of biliary atresia are fetal and perinatal. Biliary fetal atresia appears when the baby is still in the womb. Biliary atresia perinatal is more common and unconscious until 2-4 weeks after birth. Some infants, especially those born with fetal biliary atresia, also have defects in the heart, spleen, and intestine.
What is the cause of Biliary Atresia?Biliary atresia is one disease that can be caused by various things. Unfortunately, until now there is no definite evidence. Even so, experts believe that biliary atresia is not a genetic disease, meaning the condition is not given from parent to child. Also, people with biliary atresia do not risk giving this disease to their children. Biliary atresia is more likely to be caused by an event in the womb or around the time of birth. Some of the triggers that may contribute to developing biliary atresia are:
- Viral or bacterial infection after birth, such as cytomegalovirus, retrovirus or rotavirus.
- Immune system problems, such as when the immune system attacks the liver or bile duct for no reason.
- Genetic mutations, which make permanent changes to the genetic structure.
- Problems when the development of the liver and bile ducts in the womb.
How to Treat Biliary Atresia in InfantsNot many people know this disease because it is recorded only attack 1 of 18,000 babies. The condition is more common in women, premature infants, and Asian or African children. Like what precisely biliary atresia is and how to handle it? Reported from various sources, here's a full explanation!
1. Biliary atresia is a disease of the hepatic ducts, the bile ducts of the liver, which are rare and affect only infants
The channel works to destroy fat, absorb fat-soluble vitamins, and bring toxins and waste products out of the body. This disease causes the circuit to swell. As a result, the liver becomes challenging to get rid of toxins in the body.
To diagnose correctly, the doctor will perform several test sequences. The most common series of tests include blood tests, stomach x-rays, ultrasound, liver scans, liver biopsies, and medical history checks and physical examinations. There are two types of biliary atresia, namely: fetal, which occurs when the baby is still in the uterus, and perinatal. Biliary atresia perinatal is more common and can be detected 2-4 weeks after birth. Generally, babies born with biliary atresia also experience bowel, spleen and heart disabilities. This disease is more common in premature infants, as well as Asian or African infants.
2. Symptoms of biliary atresia can be detected enough so it can be handled medically so realize it
Beginning with jaundice and yellow eyes, these signs can be seen in the first 1-2 weeks and disappear at 2-3 weeks once treated. Other symptoms of biliary atresia, among others: dark urine color like tea, defecate or white (like putty), and baby growth tend to be slow. If the baby shows the symptoms above, especially within 2-3 weeks after birth, then immediately taken to the doctor.
3. Many experts believe that biliary atresia is not a genetic disease inherited by parents, but there are some potential causes
Biliary atresia is thus far more likely to be due to the incidence in the uterus or around the time of birth. This disease can develop due to viral/bacterial infections after birth (cytomegalovirus, retrovirus or rotavirus), immune system problems affecting the liver or bile ducts, genetic mutations as well as challenges when the development of the liver in the womb. Congenital disabilities and bile ducts in infants are also at increased risk of exposure to infants in harmful substances. So this is the importance of handling babies sterile in all equipment and equipment, to be free from viruses/bacteria and toxic substances.
4. With proper handling and cutting-edge technology, biliary atresia patients are able to age longer than previous patients
Biliary atresia patients are most commonly treated with liver or liver transplant procedures. The procedure of the couch is the removal of the bile duct and replaces it with the intestine so that the bile will flow directly into the small pipe. If successful, patients can stay healthy. Babies with biliary atresia need additional vitamins and proteins and the addition of medium chain triglyceride oils to their diet because they usually lack nutrients. If the procedure fails, the baby needs a liver transplant within 1-2 years.
Although the therapy works, there is a risk of obstructive biliary cirrhosis when the adult. So the activity of his heart needs to be monitored and controlled regularly. The obstacle of liver transplantation is the need for a suitable donor from a deceased child. However, it is not impossible for adult liver transplants in infants called lymphatic dysfunction or transplantation.
Biliary atresia cannot be adjacent because it attacks one of the most important internal organs. Therefore we need to be sensitive to recognize the symptoms and immediately checked to the doctor when you realize it. Do not even need to see the apparent signs, once we realize something is not running generally in the baby, we need to immediately take it to the doctor. Hopefully, there is no story of this patient again in the future, with the growing development of technology in the medical field.