I-jaundice

I-jaundice umbala ophuzi wesikhumba, ulwelwesi lwamafinyila, noma iso. Umbala ophuzi uvela ku-bilirubin, umkhiqizo wamaseli amadala abomvu egazi. I-jaundice ingaba uphawu lwezinkinga eziningana zempilo.

Inani elincane lamangqamuzana egazi abomvu emzimbeni wakho liyafa usuku nosuku, bese kufakwa amanye amasha. Isibindi sisusa amangqamuzana egazi amadala. Lokhu kudala i-bilirubin. Isibindi sisiza ukudiliza i-bilirubin ukuze ikwazi ukususwa ngumzimba esitobhini.

I-jaundice ingenzeka lapho i-bilirubin eningi kakhulu yakhela emzimbeni.

I-jaundice ingenzeka uma:

• Amangqamuzana egazi abomvu amaningi kakhulu ayafa noma ayabhidlika bese eya esibindini.
• Isibindi sigcwele ngokweqile noma sonakele.
• I-bilirubin evela esibindi ayikwazi ukuhambisa kahle emgudwini wokugaya ukudla.

I-jaundice ivame ukuba uphawu lwenkinga yesibindi, i-gallbladder, noma amanyikwe. Izinto ezingadala i-jaundice zifaka:

• Ukutheleleka, kuvame ukuba yi-virus
• Ukusetshenziswa kwemithi ethile
• Umdlavuza wesibindi, ama-bile ducts noma amanyikwe
• Ukuphazamiseka kwegazi, ama-gallstones, ukukhubazeka kokuzalwa kanye nezinye izimo zezokwelapha

I-jaundice ingavela ngokuzumayo noma ikhule kancane ngokuhamba kwesikhathi. Izimpawu ze-jaundice zivame ukufaka:

• Isikhumba esiphuzi nengxenye emhlophe yamehlo (i-sclera) - uma i-jaundice inamandla kakhulu, lezi zindawo zingabonakala zibunsundu
• Umbala ophuzi ngaphakathi emlonyeni
• Umchamo omnyama noma onsundu
• Izitulo ezinombala ophuzi noma ezinobumba
• Ukulunywa (i-pruritis) kuvame ukuvela nge-jaundice

Qaphela: Uma isikhumba sakho siphuzi futhi okumhlophe kwamehlo akho kungaphuzi, ungahle ungabi nayo i-jaundice. Isikhumba sakho singashintsha umbala ophuzi uye kolintshi uma udla i-beta carotene eningi, i-pigment ewolintshi kuzaqathe.

Ezinye izimpawu zincike ekuphazamisekeni okubangela i-jaundice:

• Umdlavuza ungavezi zimpawu, noma kungaba nokukhathala, ukuncipha, noma ezinye izimpawu.
• I-hepatitis ingaveza isicanucanu, ukuhlanza, ukukhathala, noma ezinye izimpawu.

Umhlinzeki wezokunakekelwa kwempilo uzokwenza ukuhlolwa komzimba. Lokhu kungakhombisa ukuvuvukala kwesibindi.

Kuzokwenziwa ukuhlolwa kwegazi kwe-bilirubin. Ezinye izivivinyo zingafaka:

• Iphaneli yegciwane le-Hepatitis ukubheka ukutheleleka kwesibindi
• Ukuhlola ukusebenza kwesibindi ukuthola ukuthi isibindi sisebenza kahle kangakanani
• Qedela ukubalwa kwegazi ukuhlola ukubalwa kwegazi okuphansi noma i-anemia
• I-ultrasound yesisu
• Iskena se-CT esiswini
• Imagnetic resonance cholangiopancreatography (MRCP)
• I-Endoscopic retrograde cholangiopancreatography (ERCP)
• I-Percutaneous transhepatic cholangiogram (PTCA)
• I-biopsy yesibindi
• Izinga le-cholesterol
• Isikhathi se-Prothrombin

Ukwelashwa kuya ngesizathu se-jaundice.

Xhumana nomhlinzeki wakho uma uba ne-jaundice.

Izimo ezihambisana ne-jaundice; Isikhumba esiphuzi namehlo; Isikhumba - kuphuzi; Icterus; Amehlo - aphuzi; I-jaundice ephuzi

• I-jaundice
• Usana olunguJaundiced
• I-cirrhosis yesibindi
• Izibani zeBili

IBerk PD, iKorenblat KM. Sondela esigulini nge-jaundice noma ngokuhlolwa kwesibindi okungavamile. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-25. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 147.

UFargo MV, uGranogan SP, uSaquil A. Ukuhlolwa kwe-jaundice kubantu abadala. Ngingudokotela Womndeni. 2017; 95 (3): 164-168. I-PMID: 28145671 www.ncbi.nlm.nih.gov/pubmed/28145671.

ILidofsky SD. I-jaundice. Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. Sleisenger kanye neFordtran's Gastrointestinal and Liver Disease. Umhlaka 10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 21.

UTaylor TA, Wheatley MA. I-jaundice. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 25.