Isifo SikaGilbert

-Delile

• Siyini isifo sikaGilbert?
• Ziyini izimpawu?
• Kubangelwa yini?
• Kutholakala kanjani?
• Ilashwa kanjani?
• Ukuphila nesifo sikaGilbert

Siyini isifo sikaGilbert?

I-Gilbert's syndrome yisimo sesibindi esizuzwe njengefa lapho isibindi sakho singakwazi ukucubungula ngokugcwele isakhi esibizwa nge-bilirubin.

Isibindi sakho sihlukanisa amangqamuzana egazi abomvu amadala abe amakhemikhali, kufaka phakathi i-bilirubin, ekhishwa endleni nasemchameni. Uma une-Gilbert's syndrome, i-bilirubin yakha ekusakazeni kwegazi lakho, idale isimo esibizwa nge-hyperbilirubinemia. Ungabona leli gama livela emiphumeleni yokuhlolwa kwegazi. Kusho nje ukuthi unamazinga aphezulu e-bilirubin emzimbeni wakho. Ezimweni eziningi, i-bilirubin ephezulu iwuphawu lokuthi kukhona okuqhubekayo nokusebenza kwesibindi sakho. Kodwa-ke, ku-Gilbert's syndrome, isibindi sakho ngokuvamile sijwayelekile.

Cishe abantu abangamaphesenti amathathu kuya kwayisikhombisa e-United States bane-Gilbert’s syndrome. Olunye ucwaningo lukhombisa ukuthi lungaphakama njengokuthi. Akusona isimo esiyingozi futhi akudingi ukuthi welashwe, yize kungadala izinkinga ezithile ezincane.

Ziyini izimpawu?

I-Gilbert's syndrome ayibangeli njalo izimpawu ezibonakalayo. Eqinisweni, amaphesenti angama-30 abantu abane-Gilbert's syndrome kungenzeka bangaze babe nazimpawu. Abanye abantu abane-syndrome kaGilbert abazi nokuthi banaso. Imvamisa, ayitholakali kuze kube yilapho usumdala.

Uma kubangela izimpawu, lokhu kungafaka:

• ukuphuzi kwesikhumba nezingxenye ezimhlophe zamehlo akho (i-jaundice)
• isicanucanu nohudo
• ukungakhululeki okuncane endaweni yakho yesisu
• ukukhathala

Uma une-Gilbert's syndrome, ungahle uzibone lezi zimpawu uma wenza izinto ezingakhuphula amazinga akho e-bilirubin, njenge:

• ukubhekana nokucindezeleka ngokomzwelo noma ngokomzimba
• ukuzivocavoca ngamandla
• ukungadli isikhathi eside
• ukungaphuzi amanzi anele
• ukungalali ngokwanele
• ukugula noma ukutheleleka
• ukululama ekuhlinzweni
• ukuya esikhathini
• ukubonakaliswa okubandayo

Abanye abantu abane-Gilbert's syndrome nabo bathola ukuthi ukuphuza utshwala kwenza izimpawu zabo zibe zimbi kakhulu. Kwabanye abantu, ngisho nesiphuzo esisodwa noma ezimbili kungabenza bazizwe begula kungekudala. Ungase futhi ube nalokho okuzwakala njenge-hangover izinsuku ezimbalwa. Utshwala bungakhuphula okwesikhashana amazinga e-bilirubin kubantu abane-syndrome kaGilbert.

Kubangelwa yini?

IGilbert's syndrome yisimo sezakhi zofuzo esidluliswe kubazali bakho.

Kubangelwa ukuguquka kohlobo lwe-UGT1A1. Lokhu kuguquka kubangela ukuthi umzimba wakho udale i-bilirubin-UGT encane, i-enzyme ephula i-bilirubin. Ngaphandle kwenani elifanele lale enzyme, umzimba wakho awukwazi ukucubungula kahle i-bilirubin.

Kutholakala kanjani?

Udokotela wakho angakuhlolela i-Gilbert's syndrome uma ebona i-jaundice ngaphandle kwezinye izimpawu noma izimpawu zenkinga yesibindi. Noma ungenayo i-jaundice udokotela wakho angaqaphela amazinga aphezulu e-bilirubin ngesikhathi sokuhlolwa kwegazi okujwayelekile kwesibindi.

Udokotela wakho futhi angaqhuba izivivinyo ezifana ne-biopsy yesibindi, i-CT scan, i-ultrasound, noma okunye ukuhlolwa kwegazi ukukhipha noma yiziphi ezinye izimo zezokwelapha ezingadala noma zengeze emazingeni akho angavamile e-bilirubin. IGilbert's syndrome ingenzeka ngokuhambisana nezinye izimo zesibindi nezegazi.

Kungenzeka utholakale une-Gilbert's syndrome uma ukuhlolwa kwesibindi sakho kukhombisa ukwanda kwe-bilirubin futhi abukho obunye ubufakazi besifo sesibindi. Kwezinye izimo, udokotela wakho angasebenzisa nokuhlolwa kofuzo ukuhlola ukuguquka kwezakhi zofuzo okunesimo salesi simo. Imithi i-niacin ne-rifampin ingadala ukwanda kwe-bilirubin ku-Gilbert's syndrome futhi iholele nasekuxilongweni.

Ilashwa kanjani?

Izimo eziningi ze-Gilbert's syndrome azidingi ukwelashwa. Kodwa-ke, uma uqala ukuba nezimpawu ezinkulu, kufaka phakathi ukukhathala noma isicanucanu, udokotela wakho angahle anikeze iphenobarbital yansuku zonke (i-Luminal) ukusiza ukunciphisa inani eliphelele le-bilirubin emzimbeni wakho.

Kukhona nezinguquko eziningana zendlela yokuphila ongayenza ukusiza ukuvimbela izimpawu, kufaka phakathi:

• Lala kakhulu. Zama ukulala amahora ayisikhombisa kuya kwayisishiyagalombili ebusuku. Landela inqubo ehambisanayo eduze ngangokunokwenzeka.
• Gwema ukuzivocavoca umzimba isikhathi eside. Gcina ukusebenzisa okunzima kufushane (ngaphansi kwemizuzu eyi-10). Zama ukuthola okungenani imizuzu engama-30 yokukhanya ukuze uvivinye umzimba nsuku zonke.
• Hlala u-hydrated kahle. Lokhu kubaluleke kakhulu ngesikhathi sokuzivocavoca, isimo sezulu esishisayo nokugula.
• Zama izindlela zokuphumula ukuze ubhekane nengcindezi. Lalela umculo, zindla, wenze i-yoga, noma zama ezinye izinto ezikusiza uphumule.
• Yidla ukudla okunomsoco. Yidla njalo, ungazeqi noma ikuphi ukudla, futhi ungalandeli noma yiziphi izinhlelo zokudla ezincoma ukuzila ukudla noma ukudla amanani amancane kuphela ama-calories.
• Nciphisa ukuphuza utshwala. Uma unesimo esithile sesibindi, kungcono ukugwema utshwala. Kodwa-ke, uma uphuza, cabanga ukuzinciphisa iziphuzo ezimbalwa ngenyanga.
• Funda ukuthi imithi yakho ihlangana kanjani ne-Gilbert's syndrome. Eminye imishanguzo, kufaka phakathi eminye esetshenziselwa ukwelapha umdlavuza, ingasebenza ngokuhlukile uma une-Gilbert's syndrome.

Ukuphila nesifo sikaGilbert

I-Gilbert's syndrome yisimo esingenabungozi esingadingi ukwelashwa. Alukho ushintsho esikhathini sokuphila ngenxa yesifo sikaGilbert. Kodwa-ke, uma uqala ukubona izimpawu, kungadingeka ukuthi wenze izinguquko ezithile kwimpilo yakho.