Yini ebangela i-jaundice kubantu abadala nokuthi ilashwa kanjani

-Delile

• Ziyini izimbangela
• Ungayibona kanjani
• Yelashwa kanjani

I-jaundice ibonakala ngemibala ephuzi yesikhumba, ulwelwesi lwamafinyila kanye nengxenye emhlophe yamehlo, ebizwa nge-sclerae, ngenxa yokwanda kwe-bilirubin egazini, i-pigment ephuzi okuvela ekubhujisweni kwamaseli abomvu egazini.

I-jaundice kubantu abadala ivame ukubangelwa izifo ezithinta isibindi, njenge-hepatitis, ngokuvinjelwa kwemigudu ye-bile, njengetshe, noma izifo ezibangela ukubhujiswa kwamaseli abomvu egazi, njenge-sickle cell anemia noma i-spherocytosis, isibonelo. Ezinganeni ezisanda kuzalwa, imbangela ejwayelekile yi-jaundice yomzimba, ebangelwa ukungavuthwa kwesibindi. Bheka ukuthi yini ebanga nokuthi ilashwa kanjani i-jaundice yezingane ezisanda kuzalwa.

Ukwelashwa kwenziwa ngokwesizathu, futhi kungafaka ukwelashwa kwezifo ezinama-antibiotic, ukususwa kwamatshe enyongo ngokuhlinzwa noma ngezinyathelo zokulwa nesifo sokusha kwesibindi, isibonelo.

Ziyini izimbangela

I-Bilirubin ngumbala ophuzi ophuma ngenxa yokonakala kwamangqamuzana abomvu egazi, ahlanganiswa namanzi futhi aqedwe isibindi, kanye nenyongo, amathumbu, indle nomchamo. I-jaundice ingavela lapho kuba nezinguquko kunoma yisiphi isigaba sale nqubo yokukhiqiza kuze kube ukuqedwa.

Ngakho-ke, i-bilirubin eyeqile egazini ingenzeka ngezizathu eziyisi-4 eziyinhloko:

• Ukwanda kokubhujiswa kwamaseli abomvu egazi, okwenzeka ngenxa yezifo zegazi ezifana ne-sickle cell anemia, i-spherocytosis noma ezinye i-hemolytic anemias, noma ngezifo ezifana nomalaleveva;
• Izinguquko zesibindi okhubaza ikhono lokuthwebula i-bilirubin egazini noma i-metabolize le-pigment, ngenxa ye-hepatitis, imiphumela emibi yemithi ethile, efana ne-Rifampicin, ukuzila ukudla isikhathi eside, ukuphuza ngokweqile, ukuvivinya umzimba kakhulu noma izifo zofuzo ezifana ne-Gilbert's syndrome noma i-Crigler-Najjar syndrome;
• Izinguquko emathangeni e-bile ngaphakathi noma ngaphandle kwesibindi, okuthiwa i-cholestatic noma i-jaundice evimbelayo, evimbela ukuqedwa kwe-bilirubin kanye ne-bile, ngenxa yamatshe, ukuncipha noma izicubu emathangeni e-bile, izifo ezizimele njenge-biliary cholangitis eyinhloko, noma isifo sofuzo njenge-syndrome Dubin -Johnson;
• Ezinye izimo eziphazamisa esigabeni esingaphezu kwesisodwa semetabolism ye-bilirubin, njengokutheleleka okujwayelekile, isibindi sokuqina kwesibindi, isifo sokusha kwesibindi noma i-jaundice ebelethayo.

I-bilirubin eyandisiwe ingaba ezinhlotsheni ezi-2, ezibizwa nge-indirect bilirubin, eyi-bilirubin yamahhala, noma i-bilirubin eqondile, lapho isivele yenze ushintsho esibindini, esibizwa ngokuthi i-conjugation, ukuze isuswe kanye nenyongo emathunjini.

Ungayibona kanjani

Umbala ophuzi wesikhumba kanye nolwelwesi lwamafinyila ku-jaundice kuvame ukuvela lapho amazinga e-bilirubin egazini edlula i-3 mg / dL. Qonda ukuthi ungayibona kanjani i-bilirubin ephezulu esivivinyweni segazi.

Ingahambisana nezinye izimpawu nezimpawu, njengomchamo omnyama, obizwa nge-choluria, noma indle emhlophe, ebizwa nge-fecal acolia, evela ikakhulukazi uma kukhona ukwanda kwe-bilirubin eqondile. Izindinganiso eziphakeme zalesi sakhi sombala egazini zingacasula isikhumba, esidala ukulunywa okukhulu.

Ngaphezu kwalokho, izimpawu ezikhombisa imbangela ye-jaundice nazo zingaba khona, njengobuhlungu besisu nokuhlanza ku-hepatitis, i-pallor nokukhathala ezifweni ezibangela ukubhujiswa kwamaseli abomvu egazi noma umkhuhlane nokugodola uma kwenzeka kungenwa yizifo, ngokwesibonelo.

Yelashwa kanjani

Ukwelapha i-jaundice, kuyadingeka ukwelapha lesi sifo esiholele ekuqalekeni kwaso. Ngokuvamile, ukwelashwa kuqondiswa i-gastroenterologist, i-hepatologist noma i-hematologist, futhi kungafaka izindlela zokuvula imigoqo yenyongo, ukusetshenziswa kwemithi yokulwa nezifo, ukuphazanyiswa kwezidakamizwa ezinobuthi esibindini noma kuma-immunosuppressants ukulawula izifo ezibanga i-hemolysis, isibonelo.

Udokotela uzokwazi futhi ukuqondisa izindlela zokuzivikela, njengokuphuza amanzi amaningi nokunciphisa ukusetshenziswa kokudla okunamafutha ukugwema ukungaphatheki kahle esiswini. Ukulawula ukulunywa okubangelwa i-bilirubin eyeqile, imishanguzo efana nama-antihistamine noma i-cholestyramine ingakhonjiswa.