I-jaundice

IJaundice ngumbala otyheli wolusu, inwebu yencindi, okanye amehlo. Umbala omthubi uvela kwi-bilirubin, imveliso yeeseli ezibomvu zegazi ezindala. I-jaundice inokuba luphawu lweengxaki zempilo.

Inani elincinci leeseli ezibomvu emzimbeni wakho ziyafa yonke imihla, kwaye endaweni yazo kufakwa ezitsha. Isibindi sisusa iiseli ezindala zegazi. Oku kudala i-bilirubin. Isibindi sinceda ukwahlula i-bilirubin ukuze isuswe ngumzimba kwisitulo.

I-jaundice inokwenzeka xa i-bilirubin eninzi isakha emzimbeni.

I-jaundice inokwenzeka ukuba:

• Uninzi lweeseli ezibomvu zegazi ziyafa okanye ziyaqhekeka kwaye ziye esibindini.
• Isibindi sigcwele kakhulu okanye sonakele.
• I-bilirubin evela kwisibindi ayikwazi ukuhamba ngokufanelekileyo kwindawo yokugaya.

I-jaundice ihlala iluphawu lwengxaki nesibindi, i-gallbladder, okanye ipancreas. Izinto ezinokubangela i-jaundice zibandakanya:

• Usulelo, ngokuqhelekileyo intsholongwane
• Ukusetyenziswa kwamachiza athile
• Umhlaza wesibindi, imibhobho yenyongo okanye injeke
• Ukuphazamiseka kwegazi, iinyongo, ukukhubazeka kokuzalwa kunye nezinye iimeko zonyango

IJaundice inokuvela ngesiquphe okanye ikhule kancinci ngokuhamba kwexesha. Iimpawu ze-jaundice zibandakanya:

• Isikhumba esimthubi kunye nenxalenye emhlophe yamehlo (i-sclera) -xa i-jaundice inzima kakhulu, ezi ndawo zinokubonakala zimdaka
• Umbala otyheli ngaphakathi emlonyeni
• Umchamo omnyama okanye omdaka ngombala
• Ipeyinti okanye izitulo ezinombala wodongwe
• Ukurhawuzelela (pruritis) kudla ngokwenzeka nge-jaundice

Qaphela: Ukuba ulusu lwakho lumthubi kwaye amehlo akho amhlophe alubhelu, awunakuba nayo i-jaundice. Ulusu lwakho lunokujika umbala omthubi-o-orenji ukuba utya kakhulu i-beta carotene, i-pigment ye-orenji kwiminqathe.

Ezinye iimpawu zixhomekeke kwingxaki ebangela i-jaundice:

• Umhlaza awunakuvelisa zimpawu, okanye kunokudinwa, ukwehla kobunzima, okanye ezinye iimpawu.
• I-hepatitis inokuvelisa isicaphucaphu, ukugabha, ukudinwa, okanye ezinye iimpawu.

Umboneleli wezempilo uya kwenza uvavanyo lomzimba. Oku kunokubonisa ukudumba kwesibindi.

Kuya kwenziwa uvavanyo lwegazi nge-bilirubin. Olunye uvavanyo lunokubandakanya:

• Iphaneli yentsholongwane ye-Hepatitis ukukhangela usulelo esibindini
• Uvavanyo lomsebenzi wesibindi ukumisela ukuba isibindi sisebenza kakuhle kangakanani
• Gcwalisa ubalo lwegazi ukujonga ubalo lwegazi olusezantsi okanye i-anemia
• I-ultrasound yesisu
• Ukuskena kwe-CT esiswini
• Imagnetic resonance cholangiopancreatography (MRCP)
• I-Endoscopic retrograde cholangiopancreatography (ERCP)
• Ipolututaticatichephepatic cholangiogram (PTCA)
• Isibindi se-biopsy
• Inqanaba lecholesterol
• Ixesha leprothrombin

Unyango luxhomekeke kwisizathu se-jaundice.

Nxibelelana nomboneleli wakho ukuba uphuhlisa i-jaundice.

Iimeko ezinxulumene ne-jaundice; Isikhumba esimthubi namehlo; Ulusu - tyheli; Icterus; Amehlo - tyheli; I-jaundice etyheli

• I-jaundice
• Usana olugqityiweyo
• I-Cirrhosis yesibindi
• Izibane zeBili

I-Berk PD, iKorenblat KM. Indlela eya kwisigulana esine-jaundice okanye iimvavanyo zesibindi ezingaqhelekanga. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Umhla wama-25. IPhiladelphia, PA: Elsevier Saunders; Ngo-2016: isahl. 147.

Fargo MV, Grogan SP, Saquil A.Uvavanyo lwe-jaundice kubantu abadala. NdinguGqirha weNdawo. Ngo-2017; 95 (3): 164-168. IINKCUKACHA: 28145671 www.ncbi.nlm.nih.gov/pubmed/28145671.

ILidofsky SD. I-jaundice. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Gastrointestinal and Liver Disease. Ngomhla we-10. IPhiladelphia, PA: Elsevier Saunders; I-2016: isahluko 21.

UTaylor TA, Wheatley MA. I-jaundice. Ku: Iindonga RM, iHockberger RS, iGausche-Hill M, ii-eds. Unyango lukaRosen oluNgxamisekileyo: iikhonsepthi kunye nokuziqhelanisa neklinikhi. Umhla we-9. IPhiladelphia, PA: Elsevier; I-2018: isahluko 25.