Ixesha elifutshane losapho hyperbilirubinemia

I-hyperbilirubinemia yosapho yexeshana kukuphazamiseka komzimba okuye kudluliswe kwiintsapho. Iintsana ezinesi sifo zizalwa zine-jaundice ebukhali.

Ukudibana kosapho i-hyperbilirubinemia kukuphazamiseka okuzuzwe njengelifa. Kwenzeka xa umzimba ungaphuli ngokufanelekileyo (ukwetyisa umzimba) uhlobo oluthile lwe-bilirubin. Amanqanaba eBilirubin akha ngokukhawuleza emzimbeni. Amanqanaba aphezulu anetyhefu kwingqondo kwaye angabangela ukufa.

Usana olusandul 'ukuzalwa lunokuba:

• Isikhumba esimthubi (i-jaundice)
• Amehlo amthubi (icterus)
• Ukuhamba

Ukuba ayinyangwa, ukuxhuzula kunye neengxaki ze-neurologic (kernicterus) zinokukhula.

Uvavanyo lwegazi kumanqanaba e-bilirubin lunokuchonga ubungqongqo be-jaundice.

I-Phototherapy ngokukhanya okuluhlaza okwesibhakabhaka isetyenziselwa ukunyanga inqanaba eliphezulu le-bilirubin. Ukudluliselwa kotshintshiselwano ngamanye amaxesha kuyimfuneko ukuba amanqanaba aphezulu kakhulu.

Iintsana ezinyangiweyo zinokuba neziphumo ezilungileyo. Ukuba le meko ayinyangwa, kubakho iingxaki ezinzima. Esi sifo sihlala siphucuka ngokuhamba kwexesha.

Ukufa okanye ubunzima bengqondo kunye nenkqubo ye-nervous (neurological) iingxaki zinokwenzeka ukuba imeko ayinyangwa.

Le ngxaki ihlala ifunyanwa kwangoko emva kokubeleka. Nangona kunjalo, fowunela umboneleli wakho wezempilo ukuba ubona ulusu lomntwana wakho luba tyheli. Kukho ezinye izinto ezibangela i-jaundice kusana olusandula kuzalwa olunyangwa ngokulula.

Iingcebiso ngemfuzo zinokunceda iintsapho ziqonde imeko, iingozi zayo zokuphindaphindeka, kunye nendlela yokukhathalela umntu.

I-Phototherapy inokunceda ekuthinteleni iingxaki ezinzulu zesi sifo.

Isifo seLucey-Driscoll

ICappellini MD, iLo SF, iiSwinkels DW. IHemoglobin, isinyithi, i-bilirubin. Ku: Rifai N, ed. I-Tietz yeNcwadi yeKlinikhi yeKhemistry kunye neDiagnostics yeMolekyuli. Umhla wesi-6. ISt Louis, MO: Elsevier; I-2018: isahluko 38.

I-Korenblat KM, iBerk PD. Indlela eya kwisigulana esine-jaundice okanye iimvavanyo zesibindi ezingaqhelekanga. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahl. 138.

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.