Isifo sikaGilbert

Umxholo

• Yintoni isifo sikaGilbert?
• Ziintoni iimpawu?
• Ibangelwa yintoni?
• Kufunyaniswa njani?
• Inyangwa njani?
• Ukuphila nesifo sikaGilbert

Yintoni isifo sikaGilbert?

I-Gilbert's syndrome yimeko yesibindi esizuzwe njengelifa apho isibindi sakho singenako ukuqhubekeka ngokupheleleyo ikhompawundi ebizwa ngokuba yibilirubin.

Isibindi sakho siqhekeza iiseli ezibomvu zegazi zibe yimixube, kubandakanya ibilirubin, ephuma kwilindle nasemchameni. Ukuba une-Gilbert's syndrome, i-bilirubin iyakha kumjelo wegazi lakho, ibangela imeko ebizwa ngokuba yi-hyperbilirubinemia. Unokubona eli gama livela kwiziphumo zovavanyo lwegazi. Kuthetha nje ukuba unamanqanaba aphezulu ebilirubin emzimbeni wakho. Kwiimeko ezininzi, i-bilirubin ephezulu luphawu lokuba kukho into eyenzekayo nomsebenzi wesibindi sakho. Nangona kunjalo, kwi-Gilbert's syndrome, isibindi sakho siqhelekile ngenye indlela.

Phantse i-3 ukuya kwi-7 ipesenti yabantu eUnited States bane-Gilbert's syndrome. Olunye uphononongo lubonisa ukuba inokuba phezulu njenge. Ayisiyongozi kwaye ayifuni kunyangwa, nangona inokubangela iingxaki ezincinci.

Ziintoni iimpawu?

I-Gilbert's syndrome ayisoloko ibangela iimpawu ezibonakalayo. Ngapha koko, iipesenti ezingama-30 zabantu abane-Gilbert's syndrome abanakuze babe nazimpawu. Abanye abantu abane-Gilbert's syndrome abazi nokuba banayo. Rhoqo, akafumaneki de abe mdala.

Xa ibangela iimpawu, oku kunokubandakanya:

• ukutyheli kolusu kunye namalungu amhlophe wamehlo akho (i-jaundice)
• isicaphucaphu kunye norhudo
• ukungonwabi okuncinci kwindawo yakho esiswini
• ukudinwa

Ukuba une-Gilbert's syndrome, unokuzibona ngakumbi ezi mpawu ukuba wenza izinto ezinokunyusa amanqanaba akho e-bilirubin, anje ngala:

• ukufumana uxinzelelo lweemvakalelo okanye lomzimba
• ukwenza umthambo ngamandla
• ukungatyi ixesha elide
• ukungaseli manzi ngokwaneleyo
• ukungalali ngokwaneleyo
• ukugula okanye ukuba nosulelo
• ukuchacha emva kotyando
• ukuba sexesheni
• ubushushu obubandayo

Abanye abantu abane-Gilbert's syndrome bafumanisa ukuba ukusela utywala kwenza ukuba iimpawu zabo zibi ngakumbi. Abanye abantu, nokuba ibenye okanye zimbini iziselo zinokubenza bazive begula kwakamsinya. Unokuba nakho ukuziva ngathi ubhabha iintsuku ezininzi. Utywala bunokunyusa okwethutyana amanqanaba e-bilirubin kubantu abane-Gilbert's syndrome.

Ibangelwa yintoni?

Isifo sikaGilbert yimeko yemfuza edluliselwe evela kubazali bakho.

Kubangelwa ukuguquka kwi-UGT1A1 gene. Olu tshintsho lubangela ukuba umzimba wakho wenze i-bilirubin-UGT encinci, i-enzyme eyaphula i-bilirubin. Ngaphandle kwezixa ezifanelekileyo zale enzyme, umzimba wakho awunakho ukucubungula i-bilirubin ngokuchanekileyo.

Kufunyaniswa njani?

Ugqirha wakho unokukuvavanya nge-Gilbert's syndrome ukuba uyayibona i-jaundice ngaphandle kwezinye iimpawu okanye iimpawu zengxaki yesibindi. Nokuba awunayo i-jaundice ugqirha wakho angaqaphela amanqanaba aphezulu e-bilirubin ngexesha lokuvavanywa kwegazi rhoqo.

Ugqirha wakho unokuqhuba iimvavanyo ezinje nge-biopsy yesibindi, i-CT scan, i-ultrasound, okanye olunye uvavanyo lwegazi ukulawula ezinye iimeko zonyango ezinokubangela okanye zokongeza amanqanaba akho e-bilirubin angaqhelekanga. Isifo sikaGilbert sinokubakho ecaleni kwezinye iimeko zesibindi kunye negazi.

Uya kufunyaniswa une-Gilbert's syndrome ukuba iimvavanyo zakho zesibindi zibonisa ukwanda kwe-bilirubin kwaye abukho obunye ubungqina besifo sesibindi. Kwezinye iimeko, ugqirha wakho unokusebenzisa uvavanyo lwezofuzo ukujonga ukuguquka kwemfuza okujongene nemeko. Amayeza i-niacin kunye ne-rifampin kunokubangela ukunyuka kwe-bilirubin kwi-Gilbert's syndrome kwaye kukhokelele kuxilongo.

Inyangwa njani?

Uninzi lweziganeko zesifo sikaGilbert azidingi nyango. Nangona kunjalo, ukuba uqala ukuba neempawu ezibalulekileyo, kubandakanya ukukhathala okanye isicaphucaphu, ugqirha wakho unokumisela yonke imihla i-phenobarbital (Luminal) ukunceda ukunciphisa inani elipheleleyo le-bilirubin emzimbeni wakho.

Kukho utshintsho oluninzi lwendlela yokuphila onokuyenza ukunceda ukukhusela iimpawu, kubandakanya:

• Lala ngokwaneleyo. Zama ukulala iiyure ezisixhenxe ukuya kwezisibhozo ngobusuku. Landela umkhwa ohambelana ngokufutshane kangangoko unakho.
• Kuphephe ixesha elide lokuzilolonga kakhulu. Gcina ukusebenza nzima okufutshane (phantsi kwemizuzu eli-10). Zama ukufumana ubuncinci imizuzu engama-30 yokukhanya ukuya kwimithambo ephakathi ngosuku.
• Hlala kakuhle. Oku kubaluleke ngakumbi ngexesha lokuzilolonga, imozulu eshushu, kunye nokugula.
• Zama iindlela zokuphumla ukumelana noxinzelelo. Mamela umculo, camngca, wenze iyoga, okanye uzame ezinye izinto ezikunceda uphumle.
• Yitya ukutya okunezondlo. Yitya rhoqo, sukutsiba nakuphi na ukutya, kwaye ungalandeli naziphi na izicwangciso zokutya ezincomela ukuzila ukutya okanye ukutya kuphela inani elincinci leekhalori.
• Nciphisa utywala. Ukuba unayo nayiphi na imeko yesibindi, kungcono ukunqanda utywala. Nangona kunjalo, ukuba uyasela, cinga ukukhawulezisa iziselo ezimbalwa ngenyanga.
• Funda ukuba amayeza akho anxibelelana njani nesifo sikaGilbert. Amanye amayeza, kubandakanya amanye asetyenziselwa ukunyanga umhlaza, anokusebenza ngokwahlukileyo ukuba une-Gilbert's syndrome.

Ukuphila nesifo sikaGilbert

I-Gilbert's syndrome yimeko engenabungozi engadingi kunyangwa. Akukho tshintsho kulindelo lobomi ngenxa yesifo sikaGilbert. Nangona kunjalo, ukuba uqala ukuqaphela iimpawu, unokufuna ukwenza utshintsho kwindlela ophila ngayo.