Yintoni ebangela i-jaundice kubantu abadala kunye nendlela yokunyanga

Umxholo

• Zintoni izizathu
• Indlela yokuchonga
• Unyango lwenziwa njani

I-jaundice ibonakaliswa ngumbala omthubi wolusu, inwebu yangaphakathi kunye nenxalenye emhlophe yamehlo, ebizwa ngokuba yi-sclerae, ngenxa yokwanda kwe-bilirubin egazini, umbala omthubi obangelwa kukutshatyalaliswa kweeseli ezibomvu zegazi.

I-jaundice kubantu abadala ihlala ibangelwa zizifo ezichaphazela isibindi, njenge-hepatitis, ngokuvalwa kwemibhobho yenyongo, njengelitye, okanye zizifo ezibangela ukutshatyalaliswa kweeseli ezibomvu zegazi, ezinjengearheng cell anemia okanye i-spherocytosis, umzekelo. Kwiintsana ezisanda kuzalwa, oyena nobangela uqhelekileyo yinyongo yomzimba, ebangelwa kukungakhuli kwesibindi. Jonga oonobangela kunye nendlela yokunyanga i-jaundice ye-neonatal.

Unyango lwenziwa ngokwesizathu, kwaye lunokubandakanya unyango losulelo ngamayeza okubulala iintsholongwane, ukususwa kwenyongo ngoqhaqho okanye amanyathelo okulwa i-hepatitis, umzekelo.

Zintoni izizathu

I-Bilirubin ngumbala omthubi ngombala ophuma ngenxa yokonakala kweeseli ezibomvu zegazi, ukucolwa komzimba kunye nokususwa sisibindi, kunye nenyongo, amathumbu, ilindle kunye nomchamo. I-jaundice inokuvela xa kukho utshintsho nakweyiphi na inqanaba lale nkqubo de kupheliswe.

Ke, i-bilirubin egqithisileyo egazini inokwenzeka ngenxa yezizathu ezi-4 eziphambili:

• Ukwanda kokutshatyalaliswa kweeseli ezibomvu zegazi, eyenzeka ngenxa yezifo zegazi ezinjenge-sickle cell anemia, i-spherocytosis okanye ezinye i-hemolytic anemias, okanye usulelo olufana nemalariya;
• Utshintsho lwesibindi ezonakalisa amandla okubamba i-bilirubin egazini okanye i-pigment ye-metabolism, ngenxa ye-hepatitis, iziphumo ebezingalindelekanga zamayeza athile, ezinje ngeRifampicin, ukuzila ukutya ixesha elide, ukunxila, ukuzilolonga kakhulu okanye izifo zemfuza ezinje nge-Gilbert's syndrome okanye i-Crigler-Najjar syndrome;
• Utshintsho kwimibhobho yenyongo ngaphakathi okanye ngaphandle kwesibindi, esibizwa ngokuba yi-cholestatic okanye sithintelo se-jaundice, esikhusela ukupheliswa kwe-bilirubin kunye ne-bile, ngenxa yamatye, ukunciphisa okanye amathumba kwimibhobho ye-bile, izifo ezizimele njenge-biliary cholangitis, okanye isifo se-hereditary syndrome -UJohnson;
• Ezinye iimeko eziphazamisa ngaphezulu kwesigaba esinye se-bilirubin metabolism, njengosulelo ngokubanzi, isibindi sokuqina kwesibindi, i-hepatitis okanye i-neonatal jaundice.

I-bilirubin eyandisiweyo inokuba ziindidi ezi-2, ezibizwa ngokuba yi-bilirubin engathanga ngqo, ekhululekileyo nge-bilirubin, okanye i-bilirubin ngqo, xa sele itshintshile esibindini, ebizwa ngokuba kukudibanisa, ukuze isuswe kunye nenyongo emathunjini.

Indlela yokuchonga

Umbala otyheli wolusu kunye neembonakalo zemifinya kwi-jaundice zihlala zibonakala xa amanqanaba e-bilirubin egazini edlula i-3 mg / dL. Qonda indlela yokuchonga i-bilirubin ephezulu kuvavanyo lwegazi.

Inokuhamba kunye neminye imiqondiso kunye neempawu, ezinje ngomchamo omnyama, obizwa ngokuba yi-choluria, okanye ilindle elimhlophe, elibizwa ngokuba yi-fecal acolia, ethi ivele ngakumbi xa kukho ukwanda kwe-bilirubin ngqo. Amaxabiso aphezulu alo mbala egazini anokucaphukisa ulusu, olwenza ukuba urhawuzelele kakhulu.

Ukongeza, iimpawu ezibonisa unobangela we-jaundice zinokubakho, ezinjengeentlungu esiswini kunye nokugabha kwi-hepatitis, ukubola nokudinwa kwizifo ezibangela ukutshatyalaliswa kweeseli ezibomvu zegazi okanye umkhuhlane kunye nokubanda kwimeko yosulelo, umzekelo.

Unyango lwenziwa njani

Ukunyanga i-jaundice, kunyangwa isifo esakhokelela ekuqalekeni kwayo. Ngokubanzi, unyango lukhokelwa sisifo se-gastroenterologist, i-hepatologist okanye i-hematologist, kwaye kunokubandakanya amanyathelo okuvula imithambo yenyongo, ukusetyenziswa kwamayeza ukulwa usulelo, ukuphazamiseka kweziyobisi ezinobungozi kwisibindi okanye ii-immunosuppressants zokulawula izifo ezibangela i-hemolysis, umzekelo.

Ugqirha uya kuba nakho ukukhokela amanyathelo okhuselo, njengokuselwa kwamanzi amaninzi kunye nokunciphisa ukusetyenziswa kokutya okunamafutha ukunqanda ukungaphatheki kakuhle esiswini. Ukulawula ukurhawuzelela okubangelwa yi-bilirubin engaphezulu, amayeza anje nge-antihistamines okanye i-cholestyramine inokuboniswa.