Chizindikiro Chimawoneka M'mabvuto Ena Achilombo Chowopsa
Jaundice ndi chizindikiro chachilendo chomwe chimatchedwa chikasu cha khungu komanso / kapena oyera a maso (sclera). Amagwirizanitsidwa ndi chikhalidwe chodziwika kuti hyperbilirubinemia momwe muli zinthu zambiri zakuthupi zotchedwa bilirubin m'thupi.
Jaundice amayamba kugwirizanitsa ndi matenda a chiwindi, kuphatikizapo tizilombo toyambitsa matenda , komanso amayamba chifukwa cha kumwa mowa mopitirira muyeso, kugwiritsa ntchito mankhwala osokoneza bongo, ndi matenda enaake.
Momwe Jaundice Amakhalira
Jaundice ndi zotsatira za kukhala ndi bilirubin wambiri m'magazi. Bilirubin ndi mankhwala a chikasu omwe amachokera ku maselo ofiira a maselo ofiira. Pamene maselo ofiira a m'magazi akale amalowa m'mphuno, amathyoledwa ndikupangika kukhala bilirubins omwe chiwindi chimagwiritsa ntchito popanga bile .
Thupi limapewa kusungunuka kwa bilirubin mwa kutulutsa madzi ochulukirapo kapena m'mitsempha. Komabe, ngati dongosololi lasokonezeka, pakhoza kukhala bilirubin yambiri m'magazi kuposa momwe thupi lingathe kuthandizira. Ngati zidachitika, kusonkhanitsa kungathe kuwonetsa maselo ndikuwonetseredwa ndi chikasu chomwe timachizindikira monga jaundice.
Matenda a hyperbilirubinemia angayambidwe chifukwa cha kuchuluka kwa maselo ofiira a m'magazi (monga momwe angathere ndi ana obadwa) kapena pamene mazira a chiwindi amaletsedwa ndipo sangakwanitse kupanga bilirubin. Pachifukwachi, matenda a chiwindi ndi matenda opatsirana ndi chiwindi (monga matenda a chiwindi kapena khansa ya chiwindi ) ndizo zikhalidwe ziwiri zomwe dokotala angayang'ane.
Ndipo chifukwa chabwino. Malingana ndi ziwerengero zochokera ku Centers for Disease Control and Prevention, anthu okwana 5.7 miliyoni a ku America angakhale ndi matenda a hepatitis B ndi C, ndipo 3.9 miliyoni akukhulupirira kuti akudwala matenda ena a chiwindi.
Kusanthula Jaundice
Njira yodziwika kwambiri yozindikiritsa chifuwa chachikulu ndi maonekedwe a thupi.
Ngakhale kuti zikhoza kukhala zowonekera kwambiri kwa anthu ena kuposa ena, ambiri amadziwa zowoneka-ndipo nthawi zina osati-zowonongeka-kusintha khungu lawo kapena maso awo. Kuwonjezera apo, chikasu chimafupikanso ndi kutopa kwambiri komanso mkodzo wamdima (womwe nthawi zambiri umatchedwa "coca-cola") ndi malo otumbululuka.
Kawirikawiri nthawi zina zimakhala zovuta kuwona mu sclera ndipo zimafuna kuyendera pansi pa magetsi a fulorosenti. Chikasu chimakhala chowonekera m'matumbo pansi pa lilime.
Hyperbilirubinism ingatsimikizidwe ndi mayeso osavuta omwe amayeza kuchuluka kwa bilirubin mu chitsanzo cha magazi. MaseĊµera apamwamba (kawirikawiri chirichonse pamwamba pa 7.0 mg / dL) ndi chitsimikizo champhamvu cha mtundu wina wa matenda a chiwindi.
Chilombo cha hepatitis chingathe kutsimikiziridwa pogwiritsa ntchito mayeso a antipatropus a hepatitis A , kuyesa antigen kwa chiwindi cha mtundu wa B , ndi mayesero a antipateni a hepatitis C. Matenda a chiwindi (LFTs) angathandize kuthandizira momwe chiwindi chimayendera kapena kudziwa zomwe zimayambitsa matenda a chiwindi osagwirizana ndi tizilombo toyambitsa matenda. Mayesero ojambula ndi biopsies akhoza kulamulidwa.
Kuchiza kwa Jaundice
Kawirikawiri, maonekedwe a jaundice, pamene akuvutitsa, saganiziridwa kuti ndiwowopsa. Ngakhalenso khansa yapamtima (decompensated) kapena chiwindi cha chiwindi, jaundice ndichizindikiro cha matenda opitirira osati zochitika zadzidzidzi.
Chithandizo cha jaundice kwenikweni chimayang'ana kuthetsa kapena kuchepetsa chifukwa chomwe chimayambitsa. Ndi chifuwa choopsa cha kutupa chiwindi , nthawi zambiri izi zimatanthauza nthawi yolimba ya kupuma tulo popanda kuchita mwakuthupi. Malingana ndi mtundu wa mavairasi, zizindikiro zimatha kutenga milungu iwiri kwa mwezi kapena kutalika. Panthawiyi, chiwindichi chidzayamba kuimika ndikupangitsa kuti bilirubin isachoke m'thupi.
Potsatira chigamulo cha zizindikiro, anthu omwe kachilomboko kamapitirira angapangidwe mankhwala osapatsirana kuti athe kuchepetsa vuto la mavuto ( monga matenda a hepatitis B ) kapena kuti athe kuchiritsa matenda ( monga a hepatitis C ).
> Zotsatira:
> Abbas, M .; Shamshad, T .; Aizaz Ashraf, M. et al. "Jaundice: ndemanga yoyamba." Int J Res Med Sci. 2016; 4 (5): 1313-9. DOI: 10.18203 / 2320-6012.ijrms20161196.
> Zolinga za Kuletsa ndi Kuteteza Matenda. " Viral Hepatitis Surveillance- United States of America 2015." Atlanta, Georgia; inatulutsa 2016.