Jaundice Silipo Khungu Loyamba Kokha
Kodi Jaundice N'chiyani?
Jaundice ndi pamene mankhwala a bilirubin m'magazi amachititsa khungu, nthata, ndi mbali yoyera ya maso kuti iwoneke ngati yachikasu. Bilirubin ndi mankhwala ofiira achikasu omwe amapangidwa pamene maselo ofiira amagawanika. Amatulutsidwa kudzera mu chiwindi mu bile ndikutuluka m'thupi.
Jaundice palokha si chiwopsezo, koma ndicho chizindikiro cha matenda aakulu kwambiri kapena matenda.
Jaundice iyenera kufufuzidwa chifukwa cha chifukwa chake.
Ngati muli ndi jaundice, idzafuna chidwi kuchokera kwa dokotala. Sikuti jaundice yokha ndiye vuto, ndilo vuto limene limayambitsa jaundice. Zomwe zimayambitsa jaundice zidzafuna chithandizo, sizomwe zidzatha palokha.
N'chifukwa Chiyani Bilibubin Amalimbikitsa?
Mankhwala a bilirubin amatha kusokonezeka ndi maselo ofiira omwe amatha kuswa, gallstones, kapena matenda a chiwindi (monga hepatitis kapena cirrhosis ). Nthawi zina Jaundice imakhudza ana omwe amamwalira ("chiwindi") chifukwa chiwindi chawo sichikutha kuyambitsa bilirubin m'matupi awo.
Zizindikiro zina za jaundice zingaphatikizepo:
- Khungu lachitsulo
- Sinthani mtundu wa mkodzo ndi chotupa (mkodzo ukhoza kukhala wotumbululuka kapena wachikasu-lalanje, chophimba chikhoza kukhala chotupa )
- Kutopa
Kodi Ndi Mayesero Otani Amene Angathe Kuchitidwa Jaundice?
Nthawi zina, ululu wamagazi ukhoza kukhala chifukwa cha chidziwitso chodziwika bwino.
Mwachitsanzo, ngati munthu wodwala matenda a chiwindi amayamba kupweteka kwambiri, mwina ndi chifukwa cha mavuto omwe ali ndi chiwindi. Zingatanthauze, komabe, kuti chithandizo cha matenda a chiwindi sichiri chogwira ntchito monga momwe chiyenera kukhalira, kapena kuti china chake chikuchitika. Ngati palibe chifukwa chodziwika bwino cha jaundice, dokotala akhoza kuitanitsa mayesero angapo kuti adziwe zomwe zikuyambitsa.
Zina mwa mayeserowa angaphatikizepo:
- Mayeso a magazi
- Mayendedwe a chiyero cha chiwindi
- Kuwerengera kwathunthu kwa maselo a magazi (CBC)
- Pulogalamu ya Electrolyte
- Lipase level
- Matenda a hepatitis
- Cholescintigraphy (HIDA scan)
- Dongosolo la Computed tomography (CT)
- Zosintha zam'madzi zowonongeka (ERCP)
- Chiwindi chimawoneka
- Zithunzi zamagetsi zamagetsi (MRI)
- Ultrasound
- Kulimbana
Kodi Jaundice Amachitidwa Motani?
Jaundice sizomwe zimakhala zokha, koma ndi chizindikiro cha vuto lina. kotero imayang'aniridwa ndi kuchiza matenda omwe amabweretsa bilirubin. Kuti kachilombo kamene kamadzathetsa ndekha, kupweteka kwa magazi sikungapange chithandizo chapadera, chifukwa thupi lidzachotsa bilirubin ndi kachilombo kaye. Pazifukwa zina zovuta, mankhwala ena angafunike kuthandizira chiwindi kukonza bilirubin.
Izi ndi zina zomwe zimayambitsa jaundice:
- Kachilombo koyambitsa mowa kapena chiwindi cha hepatitis. Ngati zakumwa zoledzeretsa zimayambitsa matenda a chiwindi, kusiya kumwa moyenera kudzakhala kofunikira kuthetsa jaundice.
- Anemia. Ngati kuperewera kwa magazi m'thupi, kusowa maselo ofiira a m'magazi, ndiko chifukwa cha jaundice, chithandizocho chikhoza kuphatikiza kuika magazi.
- Cirrhosis. Cirrhosis ndi mapeto a matenda aakulu a chiwindi, ndipo ali ndi zifukwa zosiyanasiyana. Kuchiza jaundice kuchokera ku cirrhosis kudzadalira mtundu wa matenda a chiwindi, koma kungaphatikizepo ntchito ya corticosteroids kapena diuretics.
- Mankhwala osokoneza bongo. Pankhani ya mankhwala omwe amachititsa kuti chiwindi chiwonongeke, mankhwalawa amafunika kuimitsidwa (izi zimaphatikizapo mankhwala opatsirana, mankhwala osokoneza bongo monga acetaminophen, ndi mankhwala osokoneza bongo). Mankhwala ena angafunikire kupatsidwa kuti asamangodumphira.
- Miyala. Magalasi omwe amachititsa kuti chifuwa cha jaundice chikhoze kuchitidwa chithandizo, chomwe chimachotsa ndulu.
- Kansa ya chiwindi. Khansara ya chiwindi idzafuna chithandizo kuchokera kwa katswiri, ndipo ingaphatikizepo ma radiation ndi chemotherapy, komanso mankhwala ena othandizira mankhwala.
- Mwana wamwamuna watsopano wamphongo. Mankhwala a jaundice obadwa kumene amapezeka, ndipo nthawi zambiri amakonza okha popanda mankhwala. Ena othandizira zachipatala angalimbikitse kuti ana ang'onoang'ono atenge kuwala kwa dzuwa kuti apititse patsogolo mavitamini D ndikuwonetsa bilirubin. Nthawi zina, mwana wakhanda angapatsidwe mankhwala kuchipatala pogwiritsa ntchito magetsi apadera omwe angathandize kuthetsa jaundice.
- Primary sclerosing cholangitis (PSC) . Matenda a chiwindiwa amawoneka ndi ulcerative colitis, ndipo amatha kuyambitsa jaundice. Chithandizo chachikulu makamaka chimathandiza kuthetsa zizindikiro, ndipo zingaphatikizepo cholestyramine kapena diphenhydramine kuti athetse kuyabwa, ndi maantibayotiki. Chithandizo chopangira opaleshoni kuti chitsegule mankhwalawa ndi kuyika kwa stent kuti awatsegule angafunike ngati mazira atsekedwa. Kuika chiwindi ndi mankhwala omwe amagwiritsidwa ntchito pa milandu yoopsa.