Isibonakaliso Kubonakala Kwezinye Izimo Zokutheleleka Okumangalisayo
I-jaundice yisimpawu esingavamile esichaza ukuphuza kwesikhumba kanye / noma abamhlophe bamehlo (sclera). Kuhlobene nesimo esibizwa ngokuthi i-hyperbilirubinemia lapho kunezinto eziningi zemvelo ezibizwa ngokuthi i- bilirubin emzimbeni.
I-jaundice ivame ukuhlotshaniswa nezifo zesibindi, kuhlanganise nesifo sofuba esibangelwa yi- viral hepatitis , kodwa singabangelwa nokusetshenziswa kabi kotshwala, ukuphuza imithi ngokweqile, nokukhathazeka okuthile okuzenzakalelayo.
Indlela i-Jaundice eqala ngayo
I-jaundice yimbangela yokuba ne-bilirubin kakhulu egazini. I-Bilirubin iyisilwane esine-yellow-pigmented esitholakala kumaseli abomvu ahlanganisiwe. Njengoba amangqamuzana egazi abomvu endala angena ku-spleen, adiliziwe futhi ahlanganiswe abe yi-bilirubins esetshenziswa isibindi ukudala i- bile .
Umzimba ugwema ukuqoqwa kwe-bilirubin ngokukhipha noma yikuphi okweqile kumchamo noma ezitsheni. Kodwa-ke, uma uhlelo luphazanyiswa, kungase kube khona i-bilirubin engaphezu kwegazi kunokuba umzimba ungabamba. Uma kwenzeka, ukuqongelela kungagcwalisa amangqamuzana futhi kubonakale nge-yellowing esiyibona njenge-jaundice.
I-hyperbilirubinemia ingahle ibangelwe ukukhiqizwa ngokweqile nokwehla kwamaseli abomvu (njengoba kungenzeka ngezinsana) noma uma amathanga esibindi evinjelwe futhi ahluleka ukucubungula i-bilirubin. Kulolu cala lokugcina, isifo sofuba esibangelwa yi-viral hepatitis kanye nesifo esiyinhloko sesibindi (njengesifo se- cirrhosis noma umdlavuza wesibindi ) yizimo ezimbili eziphezulu udokotela azokuhlola.
Futhi ngesizathu esihle. Ngokwezibalo ezivela kwi-Centers for Disease Control and Prevention, iningi labantu abangaba yizigidi ezingu-5.7 zaseMelika lingase libe nesifo sofuba esibhedlela i-hepatitis B no-C, kuyilapho izigidi ezingu-3.9 zikholelwa ukuthi zihlushwa uhlobo oluthile lwezifo ezingapheli zesibindi.
Ukubona i-Jaundice
Indlela ecacile kakhulu yokuthola ukuthi i-jaundice ibukeka kanjani ngokomzimba.
Nakuba kungase kubonakale nakakhulu kwabanye abantu kunabanye, iningi lizoqaphela izinguquko ezicashile-futhi ngezinye izikhathi ezingekho-kangaka-ezicashile embala wabo wesikhumba noma iso. Ngaphezu kwalokho, i-yellowing iyovame ukuhambisana nokukhathala ngokweqile kanye nomchamo omnyama (ngokuvamile ochazwa ngokuthi "i-coca-cola color") kanye namabala aqoshiwe, anobumba.
I-jaundice ngezinye izikhathi kunzima ukubona ku-sclera futhi ingadinga ukuhlolwa ngaphansi kwezibani ze-fluorescent. I-yellowing nayo ibuye ibonakale kakhulu emzimbeni ngaphansi kolwimi.
I-Hyperbilirubinism ingaqinisekiswa ngokuhlolwa okulula okulinganisa ivolumu ye-bilirubin kwisampula yegazi. Amazinga aphezulu (ngokujwayelekile noma ngaphezulu kuka-7.0 mg / dL) iyisibonakaliso esinamandla sohlobo lwesifo sesibindi.
I-hepatitis e-viral ingaqinisekiswa ngokusebenzisa i-antibody test ye- hepatitis A , ukuhlolwa kwe-antigen ye- hepatitis B , nokuhlolwa kwe-antibody kwe- hepatitis C. Izivivinyo zokusebenza kwesibindi (i-LFTs) zingasiza ukuhlola isimo sesibindi noma ukukhomba izimbangela zesifo sesibindi esingahlobene nesifo sofuba se-virus. Ukucubungula ukuhlolwa kanye ne-biopsies kungalawulwa.
Ukwelashwa kwe-Jaundice
Ezimweni eziningi, ukubonakala kwe-jaundice, kuyilapho kuphazamiseka, akubhekwa njengesimo esiphuthumayo. Ngisho nangomdlavuza we-cirrhosis ohamba phambili (noma owehlisiwe) noma isifo somdlavuza wesibindi, i-jaundice iyinkomba yokuqhubeka kwesifo esikhundleni se-"esiphuthumayo" umcimbi.
Ukwelashwa kwe-jaundice ngokuvamile kugxile ekuxazululeni noma ukunciphisa imbangela eyimbangela. Nge -hepatitis enamandla , ngokuvamile lokhu kusho isikhathi esiqinile sokuphumula kombhede ngaphandle kokusebenza ngokomzimba. Kuye ngohlobo lwe-viral, izimpawu zingathatha amasonto amabili ngenyanga noma ngaphezulu ukuxazulula. Ngalesi sikhathi, umsebenzi wesibindi uzokugcina kancane kancane futhi uholele ekususeni kwe-bilirubin emzimbeni.
Ukulandela isinqumo sezimpawu, abantu abafelwa ukutheleleka bangase baqokwe imithi engapheliyo yokunciphisa ingozi yezinkinga ( njenge-hepatitis B ) noma ukuphulukisa lesi sifo ( njenge-hepatitis C ).
> Imithombo:
> Abbas, M .; Shamshad, T .; U-Aizaz Ashraf, M. et al. "I-Jaundice: ukubuyekezwa okuyisisekelo." Int J Res Med Sci. 2016; 4 (5): 1313-9. I-DOI: 10.18203 / 2320-6012.ijrms20161196.
> Amasevisi Okulawula Nokuvimbela Izifo. "I- Viral Hepatitis Surveillance- Amazwe Ahlanganisiwe 2015." I-Atlanta, Georgia; ikhishwe ngo-2016.