Jaundice Inonyanya Kupfuura Zvakataurwa Nebhupa
Chii Chinonzi Jaundice?
Jaundice ndeye apo chivako chebilirubin muropa chinokonzera ganda, mbungu dzomukati, uye chikamu chemaziso kuti chiite sechitsvuku. Bilirubin inonzi reddish yellow inogadzirwa apo masero matsvuku eropa anoputsika. Iyo yakanyanyisa kuburikidza nechiropa mu bile uye ichibva kunze kwemuviri muchitsiko.
Jaundice pachayo haisi mungozi, asi pane chiratidzo chemuviri wakakomba kana zvirwere.
Jaundice inofanira kuongororwa nekuda kwechikonzero chayo.
Kana iwe uine jaundice, inoda kutarisirwa kubva kunechiremba. Haisi jaundice pachake iyo dambudziko, ndiyo mamiriro ezvinhu ari kukonzera jaundice. Mamiriro ezvinhu anokonzera jaundice achada kurapwa, haisi chinhu chichaenda pachako pachako.
Nei Bilirubin Inovaka?
Kuvakwa kwebilirubin kunogona kukonzerwa nehuwandu hwepamusoro hwemasero matsvuku eropa kuputsika, maronda, kana chirwere cheropa (zvakadai sehepatitis kana cirrhosis ). Jaundice dzimwe nguva inokanganisa vana vachangoberekwa ("jaundice inoberekwa") nokuti zvipembenene zvavo hazvina kufanira kushandura bilirubin mumitumbi yavo.
Zvimwe zviratidzo zvejerice zvinogona kusanganisira:
- Ganda rinopisa
- Shanduka mumuginhi uye shato (murini inogona kunge yakajeka kana yero-orange, chigaro chingave chakanyarara )
- Kuneta
Ndeapi Miedzo Inogona Kuitwa Yejaundice?
Mune zvimwe zviitiko, jaundice inogona kunge yakaguma nemamiriro ezvinhu anozivikanwa.
Somuenzaniso, kana munhu ane chirwere chechiropa anowedzera jaundice, zvinogona kunge zvichiguma nematambudziko ane chiropa. Zvinogona kureva, zvakadaro, kuti kurapwa kwechiropa chechiropa hakusi kubudirira sezvinofanira kuva, kana kuti zvimwe chimwe chinhu chiri kuitika. Kana pasina chikonzero chiri pachena chejerice, chiremba anogona kuronga mhando dzeongororo kuti aone kuti chii chinokonzera.
Zvimwe zvezviedzo zvinogona kusanganisira:
- Kuyera ropa
- Chiropa function level tests
- Kuzara kweropa rega (CBC)
- Electrolyte panel
- Lipase level
- Hepatitis virus panhizha
- Cholescintigraphy (HIDA scan)
- Computed tomography (CT) scan
- Endoscopic retrograde cholangiopancreatography (ERCP)
- Chiropa chinopesana
- Magnetic resonance imaging (MRI)
- Ultrasound
- Urinalysis
Jaundice Inotorwa Sei?
Jaundice haisi mamiriro chaiyo pachake, asi chiratidzo cheimwe dambudziko. saka inotarisirwa nekurapa chirwere chinokonzera kuve kwebilirubin. Nokuda kwehutachiona huchazvigadzirisa pachahwo, jaundice inogona kusada chero kurapwa kwakakosha, nokuti muviri uchabvisa bilirubin uye hutachiwana pachahwo. Kune mamwe mamiriro akaoma, mamwe marapirwo angada kudiwa kubatsira chiropa kuronga bilirubin.
Hezvino mimwe yemamiriro ezvinhu anokonzera jaundice inogona kurapwa:
- Dorosi-yakabatana nechirwere chetachiona kana hepatitis. Kana kunwa doro ndiko kukonzera chirwere chechiropa, kurega kunwa kunenge kuchikosha pakugadzirisa jaundice.
- Anemia. Kana kushaya ropa, kusasha kwemasero matsvuku eropa, ndiko kunokonzera jaundice, kurapa kunogona kusanganisira kuwedzerwa ropa.
- Cirrhosis. Chirwere chepiritsi ndicho chigumo chechirwere chisingaperi chechiropa, uye ine zvikonzero zvakawanda zvakasiyana. Kurapa jaundice kubva ku-cirrhosis kunobva pane rudzi rwechiropa chinopa, asi kunogona kusanganisira kushandisa corticosteroids kana diuretics.
- Drug toxicities. Muchiitiko chechirwere chinokonzera kukuvadza chiropa, mushonga unoda kuvharwa (izvi zvinosanganisira mishonga yemishonga, pamusoro pemiti-mishonga yakadai semagetaminophen, uye zvinodhaka zvisina kukodzera). Imwe mishonga inogona kudiwa kuti ipiwe kupikisa kudarika.
- Gallstones. Zvipfeko zvinokonzerwa ne jaundice zvingada kurapwa, izvo zvinowanzobviswa kuburitsa.
- Chirwere cheropa. Kanzira yechiropa ichada kurapwa kubva kune unyanzvi, uye inogona kusanganisira mazai uye chemotherapy, pamwe nemimwe mishonga yekurapa inotsigira.
- Mwana anozvarwa patsva. Ichechecheche inoberekwa jaundice yakajairika, uye inogara ichigadzirisa pachayo isina kurapa. Vamwe vanopa utano vanogona kukurudzira kuti vacheche vawane chiedza chezuva kuti vawedzere maitiro e vitamin D uye bvisa bilirubin. Mune dzimwe nguva, mwana achangoberekwa angapiwa kurapwa muchipatara achishandisa magetsi anokwanisa kubatsira kugadzirisa jaundice.
- Primary sclerosing cholangitis (PSC) . Ichi chirwere chechiropa chinosangana ne ulcerative colitis, uye chinogona kukonzera jaundice. Mishonga inonyanya kubatsira kugadzirisa zviratidzo, uye inogona kusanganisira cholestyramine kana diphenhydramine kuti itarisire kubvisa, uye maantibioti. Kurapa kwokuvhiya kuzarura ducts uye kuiswa kwechigodo kuti ugare wakazaruka kungada kudiwa kana mapundu akavharwa. Chiropa chekuisa chirapa chinoshandiswa mumatambudziko akaoma.