Jaundice

Jaundice yero yeruvara rweganda, mamenhe, kana maziso. Ruvara rweyero runobva kune bilirubin, chigadzirwa chemasero matsvuku eropa. Jaundice inogona kuve chiratidzo cheakawanda matambudziko ehutano.

Masero matsvuku eropa mumuviri wako anofa zuva rega rega, uye anotsiviwa nemamwe matsva. Chiropa chinobvisa masero eropa ekare. Izvi zvinogadzira bilirubin. Chiropa chinobatsira kuputsa bilirubin kuitira kuti ibviswe nemuviri kuburikidza nechigaro.

Jaundice inogona kuitika kana bilirubin yakawandisa ichivaka mumuviri.

Jaundice inogona kuitika kana:

• Akawanda masero matsvuku eropa ari kufa kana kuputsa uye kuenda kuchiropa.
• Chiropa chakazara kana kukuvara.
• Iyo bilirubin kubva pachiropa haigone kunyatsofamba ichipinda munzira yekugaya.

Jaundice inowanzo mucherechedzo wedambudziko nechiropa, nduru, kana rwatata. Zvinhu zvinogona kukonzera jaundice zvinosanganisira:

• Zvirwere, zvinowanzoita hutachiona
• Kushandiswa kwemimwe mishonga
• Kenza yechiropa, bile ducts kana pancreas
• Kushushikana kweropa, maturu, kukanganiswa kwekuzvarwa uye huwandu hwedzimwe mamiriro ekurapa

Jaundice inogona kuoneka kamwe kamwe kana kukura zvishoma nezvishoma nekufamba kwenguva. Zviratidzo zvejundice zvinowanzo sanganisira:

• Ganda reyero uye chena chikamu chemeso (sclera) - kana jaundice yakanyanya, nzvimbo idzi dzinogona kutaridzika kuva brown
• Ruvara rweyero mukati memuromo
• Wakasviba kana mutsvuku-weti weti
• Pale kana chevhu-chitsvuku zvituru
• Itching (pruritis) inowanzoitika nejaundice

Ongorora: Kana ganda rako riri yero uye machena eziso rako asina yero, unogona kunge usina jaundice. Ganda rako rinogona kushandura yero-kune-orenji kana iwe ukadya yakawanda beta carotene, iyo orenji pigment mumakarotsi.

Zvimwe zviratidzo zvinoenderana nedambudziko rinokonzera jaundice:

• Cancers inogona kuburitsa hapana zviratidzo, kana panogona kuve nekuneta, kuonda, kana zvimwe zviratidzo.
• Hepatitis inogona kuburitsa kusvotwa, kurutsa, kuneta, kana zvimwe zviratidzo.

Anopa hutano anoita bvunzo dzepanyama. Izvi zvinogona kuratidza kuzvimba kwechiropa.

Kuongororwa kweropa bilirubin kuchaitwa. Mimwe bvunzo inogona kusanganisira:

• Hepatitis virus pani kuti utarise hutachiona hwechiropa
• Chiropa chinoshanda bvunzo kuti uone kuti chiropa chiri kushanda sei
• Pedzisa kuverenga ropa kuti utarise yakaderera ropa kuverenga kana kupererwa neropa
• Abdominal ultrasound
• Abdominal CT scan
• Magnetic resonance cholangiopancreatography (MRCP)
• Endoscopic kudzokorora cholangiopancreatography (ERCP)
• Percutaneous transhepatic cholangiogram (PTCA)
• Chiropa biopsy
• Cholesterol chikamu
• Prothrombin nguva

Kurapa kunoenderana nechikonzero cheiyo jaundice.

Bata mupi wako kana iwe ukagadzira jaundice.

Mamiriro ezvinhu ane hukama nejaundice; Ganda reyero nemeso; Ganda - yero; Icterus; Maziso - yero; Yero jaundice

• Jaundice
• Jaundiced mucheche
• Cirrhosis yechiropa
• Mwenje yeBili

Berk PD, Korenblat KM. Svika kune murwere ane jaundice kana isina kujairika yechiropa bvunzo. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits 147.

Fargo MV, Grogan SP, Saquil A. Kuongororwa kwejundice muvakuru. Ndiri Chiremba weNzara. 2017; 95 (3): 164-168. PMID: 28145671 www.ncbi.nlm.nih.gov/pubmed/28145671.

Lidofsky SD. Jaundice. Muna: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger uye Fordtran's Gastrointestinal uye Chirwere Chiropa. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 21.

Taylor TA, Wheatley MA. Jaundice. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chitsiko 25.