Chii chinokonzera jaundice muvakuru uye maitiro ekurapa

Zvemukati

• Ndezvipi zvikonzero
• Ungaziva sei
• Kurapwa kunoitwa sei

Jaundice inoratidzirwa neruvara rweyero rweganda, mucous membranes uye chena chikamu chemeso, chinonzi sclerae, nekuda kwekuwedzera kwebilirubin muropa, yero pigment inoguma nekuparadzwa kwemasero matsvuku eropa muropa.

Jaundice muvanhu vakuru inowanzo kukonzerwa nezvirwere zvinokanganisa chiropa, zvakaita sekuzvimba chiropa, nekuvharika kwenzara, senge nedombo, kana nezvirwere zvinokonzeresa kuparadzwa kwemasero matsvuku eropa, senge sickle cell anemia kana spherocytosis, muenzaniso. Mune vacheche, chinonyanya kukonzeresa ndeye jaundice yemuviri, inokonzerwa nekukura kwechiropa. Tarisa uone izvo zvinokonzeresa uye maitiro ekurapa neonatal jaundice.

Kurapa kunoitwa zvinoenderana nechikonzero, uye kunogona kusanganisira kurapwa kwehutachiona nemishonga inorwisa mabhakitiriya, kubvisa maturu nekuvhiya kana matanho ekurwisa hepatitis, semuenzaniso.

Ndezvipi zvikonzero

Bilirubin iri yero-yeruvara ruvara iyo inomuka semhedzisiro yekuparara kwemasero matsvuku eropa, kugadziriswa uye kubviswa nechiropa, pamwe nenyuchi, kuburikidza neura, mutsvina uye weti. Jaundice inogona kusimuka kana paine shanduko pane chero nhanho yeichi chigadzirwa kusvikira chabviswa.

Nekudaro, yakawandisa bilirubin muropa inogona kuitika nekuda kwezvikonzero zvina zvikuru:

• Kuwedzera kwekuparadzwa kwemasero matsvuku eropa, inoitika nekuda kwezvirwere zveropa senge sickle cell anemia, spherocytosis kana imwe hemolytic anemias, kana nezvirwere zvakadai semalaria;
• Chiropa chinoshanduka izvo zvinokanganisa kugona kutora bilirubin kubva muropa kana kuisa metabolism iyi pigment, nekuda kwehepatitis, mhedzisiro yemimwe mishonga, yakadai saRifampicin, kutsanya kwenguva refu, kudhakwa, kurovedza muviri kwakanyanya kana hosha dzemaranzi dzakadai seGilbert's syndrome kana Crigler-Najjar syndrome;
• Shanduko mu bile ducts mukati kana kunze kwechiropa, chinonzi cholestatic kana chipingaidzo chendunduru, icho chinodzivirira kubviswa kwebilirubin pamwe nenyuchi, nekuda kwematombo, kudzikira kana tumamota mukati meiyo bile ducts, zvirwere zvemuviri zvakadai sepayiri biliary cholangitis, kana neyakagara nhaka syndrome seDubin syndrome -Johnson;
• Mamwe mamiriro izvo zvinopindira zvinopfuura chikamu chimwe chebilirubin metabolism, senge hutachiona hwakazara, chiropa cirrhosis, hepatitis kana neonatal jaundice.

Iyo yakawedzera bilirubin inogona kuve yemhando mbiri, inonzi indirect bilirubin, inova yemahara bilirubin, kana yakananga bilirubin, kana yatove neshanduko muchiropa, inonzi conjugation, kuitira kuti ibviswe pamwe nenyuchi kuburikidza neura.

Ungaziva sei

Iyo yero yeruvara rweganda uye mucous membranes mujaundice inowanzo kuoneka kana iwo mazinga ebilirubin muropa anopfuura 3 mg / dL. Nzwisisa maitiro ekuziva yakakwira bilirubin mukuedzwa kweropa.

Inogona kuperekedzwa nezvimwe zviratidzo nezviratidzo, senge yakasviba weti, inonzi choluria, kana machena machena, anonzi fecal acolia, ayo anomuka kunyanya kana paine kuwedzera kwakananga bilirubin. Maitiro akakwirira eiyo pigment muropa anogona kutsamwisa ganda, izvo zvinokonzeresa kukakavara kwakanyanya.

Pamusoro pezvo, zviratidzo zvinoratidza chinokonzera jaundice zvinogona kunge zviripo, sekurwadziwa mudumbu uye kurutsa muhepatitis, pallor uye kuneta muzvirwere zvinokonzeresa kuparadzwa kwemasero matsvuku eropa kana fivha uye kutonhora kana paine hutachiona, semuenzaniso.

Kurapwa kunoitwa sei

Kurapa jaundice, zvakafanira kurapa chirwere chakatungamira kutanga kwayo. Kazhinji, kurapwa kunotungamirwa negastroenterologist, hepatologist kana hematologist, uye kunogona kusanganisira matanho ekuvhurira mabhutu, kushandiswa kwemishonga kurwisa hutachiona, kukanganiswa kwemishonga ine chepfu kuchiropa kana maunosuppressants kudzora zvirwere zvinokonzeresa hemolysis, semuenzaniso.

Chiremba anozokwanisa zvakare kutungamira matanho ekudzivirira, senge kunwa mvura yakawanda uye kudzikisa kudyiwa kwemafuta emafuta kudzivirira kusagadzikana kwemudumbu. Kudzora kuchenesa kunokonzerwa neyakawandisa bilirubin, mishonga senge antihistamines kana cholestyramine inogona kuratidzwa.