I-Jaundice: Izimpawu, Izimbangela kanye Nokwelashwa

I-Jaundice - Izimbangela, Ukwelashwa kanye Nezimpawu

jaundice ibonakala ngokushintsha kombala kwamehlo nesikhumba ngenxa amazinga aphezulu e-bilirubin emzimbeniI-Bilirubin iwumbala ophuzi okhiqizwa ngesikhathi sokuqhekeka kwamaseli abomvu egazi ovame ukucutshungulwa yisibindi bese ukhishwa enyongweni.

Izimpawu ze-Jaundice

Fever, amakhaza
Ubuhlungu besisu
Ukuphuzi kwesikhumba namehlo
Uzizwa ekhathele kalula
Ukwehla kwesisindo
Ubuhlungu bemisipha noma obuhlangene
Ukuluma, ukulahlekelwa yisifiso sokudla
Umchamo onombala omnyama
Ukushintsha kombala noma izihlalo ezinombala wobumba
Ukozela nokudideka

Izinhlobo ze-Jaundice:

I-Jaundice Yangaphambi Kwesibindi: Ukukhiqizwa ngokweqile kwe-bilirubin ngenxa ukuwohloka okusheshayo kwamaseli abomvu egazi (i-hemolysis)). Ngenxa yalokho, isibindi, nakuba sisebenza kahle, siyakhungatheka futhi asikwazi ukukhipha i-bilirubin eningi kakhulu, okuholela ekuqongeleleni kwaso emzimbeni.
I-Jaundice Yesibindi: Ukungakwazi kwesibindi ukucubungula (ukuhlanganisa nokukhipha) i-bilirubin ngenxa ukulimala kwamaseli esibindi, okubangelwa izimo ezahlukene.

I-Jaundice Yangemva Kwesibindi: Ukuhlanganiswa kwe-bilirubin akuthinteki, kodwa ukuphuma kwayo kuvinjelwe ngenxa ukuvinjelwa komsele we-bile, okuvimbela ukuthuthwa kwe-bilirubin kusuka esibindini kuya emathunjini amancane, okuholela ekuqongeleleni kwe-bilirubin egazini.
I-jaundice yezingane ezisanda kuzalwa: Ngokuvamile kubonakala ezinganeni ezisanda kuzalwa, kubonakala nge- ukwanda kwesikhashana kwamazinga e-bilirubin ngenxa yokungavuthwa kwesibindi kanye nomsebenzi onciphile wama-enzyme ihilelekile ekucutshungulweni kwe-bilirubin. Lesi simo sivame ukuxazululeka sodwa njengoba isibindi sikhula ngokugcwele. Kodwa-ke, ezimweni ezimbi kakhulu, ukwelashwa kwe-jaundice yezingane ezisanda kuzalwa kuhlanganisa ukwelashwa nge-phototherapy (kusetshenziswa ukukhanya okuluhlaza okwesibhakabhaka ukuphula i-bilirubin esikhumbeni) kanye nokondla ingane kaningi ukuze kukhuthazwe ukukhishwa kwe-bilirubin ngokuhamba kwamathumbu njalo.
I-Black Jaundice: Uhlobo olubi kakhulu nolusongela impilo, olubonakala ngokushintsha kombala okumnyama kakhulu (okuluhlaza okotshani noma onsundu) ngenxa yamazinga e-bilirubin amaningi, okwenzeka ngesikhathi sokulimala okukhulu kwesibindi noma esigabeni se-hemolysis.

Yiziphi izimbangela ze-jaundice?

Isibindi sidlala indima ebalulekile ekusisuseni nge-bile; noma kunjalo, uma izitho ezifana ne-bile duct, i-gallbladder, nesibindi ziphazamiseka, lokhu kungaholela emazingeni aphezulu e-bilirubin, okubangela i-jaundice.

Imithi ethile, njengamaphilisi okuvimbela inzalo, ama-NSAID, nama-steroids
Isifo sesibindi esibangelwa utshwala,
Ezinye izimo zesibindi, njenge-Viral Hepatitis noma i-cirrhosis
Izimo zofuzo ezifana ne-sickle cell anemia (i-RBC enomumo ongavamile)
Ukwakheka kwamatshe enyongo kanye nezimila ze-pancreatic kungabangela ukuvaleka kwemisele yenyongo, okuholela ekwehleni kwe-jaundice.
Ukutheleleka egazini okubangelwa yi-parasite ye-malaria ehlasela i-RBC kungabangela i-jaundice.

Kufanele ngishayele nini udokotela ngenxa ye-Jaundice?
Uma uzwa amehlo noma isikhumba siphuzi, okuhambisana nobuhlungu obukhulu besisu noma noma yiziphi izimpawu ezingenhla ezihlala izinsuku ezingaphezu kwezimbalwa, kubalulekile ukuxhumana nodokotela wakho ngokushesha. Uma kwenzeka ingane esanda kuzalwa, uma ubona izimpawu ezingenhla zingakapheli amahora angama-24, kufanele ufune umhlinzeki wezempilo.

Ungalindi izimpawu zibe zimbi kakhulu. Xhumana nochwepheshe bethu be-Gastro namuhla.

Ukwelashwa kwe-Jaundice:

Ukutholwa nokwelashwa kwezimbangela eziyinhloko eziholela emazingeni aphezulu e-bilirubin, njengezifo zesibindi, ukuvaleka kwenyongo, noma ukutheleleka okukhulu.
Ukwelashwa nge-Phototherapy noma ukuncelisa njalo i-jaundice yezingane ezisanda kuzalwa
Ukuhlinzwa kwenyongo noma i-pancreatic ukwelapha ukuvaleka kwenyongo nokukhuthaza ukukhishwa kwe-bilirubin.
Ukwelashwa okusekelayo, ukuze kuthuthukiswe ukusebenza kwesibindi, kuhlanganisa ukudla okufanele, kanye nokugwema imikhuba yomphakathi njengokuphuza utshwala.
Ukumpontshelwa igazi kusetshenziselwa ukwelapha i-hemolytic anemia, engabangela i-jaundice.

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Imibuzo Evame Ukubuzwa Nge-Jaundice

I-jaundice iwuphawu lwezimo zezokwelapha eziyisisekelo, njengokuwohloka okukhulu kwe-RBC noma izifo zesibindi, hhayi isifo ngokwaso. Ngakho-ke, ayisabalali isuka komunye umuntu iye komunye. Kodwa-ke, enye yezimbangela ezivamile ze-jaundice i-hepatitis, okuyigciwane elibangelwa yigciwane futhi elingathelelana.

Isikhathi sokululama kubantu abane-jaundice sincike ebunzimeni, ngakho-ke amacala amancane angathuthukiswa zingakapheli amasonto angu-1-2, kanti ezimweni ezimbi kakhulu, isikhathi sokululama singase siqale emavikini angu-3-4 noma ngaphezulu. Ingabe i-hepatitis ne-jaundice ziyafana? I-hepatitis ukuvuvukala kwesibindi ngenxa yezici ezahlukahlukene, okuhlanganisa nokuphuza utshwala; noma kunjalo, i-jaundice iwuphawu lwezimo eziningi zesibindi futhi ibonakala ngokushintsha kombala wesikhumba namehlo ngenxa yamazinga aphezulu e-bilirubin. Ingabe i-jaundice ingadluliselwa ngocansi? I-jaundice ayithelelani futhi ayikwazi ukudluliselwa ngocansi; noma kunjalo, isimo sayo esiyisisekelo, njenge-hepatitis ebangelwa yigciwane (ikakhulukazi i-B ne-C), ingadluliselwa ngokuxhumana ngocansi.

I-jaundice yezinsana ezisanda kuzalwa ingaphela yodwa noma idinga ukwelashwa nge-phototherapy, kanti amacala abucayi ezinsaneni nakubantu abadala kumele axazululwe ngokusekelwa okufanele kwezokwelapha nokudla ukuze kuvinjelwe izinkinga noma izimo ezisongela ukuphila.

Nakuba i-jaundice iyisibonakaliso futhi akuyona isifo ngokwaso, ayikwazi ukubangela ukufa ngokuqondile. Kodwa-ke, uma izimo eziyisisekelo, okuhlanganisa nezifo zesibindi, zingalashwa, zingaholela ezinkingeni ezinkulu futhi zingaba yingozi empilweni.

Ukudla okufanele okuhlanganisa amaprotheni angenamafutha amaningi, imifino eluhlaza enamahlamvu, okusanhlamvu okuphelele, nezithelo ezintsha ezifana ne-papaya kanye ne-watermelon, kanye nokusetshenziswa kokwelashwa okunconyiwe kwe-antiviral kwesifo sesibindi esiyisisekelo, kungasiza ekwelapheni nasekuphulukiseni i-jaundice ngempumelelo enkulu.

I-hepatitis ukuvuvukala kwesibindi okubangelwa yizici ezahlukene, okuhlanganisa nokuphuza utshwala; nokho, i-jaundice iwuphawu lwezifo eziningi zesibindi futhi ibonakala ngokushintsha kombala wesikhumba namehlo ngenxa yamazinga aphezulu e-bilirubin.

I-jaundice ayithelelani futhi ayikwazi ukudluliselwa ngocansi; noma kunjalo, isimo sayo esiyisisekelo, njenge-viral hepatitis (ikakhulukazi i-B ne-C), ingadluliselwa ngokuxhumana ngocansi.