Isibonakaliso Kubonakala Kwezinye Iimeko Ze-Infection Acute
I-jaundice iyimpawu engavumelekanga ebonisa ukuphuka kwesikhumba kunye / okanye abamhlophe bamaso (i-sclera). Inxulumene nesimo esaziwa ngokuba yi-hyperbilirubinemia apho kukho ubuninzi bemvelo ebizwa ngokuba yi- bilirubin emzimbeni.
I-jaundice ixhaphake ngokuqhelekileyo kwizifo zesibindi, kubandakanya i- virus ye-hepatitis , kodwa nayo ingabangela ukusetyenziswa kakubi kotywala, ukusetyenziswa kakubi kweyeza kunye nezinye izifo ezizimele.
I-Jaundice iqala njani
I-jaundice yiphumo lokuba ne-bilirubin kakhulu kwigazi. I-Bilirubin yinto eluhlaza okwesibhakabhaka ephuma kwiiseli ezibomvu zegazi. Njengoko iinyale zegazi ezibomvu zangena kwi-spleen, zidilizwe kwaye zenziwe zibe yi-bilirubins ezisebenzisa isibindi ukuze zenze i- bile .
Umzimba ugwema ukuqokelela i-bilirubin ngokugqithisa nayiphi na imfuneko emanzini okanye kwizihlalo. Nangona kunjalo, ukuba inkqubo iphazamisekile, kunokubakho ngaphezulu kwe-bilirubin egazini kunokuba umzimba uphathe. Ukuba kwenzeka, ukuqokelela kungagcwalisa iiseli kwaye kubonakale nge-yellowing esiyiqonda njenge-jaundice.
I-Hyperbilirubinemia ingabangelwa yimveliso eyenziwa ngokweqile kunye nokuchithwa kweeseli ezibomvu zegazi (njengokuba kunokwenzeka ngeentsana ezisanda kuzalwa) okanye xa iidonsi zesibindi zikhutshwe kwaye zingenakukwazi ukuqhuba i-bilirubin. Kwimeko yokugqibela, i-hepatitis yentsholongwane kunye nesifo esiphambili sesibindi (njenge- cirrhosis okanye umdlavuza wesibindi ) ziimeko ezimbini ezibalulekileyo ugqirha azakuzihlola.
Kwaye sizathu esihle. Ngokwezibalo ezivela kumaziko okuLawula nokuLawula izifo, ama-5.7 yezigidi zabantu baseMerika banokusuleleka ngohlobo lwe-hepatitis B kunye ne-C, ngelixa izigidi ezi-3.9 zikholelwa ukuba zineengxaki zesifo esingapheliyo sesibindi.
Ukuchonga i-Jaundice
Indlela ecacileyo kakhulu yokufumanisa i-jaundice yinto yokubonakala kwenyama.
Ngoxa kubonakala ngakumbi kwabanye abantu kunabanye, uninzi luya kuqonda iinguqu-kwaye ngezinye iinguqu-ezingabonakaliyo kwintsholongwane okanye elubala. Ukongezelela, u-yellowing uya kuhamba kunye nokugqithisa ngokweqile kunye nomchamo obumnyama (odla ngokuchazwa ngokuthi "i-coca-cola color") kunye nebala elibomvu, ezinobumba.
I-jaundice ngezinye iinkalo kunzima ukubona kwi-sclera kwaye ifuna ukuhlolwa ngaphantsi kwezibane ze-fluorescent. I-yellowing ibuye ibonakale ngakumbi kwiimpawu eziphantsi kolwimi.
I-Hyperbilirubinism inokuqinisekiswa ngokuvavanya okulula okulinganisa umthamo we-bilirubin kwisampuli yegazi. Amanqanaba aphezulu (ngokugqithiseleyo nantoni na ngaphezu kwe-7.0 mg / dL) ibonakaliso esinamandla solu hlobo lwesifo sesibindi.
I-hepatitis enentsholongwane ingaqinisekiswa ngokusebenzisa uvavanyo lwe-antibody lwe- hepatitis A , uvavanyo lwe-antigen lwe- hepatitis B , kunye novavanyo lwe-anti -body for hepatitis C. Izilingo zomsebenzi wentsholongwane (LFTs) zinokukunceda ukuvavanya isimo sesibindi okanye ukubonisa izibangela zesifo sesibindi esingahambelani ne-virus ye-viral hepatitis. Ukuhlola iimvavanyo kunye ne-biopsies kunokuyalelwa.
Unyango lwe-Jaundice
Kwiimeko ezininzi, ukubonakala kwe-jaundice, ngelixa kuphazamisekile, akubheki njengengxaki engxamisekileyo. Nangona i-cirrhosis ephambili (okanye i-cirrhosis) okanye umdlavuza wesibindi, i-jaundice iyona nto ibonisa ukuqhubela kwesifo kunomcimbi "wongxamiseko".
Unyango lwe-jaundice lugxininise ekujonganeni okanye ukunciphisa isizathu esiyintloko. Nge -hepatitis enobuhlungu , ngokuqhelekileyo oko kuthetha ixesha eliqaqambileyo lokuphumla kombhede ngaphandle kokusebenza ngokomzimba. Ngokuxhomekeka kwintsholongwane ye-viral, iimpawu zingathabatha iiveki ezimbini ukuya kwinyanga okanye zingaphenduli. Ngeli xesha, umsebenzi wesibindi uya kulungelelanisa kwaye uholele ekugqibeleni kwe-bilirubin emzimbeni.
Ukulandela isisombululo seempawu, abantu abanokusuleleka kosuleleko banokumiselwa imishanguzo engapheliyo yokunciphisa umngcipheko weengxaki ( njenge-hepatitis B ) okanye ukuphilisa isifo ( njenge-hepatitis C ).
> Imithombo:
> Abbas, M .; Shamshad, T; Aizaz Ashraf, M. et al. "I-Jaundice: uhlolo oluyisiseko." Int J Res Med Sci. 2016; 4 (5): 1313-9. INGXELO: 10.18203 / 2320-6012.ijrms20161196.
> Amacandelo okuLawula nokuLawula izifo. "I- Viral Hepatitis Surveillance -Izizwe eziManyeneyo 2015." Atlanta, Georgia; kukhutshwa ngo-2016.