I-jaundice ayikho ngaphezu kwekhanda elichazwe nje
Iyini iJundice?
I-Jaundice yilapho i-bilirubin egazini egazini yenza ukuba isikhumba, iimbumba ze-mucus kunye nengxenye emhlophe yamehlo ibonakale iluhlaza. I-Bilirubin yinto ephuzi ebomvu eveliswa xa iiseli zegazi ezibomvu zehla. Ikhutshwe ngesibindi kwi-bile kwaye iphuma ngaphandle komzimba kwisitulo.
I-jaundice ngokwayo ayiyona yingozi imeko, kodwa kunoko uphawu lomoya ophezulu okanye izifo.
I-jaundice kufuneka iphandwe ngenxa yeso sizathu.
Ukuba ufumana i-jaundice, kuya kufuna udweliso kumgqirha. Akusiyo i-jaundice ngokwayo ingxaki, yimeko edala i-jaundice. Iimeko ezenza i-jaundice zifuna unyango, akuyiyo into eya kuhamba yodwa.
Kutheni Ubunzima Bilirubin Wakha?
I-buildup ye-bilirubin inokubangelwa lizinga elingenakuqhelekileyo lamaseli ebomvu aphuka, ama-gallstones, okanye isifo sesibindi (njengesi-hepatitis okanye i- cirrhosis ). I-jaundice ngezinye ichaphazela iintsana (i-jaundice esandul 'isana) ngenxa yokuba izibilini zazo zingenakunzima ukucwangcisa i-bilirubin emizimbeni yazo.
Ezinye iimpawu ze-jaundice zingabandakanya:
- Isikhumba esikhulayo
- Shintsha umbala nomchamo (umchamo unokuba ngumbala ophaphathekileyo okanye obomvu, i- stool ingaba nebala )
- Ukukhathala
Ziziphi iimvavanyo ezinokuthi zenziwe ngeJaundice?
Kwezinye iimeko, i-jaundice isenokubangelwa yimeko eyaziwayo.
Ngokomzekelo, ukuba umntu onesifo sesibindi ahlalisa i-jaundice, mhlawumbi sisiphumo seengxaki zesibindi. Kungathi ke, ukuba unyango lwesifo sesibindi alusebenzi ngendlela efanele, okanye ukuba enye into iyaqhubeka. Ukuba akukho naluphi na isizathu esibangeleyo se-jaundice, ugqirha unokuyilungisa uchungechunge lweemvavanyo ukuqonda oko kubangela.
Ezinye zezi mvavanyo zingabandakanya:
- Ukuhlolwa kwegazi
- Uvavanyo lwezinga lomsebenzi
- Gcwalisa inani legazi (CBC)
- Iphaneli ye-Electrolyte
- YeLipase
- Iphaneli yegciwane le-Hepatitis
- I-Cholescintigraphy (i-HIDA scan)
- Ukukhangela kwe-Computed tomography (CT)
- I-Endoscopic retrograde cholangiopancreatographyography (ERCP)
- I-biopsy
- Imifanekiso yokuhlaziya i-Magnetic (MRI)
- Ultrasound
- Urinalysis
I-Jaundice Isenziwa Njani?
I-Jaundice ayiyona imeko yodwa, kodwa ingumqondiso wenye ingxaki. ngoko ilawulwa ngokuphathwa kwesi sifo esibangela i-buildup ye-bilirubin. Intsholongwane eya kuzinyulula, i-jaundice ayinakufuna unyango olulodwa, kuba umzimba uya kucima i-bilirubin kunye ne-HIV. Ngeemeko ezinzulu, ezinye iindlela zonyango zingadinga ukunceda isibindi ukulawula i-bilirubin.
Nazi ezinye zeemeko ezibangela ukuba i-jaundice iphathwe:
- I-cirrhosis enxulumene notywala okanye i-hepatitis. Ukuba ukusela utywala kubangelwa sisifo sesibindi, ukuyeka ukusela kuya kuba kubalulekile ekuxazululeni i-jaundice.
- IAnemia. Ukuba i-anemia, ukungabikho kweeseli ezibomvu zeeseli, yimbangela ye-jaundice, unyango lunokuquka ukutyelwa igazi.
- Cirrhosis. I-Cirrhosis iyisigxina sokuphela kwesifo sesibindi esingapheliyo, kwaye inezizathu ezininzi ezahlukahlukeneyo. Ukunyanga i-jaundice kwi-cirrhosis kuya kuxhomekeka kuhlobo lwesifo sesibindi, kodwa singabandakanya ukusebenzisa i-corticosteroids okanye i-diuretics.
- Utywala lweziyobisi. Kwimeko yesigqirha esibangela ingozi kwisibindi, isiza kufuneka sidityaniswe (oku kuquka imishanguzo yonyango, izidakamizwa ezingaphezu kwe-acetaminophen, kunye neziyobisi ezingekho mthethweni). Olunye unyango lunokufuneka lunikwe ukulwa nokugqithisa.
- Gallstones. Iigallstones ezibangelwa i-jaundice zingadinga unyango, oluqhelekileyo ukususwa kwe-gallbladder.
- Umhlaza wesifo. I-Cancer yesibindi iya kufuna unyango kwi-specialist, kwaye ingabandakanywa i-radiation kunye ne-chemotherapy, kunye namanye amayeza enyango yokuxhasa.
- I-jaundice entsha. I-jaundice esandul 'intsha iqhelekile, kwaye iza kuzinyululwa yodwa ngaphandle kwonyango. Abanye ababoneleli bezempilo bangancomela ukuba iintsana zifumane ukukhanya kwelanga ukunyusa umkhiqizo we-vitamin D kwaye kucacise i-bilirubin. Kwezinye iimeko, usana olutsha luyakunikwa unyango kwisibhedlele usebenzisa izibane ezizodwa ezingancedisa i-jaundice.
- I-sclerosing cholangitis ye-Primary (PSC) . Esi sifo sesibindi sidibene ne-ulcerative colitis, kwaye sinokubangela i-jaundice. Unyango lukhulu ekuncedeni ukulawula iimpawu, kwaye ziquka ukuchlorramine okanye i-diphenhydramine ukulawula ukubetheka, kunye neyeza-antibiotics. Unyango oluphandwayo lokuvula i-bile ducts kunye nokubeka i-stent ukuze zihlale zivulekile zifuneka ukuba iinqwelo zivaliwe. Ukufakelwa kwesibindi yonyango olusetyenziswa kwiimeko ezinzima.