Jaundice: izimpawu e abadala, izimbangela kanye nezinhlobo. Indlela esiphatha ngayo jaundice?

Isibindi ingenye abasebenzi ezibaluleke kakhulu emzimbeni wethu. Umsebenzi wakhe ayikwazi overstated: ke ohilelekile inqubo ukugaya, ikhiqiza ama-hormone kudingekile namavithamini ehilelekile umzimba hematopoiesis uhlelo wenza umsebenzi wasemuva futhi purifier ubuthi eziyingozi kanye imfucumfucu. Lokhu umzimba lubaluleke ngomqondo truest izwi - akukho analogue yokufakelwa engase esikhundleni salo, okungenani okwesikhashana. Ngenxa kwesibindi - yilokhu kudingeka uqaphe ngokucophelela kukho konke ukuphila kwakhe futhi uma izinkinga zifuna usizo ngokushesha futhi uqale ukwelashwa abanekhono. Ukuze yezinkinga njalo kakhulu futhi evamile zihlanganisa isifo, okuyinto ekuphileni kwansuku zonke ibizwa ngokuthi i-jaundice. Izimpawu e abadala nezingane Akunzima ukubona, zingabantu ecacile: isikhumba womuntu, iso namaprotheni lwamafinyila ibe tint aphuzi. Lokhu kuwuphawu olucacile lokuthi umzimba udinga usizo.

Jaundice ezinganeni nakubantu abadala

Ngo esezele ingane ngezinsuku zokuqala, kungase omama abaningi bebhekene okuthiwa i-jaundice ezisanda kuzalwa. Lesi simo kubhekwa njengento evamile ingane, akudingi ukwelashwa futhi ngokwalo aphethwe esikhathini esingaphansi kwesonto. Kodwa i-jaundice (izimpawu) e abadala kufanele sithathwe njengehlelo kuwuphawu lokuthi umzimba emsebenzini ehluleka. Ngokuvamile i-jaundice kweqiniso bangabonakala kudidaniswe zamanga. isikhumba Yellowness lidlulisele ukusetshenziswa okweqile amavithamini noma imikhiqizo equkethe carotene (orange, ithanga, izaqathe noma beetroot). Hlukanisa kweqiniso kusuka jaundice carotene kulula: nge izinguquko umbala zamanga kuphela isikhumba, kodwa amehlo futhi nolwelwesi lwamafinyila bunjalo.

Eqinisweni ukubonakaliswa zazo esivame ukubizwa ngokuthi i-jaundice, - izimpawu. Ngo abadala kanye nezingane kungaba ngenxa eziningana pathologies noma izifo, njengoba kwenzeka endabeni lapho umzimba ungakwazi Akuhlanjululwanga ngokugcwele bilirubin - umkhiqizo kwakhiwa ngesikhathi sokuphuka elithwala umoya-mpilo. Ngaphansi kwezimo ezivamile kumelwe excreted ne indle, kodwa uma ngenxa yesizathu esithile akwenzekanga, bilirubin kuphakama egazini. Umzimba uzama ahlanze nganoma iyiphi enye indlela: ngokusebenzisa izinso noma esikhumbeni, ngoba ziba jaundice - umbala bilirubin. uphawu okunjalo kungaba umphumela ezihlukahlukene nezifo, kubalulekile ukuthola imbangela yangempela ivela khona futhi kusenesikhathi ukuhlinzeka usizo lwezempilo.

Izinhlobo izimbangela

Ukuze ukwelashwa okufanelekile, kubalulekile ukusungula isizathu esenza kwakukhona jaundice (izimpawu). Kubantu abadala, lokhu kukhona izimo eziyisisekelo eziningana:

• jaundice Obstructive - kwenzeka ngenxa yesifo noma nenyongo sesinye ngenxa ukuvaleka Amapayipi excretory. Kwangathi kuvela uma kucabanga helminthic amatshe occlusion, khona izimila noma ezinye izizathu okudale stasis of Bile.
• Parenchymal jaundice - umphumela izinkinga zesibindi umzimba okuhlobene ne-hepatocytes kahle. Bilirubin akuyona iguqulwe ibe ingxenye Bile, futhi uhlala ingashintshiwe. Kuleli fomu lingena emgudwini wegazi, bese ibhebhetheka wonke umzimba. Isizathu kungaba ezihlukahlukene izifo zesibindi: ngokoma kwesibindi, ukusha kwesibindi, umdlavuza, mononucleosis, sepsis, lesion enobuthi noma ezithathelwanayo.
• Jaundice Hemolytic - kwenzeka ngenxa yokwehluleka ohlelweni hematopoietic, ngoba isizukulwane bilirubin e iphazamiseke. Kungaba nemiphumela izifo sokuhlasela kwamasosha omzimba, hematoma olubanzi, lymphoma, ukuntuleka kwegazi emzimbeni, ukudakwa noma yofuzo.

izimpawu

Izimpawu yokuqala jaundice e abadala - yellowness we inhlamvu yeso (sclera), kanye nolwelwesi lwamafinyila kwamehlo, ngomlomo nolimi. Kulula ukuhlonza emini ezinhle. Amandla staining zingahluka kusuka lemon ephuzi ukuze orange. Isikhumba ebusweni, ikakhulukazi naseduzane komlomo, ekhaleni nezihlathi ozuza nombala njengoba izandla ophuzi nezinyawo. Ngokuhamba kwesikhathi, lo yellowing zibhebhetheka wonke umzimba, turning isikhumba, izicubu ngisho nethambo. Isiguli baphawula ukuwohloka jikelele, imfiva livela, ikhanda, futhi ngokuvamile ubuhlungu endaweni isibindi (kwesokudla quadrant engenhla). yezimpawu ezibonakala lokudakwa: isicanucanu, isiyezi, ukungakuthandi ukudla, imfiva, ukhwehlela nobuhlungu bomzimba. Kwezinye izimo, kukhona regurgitation Bile futhi ukulunywa. Isiguli eqala ukuzaca kakhulu. Umchamo iba umthunzi mnyama kungaba foam futhi ubhiya ukhumbuza ukuyaluza. Kodwa ngokuphambene sezinyawo ezishintshe umbala.

Ungakwazi yini ukuthola i-jaundice?

Lo mbono kubonakala sengathi ngokuvamile lapho umuntu esuka umndeni ubonakele kakade jaundice (izimpawu). Kubantu abadala, ukuthi zinjalo yini ke udluliselwa leso sifo, futhi eyingozi amanye amalungu omkhaya? Jaundice ngokwayo is phetho ezinye izifo, ngakho-ke kuyadingeka ukuba enze wonke umzamo zokuthelela amanye amalungu omndeni akwenzekanga. Wenza okuhlukile kungaba yisifo esibangwa yofuzo, lapha Ungahlanganisa jaundice kanye nabesifazane abakhulelwe, futhi njengoba kuyinto evamile ngenxa ukushintsha kwama-hormone. Futhi lezo zinhlobo zezindawo jaundice, futhi azikaze okubangwa ejenti third-party. izifo Iningi viral wadluliselwa sisondelene futhi ngokusebenzisa ukudla, abaphuzisa, ngoba kufanele ngokuqinile ukugcina izinyathelo zokuphepha. Kungenzeka imbangela njalo -hepatitis ezibangelwa amagciwane. Lesi sifo ngobulili nje kuphela kumuntu nomuntu, kodwa futhi isifo sokusha kwesibindi izilwane - izinja noma amakati. Igciwane sisuka izilwane ukuze abantu kuphela ukuthintana ngqo, ukudla namanzi imikhiqizo ezimweni ezinjalo akusho batheleleke.

uphethwe

Isiphetho sokuthi umuntu uphethwe lesifanele kubalulekile. Kuyadingeka ukuze kutholakale imbangela, ngenxa obekukhona kuwo jaundice (izimpawu) e abadala. Ukwelashwa kuhloswe ukuqedwa isifo ecashile, futhi ngqo efanayo bayonikezwa enkambweni yokwelapha ozokusiza ihlanze umzimba bilirubin. Lo chwepheshe ngeke ukuhlolwa kwangaphandle, bonisa kokuxilongwa bese usetha imbangela. Isiguli kudingeka ukuthi banikele ngegazi, indle kanye nomchamo ukuze zenze ucwaningo oluthile. Ngaphezu kwalokho, zingase ultrasound babelwe sokunquma isimo isibindi, Bile Amapayipi, futhi ubende. Lapho parenchymal jaundice hepatic eyenziwa laparoscopy.

Endabeni ka ezifweni ezimbi ezidinga kokungenela kuhlinzwa, kanye ne-hepatitis babelwe isibindi biopsy futhi ukuskena ezengeziwe (tseliakografiya futhi splenoportography). Kungase kube enqunyiwe, kanye nezinye izinhlobo zocwaningo. okuyikona futhi ukuyelapha ngokushesha ngeke kuphela okuphulukisa, kodwa futhi ukuze kuncishiswe ingozi yezinkinga eziyingozi. Nansi indlela alunguza kanye jaundice (izimpawu e abadala) Photo ikuvumela ukuqhathanisa umbala sclera umuntu enempilo kanye nesiguli nge okuqukethwe lelitfutfukile bilirubin egazini.

ukwelashwa

Izindlela zokwelapha kungase kube into zihluke kakhulu, kuye ngokuthi ifomu emitholampilo ye isifo. Le nqubo yokwelapha main okuhloswe ngalo ukuqeda imbangela isifo nokuqeda imiphumela.

1. Izifo ezithathelwanayo babelwa izidakamizwa elwa namagciwane, futhi imithi, ukuze alondoloze futhi ubuyisele umsebenzi sesibindi. Lokhu jaundice (izimpawu e abadala) ukutheleleka kungabangela esikhulu kubantu abeza mbeni isiguli. Ngoba impatho Kwenziwa eminyangweni esithathelanayo izibhedlela ngokufinyelela okunqunyelwe izivakashi.
2. Uma lesi sifo sibangelwa izici mechanical (i-jaundice obstructive), ukuphathwa kunikezwa olukhulu. Izimila noma amatshe ziyasuswa surgically, inqobo amanzi excretory Amapayipi esijwayelekile Bile ukugeleza.
3. jaundice Hemolytic ebekiwe yokwelapha i-hormone nge glucocorticoids. Kwezinye izimo, ukususwa kuhlinzwa we ubende kuboniswe.

Bilirubin, okuyinto ekhona ngokuchichima kwezicubu lesiguli, ibhidliza kahle lapho zihlatshwa imisebe ultraviolet. phototherapy Ngoba kungenzeka sasabela (imithi herbal). Lapho i-jaundice Kunconywa ukuhlukanisa ukudla nokudla ukukhanya.

Ukwelashwa nge amakhambi ekhaya

Imithi yendabuko inikeza ezihlukahlukene ukwelashwa ongakhetha lesi sifo. Ngokuyisisekelo herbal, kunomphumela isisu, kanye nizihlakaza le Bile. Lezi zihlanganisa i-ukumnika noma decoction of ukhova, dandelion, wort iSt John sika, calendula, Yarrow, amahlamvu birch, nabanye abaningi. Kodwa khumbula, ngaphambi kokuqala le ndlela yokwelapha, qiniseka bonana nodokotela wakho kuqala, ngoba nguye kuphela imbangela wangempela jaundice futhi ukuhlinzeka izincomo kuyenzeka. Khetha indlela yokwelashwa kuyadingeka ukuqala uphethwe, kungenjalo umonakalo ungalungiseki singasebenza nasekunakekelweni impilo.

Imiphumela sifo abadala

Nge ukwelashwa esifike ngesikhathi futhi efanele, onalesi sifo kuyinto enhle. Kodwa endabeni ka-pathologies sina (nomdlavuza wesibindi sibe sesomile noma ukusha kwesibindi kohlobo A no-C) kungathatha jaundice ezingamahlalakhona futhi kuze kubangele ukufa. Ungakwazi ngokuvamile nazo kahle ukuthi umlando ingane jaundice (izimpawu) e amadoda omdala bungabangela izinkinga ukukhiqizwa kabusha. Lesi sitatimende akulona iqiniso ngokuphelele. Le nsizwa yayikade waphathwa jaundice, kungase kube kuhle uyise ingane ephile saka. Kodwa ngesifo ezinjalo, ezifana ne-hepatitis, kufanele uqaphele. Okwamanje isisu ingane, bobabili abazali kumele kube enempilo, futhi kumayelana hhayi kuphela uPapa, kodwa unina wengane. Ngokuba nokuvimbela hepatitis C abantu uxhumane nomuntu ogulayo, iphathwa immunoglobulin umjovo. Uma umama okhulelwe enempilo futhi lokugoma, nomntanakhe ke ozozalwa engumqemane.

Ezibuhlungu of jaundice ebuntwaneni

Endabeni izingane ngubani emva kokuzalwa akha "jaundice osanda kuzalwa ', futhi engazange lidlule ngemva kwamasonto amabili, kwaba khona ukutheleleka kokubeletha kusuka kumama kuya enganeni, kufanele eziphoqelelwe ukwelashwa ngokushesha. ukugeleza okunjalo kwezinkolo kubizwa ngokuthi "kernicterus" futhi isifo esiyingozi. Ingozi oyinhloko sifo - kwethonya bilirubin ku amangqamuzana obuchopho, khona-ke kungathikameza ukukhula nangokwengqondo wengane noma ukuhlukumeza abanye imisebenzi: inkulumo, ukuzwa, umbono noma ukubambisana. Nokufa ebantwaneni zamanje yenuzi kuphezulu kakhulu futhi ifinyelela mayelana 50%.

Ukudla ekudlayo: lokho ongakwenza futhi yini angafinyeleli?

Kubalulekile ukunamathela ekudleni kwakho, uma une-jaundice (izimpawu). Kubantu abadala, lokhu ekudleni kufanele ibe mnene futhi hhayi umthwalo gallbladder futhi isibindi.

Awukwazi ukudla: ethosiwe, inyama iyisitshulu futhi izinkukhu, inhlanzi kanye nemikhiqizo ukuzisebenzisa (isobho, iphalishi, sikadali imifino bese upheka umhluzi). Contraindicated kunoma iyiphi izinhlobo okusemathinini ukudla, ukhukhamba futhi marinades. Confectionery nesitolo imikhiqizo, ushokoledi, itiye, u-ice cream, kanye izithelo omuncu noma imifino, futhi amaqanda. Kuyadingeka ukuba kuqedwe amanoni equkethe fiber ukudla indawo kuthiwa contraindicated utshwala kanye nezinongo. Ukudla akufanele kube kushisa noma kubanda.

Ungakwazi udle: ukukhanya nemifino izitsha, okusanhlamvu, i-pasta, ama-crackers, isinkwa esinsundu, amafutha zemifino kanye ephansi fat imikhiqizo yobisi. Ngo ukulinganisela edliwayo yenkukhu steamed noma ibilisiwe, inhlanzi nenyama engenamafutha. Ingabe izithelo ewusizo fresh.

zokuvimbela

Okokuqala, kudingeka ulandele izinyathelo inhlanzeko yomuntu siqu, geza izandla ngokuphelele ngaphambi kokudla futhi anake kukhethwa umuntu aya naye ocansini. Ukugonywa ngokumelene hepatitis B uyophinde ukuvimbela isifo ezingemnandi lapho kukhona i-jaundice (izimpawu) e abadala. Indlela esiphatha ngayo lezi zimpawu, ezokwelapha zesimanje uyazi, kodwa khumbula ukuthi kwasekuqaleni impilo yakho isezandleni zakho. Lesi sifo njalo kulula ukuvimbela esingayenza ngaphandle kokuthi siphathe futhi ukubhekana nemiphumela yaso.