ʻO Jaundice

ʻO Jaundice kahi melemele o ka ʻili, nā membrane mucus, a i ʻole nā ​​maka. ʻO ka waihoʻoluʻu melemele mai ka bilirubin, kahi huahana o nā ʻulaʻula koko ʻulaʻula. Hiki i ka Jaundice ke hōʻailona o kekahi mau pilikia olakino.

Make kekahi hapa liʻiliʻi o nā hunaola ʻulaʻula i kou kino i kēlā me kēia lā, a ua hoʻololi ʻia e nā mea hou. Lawe ke akepaʻa i nā hunaola kahiko. Hana kēia i bilirubin. Kōkua ke akepaʻa e haki i ka bilirubin i hiki ke lawe ʻia e ke kino ma o ka pahu.

Hiki i ka Jaundice ke hana ke kūkulu ʻia ka bilirubin he nui i loko o ke kino.

Hiki i ka Jaundice ke hana inā:

• Nui a hewahewa nā hunaola ʻulaʻula e make a haki paha a hele i ke ake.
• Hoʻopiha a hōʻino ʻia ke akepaʻa.
• ʻAʻole hiki i ka bilirubin mai ke ake ke neʻe pono i loko o ka digestive tract.

ʻO ka Jaundice he hōʻailona pinepine ia o kahi pilikia me ke ake, gallbladder, a i ʻole pancreas. Nā mea i hiki ke kumu i ka jaundice:

• Nā maʻi ʻino, viral loa
• Hoʻohana o kekahi mau lāʻau
• Ka maʻi ʻaʻai o ke ake, nā aʻa aʻa a i ʻole pancreas
• Nā maʻi koko, nā pōhaku, nā kīnā hānau a me nā ʻano olakino ʻē aʻe

Hōʻike koke ʻia ʻo Jaundice a ulu lohi paha i ka holo ʻana o ka manawa. ʻO nā ʻōuli o ka jaundice e hoʻopili mau ʻia:

• ʻO ka ʻili melemele a me ka ʻāpana keʻokeʻo o nā maka (sclera) - ke ʻoi aku ka nui o ka jaundice, ʻeleʻele paha kēia mau wahi
• Waihona melemele i loko o ka waha
• Mimi ʻeleʻele a ʻeleʻele paha
• Nā noho Pale a i ʻole nā ​​pālolo kele
• ʻIke (pruritis) ka mea maʻamau me ka jaundice

Nānā: Inā melemele kou ʻili a ʻaʻole melemele ke keʻokeʻo o kou mau maka, ʻaʻohe ou jaundice. Hiki i kou ʻili ke hoʻohuli i kahi melemele i ka ʻalani ke ʻai ʻoe i ka nui o ka beta carotene, ka ʻalani ʻalani i nā kāloti.

Aia nā ʻōuli ʻē aʻe i ka maʻi e kumu ana i ka jaundice:

• ʻAʻole hiki i nā ʻōpala ke hana i kahi hōʻailona, ​​a i ʻole ka luhi, ka pohō kaumaha, a i ʻole nā ​​hōʻailona ʻē aʻe.
• Hoʻokumu paha ka Hepatitis i ka nausea, ka luaʻi, ka luhi, a i ʻole nā ​​hōʻailona ʻē aʻe.

E hana ka mea mālama ola i kahi hoʻokolohua kino. Hōʻike paha kēia i ka pehu ʻana o ke ake.

E hana ʻia kahi hōʻike koko bilirubin. Hiki i nā hoʻokolohua ʻē aʻe ke:

• Hepatitis mea hoʻomaʻi panel e nānā no ka maʻiʻaʻai o ke ake
• ʻO nā hoʻokolohua hana ate e hoʻoholo pehea ka maikaʻi o ka hana a ke ake
• Helu piha ke koko e nānā no ka helu haʻahaʻa o ke koko a i ʻole anemia
• ʻO ke ultrasound ʻōpū
• Scanner CT ʻōpū
• Mākēneki resonance cholangiopancreatography (MRCP)
• Endoscopic retrograde cholangiopancreatography (ERCP)
• ʻO cholangiogram transhepatic transutanputan (PTCA)
• ʻO ka biopsy ate
• Pae kolesterol
• Prothrombin manawa

Kaukaʻi pili i ke kumu o ka jaundice.

Kāhea i kāu mea hāʻawi inā hoʻomohala ʻoe i ka jaundice.

Nā kūlana pili i ka jaundice; ʻIli melemele a me nā maka; ʻIli - melemele; Icterus; Nā Maka - melemele; ʻUndlena melemele

• ʻO Jaundice
• Pēpē Jaundiced
• Cirrhosis o ke ake
• Kukui Bili

Berk PD, Korenblat KM. E hoʻokokoke i ka mea maʻi me ka jaundice a i ʻole nā ​​hoʻokolohua ate ʻole. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 147.

Fargo MV, Grogan SP, Saquil A. Ka loiloi i ka jaundice i nā mākua. He Kauka Lapaʻau. 2017; 95 (3): 164-168. PMID: 28145671 www.ncbi.nlm.nih.gov/pubmed/28145671.

Lidofsky SD. ʻO Jaundice. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi ate. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2016: chap 21.

ʻO Taylor TA, Wheatley MA. ʻO Jaundice. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 25.