Nā kumu ʻo Jaundice
He melemele ʻo Jaundice i ka ʻili, nā membrane mucous, a i ʻole nā maka. ʻO ka waihoʻoluʻu melemele mai ka bilirubin, kahi huahana o nā ʻulaʻula koko ʻulaʻula. He hōʻailona ʻo Jaundice o nā maʻi ʻē aʻe.
Kamaʻilio kēia ʻatikala e pili ana i nā kumu kūpono o ka jaundice i nā keiki a me nā mākua. Hana ʻia ka jaundice hānau hou i nā pēpē ʻōpio loa.
ʻO ka Jaundice he hōʻailona pinepine ia o kahi pilikia me ke ake, gallbladder, a i ʻole pancreas. Hiki i ka Jaundice ke hana ke kūkulu ʻia ka bilirubin he nui i loko o ke kino. Hiki paha kēia ke:
- 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 kūpono i loko o ka digestive tract.
Nā kūlana e hiki ai ke kumu i ka jaundice:
- Nā maʻi o ke akepaʻa mai kahi maʻi (hepatitis A, hepatitis B, hepatitis C, hepatitis D, a me hepatitis E) a i ʻole he parasite
- Hoʻohana o kekahi mau lāʻau (e like me ka overdose o acetaminophen) a i ʻole hōʻike i nā lāʻau make
- ʻO nā kīnā hānau a i ʻole nā maʻi i kū mai ka hānau ʻana e paʻakikī i ka kino ke wāwahi i ka bilirubin (e like me ka Gilbert syndrome, ka maʻi ʻo Dubin-Johnson, ka maʻi ʻo Rotor, a me ka maʻi ʻo Crigler-Najjar)
- Maʻi maʻi ʻōiwi
- Nā maʻi Gallstones a i ʻole nā maʻi gallbladder ke kumu o ka paʻa ʻana o ke kahena o ka bile
- Nā maʻi koko
- Ka maʻi ʻaʻai o ka pancreas
- ʻO ka bile buildup i loko o ka gallbladder ma muli o ke kaomi o ka ʻōpū ma kahi o ka hāpai ʻana (jaundice of hāpai keiki)
Nā kumu o ka jaundice; ʻO Cholestasis
- ʻO Jaundice
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 Wyatt JI, Haugk B. Liver, ʻōnaehana biliary a me pancreas. I: Cross SS, ed. Underwood's Pathology. ʻEpekema 7 Piladelapia, PA: Elsevier; 2019: chap 16.