ʻO Gilbert Syndrome

Anter

• He aha ka maʻi o Gilbert?
• He aha nā hōʻailona?
• He aha ke kumu?
• Pehea ia ʻike?
• Pehea e mālama ʻia ai?
• Ke noho nei me ka maʻi o Gilbert

He aha ka maʻi o Gilbert?

ʻO ko Gilbert Syndrome kahi kūlana ʻili hoʻoilina i hiki ʻole ai i kou ake ke hana piha i kahi hui i kapa ʻia ʻo bilirubin.

Hōʻoki kou ake i nā hunaola ʻulaʻula i loko o nā mea hoʻohui, me bilirubin, i hoʻokuʻu ʻia i nā feces a me ka mimi. Inā loaʻa iā Gilbert's Syndrome, kūkulu ʻo bilirubin i loko o kou kahawai, e hana ana i kahi ʻano i kapa ʻia ʻo hyperbilirubinemia. Hiki paha iā ʻoe ke ʻike i kēia huaʻōlelo pop i nā hopena o kahi hōʻoia koko. ʻO ka manaʻo wale ia he kiʻekiʻe kou o ka bilirubin i kou kino. I nā manawa he nui, he hōʻailona ka bilirubin kiʻekiʻe aia kekahi mea e hana nei me kāu hana ate. Eia nō naʻe, i ka maʻi o Gilbert's Syndrome, maʻamau maʻamau kou akepaʻa ma kahi ʻano ʻē aʻe.

Ma kahi o 3 a 7 pakeneka o ka poʻe maʻAmelika Hui Pū ʻIa i loaʻa i ka maʻi maʻi ʻo Gilbert. Hōʻike kekahi mau noiʻi e like paha me ke kiʻekiʻe. ʻAʻole ia he kūlana hōʻeha a ʻaʻole pono e mālama ʻia, ʻoiai hiki ke kumu i kekahi mau pilikia liʻiliʻi.

He aha nā hōʻailona?

ʻO ko Gilbert maʻi maʻi ʻaʻohe kumu e hōʻike mau ai i nā ʻōuli. ʻO ka ʻoiaʻiʻo, 30 pākēneka o ka poʻe me ka maʻi o Gilbert i loaʻa ʻole i kekahi ʻōuli. ʻO kekahi poʻe me ka maʻi o Gilbert's Syndrome ʻaʻole lākou i ʻike ua loaʻa iā lākou. ʻO ka manawa pinepine, ʻaʻole ia e ʻike ʻia a hiki i kou wā makua.

Ke hana nei ia i mau hōʻailona, ​​hiki i kēia mau mea ke:

• melemele o ka ʻili a me nā ʻāpana keʻokeʻo o kou mau maka (jaundice)
• nausea a me ka diarrhea
• hōʻoluʻolu iki i kou wahi ʻōpū
• luhi

Inā loaʻa iā Gilbert's Syndrome, ʻike paha ʻoe i kēia mau ʻōuli ke hana ʻoe i nā mea i hiki ke hoʻonui i kāu pae bilirubin, e like me:

• ke ʻike nei i ke kaumaha a me ke kaumaha o ke kino
• hoʻoikaika kino
• ʻaʻole ʻai no ka manawa lōʻihi
• inu ʻole ʻana i ka wai
• ʻaʻole lawa ka hiamoe
• he maʻi a he maʻi paha
• ke hoʻōla nei mai ke ʻoki kino
• menstruating
• hōʻike anu

ʻIke pū kekahi poʻe me ka maʻi o Gilbert i ka inu ʻana i ka waiʻona i mea e ʻoi ai ka maikaʻi o ko lākou mau ʻōuli. No kekahi poʻe, hiki i hoʻokahi a ʻelua paha mau mea inu ke hoʻonāukiuki iā lākou ma hope koke iho. Loaʻa paha iā ʻoe ka mea e like me ka hangover no kekahi mau lā. Hiki i ka waiʻona ke hāpai i nā manawa bilirubin no ka manawa pōkole i ka poʻe me ko Gilbert maʻi.

He aha ke kumu?

ʻO Gilbert's Syndrome kahi kūlana genetical i hoʻoilina ʻia mai kou mau mākua mai.

Hoʻokumu ʻia ia e ka hoʻololi ʻana i ka ʻaoʻao UGT1A1. ʻO kēia hopena e hopena i kou kino e hana ana i ka bilirubin-UGT liʻiliʻi, kahi enzyme e wāwahi i ka bilirubin. Me ka loaʻa ʻole o nā helu kūpono o kēia enzyme, ʻaʻole hiki i kou kino ke hana pololei i ka bilirubin.

Pehea ia ʻike?

Hiki paha i kāu kauka ke hōʻoia iā ʻoe no ka maʻi o Gilbert inā ʻike lākou i ka jaundice me ka ʻole o nā hōʻailona a i ʻole nā ​​hōʻailona o ka pilikia o ke ake. ʻOiai ʻaʻohe ou jaundice hiki i kāu kauka ke hoʻomaopopo i nā kiʻekiʻe kiʻekiʻe o ka bilirubin i ka wā o ka hana maʻamau o ke ake.

Hiki paha i kāu kauka ke hana i nā hoʻokolohua e like me ka biopsy ate, CT scan, ultrasound, a i ʻole nā ​​hoʻokolohua koko e hōʻalo i nā kūlana olakino ʻē aʻe i hiki ke kumu a hoʻohui paha i kāu pae bilirubin abnormal. Hiki i ka maʻi o Gilbert ke kū pū me ke ʻano o ke ake a me ke koko.

E ʻike ʻia paha ʻoe me ka maʻi o Gilbert inā hōʻike kāu hōʻike i ka ate i ka nui o ka bilirubin a ʻaʻohe mea hōʻike ʻē aʻe o ka maʻi ate. I kekahi mau hihia, hoʻohana paha kāu kauka i kahi hoʻokolohua kūlohelohe e nānā ai no ka hoʻololi ʻana o nā gen no ke ʻano. Hiki i nā lāʻau niacin a me rifampin ke kumu o ka piʻi ʻana o ka bilirubin i ka maʻi o Gilbert a alakaʻi pū ʻia hoʻi i kahi hōʻailona.

Pehea e mālama ʻia ai?

ʻO ka hapa nui o nā hihia o Gilbert's syndrome ʻaʻole koi i ka lāʻau. Eia nō naʻe, inā ʻoe e hoʻomaka i nā hōʻailona koʻikoʻi, e like me ka luhi a i ʻole kausea, kauoha paha kāu kauka i kēlā me kēia lā phenobarbital (Luminal) e kōkua i ka hōʻemi ʻana i ka huina bilirubin i kou kino.

Aia kekahi mau loli nohona hiki iā ʻoe ke hana e pale aku i nā ʻōuli, e like me:

• E hiamoe nui. E hoʻāʻo e hiamoe ʻehiku a ʻewalu mau hola i ka pō. E hāhai i kahi papa hana paʻa e like me ka hiki iā ʻoe.
• Hōʻalo i nā wā lōʻihi o ka hoʻoikaika kino. E hana pōkole i nā hana ikaika (ma lalo o 10 mau minuke). E hoʻāʻo e loaʻa ma ka liʻiliʻi he 30 mau minuke o ke kukui i ka hoʻoikaika kino i kēlā me kēia lā.
• Noho maikaʻi i ka wai. He mea nui loa kēia i ka wā hoʻoikaika kino, ka wā wela, a me nā maʻi.
• E hoʻāʻo i nā ʻenehana hoʻomaha e kū ai i ke koʻikoʻi. E hoʻolohe i ke mele, noʻonoʻo, hana yoga, a hoʻāʻo i nā hana ʻē aʻe e kōkua iā ʻoe e hoʻomaha.
• ʻAi i ka papaʻai kaulike. E ʻai mau, mai hōʻalo i kekahi mau meaʻai, a mai ukali i nā hoʻolālā papaʻai e paipai i ka hoʻokēʻai a ʻai ʻana paha i nā nui o nā calories.
• Palena i ka lawe ʻana i ka waiʻona. Inā loaʻa iā ʻoe ke ʻano he ake, ʻoi aku ka maikaʻi o ka hōʻalo ʻana i ka ʻalekohola. Eia nō naʻe, inā inu ʻoe, e noʻonoʻo e kaupalena iā ʻoe iho i kekahi mau inu wale nō i kēlā me kēia mahina.
• E aʻo pehea e launa ai kāu mau lāʻau me Gilbert's syndrome. ʻO kekahi mau lāʻau, e laʻa me kekahi e mālama ai i ka maʻi ʻaʻai, hana ʻokoʻa paha inā loaʻa iā Gilbert's syndrome.

Ke noho nei me ka maʻi o Gilbert

ʻO Gilbert's Syndrome kahi kūlana maikaʻi ʻole e pono e mālama ʻia. ʻAʻohe hoʻololi o ke ola ke ola ma muli o ka Gilbert's syndrome. Eia nō naʻe, inā hoʻomaka ʻoe e ʻike i nā ʻōuli, pono paha ʻoe e hoʻololi i kahi nohona.