He aha ke kumu o ka jaundice i nā mākua a pehea e mālama ai

Anter

• He aha nā kumu
• Pehea e ʻike ai
• Pehea e hana ai i ka lāʻau

Hoʻohālikelike ʻia ʻo Jaundice e ke kala melemele o ka ʻili, nā membrane mucous a me ka ʻāpana keʻokeʻo o nā maka, i kapa ʻia ʻo sclerae, ma muli o ka hoʻonui ʻia o ka bilirubin i ke kahe o ke koko, kahi pigment melemele i hopena ʻia mai ka luku ʻia ʻana o nā hunaola ʻulaʻula i loko o ke koko.

Hoʻokumu pinepine ʻia ka Jaundice i nā mākua e nā maʻi e pili ana i ke ake, e like me ka maʻi hepa, e ka ālai ʻia ʻana o nā aʻa o ka bile, e like me ka pōhaku, a i ʻole nā ​​maʻi e hōʻino ai i nā hunaola ʻulaʻula, e like me ka anemia cell sickle a spherocytosis, no ka mea laʻana. I nā keiki hānau hou, ʻo ke kumu maʻamau ka jaundice physiological, i hoʻokumu ʻia e ka mākua ʻole o ke ake. E nānā i nā kumu a pehea e mālama ai i ka jaundice neonatal.

Hana ʻia ka lapaʻau e like me ke kumu, a komo pū paha i ka mālama ʻana i nā maʻi me nā lāʻau ʻalopika, ka lawe ʻia ʻana o nā gallstones e ke ʻoki a i ʻole nā ​​hana e hakakā ai i ka hepatitis, no ka laʻana.

He aha nā kumu

ʻO Bilirubin kahi pigment kala ʻeleʻele i kū i ke ʻano he hopena o ka haki ʻana o nā hunaola ʻulaʻula, hana ʻia a hoʻopau ʻia e ke akepaʻa, me ka bile, ma o ka ʻōpū, nā lepo a me ka mimi. Hiki ke ala aʻe ʻo Jaundice ke hoʻololi ʻia i kēlā me kēia manawa o kēia kaʻina hana a hiki i ka hoʻopau ʻia ʻana.

No laila, hiki i ka bilirubin keu ke hana i nā kumu nui 4:

• Hoʻonui i ka luku ʻia ʻana o nā hunaola ʻulaʻula, i hana ʻia ma muli o nā maʻi koko e like me ka anemia o ka cell sickle, spherositosis a i ʻole nā ​​hememitic anemias, a i ʻole nā ​​maʻi e like me ka malaria;
• Hoʻololi ke ake hōʻino i ka hiki ke hopu i ka bilirubin mai ke koko a i ʻole metabolize i kēia pigment, ma muli o ka hepatitis, nā hopena o kekahi mau lāʻau, e like me Rifampicin, hoʻolōʻihi lōʻihi, ʻona, hoʻoikaika ikaika a i ʻole nā ​​maʻi genetics e like me Gilbert's syndrome a i ʻole Crigler-Najjar syndrome;
• Nā loli i nā aʻa aʻa ma loko a ma waho paha o ke akepaʻa, i kapa ʻia ʻo cholestatic a i ʻole keʻakeʻa jaundice, ka mea e pale ai i ka hoʻopau ʻia ʻana o ka bilirubin me ka bile, ma muli o nā pōhaku, ka hoʻopili ʻana a i ʻole nā ​​tumors i nā aʻa o ka bile, nā maʻi autoimmune e like me cholangitis biliary mua, a i ʻole nā ​​maʻi hoʻoilina e like me Dubin -Johnson;
• Nā kūlana ʻē aʻe hoʻopilikia i ka ʻoi aku ma mua o hoʻokahi manawa o ka bilirubin metabolism, e like me ka maʻi āpau, cirrhosis ate, hepatitis a i ʻole jaundice neonatal.

ʻO ka bilirubin hoʻonui ʻia hiki ke lilo i 2 mau ʻano, i kapa ʻia ʻo bilirubin ʻole, ʻo ia ka bilirubin manuahi, a i ʻole bilirubin pololei, ke hoʻololi ʻia i ke akepaʻa, i kapa ʻia he conjugation, i mea e hoʻopau pū ʻia me ka bile ma o ka ʻōpū.

Pehea e ʻike ai

ʻO ke kala melemele o ka ʻili a me nā membrane mucous i ka jaundice ʻike pinepine ʻia ke kiʻekiʻe o nā bilirubin i ke koko ma mua o 3 mg / dL. Hoʻomaopopo pehea e ʻike ai i ka bilirubin kiʻekiʻe i ka hoʻāʻo ʻana i ke koko.

Hiki ke hele pū me nā ʻōuli a me nā ʻōuli ʻē aʻe, e like me ka mimi ʻeleʻele, i kapa ʻia ʻo choluria, a i ʻole nā ​​noho keʻokeʻo, i kapa ʻia ʻo fecal acolia, ke kū aʻe i ka wā e piʻi ai ka bilirubin pololei. Hiki i nā waiwai kiʻekiʻe o kēia pigment i ke koko ke hoʻonāukiuki i ka ʻili, kahi e kumu ai ka ʻūlū nui.

Hoʻohui ʻia, loaʻa pū kekahi nā ʻōuli e hōʻike ana i ke kumu o ka jaundice, e like me ka ʻeha o ka ʻōpū a me ka luaʻi i ka hepatitis, ka pallor a me ka māluhiluhi i nā maʻi e hōʻino ai i nā hunaola ʻulaʻula a i ʻole ke kuni a me nā haʻalulu inā loaʻa nā maʻi, no ka laʻana.

Pehea e hana ai i ka lāʻau

E mālama i ka jaundice, pono pono e mālama i ka maʻi i alakaʻi ʻia i kona hoʻomaka. ʻO ka maʻamau, alakaʻi ʻia ka lāʻau lapaʻau e kahi gastroenterologist, hepatologist a i ʻole hematologist, a komo pū paha i nā ana e wehe ai i nā aʻa o ka bile, ka hoʻohana ʻana i nā lāʻau e hakakā ai i nā maʻi, ke keakea ʻana i nā lāʻau ʻona i ke akepaʻa a i ʻole nā ​​pale pale pale e kāohi ai i nā maʻi e hiki ai i ka hemolysis, no ka laʻana.

E hiki nō i ke kauka ke alakaʻi i nā hana pale, e like me ka inu ʻana i ka nui o ka wai a hoʻemi i ka ʻai o nā mea momona e hōʻalo ai i ka hōʻoluʻolu o ka ʻōpū. No ka mālama ʻana i ka makaʻu i hoʻokumu ʻia e bilirubin nui, hiki ke hōʻike ʻia nā lāʻau e like me antihistamines a i ʻole cholestyramine.