Ukuba uhlala nekati oyithandayo, uya kufuna ukuba ahlale esempilweni, kodwa inyani yile yokuba, njengomntu ophilayo, ebomini bakhe bonke unokugula ngaphezu kwesihlandlo esinye. Nangona kukho izifo ezinzulu kunezinye, xa enye yeempawu zayo i-jaundice kuya kufuneka ukhathazeke ngakumbi ukuba kunokwenzeka.
Kungenxa yoko, Siza kuchaza yonke into malunga ne-jaundice kwiikati: izizathu zayo, iimpawu kunye nokunye. Okokuqala, siza kukuxelela ukuba yintoni i-bilirubin, ngale ndlela unokuqonda okungcono kancinci yonke into esiyichazayo kamva.
Yintoni ibilirubin?
I-Bilirubin yimveliso eyenziwayo xa ii-eirotrocyte (iiseli ezibomvu zegazi) ziyehla ekupheleni komjikelo wobomi bazo (ziintsuku ezili-100) kwaye zitshatyalalisiwe kumongo wethambo nakudaka. Bayayeka ukuba nombala wabo obomvu okomdabu baye ekubeni tyheli, kwaye kulapho ke iba bilirruibin.
Yinkqubo entsonkothileyo apho ihemoglobin kuqala iguqulwa ibe yi-biliverdin emva koko ibe yi-bilirubin enamafutha. Oku kukhutshwa kungena kwigazi kwaye kuye esibindini kunye neprotein.
Xa ifika kwisibindi, iguqulwa ibe yi-bilirubin edibeneyo kwaye iqokelele kwi-gallbladder.. Ngalo lonke ixesha i-gallbladder ikhuphela emathunjini amancinci, i-bilirubin encinci iyaphuma kunye ne-bile kunye neebhaktiriya. Oku kuguqulwa kwayimibala eqhelekileyo: i-stercobilin (enika isitulo umbala omdaka) kunye ne-urobilinogen (enika umchamo umbala otyheli).
Kutheni i-jaundice ivela kwiikati?
Njengoko ubukwazile ukuqonda ukusuka kumagqabantshintshi kwinqaku elidlulileyo, umsebenzi wesibindi ngumba ophambili kuyo yonke le nkqubo. IJaundice iya kuvela ekati xa umzimba wayo ungenako ukukhupha i-bilirubin kunye namanye amacandelo enyongo.
Iimpawu zejundice kwiikati
IJaundice ngokwayo sele iluphawu olubonisa ukuba ikati inengxaki zempilo. Nangona kufanelekile ukuba uqaphele ukuba olona phawu lucacileyo lwesi sifo ngumbala omthubi.
Este utyheli kolusu Inokufumaneka emlonyeni, ezindlebeni nakwiindawo ezingenaboya kwaye nesikhumba sekati siyabonakala.
Yintoni i-jaundice?
I-jaundice ngumbala omthubi wolusu, umchamo, i-serum kunye namalungu ngenxa yokuqokelelwa kombala obizwa ngokuba yi-bilirubin egazini okanye kwizicwili.. I-Bilirubin yenziwa xa iiseli ezibomvu zegazi zifikelela esiphelweni sobomi bazo, ezihlala malunga neentsuku ezili-100. Ezi seli zegazi zitshatyalalisiwe kudaka kunye nomongo wethambo, kwaye ukusuka kwi-hemoglobin, eyi-pigment ebanika umbala wabo, i-bilirubin yenziwa. Oku kukhutshwa kusasazwe kwaye kuhamba isibindi kunye neprotein.
Kwisibindi iguqulwa ibe yi-bilirubin edibeneyo kwaye igcinwe kwi-gallbladder. Ngalo lonke ixesha i-gallbladder ikhutshelwa emathunjini amancinci, i-bilirubin encinci iyaphuma kunye nezinto zenyongo. Okokugqibela, nasemva kokusebenza kweebhaktiriya ezininzi, itshintshelwa kwezinye ii-pigment: i-stercobilin (umbala wendle) kunye ne-urobilinogen (leyo yomchamo).
Iindidi
I-jaepice yeHepatic
Xa isenzeka kungenxa yokuba kukho into engalunganga esibindini; Ayikwazi ukufeza injongo yayo kwaye ayinako ukususa i-bilirubin engenayo. Iiseli zesibindi (i-hepatocytes) zikhupha lo mbala kwi-bile canaliculi. ebaleka uthungelwano lweseli, oludlulela kwi-gallbladder.
Kwelinye icala, xa iiseli zinemeko ethile yezifo okanye zitshisiweyo kwaye i-bilirubin ayinakudlula kuthungelwano lwe-bile duct, kulapho i-intrahepatic cholestasis yenzeka khona.
Ke ngoko, iyenzeka xa isibindi asikwazi ukukhupha i-bilirubin. Ezona zinto ziqhelekileyo zezi:
- Feline hepatitis
- Isibindi sephepha
- I-hepatic lipidosis
- Neoplasia
- Ukuphazamiseka kwemithambo
I-jaundice yasePosthepatic
Kwenzeka xa i-bilirubin iqokelela ngaphandle kwesibindi ngenxa yokuphazamiseka. Oonobangela abaqhelekileyo zezi:
- Pancreatitis
- Neoplasm kwi duodenum kunye injeke
- Ukuqhekeka kwendlela yokubila
I-jaundice engeyo-hepatic
Kwenzeka xa i-bilirubin engaphezulu iveliswa ukuze isibindi singakwazi ukukhupha i-pigment ngenxa yokonakala kweeseli ezibomvu zegazi. Oonobangela zezi:
- Hyperthyroidism
- Ityhefu
- Intsholongwane okanye iintsholongwane
Uyenza njani into yokuqonda isifo?
Ukuba ukrokrela ukuba ikati yakho ine-jaundice kufuneka umse kwangoko kugqirha wezilwanyana. Nje ukuba ube lapho, uyakuba novavanyo lomzimba kunye nohlu lweemvavanyo, ezinje ngegazi okanye i-ultrasound Ukongeza, kunye nembali yonyango, uya kuba nakho ukwazi ukuba ingunobangela onjani.
Kwiikati ezine-jaundice Kulula ukufumana ii-enzymes zesibindi eziphakamileyonangona oku kungabonisi isifo sokuqala okanye sesibini se-hepatobiliary. Olu luqhelaniso kuphela kodwa uphononongo lwe-ultrasound kunye nemitha luya kuhlala luyimfuneko.
Ngaphambi koku, imbali yezonyango kunye novavanyo olusisiseko luya kuvumela ugqirha wezilwanyana ukuba afumane amaqhuqhuva e-thyroid, ulwelo esiswini (cystitis) Kwaye uyazi nokuba unayo nayiphi na imeko yokuchasana neziyobisi ze-hepatotoxic.
Ngaloo ngqiqo, i-jaundice iqondwa njengempawu ngenxa yotshintsho kwaye ngenxa yesi sizathu, ukufumanisa ukuba kuyenzeka nyani na kufuneka kwenziwe uvavanyo olupheleleyo.
Luphi unyango?
Unyango luya kuxhomekeka kakhulu kwisizathu, kuthathelwa ingqalelo ukuba kukho izifo ezininzi ezibonisa i-jaundice njengophawu inokuba yiyo nantoni na ukuthatha amayeza okubulala iintsholongwane kutshintsho kwindlela otya ngayo. Into ongasoze uyenze kukuzinyanga ngokwakho ngaphandle kokubuza ugqirha wezilwanyana, kuba kungenjalo inokubulala.
Siyathemba ukuba uyifumene iluncedo. Ngale ndlela, unokufumana ulwazi lokuba ingaba ikati yakho inesifo kwaye, ukuba kunjalo, ugqirha wezilwanyana uya kuba nakho ukumvavanya ngokukhawuleza ukufumana olona nyango lufanelekileyo kwityala lakhe elithile.
Ngayiphi na indlela, ngoku ukuba uyazi ukuba zeziphi iimpawu kunye nonyango lwe-jaundice kwiikati, uyazi kancinci ngakumbi ukukhathalela impilo yekati yakho.