Jaundice

Kufotokozera kwathunthu kwa matendawa

Pali maganizo olakwika kuti jaundice ndi Matenda a Botkin Izi ndi zofanana. Ndipotu jaundice ndi mndandanda wa kusintha pathological kugwirizana osati ndi mkhutu chiwindi ntchito, komanso ndi ziwalo zina. Jaundice amayamba chifukwa cha kusokonezeka kwa metabolic bilirubinzomwe zingayambitsidwe ndi zifukwa zosiyanasiyana ^[3]... Ichi ndi matenda chizindikiro zosiyanasiyana pathologies.

Ndi kudzikundikira kwambiri kwa bilirubin m'thupi la wodwalayo, khungu la wodwalayo, diso ndi mucous nembanemba zimasanduka zachikasu (chifukwa chake dzina la matendawa).

Matendawa ndi ofala kwambiri, makamaka milandu yambiri ya jaundice imalembedwa m'maiko omwe ali ndi nyengo yofunda, pomwe ukhondo suli wokwanira.

Gulu ndi zomwe zimayambitsa jaundice

• mawonekedwe a conjugation jaundice akufotokozera chifukwa zoipa zotsatira pa chiwindi mankhwala kapena zinthu zina zakunja. Komanso, mawonekedwe awa akhoza kukhala obadwa nawo;
• mawonekedwe a hemolytic zimachitika chifukwa cha poizoni zotsatira za mankhwala kapena mbali zotsatira lymphosarcoma ndi magazi m`thupi;
• physiological mawonekedwe amapezeka mwa ana obadwa kumene chifukwa cha kusakhwima kwa dongosolo la enzyme;
• mawonekedwe a neonatal zimachitika nthawi zambiri ndipo zimachitika akangobadwa. Zitha kukwiyitsidwa ndi kudya kosawerengeka kwa mayi wapakati, kusowa kwa ayodini mwa mwana wosabadwayo, kupezeka kwa matenda ashuga mwa mayi woyembekezera, kusuta panthawi yobereka, kusowa kwa mahomoni mwa mwana wakhanda;
• parenchymal mawonekedwe a jaundice akhoza zinayambitsa ndi matenda enaake a chiwindi kapena tizilombo chiwindi;
• mawonekedwe a chiwindi akhoza kukhala motsutsana maziko a uchidakwa chiwindi kapena chiwindi matenda enaake.

Jaundice imathanso kuyambitsa;

• cholelithiasis;
• cholestasis;
• zovuta pambuyo opaleshoni;
• mankhwala poizoni wa chiwindi;
• leptospirosis;
• khansa ya chiwindi;
• chindoko;
• matenda osiyanasiyana;
• makina kuwonongeka kwa m`mimba thirakiti;
• kuledzera chifukwa chomwa mankhwala enaake.

Zizindikiro za jaundice

Zizindikiro za jaundice malinga ndi mawonekedwe a matendawa;

1. 1 mawonekedwe a suprahepatic jaundice imadziwika ndi chikasu chochepa cha khungu, khungu limakhala ndi mthunzi wotumbululuka. Nthawi yomweyo, chiwindi chimakulitsidwa pang'ono, ma nembanemba a diso amakhala ndi utoto wa mandimu, palibe zowawa mu hypochondrium yoyenera, ndowe zimakhala zakuda chifukwa cha kuchuluka kwa stercobilin;
2. 2 ndi hepatic jaundice Mitsempha ya kangaude imawonekera pathupi, zikhatho za wodwalayo zimakhala zachikasu, ndulu imatha kukula. Wodwala akuda nkhawa ndi kusanza ndi nseru;
3. 3 mawonekedwe a subhepatic yodziwika ndi kukulitsa nodular chiwindi, malungo, kutchulidwa kuyabwa, kuchepa thupi, wobiriwira khungu mtundu.

Zizindikiro zodziwika bwino:

• kuwonda kwambiri;
• mtundu wa icteric wa sclera ndi mucous nembanemba;
• nthawi zina, kuyabwa khungu;
• mkodzo wakuda wamtundu wa mowa;
• mtundu wamtundu wamtundu wa grayish;
• kusintha kwa magazi;
• kuzizira;
• kutopa;
• khungu ndi lachikasu, lobiriwira kapena lofiira;
• chisokonezo;
• kukokera ululu m'chiwindi;
• kuwonjezeka kwa kukula kwa chiwindi, ndipo nthawi zina ndulu.

Zovuta za jaundice

Chikhalidwe cha zovuta za matendawa zimatengera kuchuluka kwa bilirubin m'magazi, m'mikhalidwe yayikulu imawononga thupi ndikusokoneza magwiridwe antchito amanjenje.

Jaundice ndi chitsimikiziro chakuti njira zazikulu za pathological zikuchitika m'thupi zomwe sizinganyalanyazidwe. Ndi chithandizo cholakwika cha matenda a Gospell, kulephera kwa chiwindi kungawonekere, ndipo chithandizo chamwadzidzi cha matenda a chiwindi ndi chiwindi, wodwalayo akhoza kufa.

Mwa makanda, jaundice nthawi zambiri imakhazikika yokha mkati mwa masiku 7-10. Ngati izi sizichitika, muyenera kukaonana ndi neonatologist. Kukwera kwa bilirubin mwa ana obadwa kumene kungayambitse kuchepa kwa magazi m'thupi, zomwe zingayambitse kuchedwa kwa thupi ndi maganizo.

Kupewa jaundice

Njira zodzitetezera ku jaundice:

1. 1 pewani kupsyinjika kwamaganizo;
2. 2 kutsatira ndondomeko ya ntchito ndi kupuma, kugona mokwanira;
3. 3 kuyendera mano odalirika okha, cosmetologists ndi manicurists, muyenera kutsimikiza kuti amatenthetsa zidazo moyenera;
4. 4 musanenepa kwambiri;
5. 5 wiritsani madzi ampopi;
6. 6 kuchiza matenda opatsirana munthawi yake;
7. 7 musalole kuyanjana kosatetezeka ndi anthu osadziwika;
8. 8 yesani kusiya zizolowezi zoipa;
9. 9 musadzipatse nokha mankhwala;
10. 10 sambani masamba ndi zipatso bwinobwino musanadye;
11. 11 kukhala ndi moyo wokangalika;
12. 12 musapite kumalo odyera ndi malo ena odyera, ukhondo umene mukukayikira;

Chithandizo cha jaundice m'mankhwala odziwika bwino

Njira mankhwala zimadalira mawonekedwe ndi kuopsa kwa matenda. Pankhaniyi, chinthu chachikulu ndikuyambitsa chithandizo pa nthawi yake kuti mupewe kuoneka kwa zovuta zowopsa.

Ngati chifukwa cha jaundice ndi blockage wa bile duct miyala, ndiye kuti wodwalayo kukumana endoscopic papillosphincterotomy. Pofuna kuthana ndi tizilombo toyambitsa matenda a chiwindi, wodwalayo amapatsidwa corticosteroids.

Ndi jaundice, odwala onse amasonyezedwa mavitamini, droppers ndi shuga ndi mankhwala pofuna kuthana ndi kuledzera. M`pofunikanso ntchito antispasmodic mankhwala.

Mwa physiotherapeutic njira polimbana ndi jaundice, diathermy, ultrasound pa chiwindi m`dera, iontophoresis, plasmaphoresis atsimikizira okha bwino.

Chenjerani!

Otsogolerawo sali ndi udindo uliwonse poyesa kugwiritsa ntchito zomwe zaperekedwa, ndipo sizikutsimikizira kuti sizikukuvulazani. Zipangizozo sizingagwiritsidwe ntchito kuperekera chithandizo chamankhwala ndikupanga matenda. Nthawi zonse muzifunsa dokotala wanu!