Hyperbilirubinemia wapabanja

Hyperbilirubinemia wosakhalitsa m'mabanja ndi matenda amadzimadzi omwe amapitilira m'mabanja. Ana omwe ali ndi vutoli amabadwa ndi jaundice yayikulu.

Hyperbilirubinemia yanthawi yochepa yamabanja ndimatenda obadwa nawo. Zimachitika thupi likapanda kuthyola (kusungunula) mtundu wina wa bilirubin. Milingo ya Bilirubin imakula msanga m'thupi. Magulu apamwambawo ndi owopsa kuubongo ndipo amatha kupha.

Mwana wakhanda akhoza kukhala ndi:

• Khungu lachikaso (jaundice)
• Maso achikaso (icterus)
• Kukonda

Ngati sanalandire, khunyu ndi mavuto amitsempha (kernicterus) amatha kukula.

Kuyezetsa magazi pamilingo ya bilirubin kumatha kuzindikira kuopsa kwa jaundice.

Phototherapy yokhala ndi kuwala kwa buluu imagwiritsidwa ntchito pochiza milingo yayikulu ya bilirubin. Kusinthana magazi nthawi zina kumakhala kofunikira ngati milingo ili yokwera kwambiri.

Ana omwe amathandizidwa amatha kukhala ndi zotsatira zabwino. Ngati vutoli silichiritsidwa, zovuta zazikulu zimayamba. Matendawa amayamba kusintha pakapita nthawi.

Imfa kapena mavuto amisala amanjenje (ubongo) amatha kuchitika ngati vutoli silichiritsidwa.

Vutoli limapezeka nthawi zambiri mukangobereka. Komabe, itanani wothandizira zaumoyo wanu mukawona khungu la mwana wanu likusintha. Palinso zifukwa zina za jaundice wakhanda zomwe zimachiritsidwa mosavuta.

Upangiri wa chibadwa ungathandize mabanja kumvetsetsa za vutoli, zoopsa zake zobwerezedwanso, komanso momwe angamusamalire munthuyo.

Phototherapy itha kuthandiza kupewa zovuta zazikulu zamatendawa.

Matenda a Lucey-Driscoll

Cappellini MD, Lo SF, Swinkels DW. Hemoglobin, chitsulo, bilirubin. Mu: Rifai N, mkonzi. Tietz Textbook of Clinical Chemistry ndi Molecular Diagnostics. Lachisanu ndi chimodzi. St Louis, MO: Elsevier; 2018: mutu 38.

Korenblat KM, Berk PD. Yandikirani kwa wodwala yemwe ali ndi jaundice kapena mayeso osadziwika a chiwindi. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 138.

Lidofsky Sd. Jaundice. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Matenda a Mimba ndi a Fordtran Amatenda a Chiwindi. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: mutu 21.