Kodi bilirubin mumkodzo amatanthauzanji komanso zoyenera kuchita

Zamkati

• 1. Chiwindi
• 2. Matenda a chiwindi
• 3. Khansa ya chiwindi
• 4. Miyala yamiyala

Kupezeka kwa bilirubin mumkodzo nthawi zambiri kumawonetsera mavuto a chiwindi ndipo kumatha kuzindikirika chifukwa cha utoto wakuda wachikaso mpaka lalanje, kutsimikizika kudzera pakuwunika mkodzo.

Bilirubin ndi chinthu chochokera ku hemoglobin, yomwe imasungunuka, imasungunuka m'chiwindi, imalandira dzina la bilirubin, imatumizidwa m'matope a ndulu ndi matumbo, komwe imachita manyazi, ndipo imachotsedwa mu ndowe ngati sterobilinogen komanso mumkodzo ngati urobilinogen.Pakakhala mavuto ndi chiwindi kapena ma ducts, bilirubin yachindunji imabwerera kufalikira ndipo imatha kusefedwa kudzera mu impso ndikuchotsa mkodzo. Dziwani zambiri za bilirubin.

Zomwe zimayambitsa bilirubin mumkodzo ndi:

1. Chiwindi

Chiwindi ndi chimodzi mwazomwe zimayambitsa bilirubin mumkodzo, chifukwa chifukwa cha kutupa kwa chiwindi, bilirubin yolumikizidwa silingatsatire njira yochotsera, kubwerera kumayendedwe ndipo imatha kusefedwa kudzera mu impso ndikuchotsa mkodzo.

Hepatitis ndikutupa kwa chiwindi komwe kumatha kuchitika chifukwa cha matenda a virus, kugwiritsa ntchito mankhwala mobwerezabwereza kapena chifukwa cha matenda amthupi, malungo, kupweteka mutu, kutupa m'mimba ndi mipando yoyera. Kuphatikiza apo, ngati matendawa sakudziwika ndikuthandizidwa, pakhoza kukhala jaundice, momwe maso ndi khungu zimasanduka zachikasu. Nazi njira zodziwira mitundu ya hepatitis.

Zoyenera kuchita: Ngati akuganiziridwa kuti ali ndi matenda a chiwindi, ndikofunikira kupita kwa asing'anga kapena hepatologist kuti mukayese mayeso a matenda, monga serology ya ma virus a hepatitis, kuyesa ma enzyme a chiwindi ndi kuyesa kwamkodzo. Potsimikizira matenda a chiwindi, adokotala amatha kuwonetsa chithandizo chokwanira malinga ndi mtundu wa matenda a chiwindi, omwe amatha kusiyanasiyana ndi kupumula komanso kuchuluka kwa madzimadzi, kugwiritsa ntchito mankhwala, monga Interferon, mwachitsanzo.

2. Matenda a chiwindi

Mu cirrhosis pali kutupa kosalekeza komanso kosalekeza kwa chiwindi, komwe kumalepheretsa chiwalo ichi kuchita ntchito zake molondola. Chifukwa chake, chiwindi chikayamba kuchepa, bilirubin imalephera kulowa m'matumba am'mimba ndi m'matumbo kuti athamangitsidwe, kubwerera kumayendedwe ndikuchotsedwa mumkodzo.

Cirrhosis ya chiwindi imatha kuchitika chifukwa cha matenda a chiwindi, koma nthawi zambiri imakhudzana ndikumwa zakumwa zoledzeretsa pafupipafupi, zomwe zimabweretsa zizindikilo monga kufooka, kutopa kwambiri, kuonda popanda chifukwa, kusowa njala, kupindika kwa minyewa komanso kulephera kwa impso . Dziwani zina mwazizindikiro za chiwindi cha chiwindi.

Zoyenera kuchita: Mankhwala omwe akuwonetsedwa ndi dokotala kapena hepatologist a chiwindi amasiyana malinga ndi vutoli, ndipo nthawi zambiri amawonetsedwa kuti amasiya kumwa zakumwa zoledzeretsa ndikumamwa chokwanira chomwe chimaphatikizaponso mavitamini owonjezera kuti pasakhale zolakwika m'thupi. Ndikofunikira kuti chiwindi chizindikiridwe ndikuchiritsidwa mwachangu kuti matenda apitirire ndipo, chifukwa chake, kupatsira chiwindi kutetezedwe.

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3. Khansa ya chiwindi

Monga momwe zimakhalira ndi matenda a chiwindi ndi matenda enaake, khansa ya chiwindi limba ili mkati mwa kutupa kwa kuwonongeka kwakanthawi, komwe kumathandizira kuthetseratu bilirubin mkodzo.

Khansara yamtunduwu imapezeka pafupipafupi kwa anthu omwe ali ndi mafuta m'chiwindi kapena omwe amagwiritsa ntchito anabolic steroids pafupipafupi ndipo zizindikirazo zimawonekera matendawa atayamba kale, monga kupweteka m'mimba, kusowa chilakolako popanda chifukwa chomveka, mopitirira muyeso kutopa, khungu ndi maso achikaso komanso nseru nthawi zonse. Phunzirani momwe mungadziwire khansa ya chiwindi.

Zoyenera kuchita: Ngati mukuganiza kuti khansa ya chiwindi, ndikofunikira kupita kwa hepatologist kukayezetsa, monga m'mimba ultrasound ndi computed tomography, mwachitsanzo. Kuphatikiza apo, mayeso ena a labotale, monga kuyeza kwa michere ya chiwindi, atha kuwonetsedwa. Ngati chitsimikiziro cha khansa ya chiwindi, adokotala amatha kuwonetsa kuchotsedwa kwa madera onse okhudzidwa ndi chemotherapy.

4. Miyala yamiyala

Kupezeka kwa miyala mu ndulu kungayambitsenso kuoneka kwa bilirubin mumkodzo. Izi ndichifukwa choti miyala imakhalapo, bilirubin yolunjika siyingathe kulowa m'matumbo, kubwerera kumayendedwe, komwe imasefedwa ndi impso ndikuchotsedwa mumkodzo.

Miyala yamiyala kapena miyala yamtengo wapatali imadza chifukwa cha kusintha kwa kapangidwe ka bile, komwe kumatha kukhala kokhudzana ndi zakudya, moyo komanso kugwiritsa ntchito njira zolera kwanthawi yayitali. Chizindikiro chachikulu cha mwala mu ndulu ndi biliary colic, womwe umafanana ndi ululu waukulu kumanja kwa mimba, kuphatikiza pakuchepa kwa njala, kutsegula m'mimba ndi maso achikaso ndi khungu. Dziwani zizindikilo za gallstones.

Zoyenera kuchita: Chithandizo chomwe chimasonyezedwa nthawi zambiri pankhani ya ma gallstones ndikuchotsa ndulu kudzera mu opaleshoni. Kenako, ndikofunikira kuti munthuyo azikhala ndi chakudya choyenera, zipatso, ndiwo zamasamba ndi zakudya zonse komanso mafuta ochepa komanso zakudya zokazinga.