Matenda a Gilbert

Zamkati

• Kodi Gilbert's syndrome ndi chiyani?
• Zizindikiro zake ndi ziti?
• Zimayambitsa chiyani?
• Kodi amapezeka bwanji?
• Amachizidwa bwanji?
• Kukhala ndi matenda a Gilbert

Kodi Gilbert's syndrome ndi chiyani?

Matenda a Gilbert ndi chiwindi chobadwa nacho chomwe chiwindi chanu sichitha kusanja gawo lotchedwa bilirubin.

Chiwindi chanu chimaphwanya maselo ofiira akale am'magazi, kuphatikiza bilirubin, yomwe imatulutsidwa mu ndowe ndi mkodzo. Ngati muli ndi matenda a Gilbert, bilirubin imakhazikika mumtsinje wamagazi, ndikupangitsa matenda otchedwa hyperbilirubinemia. Mutha kuwona kuti teremu ikupezeka pazotsatira zoyesa magazi. Zimangotanthauza kuti muli ndi bilirubin yokwanira mthupi lanu. Nthaŵi zambiri, bilirubin yapamwamba ndi chizindikiro chakuti pali chinachake chomwe chikuchitika ndi chiwindi chanu. Komabe, mu Gilbert's syndrome, chiwindi chanu chimakhala chachilendo.

Pafupifupi 3 mpaka 7 peresenti ya anthu ku United States ali ndi matenda a Gilbert's. Kafukufuku wina akuwonetsa kuti akhoza kukhala okwera kwambiri. Si mkhalidwe wovulaza ndipo safunika kuthandizidwa, ngakhale ungayambitse zovuta zazing'ono.

Zizindikiro zake ndi ziti?

Matenda a Gilbert samayambitsa zizindikiro zowonekera nthawi zonse. Ndipotu, 30 peresenti ya anthu omwe ali ndi matenda a Gilbert sangakhale ndi zizindikiro zilizonse. Anthu ena omwe ali ndi matenda a Gilbert samadziwa kuti ali nawo. Nthawi zambiri, samapezeka mpaka atakula.

Zikayambitsa zizindikiro, izi zitha kuphatikizira izi:

• chikasu cha khungu ndi magawo oyera amaso anu (jaundice)
• nseru ndi kutsegula m'mimba
• kusapeza pang'ono m'mimba mwanu
• kutopa

Ngati muli ndi matenda a Gilbert, mutha kuzindikira izi ngati mungachite zinthu zomwe zingakulitse kuchuluka kwanu kwa bilirubin, monga:

• akukumana ndi nkhawa zamthupi kapena zamthupi
• kuchita zolimba
• osadya kwa nthawi yayitali
• osamwa madzi okwanira
• kusagona mokwanira
• kudwala kapena kukhala ndi matenda
• akuchira opaleshoni
• kusamba
• kukhudzana kozizira

Anthu ena omwe ali ndi matenda a Gilbert amapezanso kuti kumwa mowa kumawonjezera zizindikilo zawo. Kwa anthu ena, ngakhale chakumwa chimodzi kapena ziwiri zitha kuwapangitsa kudwala posachedwa. Muthanso kukhala ndi zomwe zimamveka ngati zachilendo kwa masiku angapo. Mowa umatha kukweza milingo ya bilirubin kwakanthawi mwa anthu omwe ali ndi matenda a Gilbert.

Zimayambitsa chiyani?

Matenda a Gilbert ndi chibadwa chomwe makolo anu adakupatsani.

Zimayambitsidwa ndi kusintha kwa mtundu wa UGT1A1. Kusintha kumeneku kumapangitsa kuti thupi lanu lipange bilirubin-UGT yocheperako, ma enzyme omwe amawononga bilirubin. Popanda kuchuluka kwa mavitaminiwa, thupi lanu silitha kukonza bilirubin moyenera.

Kodi amapezeka bwanji?

Dokotala wanu angakuyeseni matenda a Gilbert ngati awona jaundice popanda zizindikilo zina za vuto la chiwindi. Ngakhale mulibe jaundice dokotala wanu amatha kuwona kuchuluka kwa bilirubin panthawi yoyezetsa magazi chiwindi.

Dokotala wanu amathanso kuyesa mayeso monga chiwindi cha chiwindi, CT scan, ultrasound, kapena mayeso ena amwazi kuti athetse zina zamankhwala zomwe zingayambitse kapena kuwonjezera kuchuluka kwanu kwa bilirubin. Matenda a Gilbert amatha kuchitika limodzi ndi ziwindi zina ndi magazi.

Mwinanso mungapeze kuti muli ndi matenda a Gilbert ngati mayeso anu a chiwindi akuwonetsa kuchuluka kwa bilirubin ndipo palibe umboni wina wa matenda a chiwindi. Nthawi zina, dokotala wanu amathanso kugwiritsa ntchito mayeso obadwa nawo kuti awone kusinthika kwa majini komwe kumayambitsa vutoli. Mankhwala a niacin ndi rifampin amatha kuyambitsa bilirubin mu matenda a Gilbert komanso amatsogolera ku matenda.

Amachizidwa bwanji?

Matenda ambiri a Gilbert's syndrome safuna chithandizo. Komabe, ngati mutayamba kukhala ndi zizindikilo zazikulu, kuphatikiza kutopa kapena nseru, dokotala wanu akhoza kukupatsani phenobarbital (Luminal) tsiku lililonse kuti muchepetse kuchuluka kwa bilirubin mthupi lanu.

Palinso zosintha zingapo pamoyo zomwe mungachite kuti muthane ndi zizindikilo, kuphatikiza:

• Muzigona mokwanira. Yesetsani kugona maola asanu ndi awiri mpaka asanu ndi atatu usiku. Tsatirani chizolowezi chokhazikika momwe mungathere.
• Pewani kuchita masewera olimbitsa thupi kwakanthawi. Sungani zolimbitsa thupi mwachidule (pansi pa mphindi 10). Yesetsani kuchita masewera olimbitsa thupi osachepera mphindi 30 tsiku lililonse.
• Khalani osamalidwa bwino. Izi ndizofunikira makamaka panthawi yochita masewera olimbitsa thupi, nyengo yotentha, komanso matenda.
• Yesani njira zopumira kuti muchepetse kupsinjika. Mverani nyimbo, sinkhasinkhani, chitani yoga, kapena yesani zina zomwe zingakuthandizeni kupumula.
• Idyani chakudya choyenera. Idyani nthawi zonse, musadumphe chakudya chilichonse, ndipo musatsatire dongosolo lililonse la zakudya zomwe zimalimbikitsa kusala kudya kapena kudya ma calories ochepa.
• Chepetsani kumwa mowa. Ngati muli ndi vuto lililonse la chiwindi, ndibwino kuti musamamwe mowa. Komabe, ngati mumamwa, lingalirani zakuchepetsa zakumwa zochepa pamwezi.
• Phunzirani momwe mankhwala anu amagwirizanirana ndi matenda a Gilbert. Mankhwala ena, kuphatikiza ena omwe amagwiritsidwa ntchito pochiza khansa, atha kugwira ntchito mosiyana ngati muli ndi matenda a Gilbert's.

Kukhala ndi matenda a Gilbert

Matenda a Gilbert ndi osavulaza omwe safunika kuthandizidwa. Palibe kusintha kwa chiyembekezo cha moyo chifukwa cha matenda a Gilbert. Komabe, mukayamba kuzindikira zizindikilo, mungafunike kusintha zina ndi zina pamoyo wanu.