Kodi Gilber's Syndrome ndi chiyani ndipo amathandizidwa bwanji

Zamkati

• Zizindikiro zotheka
• Momwe matendawa amapangidwira
• Momwe mankhwalawa amachitikira

Gilbert's Syndrome, yomwe imadziwikanso kuti kutayika kwa chiwindi, ndi matenda amtundu womwe amadziwika ndi jaundice, omwe amachititsa anthu kukhala ndi khungu lachikaso ndi maso. Simawerengedwa kuti ndi matenda akulu, kapena kuyambitsa mavuto akulu azaumoyo, chifukwa chake, munthu yemwe ali ndi Syndrome amakhala bola ngati wosanyamula matendawa komanso ndi moyo wofanana.

Matenda a Gilbert amapezeka kwambiri mwa amuna ndipo amayamba chifukwa cha kusintha kwa jini lomwe limayambitsa kuchepa kwa bilirubin, ndiye kuti, ndi kusintha kwa jini, bilirubin silingathe kuwonongeka, kudziunjikira m'magazi ndikupanga mawonekedwe achikaso omwe amadziwika ndi matendawa .

Zizindikiro zotheka

Nthawi zambiri, Gilbert's Syndrome siyimayambitsa zizindikiro kupatula kupezeka kwa jaundice, komwe kumafanana ndi khungu ndi maso achikaso. Komabe, anthu ena omwe ali ndi matendawa amatchula kutopa, chizungulire, kupweteka mutu, nseru, kutsegula m'mimba kapena kudzimbidwa, ndipo zizindikirazi sizomwe zimadziwika ndi matendawa. Nthawi zambiri zimachitika munthu amene ali ndi matenda a Gilbert ali ndi kachilombo kapena akukumana ndi mavuto ambiri.

Momwe matendawa amapangidwira

Matenda a Gilbert ndi ovuta kuwazindikira, chifukwa nthawi zambiri alibe zisonyezo ndipo jaundice imatha kutanthauziridwa ngati chizindikiro cha kuchepa kwa magazi m'thupi. Kuphatikiza apo, matendawa, mosasamala kanthu za msinkhu wawo, nthawi zambiri amawonekera munthawi yamavuto, kulimbitsa thupi kwambiri, kusala kudya kwakanthawi, panthawi yazovuta zina kapena panthawi yakusamba kwa akazi.

Matendawa amapangidwa kuti athetse zina zomwe zimayambitsa chiwindi kuwonongeka, chifukwa chake, mayesero osafunsidwa pakuyesa kwa chiwindi, monga TGO kapena ALT, TGP kapena AST, ndi milingo ya bilirubin, kuphatikiza kuyesa kwamkodzo, kuyesa urobilinogen, magazi count ndipo, kutengera zotsatira zake, kuyeza kwa mamolekyulu kuti mufufuze zosintha zomwe zimayambitsa matendawa. Onani mayeso omwe amayesa chiwindi.

Kawirikawiri zotsatira za kuyesedwa kwa chiwindi kwa anthu omwe ali ndi Gilbert's Syndrome ndizabwinobwino, kupatula mawonekedwe osalunjika a bilirubin, omwe ali pamwamba pa 2.5mg / dL, pomwe nthawi zonse amakhala pakati pa 0.2 ndi 0.7mg / dL. Mvetsetsani chomwe bilirubin ndichindunji.

Kuphatikiza pa mayeso omwe adafunsa a hepatologist, mawonekedwe amunthu amayesedwanso, kuwonjezera pa mbiri ya banja, popeza ndi matenda obadwa nawo.

Momwe mankhwalawa amachitikira

Palibe chithandizo chenicheni cha matendawa, komabe njira zina zodzitetezera ndizofunikira, chifukwa mankhwala ena omwe amagwiritsidwa ntchito polimbana ndi matenda ena sangakhale opukusika m'chiwindi, chifukwa achepetsa ntchito ya enzyme yomwe imayambitsa kagayidwe ka mankhwalawa, monga Mwachitsanzo Irinotecan ndi Indinavir, omwe ndi anticancer komanso ma antiviral motsatana.

Kuphatikiza apo, zakumwa zoledzeretsa siziyenera kulimbikitsidwa kwa anthu omwe ali ndi matenda a Gilbert's, popeza kuti chiwindi chimatha kuwonongeka mpaka kalekale ndipo chimayambitsa kukula kwa matendawa komanso kumachitika matenda owopsa.