Jaundice

General tsananguro yechirwere

Pane fungidziro isiriyo yekuti jaundice uye Chirwere cheBotkin Izvi zvakafanana. Muchokwadi, jaundice yakateedzana shanduko yezvirwere inosanganisirwa kwete chete neakaremara chiropa basa, asiwo nedzimwe nhengo. Jaundice inokura nekuda kwekukanganisa metabolic bilirubinizvo zvinogona kukonzerwa nezvakasiyana zvinhu ^[3]… Ichi chiratidzo chekiriniki yezvirwere zvakasiyana siyana.

Iine kuwanda kwakanyanya kwebilirubin mumuviri wemurwere, ganda remurwere, membranes yemaziso eziso uye mucous membranes zvinoshanduka kuita yero (saka zita rechirwere).

Ichi chirwere chakajairika, kunyanya zviitiko zvejundisi zvakanyorwa munyika dzine mamiriro ekunze anodziya, uko mamiriro ehutsanana asina kunyatso cherechedzwa.

Kupatsanura uye zvinokonzera jaundice

• fomu yekubatanidza jaundice inokura nekuda kwemhedzisiro yakaipa pachiropa chemishonga kana zvimwe zvinhu zvekunze. Zvakare, iyi fomu inogona kuve yekuzvarwa;
• hemolytic fomu kunoitika nekuda kwehuturu hwezvinodhaka kana seimwe divi mhedzisiro mu lymphosarcoma uye kupererwa neropa.
• chimiro chemuviri inoitika muvacheche nekuda kwekusakura kweiyo enzyme system;
• neonatal fomu inoitika kazhinji uye inoitika nekukurumidza mushure mekuzvarwa. Inogona kutsamwiswa nenzira isiriyo yakarongedzwa yekudya yemukadzi ane pamuviri, kushayikwa kweIodine mumwana achangoberekwa, kuvapo kwechirwere cheshuga mune amai vanotarisira, kuputa panguva yekubereka mwana, kushomeka kwehomoni mumwana achangozvarwa;
• parenchymal fomu yejaundice inogona kukonzerwa nechiropa chechiropa kana hutachiona hepatitis;
• hepatic fomu inogona kukura ichipesana nemamiriro ekudhakwa kwehepatitis kana chiropa cirrhosis.

Jaundice inogona zvakare kukonzerwa ne;

• cholelithiasis;
• cholestasis;
• matambudziko mushure mekuvhiyiwa;
• zvinodhaka chepfu;
• leptospirosis;
• kenza yechiropa;
• njovhera;
• zvirwere zvakasiyana-siyana;
• zvokuimba kukuvara ari zvomudumbu turakiti;
• kudhakwa nekuda kwekutora mimwe mishonga.

Jaundice zviratidzo

Jaundice zviratidzo zvinoenderana nechimiro chechirwere;

1. 1 suprahepatic fomu jaundice inoratidzirwa neyakaonda yellowness yeganda, iro ganda rine rakacheneruka mumvuri. Panguva imwecheteyo, chiropa chakawedzeredzwa zvishoma, membranes eziso reziso rine toni yemoni, hapana kana marwadzo muiyo chaiyo hypochondrium, mutsvina ine mavara erima nekuda kweiyo yakawedzera stercobilin;
2. 2 ne hepatic jaundice dandemutande tsinga dzinoonekwa pamuviri, mawoko emurwere anova yero, iyo spleen inogona kuwedzera. Murwere anonetseka nezve kurutsa uye kuda kurutsa;
3. 3 subhepatic fomu inozivikanwa neakawedzera nodular chiropa, fivhiri, yakaratidza kuchenesa, kurasikirwa kwehuremu hwemuviri, greenish ganda ganda.

Zviratidzo zvakajairika:

• unopinza uremu;
• icteric ruvara rwe sclera uye mucous membranes;
• mune dzimwe nguva, ganda rinocheka;
• weti yakasviba-yeropa;
• Tsvina mashavi e grey tint;
• kuchinja muropa;
• kutonhora;
• kuneta;
• ganda iri yero, greenish kana tsvuku;
• nausea;
• kudhonza marwadzo muchiropa;
• kuwedzera kwehukuru hwechiropa, uye mune dzimwe nguva peni.

Matambudziko ejaundice

Hunhu hwezvinetso zvechirwere ichi zvinoenderana nematanho ebirirubin muropa, munzvimbo dzakakwirira inokanganisa muviri uye inokanganisa mashandiro enervous system.

Jaundice isimbiso yekuti zvakakomba pathological maitiro ari kuitika mumuviri izvo zvisingakwanise kufuratirwa. Nemabatirwo asiri iwo echirwere cheGospell, kutadza kwechiropa kunogona kuoneka, uye nekurapwa kwechiropa cirrhosis uye hepatitis, murwere anogona kufa.

Mune vacheche, jaundice inowanzo gadzirisa yega mukati memazuva manomwe kusvika gumi. Kana izvi zvikasaitika, saka unofanirwa kubata neonatologist. Yakakwidziridzwa bilirubin mumwana achangozvarwa inogona kukonzera kupererwa neropa, izvo zvinogona kukonzera kunonoka mukukura kwepanyama uye kwepfungwa.

Kudzivirira jaundice

Matanho ekutanga ekudzivirira ejaundice:

1. 1 dzivisa kusagadzikana kwepfungwa-kwepfungwa;
2. 2 kuomerera kubasa uye zororo purogiramu, kuwana zvakakwana kurara;
3. 3 shanyira vanachiremba vemazino chete vanovimbika, cosmetologists uye manicurists, iwe unofanirwa kuve neshuwa kuti vano sterira zviridzwa nenzira kwayo;
4. 4 usawedzere uremu hwakawandisa;
5. 5 bota mvura yepombi;
6. 6 kurapa zvirwere zvinotapukira panguva yakakodzera;
7. 7 usabvumire kushamwaridzana kwepedyo kwepedyo nevanhu vausingazive;
8. 8 edza kurega tsika dzakaipa;
9. 9 usazvinyorere iwe mushonga;
10. 10 geza maveji nemichero musati wadya;
11. 11 tungamira hupenyu hunoshingaira;
12. 12 usaende kumaresitorendi uye kune dzimwe nzvimbo dzekudyira, hutsanana hwaunofungidzira;

Jaundice kurapwa mune yakanyanya mushonga

Nzira dzekurapa dzinoenderana nechimiro uye kuomarara kwechirwere. Muchiitiko ichi, chinhu chikuru ndechekutanga kurapwa nenguva kuti udzivise kuoneka kwematambudziko ane njodzi.

Kana iyo chikonzero che jaundice ichivhara matombo e bile, ipapo murwere anoenda endoscopic papillosphincterotomy. Kuti unyatso kurwisa hutachiona hepatitis, murwere anorayirwa corticosteroids.

Ne jaundice, vese varwere vanoratidzwa mavitamini, madonhedzi ane glucose uye kurapa kunoitirwa kurwisa kudhakwa. Izvo zvinodawo kushandisa antispasmodic zvinodhaka.

Pakati pemaitiro e physiotherapeutic muhondo yekurwisa jaundice, diathermy, ultrasound pachiropa nzvimbo, iontophoresis, plasmaphoresis vakazviratidza zvakanaka.

Chenjerera!

Iwo manejimendi haatarisiri chero kuyedza kwekushandisa ruzivo rwunopihwa, uye haivimbise kuti harukuvadze iwe pachezvako. Izvo zvinhu hazvigone kushandiswa kupa mushonga uye kugadzirisa chirwere. Nguva dzose bvunza chiremba wako wezvechiremba!