Syndrome Gilbert akuti: ndichiyani? Zoyambitsa, zizindikiro ndi mankhwala a matenda

Matendawa limodzi ndi kusokonezeka kwa kagayidwe bilirubin, izo anafotokozedwa koyamba mu 1901 ndi A. N. Gilbert (Gilbert). Malinga ndi kafukufuku, ndi matenda ofanana loyang'anizana za 5-7% ya anthu padziko lonse. Kotero palibe chifukwa ndi matenda Gilbert, kodi izo ndi zimene muli zizindikiro zake? Kodi n'zotheka kwathunthu kuchiritsa matendawa?

syndrome Gilbert akuti: ndichiyani?

Pofuna kumvetsa zimene matenda kwenikweni chifukwa, m'pofunika woyamba kupeza zina za kagayidwe bilirubin. Izi pigment chikasu, amene apangidwa chiwindi ndi oipa wa hemoglobin (kupuma pigment magazi). Iwo n'kukhala ufulu chikasu pigment womangidwa mawonekedwe mu zimakhala chiwindi. Chotero bilirubin conjugated igwera mu ndulu, ndiyeno limayenda limodzi ndi ya ndulu mu kapepala kakuti m'mimba ndi excreted ndi ndowe. Pamene matenda ndi unbound bilirubin mu ukuwonjezeka magazi.

syndrome Gilbert wa nthawi zambiri anapezeka ku okhala Africa, ngakhale si zachilendo pakati pa anthu amitundu ina. Mwa njira, anthu amadwala matenda zambiri za maulendo 10 kuposa akazi.

syndrome Gilbert akuti: chiyani komanso chimene chimachititsa izo?

Ichi ndi matenda tinatengera amene amagwirizana ndi ntchito imene imachititsa ena. Chifukwa, chiwindi hepatocytes runningaway osakwanira glucuronyl. Ndi puloteni imeneyi ndi udindo kumanga wa bilirubin kuti glucuronic acid. Choncho, kuchepa kwa thunthu yogwira kumabweretsa milingo apamwamba ufulu chikasu pigment m'magazi.

syndrome Gilbert akuti: ndichiyani nanga zizindikiro zake?

The chizindikiro chachikulu cha matenda ndi matenda a chikasu ndiyo. Tikumbukenso kuti akuchuluka cha matenda zidzayambike ndi zinthu zosiyanasiyana. Makamaka, kuwonongeka kwa moyo wa munthu zimawonedwa chifukwa cha nkhawa kwambiri, kutopa thupi, kutupikana kapena njala, kugwiritsa ntchito mankhwala ena, komanso yapita m'mnyewa wamtima yotupa matenda.

Mogwirizana ndi kuchuluka kwa ndende ufulu wa bilirubin magazi akuoneka yellowness wa khungu ndi sclera. Ndi chitukuko cha zizindikiro zina za matendawa angagwe. Odwala ena amadandaula mutu, ndende kuwonongeka Kusokonezeka m'maganizo, chizungulire, kukumbukira kuwonongeka. Nthawi zina pali kumverera nkhawa kapena mantha obsessive pansi kuti ndi mantha kuukira, ndipo nthawi zina maganizo ndi tulo.

Mwachibadwa, palinso matenda a dongosolo m'mimba - ndi kusowa chilakolako, nseru, kupweteka m'mimba, kupotokola m'dera la ndulu chikhodzodzo, chiwindi mwachikondi, bloating ndi kutsekula m'mimba. Nthawi zina, kukula tsankho zakudya zina, monga chakudya.

Popeza thandizo yake kuti awonetsere zizindikiro za mtima kapena kupuma kulephera, kenaka utentha mamba, ludzu kwambiri, amakhala ndi kusanza, kupweteka kwa minofu, kutupa lymph mfundo. Mu Zikavuta kwambiri chifukwa chakuti chiwindi akufotokozera.

syndrome Gilbert akuti: Chithandizo

Mwatsoka, mankhwala a matenda majini si panopa zotheka. Komano, ambiri a matenda ndi chosaopsa - anthu ambiri kwa zaka zambiri ali n'komwe matenda ake. alowererepo Medical chofunika chokha mu nyengo exacerbation. Choncho, poyamba zizindikiro za matenda a chikasu ndiyo ayenera kukaonana ndi dokotala. Bedi zina, kumwa wambiri madzi, mavitamini ndi kudya bwino kuthandiza matenda kagayidwe. Nthawi zina, wodwalayo Kwalamulidwa phenobarbital amene kumachepetsa mlingo wa bilirubin (ntchito mankhwala simungathe amangosankha, kuyambira mlingo pachithunzichi mpaka zosokonezeka n'zotheka kulephera chiwindi). The zakudya sayenera monga mankhwala okhala ndi mchere; kutetezera ndi mowa - chakudya ayenera kukhala mwatsopano ndi makamaka steamed.