Alamomin jaundice

Baya ga kyakkyawan sakamako, canjin launi na integuments (fata da mucous membranes) ba shi da wani sakamako na pathological. Dangane da abubuwan da ke haifar da jaundice, ana iya haɗuwa da wasu alamun, mai yiwuwa ya sa ya yiwu a daidaita ganewar asali: ciwon ciki, zazzabi, itching, gajiya, ciwon haɗin gwiwa, da dai sauransu.

Bilirubin kyauta, don haka har yanzu ba a “conjugated” a cikin hanta ba, yana da guba ga ƙwaƙwalwa. A cikin jarirai, tarinsa da yawa na iya zama cutarwa musamman ga kwakwalwa kuma yana buƙatar magani na gaggawa.

Menene sanadin?

Baya ga guba na bilirubin kyauta ga kwakwalwa (neurotoxicity), a cikin mafi yawan lokuta, abubuwan da ke haifar da jaundice suna ƙayyade tsinkaye, mara kyau ko mai tsanani dangane da lamarin. Hakanan, magani ya bambanta dangane da asalin jaundice. Don haka ainihin ganewar asali yana da mahimmanci. Don yin wannan ganewar asali, likitoci suna amfani da gwajin asibiti na farko, gwajin jini da duban dan tayi na ciki. Sauran bincike na iya zama dole: CT scan, MRI, cholangiography, endoscopy, biopsy, da dai sauransu.

Tunda jaundice alama ce ba cuta ba, ba ta yaduwa.

Ainihin, akwai nau'ikan jaundice iri biyu:

• Yana iya zama ƙarar samar da bilirubin kyauta
• Ko kuma yana iya zama conjugated bilirubin.

A cikin shari'ar farko, yayin karuwar bilirubin kyauta, yawan abin da ya wuce na iya kasancewa yana da alaƙa da haɓakar ƙwayoyin jajayen jini (hemolysis) ko rashin daidaituwa na bilirubin a cikin hanta. Halin farko yakan haifar da anemia (saukar da matakin haemoglobin) kuma yana iya ba da shawarar cutar jini, ko kamuwa da cuta, sanadin miyagun ƙwayoyi, lalacewar rigakafi, da sauransu.

Game da ciwon jaundice saboda karuwar bilirubin mai hadewa, jaundice yana da alaƙa da cututtukan kwayoyin halitta (cutar Gilbert) wanda ke haifar da rashin isasshen haɗin bilirubin. Wannan cutar Gilbert ko ciwon Gilbert ba shi da kyau a mafi yawan lokuta.

A cikin shari'a ta biyu, lokacin da ya wuce kima na bilirubin mai haɗuwa, ana samun ƙarar kawarwa a cikin fitsari wanda ke ɗaukar launin duhu mai duhu wanda ke hade da canza launi na stools. Ana iya zargin dalilai iri biyu. Na farko, lalacewar hanta (hepatitis, cirrhosis, parasitosis, da dai sauransu) ko cikas a kan bile ducts. nan  hana kawar da bilirubin. A wannan yanayin na ƙarshe, muna neman lissafi musamman, tare da toshe hanyar, don ƙari na gida yana matsawa bile ducts… Wasu abubuwan da ba su da yawa na hepato-biliary suma na iya zama alhakin jaundice.

Halin na musamman na jaundice a jarirai

A cikin jariri, akwai dalilai da yawa na jaundice waɗanda suka dace da wannan lokacin rayuwa.

Hanta a wasu lokuta ba ta girma don haɗa bilirubin. Duk da haka, na karshen yana ƙaruwa sosai saboda jariri dole ne ya "musanya" haemoglobin na tayin don wani nau'i mai girma, wanda ke haifar da lalata yawancin jajayen jini a cikin ɗan gajeren lokaci, wani abu wanda zai iya zama sanadin jaundice.

Hakanan ana iya ganin jaundice a cikin madarar uwa a cikin jarirai masu shayarwa.

Rashin daidaituwar jini tsakanin tayin da mahaifiyarsa na iya zama alhakin lalata jajayen ƙwayoyin jini don haka ga tarin bilirubin. Wannan shine yanayin lokacin da mahaifiyar ta kasance Rh negative kuma ɗanta yana da Rh positive. Mahaifiyar sai ta zama rigar kariya daga cutar Rhesus da ke cikin tayin ta kuma tana yin rigakafi da ke ratsa cikin mahaifa don lalata jajayen kwayoyin jinin jariri. Muddin ba a haifi yaro ba, ana kawar da bilirubin ta wurin mahaifa, amma, bayan haihuwa, tarinsa yana haifar da jaundice.

Baya ga wasu abubuwan da ke da alaƙa da cututtuka na haihuwa, manyan hematomas da ke iya faruwa a lokacin haihuwa suna iya sakin haemoglobin mai yawa don haka. kyakkyawan bilirubin.

Magani ga jaundice

Rigakafin jaundice ba zai yiwu ba a kowane hali. Duk da haka, yin taka tsantsan yana ba da damar iyakance wasu dalilai.

Ga matakan da za su hana kamuwa da cututtukan da ke haifar da jaundice: 

• Matsakaicin yawan shan barasa,
• Yi alurar riga kafi daga hepatitis B ko A,
• Yi jima'i lafiya,
• Mutunta ƙa'idodin tsabta a cikin ƙasashen da ke cikin haɗarin kamuwa da cuta by abinci,
• Ka guji yin azumi ko rashin ruwa idan kana da ciwon Gilbert.

Maganin jaundice shine dalilinsa: 

• Wani lokaci babu wani gudanarwa da ake bukata: wannan shi ne yanayin a cikin gadon cutar Gilbert, wanda zai iya haifar da flare-ups na jaundice yawanci ba tsanani, musamman a lokacin azumi ko dehydration.
• A wasu yanayi, ƙudurin dalilin yana haifar da jaundice (hepatitis, resorption na hematomas, da dai sauransu).
• A cikin jaundice madara madara, dumama na karshen zuwa 60 ° C, ko canzawa zuwa dabara, yawanci warware halin da ake ciki.
• A cikin jaundice na "physiological" na jariri, bayyanar da haske mai launin shudi yana taimakawa wajen kawar da bilirubin. Wani lokaci wannan ma'auni bai isa ba kuma, idan aka yi la'akari da haɗari na jijiyoyi, wajibi ne don yin exsanguino-transfusion (duk jinin jariri an canza shi kuma an maye gurbin shi da ƙarin jini). - A wasu lokuta, ana buƙatar tiyata (dutse, ciwace-ciwacen daji), ko sarrafa takamaiman magunguna (cututtuka, cututtukan jini, ciwon daji).