Ke melemele nei kou mau maka? He loli liʻiliʻi paha ia i loko o ke akepaʻa: E aʻo kākou e pili ana i ka Gilbert's Syndrome!

Ua ʻike anei ʻoe he melemele iki nā keʻokeʻo o kou mau maka , a i kekahi manawa kou ʻili? A i ʻole ua haʻi aku kekahi kauka iā ʻoe ua hōʻike kāu hoʻāʻo koko i kahi kiʻekiʻe iki o ka bilirubin? E hopohopo paha ʻoe. Akā, mai hopohopo, no ka mea, ʻo ka hapa nui o ka manawa ʻaʻole ia he mea koʻikoʻi. I kēia lā e kamaʻilio mākou e pili ana i kēlā ʻano maʻi, i kapa ʻia ʻo Gilbert's Syndrome.

He aha ke ʻano o ka maʻi ʻo Gilbert?

I ka ʻōlelo maʻalahi, ʻo ka 'Gilbert's Syndrome' kahi maʻi genetic kahi i hiki ʻole ai i ko kākou akepaʻa ke hana pono i kahi mea i kapa ʻia ʻo 'bilirubin'. E noʻonoʻo e pili ana i ia mea, i ka wā e haki ai nā hunaola koko ʻulaʻula kahiko i loko o ko kākou kino, hana ʻia kahi mea melemele i kapa ʻia ʻo 'bilirubin'. He huahana ʻōpala kēia. Lawe ke akepaʻa o ke kanaka olakino i kēia 'bilirubin', hoʻololi iā ia, a lawe aku mai ke kino aku.

Akā i loko o ka poʻe me ka Gilbert's Syndrome, ʻaʻole lawa ka hana ʻana o ke akepaʻa i kahi ʻano enzyme e kōkua ai i ka wāwahi ʻana i ka bilirubin. I ka pololei, aia kahi hemahema iki i ka hana ʻana o kēlā enzyme. No laila he aha ka mea e hana ai? Hōʻiliʻili kēlā bilirubin i loko o ke kino. Ke piʻi ka pae o ka bilirubin i loko o ke koko e like me kēia, kapa mākou i ka lāʻau lapaʻau he hyperbilirubinemia.

No laila, he aha kēia 'Bilirubin'?

ʻO Bilirubin, e like me ka mea i ʻōlelo ʻia ma mua, he pigment melemele ia i hana ʻia i ka wā e wāwahi ai ko kākou mau hunaola koko ʻulaʻula kahiko. Loaʻa ia i loko o ko kākou bile. ʻO ka Bile kahi wai i hana ʻia e ke akepaʻa e kōkua ana i ka hoʻoheheʻe ʻana i nā momona i loko o ka meaʻai a kākou e ʻai ai. E like me kou ʻike, he ʻōkana koʻikoʻi loa ke akepaʻa i loko o kā kākou ʻōnaehana hoʻoheheʻe. Hoʻokahe ia i nā mea ʻawahia mai ke koko, hoʻoheheʻe i nā momona, a mālama i ka glucose, ka mea e pono ai no ka ikehu, ma ke ʻano he glycogen.

Pehea ka maʻamau o ka Gilbert's Syndrome?

ʻAʻole kēia he mea kakaikahi e like me kou manaʻo. Ma kahi ʻāina e like me ʻAmelika Hui Pū ʻIa, ua manaʻo ʻia aia ma waena o 3% a me 7% o ka heluna kanaka i loaʻa i kēia maʻi. Eia kekahi, ʻoi aku ka nui o nā kāne e loaʻa i ka 'Gilbert's Syndrome' ma mua o nā wahine. Hiki iā ia ke hoʻopilikia i nā kānaka o kēlā me kēia makahiki a me kēlā me kēia lāhui.

ʻO wai ka mea hiki ke loaʻa i ka `Gilbert's Syndrome`? He aha ke kumu?

He maʻi hoʻoilina ka Gilbert's Syndrome. ʻO ia hoʻi, ua hoʻoili ʻia mai nā mākua a i nā keiki. E like me ko kākou mau ʻano āpau (no ka laʻana, ke kala o ka ʻili , ke kala o ka lauoho, ke kiʻekiʻe), ua hoʻoholo ʻia e nā genes. Pēlā nō, hoʻoilina ka poʻe me Gilbert's Syndrome i kahi loli, a i ʻole mutation, i loko o kahi gene kikoʻī i kapa ʻia ʻo UGT1A1.

I mea e pololei ai, ʻo kahi gene `UGT1A1` olakino e hana i nā enzymes akepaʻa e wāwahi i ka `bilirubin` i ʻōlelo ʻia ma luna a lawe aku mai ke kino. Eia nō naʻe, i nā poʻe me kahi mutation i loko o ka gene `UGT1A1`, he 30% wale nō o ka nui e pono ai o kēia enzyme i hana ʻia. ʻO ka hopena, ʻaʻole hui pono ka `bilirubin` me ka bile a haʻalele i ke kino. No laila, hōʻiliʻili kēlā `bilirubin` keu i loko o ke koko.

He aha nā hōʻailona o ka 'Gilbert's Syndrome'?

ʻO ka mea kupanaha, hoʻokahi o kēlā me kēia ʻekolu o ka poʻe me Gilbert's Syndrome ʻaʻohe o lākou hōʻailona iki. ʻIke wale lākou i ke ʻano ma ka manawa kūpono ke loaʻa iā lākou kahi hoʻāʻo koko no kekahi mea ʻē aʻe.

Eia nō naʻe, i waena o ka poʻe e loaʻa nā hōʻailona, ​​ʻo ka hōʻailona maʻamau ka jaundice, a i ʻole jaundice. Hoʻokumu ʻia kēia e nā pae kiʻekiʻe o ka bilirubin i loko o ke koko. Hiki i ka jaundice ke hoʻolilo i kou ʻili a me nā keʻokeʻo o kou mau maka i melemele. Akā e hoʻomanaʻo, ʻaʻole pono kēia melemele he mea ʻino.

I kekahi manawa, hiki i nā poʻe me ka jaundice a i ʻole Gilbert's Syndrome ke loaʻa nā hōʻailona e like me:

• Ka mimi ʻeleʻele a i ʻole nā ​​ʻōpala lepo.
• Ka paʻakikī i ka noʻonoʻo ʻana i kekahi mea.
• Manaʻo puni ke poʻo .
• Nā pilikia o ka ʻōnaehana hoʻoheheʻe: No ka laʻana, ʻeha o ka ʻōpū, ka maʻi pākī, ka luaʻi.
• Manaʻo luhi loa.
• Nā hōʻailona like me ka maʻi palū e like me ke kuni a me ka ʻūhā.
• ʻAʻohe ʻono o ka meaʻai.

He aha nā lāʻau e hoʻonui ai i nā hōʻailona o ka Gilbert's Syndrome?

Hiki i nā kumu aʻe ke hoʻonui i ka pae o ka bilirubin i loko o ke koko o ke kanaka me Gilbert's Syndrome, e hoʻoulu ai i ka jaundice :

• Ka maloʻo ʻana o ka wai: Inā ʻaʻole ʻoe e inu i ka wai lawa. Hiki ke hana pinepine ʻia kēia i ka wela o ko mākou ʻāina.
• Ka hoʻokē ʻai ʻana a i ʻole ka hōʻalo ʻana i ka ʻai: Nā mea e like me ka ʻai ʻole ʻana i ka ʻaina kakahiaka a i ʻole ka ʻai ʻana i ka ʻaina awakea lohi.
• Maʻi a i ʻole nā ​​maʻi ʻē aʻe: ʻOiai ke anu a i ʻole kekahi maʻi ʻē aʻe hiki ke hoʻonui i nā pae bilirubin.
• Ka Menstruation : No nā wahine, ʻike nui ʻia kēia mau hōʻailona i ka wā o ka menstruation.
• Hoʻoikaika nui: Ke hana nui ʻoe i nā manawa a pau, pāʻani, hoʻoikaika kino, a hana paha i ka hana kaumaha loa.
• Kaumaha: ʻO ke kaomi e kū mai ana i ka hoʻokokoke ʻana mai o nā hoʻokolohua a me ka piʻi ʻana o nā kuleana hana he hopena nō hoʻi ia.

E noʻonoʻo, aia kekahi keiki kāne i kapa ʻia ʻo Nimal. ʻAʻole ʻo ia i ʻike he `Gilbert's Syndrome` kona. I kekahi lā, ua pāʻani ʻo ia i ka cricket me kona mau hoaaloha, ua nui ka hou ʻana, a ʻaʻole i inu i ka wai lawa. I ke kakahiaka aʻe, ua ʻike kona makuahine he melemele iki nā maka o Nimal. I kona hōʻike ʻana iā ia i ke kauka, ua ʻike ʻo ia he `Gilbert's Syndrome` kona, a ua piʻi aʻe kona mau pae bilirubin ma muli o ka luhi o ke ao a me ka nele i ka wai.

Pehea e ʻike ʻia ai ka Gilbert's Syndrome?

He maʻi hoʻoilina ka Gilbert's Syndrome, ʻo ia hoʻi , aia ia mai ka wā hānau mai. Akā, pinepine ʻole ia e ʻike ʻia a hiki i ka hōʻike ʻana o kahi hoʻāʻo koko i nā pae bilirubin kiʻekiʻe. ʻIke pinepine ʻia ia i ka wā ʻōpiopio, i ka hopena o nā makahiki ʻumikūmālua a i ʻole nā ​​makahiki iwakālua mua, i ka wā e hana ʻia ai kahi hoʻāʻo koko no kekahi mea ʻē aʻe.

Ma waho aʻe o nā hoʻokolohua koko, hiki iā ʻoe ke loaʻa nā hoʻokolohua e like me kēia:

• Nā hoʻāʻo hana ate: Nānā kēia i ka maikaʻi o ka hana ʻana o kou ake a me kou mau pae bilirubin.
• Nā hoʻāʻo hoʻoilina: Hiki i kēia ke hoʻoholo pololei inā loaʻa ka loli ʻana o ka gene `UGT1A1` e kumu ai ʻo `Gilbert's Syndrome`.

He aha nā pilikia e hiki ke loaʻa mai ka Gilbert's Syndrome?

Eia ka mea nui: He maʻi palupalu loa ka Gilbert's Syndrome. ʻAʻole ia e hoʻoulu i nā pilikia lōʻihi a i ʻole nā ​​​​pilikia olakino koʻikoʻi. No laila, ʻaʻohe mea e hopohopo ai.

Aia kekahi lāʻau lapaʻau no ka Gilbert's Syndrome? Pehea e mālama ʻia ai?

ʻO ka loaʻa ʻana o nā maka melemele, a i ʻole ka jaundice, hiki ke lilo i mea hopohopo no ke olakino noʻonoʻo. Manaʻo paha ʻoe i nā mea e like me, "Auē, melemele koʻu mau maka, he aha ka manaʻo o kekahi?" Eia naʻe, ʻaʻole pono ka jaundice a me ka Gilbert's Syndrome i kekahi lāʻau kūikawā.

Ua like kēia me ke kala o ko mākou ʻili. He keʻokeʻo loa kekahi, he keʻokeʻo kekahi. ʻAʻole ia he maʻi. Pēlā nō ia.

Hiki ke pale ʻia ka Gilbert's Syndrome?

No ka mea he maʻi hoʻoilina ka Gilbert's Syndrome, ʻaʻohe ala e pale aku ai.

He aha ka prognosis no kekahi kanaka me ka Gilbert's Syndrome?

He nūhou maikaʻi loa nō hoʻi kēia. Hiki i ka poʻe me ka 'Gilbert's Syndrome' ke ola lōʻihi a olakino me ka ʻole o nā pilikia. ʻAʻohe o lākou pilikia olakino lōʻihi ma muli o kēia maʻi.

I ka manawa hea e pono ai ʻoe e ʻike i ke kauka e pili ana i ka Gilbert's Syndrome?

ʻOiai ʻaʻole pono kēia i kekahi lāʻau lapaʻau kūikawā, he manaʻo maikaʻi e ʻike i ke kauka inā hoʻomau ʻoe i nā hōʻailona e like me kēia:

• Nā pilikia hoʻomau o ka ʻōpū (e.g., ʻeha o ka ʻōpū, ka maʻi diarrhea).
• Ka mimi ʻeleʻele a i ʻole nā ​​ʻōpala kala pālolo .
• Kuni a me ke anu.
• Ka melemele mau a pinepine paha o ka ʻili a i ʻole nā ​​​​maka (jaundice) .

He aha nā nīnau e pono iaʻu e nīnau aku i kuʻu kauka e pili ana i ka Gilbert's Syndrome?

Ke ʻike ʻoe he maʻi ʻo Gilbert kou, he mea maʻamau ka nui o nā nīnau. Hiki paha iā ʻoe ke nīnau i kāu kauka i nā mea e like me:

• No ke aha i loaʻa ai iaʻu ka `Gilbert's Syndrome`?
• Pono anei au i ka lāʻau lapaʻau no kēia?
• He aha kaʻu e hana ai e pale aku i ka jaundice?
• Pehea ka lōʻihi o ke ola ʻana o ka jaundice?
• Pono anei au e hana i nā hoʻokolohua genetic e ʻike ai inā loaʻa i nā lālā ʻē aʻe o koʻu ʻohana ʻo Gilbert's Syndrome?
• Pono anei au e hopohopo e pili ana i nā pilikia? (Ua ʻike mākou he hana haʻahaʻa kēia, akā he mea maikaʻi ke ʻike.)

ʻO ka mea hope loa, kekahi mau mea e hoʻomanaʻo ai (Leka Lawe-Home)

He ʻano maʻalahi loa ka maʻi Gilbert ʻaʻole pono ka mālama ʻana. ʻOiai hiki ke hoʻonāukiuki iki ka melemele ʻana o nā maka a me ka ʻili i kekahi manawa, ʻaʻole ia he pilikia olakino no ke kino. ʻO kēia melemele ʻana o ka ʻili a me nā maka e nalowale pinepine ia ma kāna iho . Hiki i kāu kauka ke aʻo iā ʻoe i nā ala e hōʻemi ai i ka manawa kūpono o ka maʻi jaundice e pili ana me ka maʻi Gilbert. No laila, mai noʻonoʻo nui. E ola i kahi ola hauʻoli!

ʻO ka maʻi Gilbert, bilirubin, jaundice, akepaʻa, genetic, UGT1A1, jaundice, akepaʻa, bilirubin, genetic