Nws yog ib qho txaus ntshai me ntsis thaum koj saib hauv daim iav lossis thaum ib tug neeg hais rau koj tias cov dawb ntawm koj lub qhov muag daj, puas yog? Qhov tseeb, qhov no feem ntau yog thawj qhov cim qhia tias muaj qee yam tsis raug nrog peb lub cev, tshwj xeeb tshaj yog lub siab. Yog li cia peb tham txog qhov daj ntawm lub qhov muag, uas yog hu ua '(Scleral Icterus)', hauv cov lus yooj yim.
Scleral Icterus yog dab tsi tiag?
Hais yooj yim xwb, 'Scleral Icterus' yog thaum qhov dawb ntawm peb lub qhov muag, uas yog, qhov peb hu ua '(Sclera)', zoo li daj. Tab sis muaj lwm yam ntawm no. Nws tsis yog sclera nws tus kheej uas yog daj tiag tiag. Nws yog qhov saum toj no nws, uas yog ib daim nyias nyias, pob tshab hu ua '(Conjunctiva).' Thaum daim nyias nyias no hloov daj, xim daj pom tseeb vim yog qhov dawb ntawm sclera hauv qab.
Muaj coob tus neeg kuj hu nws tias '(Jaundice)'. Tsis muaj dab tsi tsis ncaj ncees lawm nrog qhov ntawd, tab sis lo lus 'Jaundice' yog qhov dav me ntsis. Nws hais txog qhov muag daj thiab daim tawv nqaij daj. Txawm li cas los xij, 'Scleral Icterus' yog ib qho mob uas cuam tshuam rau lub qhov muag .
Vim li cas peb ob lub qhov muag thiaj li daj? Zaj dab neeg ntawm bilirubin
Qhov laj thawj tseem ceeb rau qhov xim daj no yog qhov nce ntxiv ntawm cov tshuaj lom neeg daj hu ua bilirubin hauv peb cov ntshav. Peb hu qhov mob no tias "Hyperbilirubinemia".
Xav txog nws, cov qe ntshav liab hauv peb lub cev kuj muaj lub neej ntev. Bilirubin raug tsim tawm thaum cov qe ntshav liab qub no tawg. Feem ntau, qhov yuav tsum tshwm sim yog tias peb lub siab ua haujlwm zoo li lub lim dej, lim cov bilirubin tsis tsim nyog no tawm ntawm cov ntshav, sib xyaw nrog cov kua tsib thiab coj nws mus rau cov txheej txheem zom zaub mov. Thaum kawg, cov bilirubin ntawd raug tso tawm ntawm lub cev nrog cov quav.
Txawm li cas los xij, yog tias cov bilirubin no tsis tuaj yeem tshem tawm ntawm cov ntshav kom raug, vim yog teeb meem nrog lub siab lossis vim lwm yam, nws pib sib sau ua ke hauv cov ntshav. Qhov kev sib sau ua ke ntawm bilirubin no yog qhov ua rau lub qhov muag thiab daim tawv nqaij daj.
Qhov laj thawj uas ua rau pom qhov xim hloov pauv no thawj zaug yog vim tias bilirubin yooj yim nqus thiab tso rau hauv cov ntaub so ntswg ntawm lub qhov muag hu ua "Conjunctiva." Vim yog keeb kwm yav dhau dawb hauv qab, txawm tias me me ntawm bilirubin peb kuj pom tau yooj yim.
Dab tsi yog cov laj thawj tseem ceeb uas ua rau muaj bilirubin ntau ntxiv?
Muaj ntau yam ua rau bilirubin nce siab thiab qhov muag yuav daj. Qee qhov yooj yim, tab sis qee qhov tuaj yeem loj dua me ntsis. Yog li nws tseem ceeb heev uas yuav tsum paub txog qhov no.
| Ua rau | Ib qho lus piav qhia yooj yim |
|---|---|
| Cov kab mob ntsig txog daim siab | Cov mob xws li kev puas tsuaj rau daim siab vim yog haus dej cawv ( cirrhosis ), kev kis kab mob viral (Hepatitis A, B, C), thiab autoimmune hepatitis . |
| Cov kab mob ntawm lub zais zis thiab lub qog pancreas | Cov mob xws li gallstones , bile duct strictures , lossis pancreatitis . |
| Kev kis kab mob | Kab mob Leptospirosis , kab mob ua npaws xws li dengue, kab mob hnyav uas kis thoob plaws lub cev ( sepsis ), thiab kab mob parasitic (piv txwv li Schistosomiasis ). |
| Cov tshuaj thiab cov tshuaj lom | Siv qee yam tshuaj ntau dhau (piv txwv li cov tshuaj steroids, qee cov tshuaj tua kab mob) thiab cov tshuaj tua kab mob xws li Acetaminophen (Panadol). Qee cov tshuaj ntsuab ib txwm muaj thiab cov tshuaj lom xws li agrochemicals kuj tuaj yeem yog cov ua rau. |
| Cov kab mob caj ces | Cov kab mob uas tau txais los ntawm noob caj noob ces xws li Sickle Cell Disease thiab Gilbert's Syndrome uas cuam tshuam rau bilirubin metabolism. |
| Cov qog thiab cov qog nqaij hlav | Kev thaiv cov kua tsib ntws vim yog cov qog nqaij hlav zoo lossis mob qog noj ntshav hauv lub siab, lub zais zis, lossis cov cheeb tsam cuam tshuam. |
| Mob daj ntseg ntawm cov menyuam mos | Vim tias lub siab ntawm tus menyuam mos tsis tau loj hlob tag nrho, nws yog ib qho ib txwm muaj rau ob lub qhov muag kom daj hauv ob lub lis piam thawj zaug. Txawm li cas los xij, qee zaum, qhov no tuaj yeem ua rau mob hnyav. |
Yuav kho li cas?
Qhov tseem ceeb tshaj plaws uas yuav tsum nkag siab ntawm no yog tias 'Scleral Icterus' tsis yog ib yam kab mob, tab sis yog ib qho tsos mob . Yog li ntawd, kev kho mob tsis yog rau qhov muag daj; nws yog rau qhov mob hauv qab uas ua rau nws.
Piv txwv li, yog tias koj ob lub qhov muag daj vim yog pob zeb hauv lub zais zis, koj yuav raug kho kom tshem tawm cov pob zeb. Yog tias nws yog kab mob siab, koj yuav raug kho rau qhov ntawd. Txhawm rau nrhiav qhov ua rau, koj tus kws kho mob yuav kuaj ntshav, luam theej duab, thiab lwm yam. Yog li , nws yog qhov zoo tshaj plaws los nrhiav kev pab tswv yim los ntawm kws kho mob dua li kev kho koj tus kheej.
Yuav ua li cas yog tias koj tsis quav ntsej txog qhov muag daj?
Qhov muag daj tsis yog ib qho txaus ntshai. Tab sis nws yog ib qho cim ceeb toom . Yog tias tsis kho, qib bilirubin hauv cov ntshav tuaj yeem nce ntxiv thiab cuam tshuam rau lub hlwb. Qhov no yog ib qho mob txaus ntshai heev.
- Tus mob no rau cov menyuam mos hu ua "Kernicterus" thiab tuaj yeem ua rau lub hlwb puas tsuaj mus tas li.
- Tus mob no rau cov neeg laus hu ua "Hepatic Encephalopathy" thiab tuaj yeem ua rau tsis nco qab, tsis meej pem, thiab txawm tias tsis nco qab dab tsi li.
Ob qho xwm txheej no xav tau kev kho mob thaum muaj xwm txheej ceev .
Thaum twg yuav tsum mus ntsib kws kho mob lossis mus rau ETU tam sim ntawd
Yog koj pom tias koj ob lub qhov muag tig daj, teem sijhawm mus ntsib kws kho mob sai li sai tau. Txawm li cas los xij, yog tias koj muaj ib qho ntawm cov tsos mob hauv qab no nrog rau koj ob lub qhov muag daj, mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd.
| Cov tsos mob uas xav tau kev saib xyuas sai | |
|---|---|
| ⚫ Mob plab hnyav los yog mob tas li | ⚫ Kub taub hau |
| ⚫ ntuav tas li | ⚫ Kiv taub hau los yog tsis nco qab |
| ⚫ Mob plab los yog dej khaws cia | ⚫ Kev tsis meej pem, kev tsaug zog, lossis kev nco tsis zoo |
Ib qho lus qhia me ntsis
Qee zaum xim ntawm lub teeb nyob rau hauv peb ib puag ncig (piv txwv li cov teeb daj) kuj tuaj yeem ua rau peb lub qhov muag zoo li daj. Yog li ntawd, yog tias koj muaj kev tsis ntseeg, mus rau thaj chaw uas muaj teeb pom kev zoo, thiab saib hauv daim iav. Ua li ntawd, koj tuaj yeem paub tseeb tias qhov sib txawv ntawm xim yog dab tsi.
Puas tiv thaiv tau qhov teeb meem no?
Txawm hais tias nws tsis tuaj yeem tiv thaiv tau tag nrho los xij, muaj ntau yam uas peb tuaj yeem ua tau los txo qhov kev pheej hmoo.
- Tswj kev haus dej cawv: Kev txwv kev haus dej cawv tuaj yeem txo qhov kev puas tsuaj rau lub siab.
- Txhaj tshuaj tiv thaiv kab mob: Tiv thaiv koj tus kheej los ntawm kev txhaj tshuaj tiv thaiv kab mob uas cuam tshuam rau lub siab, xws li Hepatitis A thiab B.
- Ceev faj txog cov tshuaj: Tsis txhob noj cov tshuaj, tshuaj ntsuab, lossis cov tshuaj ntxiv uas tsis tsim nyog yam tsis tau sab laj nrog kws kho mob. Noj ntau tshaj li qhov koob tshuaj pom zoo, tshwj xeeb yog Acetaminophen (Panadol), tuaj yeem ua rau lub siab puas tsuaj.
- Mus kuaj mob txhua xyoo: Txawm tias kev kuaj ntshav ib txwm tuaj yeem pom kev hloov pauv ntawm kev ua haujlwm ntawm daim siab ua ntej cov tsos mob tshwm sim.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kab mob Scleral icterus (qhov muag dawb daj) tsis yog kab mob, tab sis yog ib qho tsos mob ntawm ib qho mob hauv qab.
- Qhov laj thawj tseem ceeb rau qhov no yog qhov nce ntxiv ntawm cov bilirubin hauv cov ntshav. Qhov no feem ntau tuaj yeem tshwm sim los ntawm teeb meem siab.
- Yog koj pom tias koj ob lub qhov muag daj, tsis txhob ntshai, tab sis tsis txhob tsis quav ntsej . Mus ntsib kws kho mob sai li sai tau.
- Yog tias koj muaj lwm yam tsos mob xws li mob plab hnyav, kub taub hau, lossis tsis meej pem, mus rau chav kho mob ceev (ETU) tam sim ntawd.
- Kev kho mob nyob ntawm seb qhov mob twg ua rau muaj qhov muag daj. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev pab kho mob kom paub tseeb tias koj muaj mob thiab kho tau zoo.
👩🏽⚕️ Cov Lus Nug Ntxiv (FAQs)
💬 Qhov teeb meem txaus ntshai ntawm tus po loj (Tus po loj / Tus po loj) yog dab tsi?
Lub qhov ntswg yog ib lub cev me me uas feem ntau nyob rau sab laug ntawm peb lub hauv siab, hauv qab lub tav tav/tom qab lub plab, uas lim ntshav/rhuav tshem cov qe ntshav liab qub (feem ntau nws me dua koj tus ntiv tes xoo). Tab sis 'Lub qhov ntswg loj' yog ib qho mob uas lub cev no o tuaj yeem hnov hauv qab lub tav tav sab laug (LUQ)! Qhov no yog lub cim ceeb toom loj tshaj plaws ntawm kab mob ntshav loj hauv lub cev.
💬 Dab tsi yog cov ua rau lub qhov ncauj loj dhau ntawm sab laug?
Muaj 3 yam ua rau qhov no: 1) 'Leukemia / Lymphoma' - Hauv qhov no, lub po yuav loj zuj zus vim tias cov qe ntshav qog noj ntshav puv nws. 2) 'Liver Cirrhosis' - Thaum cov ntshav ntws los ntawm lub siab raug thaiv, cov ntshav ntawd puv cov leeg ntawm lub po (Portal hypertension) thiab nws o. 3) Malaria / Dengue lossis jaundice (Malaria / EBV Infections) thiab cov kab mob uas cov qe ntshav liab yaj tsis zoo (Hemolytic anemia) kuj ua rau qhov no.
💬 Thaum muaj ib lub pob/ncej loj hauv qab lub tav sab laug, cov xwm txheej 'txaus ntshai rau lub neej/xwm txheej ceev' uas yuav tsum tau mus pw hauv tsev kho mob tam sim ntawd yog dab tsi?
Qhov no yog ib yam kab mob uas yuav tsum tau mus ntsib kws kho mob (koj yuav tsum mus rau CT Scan). Tab sis qhov txaus ntshai tshaj plaws thiab loj tshaj plaws! 1) Yog tias koj cia li hnov mob hnyav zoo li raug riam chob (mob hnyav heev - Splenic Rupture)' hauv qab lub tav sab laug thiab qhov mob kis mus rau sab laug lub xub pwg (Kehr's sign) thiab koj kiv taub hau thiab tsis nco qab, nws yog 'spleen rupture'! Qhov no tuaj yeem ua rau los ntshav thiab tuag hauv ob peb feeb, yog li koj yuav tsum tau mus pw hauv tsev kho mob yam tsis muaj kev ncua!
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