Kodi maso anu nthawi zina amasanduka achikasu? Mwina ndi Gilbert Syndrome!

Kodi nthawi zina mumamva ngati maso anu oyera ndi achikasu pang'ono? Kapena mnzanu anakufunsanipo kuti, "N'chifukwa chiyani maso anga ndi achikasu?"? Zimenezi zikachitika, mwadzidzidzi mumaopa kuti, "O, kodi inenso ndili ndi matenda a jaundice?" Chifukwa tonse tikudziwa kuti chikasu cha maso chikhoza kukhala chizindikiro cha vuto linalake la chiwindi. Koma si matenda onse a jaundice omwe amayamba chifukwa cha matenda aakulu a chiwindi. Lero tikambirana za matenda omwe anthu ambiri ali nawo, koma si chinthu choopa kwambiri. Ndi Gilbert Syndrome.

Mwachidule, kodi Gilbert Syndrome ndi chiyani?

Matenda a Gilbert si matenda oopsa. Ndi matenda ofala kwambiri omwe amafalikira kuchokera ku mibadwomibadwo. Tangoganizani kuti maselo ofiira a m'magazi athu amafa pakapita nthawi. Kenako, akawonongeka, zinyalala zachikasu zotchedwa bilirubin zimapangidwa. Zimawoneka ngati zinyalala zobiriwira zomwe zikuwola. Chimodzi mwa ntchito zazikulu za chiwindi chathu ndikuchotsa zinyalala izi zotchedwa bilirubin m'thupi.

Anthu omwe ali ndi Gilbert's Syndrome amachotsa bilirubin pang'onopang'ono. Izi zili choncho chifukwa chiwindi chawo chili ndi enzyme yochepa yomwe imathandiza pa izi. Jini yomwe imakhudza izi imatchedwa `UGT1A1`. Kuti mukhale ndi vutoli, muyenera kuti mwalandira makope awiri a jini yosinthidwayi, imodzi kuchokera kwa amayi anu ndi ina kuchokera kwa abambo anu.

Mwachidule, zili ngati fakitale yomwe ili m'chiwindi, komwe zinyalala za bilirubin zimagwira ntchito pang'onopang'ono. Nthawi zina chinthu chachikasu ichi chotchedwa bilirubin chimasonkhana m'magazi. Pamenepo ndi pomwe maso ndi khungu zimaoneka zachikasu. Timatchanso izi jaundice . Koma kumbukirani, Gilbert's Syndrome si matenda omwe amawononga chiwindi ndipo si chinthu choopa.

Kodi zizindikiro zake ndi ziti? N’chifukwa chiyani zimaonekera mwadzidzidzi?

Nthawi zambiri, anthu omwe ali ndi Gilbert's Syndrome sasonyeza zizindikiro zilizonse. Enzymeyi ndi yokwanira kulamulira kuchuluka kwa bilirubin m'thupi lawo.

Koma nthawi zina zapadera, kuchuluka kwa bilirubin m'magazi kumawonjezeka pang'ono. Apa ndi pamene zoyera za maso ndi khungu zimasanduka zachikasu. Timatcha izi jaundice. Ngati muwona mtundu uwu wa chikasu, muyenera kuwonana ndi dokotala kuti mudziwe ngati pali chifukwa china chachikulu.

Nthawi zina, chikasu ichi chingaphatikizepo mutu, kutopa, komanso kusasangalala m'mimba.

Nanga n’chifukwa chiyani kuchuluka kwa bilirubin kumeneku kumawonjezeka mwadzidzidzi? Pali zifukwa zingapo zomwe zimakhudza izi. Tiyeni tiwone zomwe zili.

Kodi dokotala amapeza bwanji izi?

Nthawi zambiri, munthu amapezeka ndi Gilbert's Syndrome mwangozi. Mwina mukayezetsa magazi chifukwa cha vuto lina, dokotala wanu amazindikira kuti bilirubin yanu ndi yokwera pang'ono kuposa yachibadwa. Pamenepo ndiye amakayikira.

Njira izi nthawi zambiri zimatsatiridwa kuti adziwe matendawa:

• Mayeso a magazi:Kuchuluka kwa bilirubin kumayesedwa. Kuyesedwa kwa chiwindi kumachitikanso kuti kuwonetse momwe chiwindi chikugwira ntchito. Izi zitha kuletsa matenda ena akuluakulu a chiwindi.
• Kujambula kwa Ultrasound: Nthawi zina kujambulidwa kungachitike kuti zitsimikizire kuti palibe mavuto ena ndi chiwindi (monga miyala kapena mafuta omwe ali m'chiwindi).
• Mayeso a Majini: Mayesowa akhoza kuchitidwa kuti atsimikizire ngati pali kusintha kwa majini a `UGT1A1`. Komabe, izi sizimachitika nthawi zonse.
• Kufufuza Chiwindi: Izi sizimachitika kawirikawiri pofuna kudziwa ngati pali matenda a Gilbert. Zimachitika pokhapokha ngati pali kukayikiridwa kuti pali matenda ena oopsa.

Kodi pali mankhwala a Gilbert Syndrome? Kodi tiyenera kuchita chiyani?

Nkhani yabwino ndi iyi. Matenda a Gilbert si matenda omwe amafunika chithandizo. Kutupa kwachikasu komwe kumayambitsa sikudzavulaza thupi lanu kwa nthawi yayitali.

Choncho chomwe tiyenera kuchita ndikukhala kutali momwe tingathere ndi zinthu zomwe zimawonjezera kuchuluka kwa bilirubin zomwe tidakambirana kale.

• Musamadumphe chakudya. Idyani pa nthawi yake.
• Imwani madzi ambiri. Ndikofunikira kwambiri kumwa malita osachepera awiri kapena atatu a madzi patsiku.
• Chepetsani nkhawa. Pumulani maganizo anu mwa kusinkhasinkha, kumvetsera nyimbo, kapena kuchita zinthu zosangalatsa zomwe mumakonda.
• Gonani bwino. Gonani maola osachepera 7-8 patsiku.
• Chepetsani kapena siyani kumwa mowa kotheratu.
• Pewani kuchita masewera olimbitsa thupi omwe amaika thupi pamavuto ambiri. Zinthu monga kuyenda nthawi zonse ndi yoga ndi zabwino.

Nkhani yofunika kwambiri!

Apa ndi pamene muyenera kuyang'ana kwambiri. Enzyme yomweyi yomwe imaphwanya bilirubin m'chiwindi chathu imathandizanso kuchotsa mankhwala ena m'thupi. Chifukwa enzyme imeneyo imagwira ntchito pang'onopang'ono kwa munthu amene ali ndi Gilbert's Syndrome, mankhwala amenewo amakhala m'thupi kwa nthawi yayitali ndipo nthawi zambiri angayambitse zotsatirapo zoyipa.

Mwachitsanzo, mankhwala omwe amagwiritsidwa ntchito kwambiri monga acetaminophen (Panadol, Paracetamol) ali m'gululi. Palinso mankhwala monga `Irinotecan`, omwe amagwiritsidwa ntchito pochiza khansa, ndi `Protease inhibitor`, omwe amagwiritsidwa ntchito pochiza HIV ndi Hepatitis C.

Choncho, mukapita kwa dokotala, ndikofunikira kwambiri kunena kuti, "Ndili ndi Gilbert Syndrome." Kenako dokotala adzaganizira zimenezo akakupatsani mankhwala.