Kodi maso anu akusanduka achikasu? Mwina ndi Gilbert's Syndrome!

Kodi munayamba mwamvapo ngati maso ndi khungu lanu zikusanduka zachikasu pang'ono? N'zoopsa pang'ono kuona zimenezo, sichoncho? Mungaganize kuti ndi mtundu wina wa matenda a chiwindi. Chimodzi mwa zifukwa zomwe zimayambitsa izi ndi matenda otchedwa Gilbert's syndrome. Koma musachite mantha mukamva dzinalo, si loopsa monga momwe mungaganizire. Ndipotu, ndi matenda a majini osati matenda.

Mwachidule, kodi matenda a Gilbert ndi chiyani?

Matenda a Gilbert ndi matenda ofala kwambiri omwe amapezeka m'mabanja mwathu, kutanthauza kuti ndi obadwa nawo. Munthu amene ali ndi matendawa amakhala ndi zinyalala zambiri zotchedwa bilirubin m'magazi mwake.

Tsopano mwina mukudabwa kuti bilirubin ndi chiyani. N'zosavuta kwambiri. Maselo ofiira a m'magazi m'thupi lathu nawonso amakhala ndi moyo wautali. Moyo umenewo ukatha, amasweka. Bilirubin ndi utoto wachikasu, kapena zinthu zonyansa, zomwe zimapangidwa maselo ofiira a m'magazi akasweka. Nthawi zambiri, chiwindi chathu chimatenga bilirubin iyi, kuikonza, ndikuichotsa m'thupi kudzera mu ndulu.

Koma kwa anthu omwe ali ndi matenda a Gilbert, chiwindi sichipanga enzyme yapadera yokwanira yomwe imagwira ntchito imeneyi. Choncho bilirubin singathe kuchotsedwa kwathunthu, ndipo ina imakhalabe m'magazi. Pamene kuchuluka kwa bilirubin m'magazi kukukwera, nthawi zina maso ndi khungu zimakhala zachikasu. Timatchanso izi kuti jaundice .

Kodi chifukwa cha vutoli n'chiyani?

Izi zimachitika chifukwa cha kusiyana pang'ono kwa majini athu. Monga momwe timatengera zinthu monga mtundu wa khungu ndi kapangidwe ka tsitsi kuchokera kwa makolo athu, izi ndi zoona.

Pali jini m'thupi mwathu yotchedwa UGT1A1 . Jini iyi imatilangiza kupanga enzyme ya chiwindi yomwe ndatchula kale yomwe imayeretsa bilirubin. Matenda a Gilbert amayamba chifukwa cha kusintha pang'ono kwa jini iyi.

Kuti mukhale ndi vutoli, muyenera kukhala ndi makope awiri a jini yosinthika. Izi zikutanthauza kuti muyenera kulandira jini kuchokera kwa amayi anu ndi abambo anu . Komabe, ngakhale mutakhala ndi majini onse awiri, si aliyense amene angasonyeze zizindikiro za matenda a Gilbert. Komanso, vutoli ndi lofala kwambiri mwa amuna kuposa akazi.

Kodi zizindikiro za matenda a Gilbert ndi ziti?

Ndipotu, anthu ambiri omwe ali ndi matenda a Gilbert alibe zizindikiro zilizonse . Ali ndi ma enzyme okwanira a chiwindi kuti azitha kuwongolera kuchuluka kwa bilirubin m'thupi lawo.

Chizindikiro chachikulu komanso nthawi zina chokhacho ndi chikasu cha maso ndi khungu, chomwe chimadziwika kuti jaundice. Ngati maso anu akuwoneka achikasu, ndikofunikira kupita kwa dokotala kuti akakuwoneni , chifukwa pakhoza kukhala zifukwa zina.

Anthu ena akhoza kukhala ndi zizindikiro zotsatirazi pamodzi ndi chikasu cha maso:

• Kusanza ndi kuvutika m'mimba
• Kusasangalala m'mimba
• Kumva kutopa kwambiri (kutopa)
• Mkodzo wakuda

N’chifukwa chiyani maso anga nthawi zina amasanduka achikasu, osati nthawi zonse?

Funso ili ndi labwino. Pali zinthu zina zomwe zingayambitse kuchuluka kwa bilirubin m'thupi lathu. Apa ndi pamene nthawi zambiri timaona maso achikasu.

Kodi mungazindikire bwanji vutoli?

Ngakhale kuti matenda a Gilbert ndi matenda obadwa nawo, nthawi zambiri amapezeka mwa anthu azaka za m'ma 20 kapena 30. Zimenezi zimachitikanso mwangozi.

Tangoganizani kuti mukuyesedwa magazi pazifukwa zina. Kenako dokotala wanu akuona kuti bilirubin m'magazi mwanu ndi yokwera pang'ono kuposa yachibadwa. Kenako angaganize kuti muli ndi matenda a Gilbert.

Kenako, kuti atsimikizire kuti palibe matenda ena oopsa a chiwindi, dokotala angachite mayeso angapo, monga:

• Mayeso a Ntchito ya Chiwindi (LFT): Iyi ndi mayeso ofala a magazi.
• Kuyeza Chiwindi (Liver Ultrasound): Kufufuza mavuto ena a chiwindi.
• Mayeso a Majini: Tsimikizirani ngati muli ndi kusintha kwa majini kwa UGT1A1.
• Kufufuza Chiwindi: Izi zimachitika kawirikawiri.

Chithandizo ndi zomwe tingachite tokha

Nkhani yabwino ndi yakuti anthu ambiri omwe ali ndi matenda a Gilbert safuna chithandizo chilichonse , ndipo chikasu cha maso anu sichidzakubweretserani mavuto a nthawi yayitali.

Choncho chomwe tiyenera kuchita ndikukhala kutali kwambiri ndi zinthu zomwe ndatchula kale zomwe zimawonjezera kuchuluka kwa bilirubin.

• Musamadumphe chakudya, makamaka mukasala kudya.
• Imwani madzi ndi zakumwa zambiri. Musalole kuti thupi lanu liume.
• Pewani kupsinjika maganizo. Chitani zinthu zopumulitsa monga 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 otopetsa. Kuchita masewera olimbitsa thupi pang'ono n'kwabwino, koma musadzikakamize mopitirira muyeso.

Zimene muyenera kudziwa mukamamwa mankhwala!

Izi ndizofunikira kwambiri. Ngati muli ndi matenda a Gilbert, muyenera kudziwa izi musanamwe mankhwala atsopano.

Enzyme yomweyi yomwe imayeretsa bilirubin m'chiwindi chathu imathandizanso kuphwanya ndi kuchotsa mankhwala ena m'thupi. Chifukwa chake, chifukwa muli ndi matenda a Gilbert, ntchito ya enzyme imeneyo imachepa pang'ono. Chifukwa chake, ngati mumwa mankhwala otere, amasonkhana m'thupi mopitirira muyeso.Chiwopsezo cha zotsatirapo zake n'chokwera.

Mwachitsanzo, onani mankhwala awa:

• Acetaminophen - (Muli Panadol, Paracetamol)
• Irinotecan - mankhwala ogwiritsidwa ntchito pochiza khansa
• Mankhwala ena a HIV ndi chiwindi cha chiwindi C (Protease inhibitors)