Zvinotyisa zvishoma kana ukatarisa mugirazi kana mumwe munhu akakuudza kuti machena emaziso ako eyero, handiti? Kutaura zvazviri, izvi zvinogona kuva chiratidzo chekutanga chekuti pane chimwe chinhu chisina kumira zvakanaka mumiviri yedu, kunyanya chiropa. Saka ngatitaurei nezvekutsvuka kwemaziso uku, uko kunonzi `(Scleral Icterus)` mukurapa, muchidimbu.
Chii chaizvo chinonzi Scleral Icterus?
Zvichitaurwa zviri nyore, `Scleral Icterus` ndipo panoonekwa chikamu chichena chemaziso edu, kureva chikamu chatinodaidza kuti `(Sclera)`. Asi pane chimwe chinhu pano. Haisi sclera pachayo iyo iri yero. Ichikamu chiri pamusoro payo, chinova membrane yakatetepa, yakajeka inonzi `(Conjunctiva).` Kana membrane iyi ikashanduka yero, ruvara rweyero runoonekwa zvakajeka nekuda kwesclera chena chiri pasi.
Vanhu vazhinji vanoidaidzawo kuti `(Jaundice)`. Hapana chakaipa nazvo, asi izwi rekuti `Jaundice` rakafara zvishoma. Rinoreva kutsvuka kwemaziso pamwe nekutsvuka kweganda. Zvisinei, `Scleral Icterus` chirwere chinokanganisa maziso zvakanyanya .
Sei maziso edu achichinja kuita yero? Nyaya ye bilirubin
Chikonzero chikuru cheruvara rweyero urwu kuwedzera kwemakemikari eyero anonzi bilirubin muropa redu. Tinodaidza chirwere ichi kuti ``Hyperbilirubinemia```.
Funga nezvazvo, masero matsvuku eropa ari mumuviri wedu ane hupenyu hwese. Bilirubin inogadzirwa kana masero matsvuku aya ekare achiparara. Kazhinji, chinofanira kuitika ndechekuti chiropa chedu chinoshanda sesefa, chichisefa bilirubin iyi isingakoshi kubva muropa, chichiisanganisa nebile uye chichiitungamirira kukugaya. Pakupedzisira, bilirubin iyoyo inoburitswa mumuviri netsvina.
Zvisinei, kana bilirubin iyi ikasabviswa muropa zvakanaka, kungave nekuda kwedambudziko rechiropa kana chimwe chikonzero, inotanga kuungana muropa. Kuunganidzwa uku kwebilirubin ndiko kunoita kuti maziso neganda zviite yero.
Chikonzero chinoita kuti kuchinja kwemavara mumaziso kuonekwe kekutanga ndechekuti bilirubin inonyudzwa zviri nyore uye inoiswa munyama yeziso inonzi ``Conjunctiva.`` Nekuda kwemashure machena ari pasi, kunyangwe bilirubin diki inoonekwa zviri nyore kwatiri.
Ndezvipi zvikonzero zvikuru zvekuwedzera kwemazinga e bilirubin?
Panogona kunge paine zvikonzero zvakawanda zvinoita kuti mazinga e bilirubin akwire uye maziso aite yero. Zvimwe zviri nyore, asi zvimwe zvinogona kunge zvakakomba. Saka zvakakosha kuziva izvi.
| Chikonzero | Tsananguro iri nyore |
|---|---|
| Zvirwere zvine chekuita nechiropa | Zvirwere zvakaita sekukuvadzwa kwechiropa nekuda kwedoro ( cirrhosis ), hutachiona hwemavhairasi (Hepatitis A, B, C), uye autoimmune hepatitis . |
| Zvirwere zvenduru nepancreas | Zvirwere zvakaita sematombo emunduru , kuvharwa kwemugero we bile, kana kuti pancreatitis . |
| Utachiona | Leptospirosis , fivha yemavhairasi yakaita sedengue, hutachiona hwakakomba hunopararira mumuviri wese ( sepsis ), uye hutachiona hwezvipembenene (semuenzaniso Schistosomiasis ). |
| Mishonga uye chepfu | Kushandisa mimwe mishonga zvakanyanya (semuenzaniso ma steroids, mamwe ma antibiotics) uye mishonga inoderedza marwadzo yakaita seAcetaminophen (Panadol). Mimwe mishonga yechivanhu ine chepfu senge agrochemicals inogonawo kuva zvikonzero. |
| Zvirwere zvemajini | Zvirwere zvekuzvarwa nazvo zvakaita seSickle Cell Disease neGilbert 's Syndrome zvinokanganisa mashandiro emuviri we bilirubin. |
| Mapundu nemamota | Kuvharika kwemvura yenyongo nekuda kwezvironda zvegomarara kana kuti zvegomarara muchiropa, nduru, kana nzvimbo dzakabatana nadzo. |
| Jaundice yevana vacheche | Nekuti chiropa chemwana achangoberekwa hachina kukura zvakakwana, zvakajairika kuti maziso ave eyero mumavhiki maviri ekutanga. Zvisinei, mune dzimwe nguva, izvi zvinogona kunge zvakakomba. |
Inorapwa sei?
Chinhu chakakosha kunzwisisa pano ndechekuti 'Scleral Icterus' hachisi chirwere, asi chiratidzo . Saka, kurapwa hakusi kweyero remaziso; asi kune chirwere chakakonzera.
Semuenzaniso, kana maziso ako ari eyero nekuda kwematombo emunduru, ucharapwa kubviswa matombo acho. Kana chiri chirwere chechiropa, ucharapwa izvozvo. Kuti uwane chikonzero, chiremba wako anogona kukuongororwa ropa, kuskena, nezvimwewo. Saka , zvakanaka kutsvaga mazano echiremba pane kuzvirapa wega.
Chii chinoitika kana ukasateerera maziso eyero?
Kutsvuka kwemaziso hakuna njodzi pachakwo. Asi chiratidzo chekunyevera . Kana zvikasarapwa, huwandu hwebilirubin muropa hunogona kuwedzera zvakanyanya uye kutokanganisa uropi. Ichi chirwere chine njodzi zvikuru.
- Dambudziko iri muvana vachangoberekwa rinonzi ``Kernicterus'' uye rinogona kukonzera kukuvara kwehuropi zvachose.
- Dambudziko iri muvanhu vakuru rinonzi "Hepatic Encephalopathy" uye rinogona kukonzera kurasikirwa nendangariro, kuvhiringidzika, uye kutoita coma.
Mamiriro ese aya anoda kurapwa nekukurumidza .
Nguva yekuona chiremba kana kuenda kuETU nekukasika
Kana ukaona kuti maziso ako ava kuita yero, ronga nguva yekuonana nachiremba nekukurumidza. Zvisinei, kana uine chimwe chezviratidzo zvinotevera pamwe chete nemaziso ako eyero, enda kuchipatara cheEmergency Department (ETU) nekukasika.
| Zviratidzo zvinoda kutarisirwa nekukurumidza | |
|---|---|
| ⚫ Kurwadziwa kwemudumbu kwakanyanya kana kuti kunoramba kuripo | ⚫ Fivha |
| ⚫ Kuramba uchirutsa | ⚫ Kunzwa dzungu kana kurasikirwa nepfungwa |
| ⚫ Kuzvimba mudumbu kana kuchengetedza mvura | ⚫ Kuvhiringidzika, hope, kana kurasikirwa nendangariro |
Zano diki
Dzimwe nguva ruvara rwemwenje iri munzvimbo yedu (semuenzaniso mababu eyero) runogonawo kukonzera kuti maziso edu aite seyero. Saka kana muine kusava nechokwadi, endai kunzvimbo ine chiedza chakajeka, uye ine chiedza chechisikigo motarisa mugirazi. Nenzira iyi, munogona kuva nechokwadi chekusiyana kwemavara chaiwo.
Mamiriro ezvinhu aya anogona kudzivirirwa here?
Kunyange zvazvo zvisingagone kudzivirirwa zvachose, pane zvinhu zvakati wandei zvatinogona kuita kuderedza njodzi yacho.
- Dzora doro: Kuderedza kunwa doro kunogona kuderedza zvikuru kukuvara kwechiropa.
- Baiwa majekiseni: Zvidzivirire nekubaiwa majekiseni kubva kuzvirwere zvinokanganisa chiropa, zvakaita seHepatitis A neB.
- Chenjerera nemishonga: Usatore mishonga, mishonga yemishonga, kana zvimwe zvinovaka muviri zvisina basa usina kubvunza chiremba. Kutora mishonga inopfuura yakakurudzirwa, kunyanya Acetaminophen (Panadol), kunogona kukuvadza chiropa.
- Ongororwa nachiremba gore rega rega: Kunyangwe kuongororwa ropa nguva dzose kunogona kuona shanduko mukushanda kwechiropa zviratidzo zvisati zvaonekwa.
Mharidzo Yekuenda Nayo Kumba
- Kutsvuka kwemaziso (scleral icterus) hachisi chirwere, asi chiratidzo chechirwere chiripo.
- Chikonzero chikuru cheizvi kuwedzera kwehuwandu hwebilirubin muropa. Izvi zvinogona kukonzerwa nedambudziko rechiropa.
- Kana ukaona maziso ako achitsvuka, usavhunduke, asi usazviregeredzawo . Enda kuna chiremba nekukurumidza.
- Kana uine zvimwe zviratidzo zvakaita sekurwadziwa mudumbu zvakanyanya, fivha, kana kuvhiringidzika, enda kuchipatara kuEmergency Department (ETU) nekukasika.
- Kurapwa kunoenderana nechirwere chiri kukonzera maziso eyero. Saka, zvakakosha kutsvaga mazano echiremba kuti uongororwe uye urapwe zvakanaka.
👩🏽⚕️ Mibvunzo yekuwedzera (Mibvunzo Inowanzo bvunzwa)
💬 Ndeipi njodzi yekuwedzera kwepleen (Enlarged Spleen / Splenomegaly)?
Chirwatata inhengo diki inowanzo kuwanikwa kuruboshwe rwechipfuva chedu, pasi pembabvu/kumashure kwedumbu, inosefa ropa/inoparadza masero matsvuku eropa ekare (kazhinji kacho kadiki pane chigunwe chako). Asi 'Chirwatata Chakakura' chirwere umo nhengo iyi yakazvimba zvisingawanzoitiki uye inogona kunzwikwa pasi pembabvu yekuruboshwe (LUQ)! Ichi ndicho chiratidzo chikuru chechirwere chakakomba chine chekuita neropa mumuviri.
💬 Ndezvipi zvikonzero zvikuru zvinoita kuti chirwatata chikuru chisanyanya kukura kuruboshwe?
Pane zvikonzero zvikuru zvitatu zvinokonzera izvi: 1) 'Leukemia / Lymphoma' - Muchiitiko ichi, chiropa chinokura nekuti masero ekenza anochizadza. 2) 'Chiropa Chisingaperi' - Kana ropa richiyerera muchiropa ravharika, ropa iroro rinozadza mitsipa yechiropa (Portal hypertension) uye rinozvimba. 3) Malaria / Dengue kana jaundice (Malaria / EBV Infections) uye zvirwere umo masero matsvuku eropa anonyungudika zvisina kujairika (Hemolytic anemia) zvinokonzerawo izvi.
💬 Kana paine bundu/chirebvu chakakura pasi pembabvu yekuruboshwe, ndeapi mamiriro ezvinhu anotyisidzira hupenyu/emergency anoda kuti munhu apinde muchipatara nekukasika?
Ichi chirwere chinoda kuti chiremba aonekwe (unofanira kuenda kuCT Scan). Asi njodzi huru uye yakakomba! 1) Kana ukangoerekana wanzwa 'kurwadziwa kwakanyanya sekunge kubayiwa nebanga kusingatsungiririki (Severe LUQ pain - Splenic Rupture)' pasi pembabvu yekuruboshwe uye kurwadziwa ikoko kukapararira kupfudzi rekuruboshwe (chiratidzo chaKehr) uye kana ukaita dzungu worasikirwa nepfungwa, zvechokwadi 'kuputika kwespleen'! Izvi zvinogona kukonzera kubuda ropa nerufu mukati memaminitsi, saka unofanira kuendeswa kuchipatara nekukurumidza!
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