Ngaba wakha waphawula ukuba amhlophe emehlweni akho okanye emehlweni omntu omaziyo ajike aba tyheli? Ngamanye amaxesha aba nombala otyheli. Oku sikubiza ngokuba yi-jaundice. Asinto yokoyika, kodwa ayilocebo lilungileyo ukuyityeshela . Kuba ukutyheli kwamehlo luphawu lwento eyenzekayo emzimbeni wethu. Ngoko ke, masithethe ngale nto namhlanje.
Kutheni amehlo ejika abe tyheli ngokwenene?
Ukuze sikuqonde oku, kufuneka siqale siqonde inkqubo encinci eyenzeka emizimbeni yethu. Iiseli ezibomvu zegazi egazini lethu ziyaqhekeka ngokuhamba kwexesha. Xa ezi ziqhekeka, kwakheka ikhemikhali etyheli ebizwa ngokuba yi-bilirubin .
Ngokwesiqhelo, isibindi sethu sisebenza njengesihluzo, sihluza le bilirubin egazini size siyisebenzisele ukwenza ulwelo olubizwa ngokuba yi-bile. Le bili emva koko ihamba ngemibhobho ye-bile iye kwinkqubo yethu yokugaya ukutya ize ikhutshwe emzimbeni kwindle.
Ngamafutshane, i-bilirubin "yinkunkuma" emthubi eveliswa emzimbeni. Isibindi "ngumzi-mveliso" osusa le nkunkuma.
Nangona kunjalo, ukuba ngesizathu esithile, i-bilirubin eninzi kakhulu iqokelelana emzimbeni, okanye ukuba isibindi asikwazi ukuyisusa kakuhle, le nto ityheli iqokelelana egazini lethu. Xa oku kuqokelelene, amhlophe emehlweni ethu, kwaye ngamanye amaxesha ulusu, luqala ukubonakala lutyheli. Oku kubizwa ngokuba yi-jaundice.
Zithini izizathu eziphambili zamehlo atyheli?
Akukho sizathu sinye nje sokuba amehlo abe tyheli, zinokubakho ezininzi. Makhe sijonge ezona ziphambili.
| Isizathu | Ingcaciso elula |
|---|---|
| I-Hepatitis | Kulapho isibindi sivuvukala khona (sidumbile). Oku kunokubangelwa ziintsholongwane (ezifana neHepatitis A, B, kunye ne-C), amayeza athile, kunye nokusela utywala kakhulu. Xa isibindi sonakele, asiyihluzi kakuhle i-bilirubin. |
| Amatye enyongo | Amatye aqulunqwa kwinyongo, ekwisibindi, anokuvala imibhobho yenyongo. Kufana nokuvaleka kombhobho wamanzi. I-Bilirubin iqokelelana egazini. |
| Ukusela utywala ngokugqithisileyo | Ukusela kakhulu iminyaka emininzi kunokubangela umonakalo omkhulu kwisibindi. Iiseli zesibindi ziyatshatyalaliswa kwaye zithatyathelwe indawo yizicubu ezibomvu. Le meko ibizwa ngokuba yi-cirrhosis . Isibindi asisakwazi ukusebenza kakuhle. |
| Amanye amayeza | I-jaundice ingaba yimpembelelo embi yamanye amayeza. Imizekelo ibandakanya: ukuthatha i-acetaminophen/paracetamol eninzi, ii-penicillins (i-Amoxicillin/clavulanate), iipilisi zokulawula ukuzalwa, amanye amayeza engqondo, kunye nee-steroids. |
| Umhlaza | Izinto ezifana nomhlaza wesibindi kunye nomhlaza wepancreatic zinokubangela ukuvaleka kwe-bile duct kunye ne-jaundice. |
| Ezinye izifo zegazi | Kwiimeko ezifana ne -hemolytic anemia, iiseli ezibomvu zegazi ziyaqhekeka ngokukhawuleza kunesiqhelo. Isibindi asikwazi ukulawula ubungakanani be-bilirubin eveliswayo. I-Sickle cell anemia yenye imeko enjalo. |
Ukongeza, iimeko ezingaqhelekanga kakhulu ezifana nemalariya, ezinye izifo zesibindi ezibangelwa zizinambuzane, kunye nesifo semfuza iGilbert syndrome nazo zinokubangela amehlo atyheli.
Masifunde ngakumbi ngamehlo atyheli kwiintsana ezisandul’ ukuzalwa.
Iintsana ezininzi ezisandul’ ukuzalwa ziba ne-jaundice kwiintsuku ezimbalwa emva kokuzalwa. Oku kuqhelekile kwiimeko ezininzi. Ngenxa yokuba isibindi somntwana asikakhuli ngokupheleleyo, i-bilirubin ethile inokuqokelelwa.
Ungabona iimpawu ezifana nezi:
- Ukuqala ngobuso, amehlo nolusu luba tyheli.
- Ukuncipha kokusetyenziswa kobisi.
- Ubonisa ukozela kakhulu kunesiqhelo.
Kodwa nangona oku kuqhelekile, ungaze ukutyeshele. Kuba ukuba inqanaba le-bilirubin linyuka kakhulu, lingonakalisa ingqondo yomntwana. Ngoko ke, ukuba ubona ukuba amehlo omntwana wakho aphuzi, kubalulekile ukubona ugqirha ngokukhawuleza kwaye ucele ingcebiso.
Amaxesha amaninzi, xa umntwana esondliwa kakuhle, i-bilirubin eyongezelelweyo ikhutshwa emzimbeni ngendle. Ngamanye amaxesha oogqirha bacebisa ukuba umntwana abekwe phantsi kokukhanya okukhethekileyo (phototherapy) ukuze kuncitshiswe amanqanaba e-bilirubin. Siyibiza ngokuba "lunyango olukhanyayo."
Indlela yokususa amehlo atyheli?
Le yingxaki abantu abaninzi abanayo. Khumbula, amehlo atyheli luphawu nje. Ukuze uyisuse, kufuneka unyange imeko ebangela loo nto.
- Ukuba unobangela yi-gallstones, kunokufuneka anyangwe ngamayeza okanye asuswe ngotyando.
- Ukuba sisifo sentsholongwane esifana ne-hepatitis, ugqirha uya kukunika amayeza afunekayo.
- Ukuba le meko ibangelwa kukusela utywala, kuya kufuneka uyeke ngokupheleleyo ukusela utywala.
- Ukuba ibangelwa liyeza elithile, ugqirha uza kuliyeka elo yeza aze akunike elinye ithuba.
Ngoko ke, ukuba uqaphela ukuba amehlo akho aphuzi, nceda ubone ugqirha ukuze ufumane unobangela ochanekileyo kwaye ufumane unyango olufanelekileyo, endaweni yokuzama ukuzinyanga ngokujonga izinto kwi-intanethi.
Umyalezo Wokuya Ekhaya
- I-jaundice, okanye ukutyheli kwamehlo, ayisosifo, kodwa luphawu lwenye ingxaki emzimbeni.
- Oku kungenxa yokuqokelelwa kakhulu kwento etyheli ebizwa ngokuba yi-bilirubin egazini.
- Izifo zesibindi (i-hepatitis, i-cirrhosis), amatye enyongo, ezinye iintlobo zomhlaza, kunye nezifo zegazi zinokuba zezona zinto zibangela oku.
- Ungaze uwatyeshele amehlo atyheli. Ngokuqinisekileyo bonana nogqirha ukuze ufumane unobangela.
- Nangona i-jaundice ixhaphakile kwiintsana ezisandul’ ukuzalwa, kusabalulekile ukufuna iingcebiso zonyango.
- Unyango luxhomekeke kwisizathu esibangela ukuba amehlo abe tyheli, ngoko ke ukuxilongwa ngokuchanekileyo kubalulekile.
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