Ngaba wakha waziva ngathi amehlo akho amhlophe atyheli kancinci? Okanye ukuba ulusu lwakho lunombala otyheli kancinci? Mhlawumbi lubonakala ngakumbi xa unomkhuhlane, xa uxinezelekile malunga novavanyo, okanye xa ungatyanga ngokwaneleyo. Abantu abaninzi bayaphakuzela ngoko nangoko xa bebona oku, becinga, "Owu, ingaba isibindi sam siyagula ngokwenene?" Kodwa oku akusoloko kuyingozi. Namhlanje sithetha ngeGilbert's Syndrome, imeko eqhelekileyo ebonisa ezi mpawu, kodwa ayisoloko iyingozi.
Ngamafutshane, yintoni iGilbert's Syndrome?
I-Gilbert's syndrome yimeko yemfuza echaphazela isibindi sethu. Lutshintsho oluncinci kwindlela esebenza ngayo imizimba yethu kunokuba sisifo esibi. Lwenzeka xa imizimba yethu ingakwazi ukuyicoca kakuhle into ebizwa ngokuba yi-bilirubin.
Ngoku usenokuba uzibuza ukuba yintoni le bilirubin. Cinga nje, iiseli ezibomvu zegazi emzimbeni wethu nazo zinobomi obuthile. Xa ezi seli zibomvu zegazi ezindala ziqhekeka, into etyheli iveliswa njengemveliso engasemva. Yiloo nto siyibiza ngokuba yibilirubin .
Ngokwesiqhelo, kumntu ophilileyo, le bilirubin ithathwa esibindini, idityaniswe nenyongo, ize isuswe emzimbeni. Ifana 'nenkqubo yokulawula inkunkuma' yomzimba wethu. Nangona kunjalo, kumntu onesifo sikaGilbert, isibindi asivelisi ngokwaneleyo i-enzyme eyenza lo msebenzi. Isizathu soku kukuba kukho utshintsho oluncinci kwi-gene (`UGT1A1` gene) eyalela umzimba ukuba wenze loo enzyme. Ngenxa yoko, i-bilirubin ethile iqokelelana egazini, engenakususwa ngokupheleleyo emzimbeni. Oku kwanda kobungakanani be-bilirubin egazini ngokwezonyango kuthiwa yi -hyperbilirubinemia . I-bilirubin eyongezelelweyo eqokelelana egazini ibangela ukuba amehlo nolusu lujike lube tyheli.
Into ebalulekileyo kukuba i-Gilbert's syndrome ayisosifo esonakalisa isibindi okanye esibangela ukuba siyeke ukusebenza. Lutshintsho nje oluncinci, olungenabungozi ekusebenzeni kwesibindi.
Ingaba le meko ixhaphakile kuluntu?
Ewe. Nangona abantu abaninzi bengazange beve ngayo, i-Gilbert's syndrome yimeko eqhelekileyo kunokuba unokucinga. Ngokwezinye iingxelo, phakathi kwabantu aba-3 naba-7 kwabayi-100 kwihlabathi liphela banokuba nale meko. Oko kuthetha ukuba abantu abaninzi abakungqongileyo banokuba nayo. Kwiimeko ezininzi, aba bantu abazi nokuba banayo.
Le meko ixhaphake kakhulu kumadoda kunabafazi. Ingachaphazela abantu bayo nayiphi na iminyaka kunye nohlanga.
Zithini iimpawu zesifo sikaGilbert?
Into emangalisayo apha kukuba malunga nomntu omnye kwabathathu abane-Gilbert's syndrome akabonisi zimpawu. Bafumanisa ngayo kuphela xa ugqirha esithi amanqanaba abo e-bilirubin anyukile kancinci xa bevavanywa igazi ngesinye isizathu.
Uphawu oluphambili noluqhelekileyo olubonwayo phakathi kwabo babonisa iimpawu yi -jaundice . Oko kukuthi,
- Ukutyheli kwamehlo amhlophe.
- Ukutyheli kolusu.
Lo mbala utyheli uhlala iintsuku ezimbalwa kuphela. Uyafika ubuye uphele. Awubangeli monakalo emzimbeni. Nangona usenokuba buhlungu kancinci kuba utshintsha inkangeleko kancinci, awusongelo kwimpilo.
Amaxesha amaninzi, abanye abantu banokufumana ezinye iingxaki ezincinci ukongeza kolu phawu luphambili. Ezi zidweliswe kwitheyibhile engezantsi.
| Ezinye iimpawu ezinokwenzeka rhoqo | Ingcaciso elula |
|---|---|
| Umchamo omnyama okanye indle enemibala yodongwe | Umbala womchamo unokutshintsha njengoko amanqanaba e-bilirubin enyuka. |
| Ukudinwa | Ukuziva udiniwe ngalo lonke ixesha ngaphandle kwesizathu esithile. |
| Iingxaki zenkqubo yokugaya ukutya | Intlungu yesisu, isicaphucaphu, ukudumba, njl. |
| Ubunzima bokufikelela kwisivumelwano | Ukuziva kunzima ukugxila kwinto ethile. |
| Intloko ebuhlungu kunye nesiyezi | Abanye abantu banokuxela iimpawu ezifana nezi. |
Zithini izizathu zokwanda kokutyheli kwamehlo?
Umntu onesifo sikaGilbert's syndrome akasoloko enamazinga aphezulu e-bilirubin. Ezinye izinto zinokubangela ukuba la manqanaba anyuke okwethutyana, nto leyo ebangela ukuba amehlo nolusu lubonakale ngakumbi (i-jaundice). Ezi zibizwa ngokuba 'zii-triggers'. Ukuba unale meko, kubalulekile ukuba uzazi ezi zinto.
| Isixhobo sokubangela ingxaki | Oku kuyandisa njani i-bilirubin? |
|---|---|
| Ukuphelelwa ngamanzi emzimbeni | Xa ungaseli manzi aneleyo emini, ubuninzi be-bilirubin egazini buyanda. |
| Ukuzila ukutya okanye ukungatyi ukutya | Xa uchitha ixesha elide ungatyi, umzimba wakho usebenzisa ezinye iindlela zokufumana amandla. Kule nkqubo, amanqanaba e-bilirubin ayenyuka. |
| Izifo kunye nosulelo | Nasiphi na isifo, esifana nomkhuhlane okanye umkhuhlane, sibeka uxinzelelo emzimbeni. Olu xinzelelo lunokunciphisa inkqubo yokucubungula i-bilirubin yesibindi. |
| Uxinzelelo | Uxinzelelo olubangelwa zizinto ezifana neemviwo, iingxaki zomsebenzi, kunye neengxaki zobuqu nazo zinokuchaphazela iihomoni zomzimba kwaye zonyuse amanqanaba e-bilirubin. |
| Ukuzibhokoxa kakhulu | Ukuzilolonga kakhulu kunye nokuzilolonga kakhulu kunokubangela ukuba amanqanaba e-bilirubin anyuke okwethutyana. |
| Ukuya exesheni kwabasetyhini | Amanqanaba eBilirubin anokunyuka nakwamanye amabhinqa ngenxa yotshintsho lweehomoni ngexesha lokuya exesheni. |
Ugqirha uyixilonga njani le meko?
Nangona i-Gilbert's syndrome yimeko yokuzalwa, idla ngokufunyaniswa ngexesha lokufikisa okanye ulutsha. Oku kungenxa yokuba utshintsho lweehomoni oluvela ngexesha lokufikisa lunokubangela ukwanda kwemveliso ye-bilirubin, nto leyo enokubangela ukuba iimpawu zibonakale okokuqala.
Ixesha elininzi, oku kufunyanwa ngengozi. Xa uvavanyo lwegazi lwenziwa ngesizathu esithile, ugqirha uqaphela ukuba inqanaba le-bilirubin liphezulu kancinci kunesiqhelo.
Emva koko, kwenziwa ezinye iimvavanyo ezininzi ukuze kufunyaniswe ukuba kukho na esinye isizathu esibalulekileyo sale nqanaba liphezulu le-bilirubin (umz., isifo sesibindi esifana ne-hepatitis).
- Uvavanyo Lokusebenza Kwesibindi: Olu vavanyo lunokunika umbono olungileyo ngempilo yesibindi. Kwi-Gilbert's syndrome, yonke into ngaphandle kwe-bilirubin idla ngokuba yinto eqhelekileyo.
- Uvavanyo lweMfuzo: Kwezinye iimeko, ukuba kuyimfuneko ukuqinisekisa ukuxilongwa, uvavanyo lwemfuzo lunokwenziwa ukujonga utshintsho kwimfuza ye-`UGT1A1`. Nangona kunjalo, oku akusoloko kuyimfuneko.
Ukuba zonke ezinye iziphumo zovavanyo ziqhelekile kwaye awunazo ezinye iimpawu ezinzulu, ugqirha uya kugqiba kwelokuba une-Gilbert's syndrome.
Ingaba le meko ifuna unyango? Ngaba kukho naziphi na iziphumo ezihlala ixesha elide?
Nantsi eyona nto ibalulekileyo ekufuneka uyazi:
Isifo sikaGilbert sisifo esingenabungozi esingadingi nyango.
Ewe, uvile kakuhle. Oku akudingi mayeza okanye unyango olukhethekileyo. Kuba akubanga monakalo wexesha elide kwisibindi sakho okanye nakweyiphi na enye ilungu emzimbeni wakho. Umntu onesifo sikaGilbert's syndrome unokuphila ubomi obusempilweni nobude, njengomntu ongenaso esi sifo.
Nangona amehlo atyheli enokuba yinto engathandekiyo ukuwajonga, kodwa awabeki mngcipheko kwimpilo. Ngokuphepha izinto ezibangela oku kuchazwe apha ngasentla, unokulawula amehlo atyheli rhoqo.
Ngoko ke kufuneka ndibonane nogqirha nini?
Nangona i-Gilbert's syndrome ingenabungozi, uphawu lokutyheli kwamehlo (i-jaundice) lunokuba luphawu lwezinye izifo zesibindi ezinzulu. Ke ngoko,Ukuba ubona amehlo etyheli okokuqala okanye ukuba unezinye zeempawu ezilandelayo, kubalulekile ukufuna ingcebiso kagqirha. Oku kuya kunceda ekuqinisekiseni ukuba unesifo sikaGilbert okanye esinye isifo.
Ufanele udibane nini nogqirha wakho:
- Ukuba ulusu okanye amehlo akho aba tyheli ngokubonakalayo (i-jaundice).
- Ukuba unentlungu yesisu rhoqo okanye isicaphucaphu.
- Ukuba umzimba uziva udiniwe kakhulu.
- Ukuba umbala womchamo umdaka/i-cola emnyama.
- Ukuba uneempawu ezinje ngomkhuhlane kunye nokubanda.
Ezi mpawu akufuneki zityeshelwe kuba zinokuba ziimpawu zezinye izifo. Ugqirha wakho uza kwenza uvavanyo olufunekayo aze akunike icebiso elifanelekileyo.
Umyalezo Wokuya Ekhaya
- Isifo sikaGilbert asisosifo esoyikwayo. Sisifo esiqhelekileyo nesingenabungozi esifumaneka kwiintsapho.
- Oku kungenxa yokuba isibindi asinakukwazi ukucubungula into ebizwa ngokuba yi-bilirubin ngesantya esiqhelekileyo.
- Uphawu oluphambili kukutyheli kwamehlo nolusu (i-jaundice). Oku kuyafika kudlule. Kwaye akubangeli monakalo emzimbeni.
- Lo mbala utyheli unokwanda okwethutyana ngenxa yezinto ezinje ngoxinzelelo, ukugula, kunye nokungatyi.
- Le meko ayifuni naluphi na unyango. Ungaphila ubomi obusempilweni ngokupheleleyo.
- Ukuba ubona amehlo atyheli okokuqala okanye unezinye iimpawu ezingaqhelekanga, qiniseka ukuba ubona ugqirha wakho ukuze ufumane ukuxilongwa ngokuchanekileyo.
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