Ngaba amehlo akho ajika abe tyheli? Kusenokuba lutshintsho oluncinci kwisibindi: Masifunde ngeGilbert's Syndrome!

Ngaba wakha waphawula ukuba amhlophe emehlweni akho, kwaye ngamanye amaxesha ulusu lwakho, luphuzi kancinci? Okanye ngaba ugqirha ukuxelele ukuba uvavanyo lwakho lwegazi lubonisa amanqanaba aphezulu e-bilirubin? Usenokuba ukhathazekile. Kodwa ungakhathazeki, kuba uninzi lwexesha alubi kangako. Namhlanje siza kuthetha ngemeko enjalo, ebizwa ngokuba yiGilbert's Syndrome.

Yintoni i-'Gilbert's Syndrome'?

Ngamafutshane, i-'Gilbert's Syndrome' yimeko yemfuza apho isibindi sethu singakwaziyo ukuyicoca kakuhle into ebizwa ngokuba yi-'bilirubin'. Khawucinge nje, xa iiseli ezibomvu zegazi ezindala emzimbeni wethu ziqhekeka, kuveliswa into etyheli ebizwa ngokuba yi-'bilirubin'. Le yimveliso engcolileyo. Isibindi somntu ophilileyo sithatha le 'bilirubin', siyitshintshe, size siyisuse emzimbeni.

Kodwa kubantu abane-Gilbert's Syndrome, isibindi asivelisi ngokwaneleyo uhlobo lwe-enzyme enceda ekuqhekekeni kwe-bilirubin. Ukuchaneka, kukho ukunqongophala okuncinci kwimveliso ye-enzyme. Ngoko ke kwenzeka ntoni ke? Loo bilirubin iyanda emzimbeni. Xa inqanaba le-bilirubin egazini linyuka ngolu hlobo, ngokwezonyango sibiza oko ngokuba yi-hyperbilirubinemia.

Ngoko ke, yintoni le 'Bilirubin'?

I-Bilirubin, njengoko bekutshiwo ngaphambili, yi-pigment etyheli eveliswa xa iiseli zethu ezibomvu zegazi ezindala ziqhekeka. Ifumaneka kwi-bile yethu. I-bile lulwelo oluveliswa sisibindi olunceda ekunyibilikiseni amafutha ekutyeni esikutyayo. Njengoko usazi, isibindi sisitho esibaluleke kakhulu kwinkqubo yethu yokugaya ukutya. Sihluza iityhefu egazini, sigaye amafutha, kwaye sigcina i-glucose, efunekayo ukuze kubekho amandla, njenge-glycogen.

Ixhaphake kangakanani iGilbert's Syndrome?

Oku akuqhelekanga njengoko unokucinga. Kwilizwe elifana ne-United States, kuqikelelwa ukuba phakathi kwe-3% kunye ne-7% yabemi banale meko. Kwakhona, amadoda anamathuba amaninzi okufumana 'i-Gilbert's Syndrome' kunabasetyhini. Inokuchaphazela abantu bayo nayiphi na iminyaka kunye nohlanga.

Ngubani onokuba ne-'Gilbert's Syndrome'? Yintoni ebangela loo nto?

I-Gilbert's Syndrome yimeko yemfuza. Oku kuthetha ukuba idluliselwa kubazali ukuya ebantwaneni. Njengazo zonke iimpawu zethu (umzekelo, umbala wolusu , umbala weenwele, ubude), imiselwa ziijini. Ngokufanayo, abantu abane-Gilbert's Syndrome bafumana utshintsho, okanye utshintsho, kwijini ethile ebizwa ngokuba yi-UGT1A1.

Ukuchaneka, i-gene ephilileyo ye-`UGT1A1` ivelisa ii-enzymes zesibindi eziqhekeza i-`bilirubin` ekhankanyiweyo kwaye ziyisuse emzimbeni. Nangona kunjalo, kubantu abanotshintsho kwi-gene ye-`UGT1A1`, yi-30% kuphela yesixa esifunekayo sale enzyme eveliswayo. Ngenxa yoko, i-`bilirubin` ayidibani kakuhle ne-bile kwaye iphume emzimbeni. Ke, loo 'bilirubin` eyongezelelweyo iqokelelana egazini.

Zithini iimpawu ze-'Gilbert's Syndrome'?

Okumangalisayo kukuba, malunga nomntu omnye kwabathathu abaneGilbert's Syndrome abanazo iimpawu konke konke. Bafumanisa ngengozi kuphela xa bevavanywa igazi ukuze babone enye into.

Nangona kunjalo, phakathi kwabo babonakalisa iimpawu, uphawu oluqhelekileyo yi-jaundice, okanye i-jaundice. Oku kubangelwa kukuphakama kwamanqanaba e-bilirubin egazini. I-jaundice inokubangela ukuba ulusu lwakho kunye namehlo amhlophe abe tyheli. Kodwa khumbula, oku kutyheli akubi yingozi kangako.

Ngamanye amaxesha, abantu abane-jaundice okanye i-Gilbert's Syndrome banokufumana iimpawu ezifana nezi:

• Umchamo onombala omnyama okanye indle enombala wodongwe.
• Ubunzima bokugxila kwinto ethile.
• Ndiziva ndinesizungu .
• Iingxaki zenkqubo yokugaya ukutya: Umzekelo, iintlungu zesisu, urhudo, isicaphucaphu.
• Ndiziva ndidiniwe kakhulu (ndidiniwe).
• Iimpawu ezifana nomkhuhlane ezifana nomkhuhlane kunye nokubanda.
• Ukutya akunancasa.

Zeziphi izinto ezibangela iimpawu zeGilbert's Syndrome zibe mandundu?

Ezi zinto zilandelayo zinokunyusa izinga le-bilirubin egazini lomntu one-Gilbert's Syndrome, nto leyo ebangela i-jaundice :

• Ukuphelelwa ngamanzi emzimbeni: Ukuba awuseli manzi aneleyo. Oku kunokwenzeka kakhulu xa kushushu kweli lizwe lethu.
• Ukuzila ukutya okanye ukungatyi ukutya: Izinto ezifana nokungatyi isidlo sakusasa okanye ukutya isidlo sasemini kade.
• Isifo okanye usulelo: Nokuba umkhuhlane okanye olunye usulelo lunokubangela ukuba amanqanaba e-bilirubin anyuke.
• Ukuya exesheni : Kwabasetyhini, ezi mpawu zinokubonakala ngakumbi ngexesha lokuya exesheni.
• Ukuzibhokoxa kakhulu: Xa usebenza nzima ngalo lonke ixesha, udlala, ujima, okanye usenza umsebenzi onzima kakhulu.
• Uxinzelelo: Uxinzelelo oluvelayo njengoko iimviwo zisondela kunye nokwanda kwemisebenzi yomsebenzi nazo zinempembelelo.

Khawucinge nje, kukho inkwenkwana egama linguNimal. Akayazi ukuba une-'Gilbert's Syndrome'. Ngenye imini, wadlala ikhilikithi nabahlobo bakhe, wabila kakhulu, kwaye akaselanga manzi aneleyo. Ngentsasa elandelayo, umama wakhe uqaphela ukuba amehlo kaNimal atyheli kancinci. Kuphela xa embonisa ugqirha apho afumanisa khona ukuba une-'Gilbert's Syndrome', kwaye amanqanaba akhe e-bilirubin anyukile ngenxa yokudinwa kosuku kunye nokunqongophala kwamanzi.

Ifunyanwa njani iGilbert's Syndrome?

I-Gilbert's Syndrome yimeko yemfuza, oko kuthetha ukuba ikhona ukususela ekuzalweni. Kodwa ihlala ingafunyaniswa de uvavanyo lwegazi lubonise amanqanaba aphezulu e-bilirubin. Idla ngokufunyaniswa isemncinci, kwiminyaka yokugqibela yeshumi elivisayo okanye kwiminyaka yamashumi amabini, xa kwenziwa uvavanyo lwegazi lwenye into.

Ukongeza kwiimvavanyo zegazi, ungenza iimvavanyo ezifana nezi:

• Uvavanyo lokusebenza kwesibindi: Olu vavanyo lujonga ukuba isibindi sakho sisebenza kakuhle kangakanani na kunye namanqanaba akho e-bilirubin.
• Uvavanyo lwemfuza: Oku kunokumisela ngokuchanekileyo ukuba ngaba utshintsho lwemfuza lwe-`UGT1A1` olubangela i-`Gilbert's Syndrome` lukhona na.

Ziziphi iingxaki ezinokubakho zeGilbert's Syndrome?

Nantsi into ebalulekileyo: I-Gilbert's Syndrome yimeko engephi kakhulu. Ayibangeli naziphi na iingxaki ezihlala ixesha elide okanye iingxaki zempilo ezinzulu. Ngoko ke akukho nto ibalulekileyo ekufuneka uyixhalabele.

Ngaba ikho indlela yonyango lweGilbert's Syndrome? Iphathwa njani?

Ukuba namehlo atyheli, okanye i-jaundice, kunokuba yingxaki ethile kwimpilo yengqondo. Usenokucinga izinto ezinje, "Owu, amehlo am atyheli, umntu uza kucinga ntoni?" Nangona kunjalo, i-jaundice okanye i-Gilbert's Syndrome azidingi naluphi na unyango olukhethekileyo.

Oku kufana nombala wolusu lwethu. Ezinye zintle kakhulu, ezinye zimhlophe. Asikuko isifo. Kunjalo ke.

Ngaba i-Gilbert's Syndrome ingathintelwa?

Ekubeni iGilbert's Syndrome idluliselwa kwilifa, akukho ndlela yokuyithintela.

Ithini ingqikelelo yomntu oneGilbert's Syndrome?

Ezi ziindaba ezimnandi kakhulu. Abantu abane-'Gilbert's Syndrome' banokuphila ubomi obude nobusempilweni ngaphandle kweengxaki. Abanazo iingxaki zempilo ezihlala ixesha elide ngenxa yesi simo.

Ufanele uye nini kugqirha malunga neGilbert's Syndrome?

Nangona oku kudla ngokungadingi naluphi na unyango olukhethekileyo, kungcono ukubona ugqirha ukuba uyaqhubeka nokuba neempawu ezifana nezi:

• Iingxaki zokugaya ukutya ezihlala zihleli (umz., iintlungu zesisu, urhudo).
• Umchamo omnyama okanye indle enombala wodongwe .
• Umkhuhlane kunye nokubanda.
• Ukujika kwesikhumba okanye amehlo kube tyheli rhoqo okanye rhoqo (i-jaundice) .

Yeyiphi imibuzo endifanele ndiyibuze ugqirha wam malunga neGilbert's Syndrome?

Xa ufumanisa ukuba unesifo sikaGilbert, kuyinto eqhelekileyo ukuba nemibuzo emininzi. Usenokufuna ukubuza ugqirha wakho izinto ezifana nezi:

• Kutheni ndafumana i-'Gilbert's Syndrome'?
• Ngaba ndifuna unyango loku?
• Ndingenza ntoni ukuthintela i-jaundice?
• Ihlala ixesha elingakanani i-jaundice?
• Ngaba kufuneka ndifumane uvavanyo lwemfuza ukuze kubonwe ukuba amanye amalungu osapho lwam anayo na iGilbert's Syndrome?
• Ngaba kufuneka ndikhathazeke ngeengxaki? (Siyazi ukuba le yinkqubo engenamngcipheko uphezulu, kodwa kulungile ukwazi.)

Okokugqibela, izinto ezimbalwa ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

I-Gilbert's Syndrome yimeko ebuthathaka kakhulu engadingi nyango. Nangona ukuba tyheli kwamehlo nolusu ngamanye amaxesha kunokuba yinto ecaphukisayo, i-jaundice ayibeki mngcipheko kwimpilo. Oku kuba tyheli kolusu namehlo kudla ngokuziphelela . Ugqirha wakho unokukunika iingcebiso ngeendlela zokunciphisa amathuba okuba tyheli edibene ne-Gilbert's Syndrome. Ngoko ke, musa ukucinga kakhulu ngayo. Phila ubomi obonwabisayo!

Isifo sikaGilbert, i-bilirubin, i-jaundice, isibindi, i-genetic, i-UGT1A1, i-jaundice, isibindi, i-bilirubin, i-genetic