Uma uzibuka esibukweni, noma uma othile ekukhomba, ukubona umbala ophuzi engxenyeni emhlophe yamehlo akho kungaba yinto ethusa kakhulu, akunjalo? Eqinisweni, lokhu kuvame ukuba uphawu lokuqala umzimba wakho—ikakhulukazi isibindi sakho—olukunikeza lona lokuthi kukhona okungahambi kahle. Ake sixoxe ngalesi simo, esaziwa ngokwezokwelapha ngokuthi i-Scleral Icterus , ngamagama alula nacacile lapha e -Nirogi Lanka .
Iyini ngempela i-Scleral Icterus?
Kalula nje, i-Scleral Icterus ibhekisela ekuphuzeni kwengxenye emhlophe yeso lakho, eyaziwa ngokuthi i -Sclera . Kodwa-ke, kukhona umehluko omncane: empeleni akuyona i-sclera ngokwayo ephenduka iphuzi, kodwa ulwelwesi oluncane nolubonakalayo oluyimbozayo, olubizwa ngokuthi i -conjunctiva . Lapho lolu lwelwesi luphenduka luphuzi, i-sclera emhlophe engaphansi yenza ukushintsha kombala kuvelele kakhulu.
Abantu abaningi bavame ukusebenzisa igama elithi Jaundice ngokushintshana, okuyinto engelona iphutha ngokobuchwepheshe. Kodwa-ke, i-jaundice yigama elibanzi elihlanganisa nokuphuzi kwesikhumba. I-Scleral Icterus igcizelela ngqo lesi simo njengoba sibonakala emehlweni.
Kungani amehlo akho ephenduka aphuzi? Indaba ye-Bilirubin
Isizathu esiyinhloko salokhu kuphuzi ukwanda kwekhemikhali enombala ophuzi egazini lakho ebizwa ngokuthi i-Bilirubin . Lesi simo sibizwa ngokwezokwelapha ngokuthi i-Hyperbilirubinemia .
Ukuze uqonde lokhu, cabanga ukuthi amangqamuzana akho abomvu egazi aphila isikhathi eside. Njengoba amangqamuzana abomvu egazi amadala ewohloka, akhiqiza i-bilirubin. Ngokuvamile, isibindi sakho sisebenza njengesihlungi, sicubungula le bilirubin eningi egazini lakho, siyixube ne-bile, bese siyiqondisa ohlelweni lwakho lokugaya ukudla ukuze ekugcineni ikhishwe emzimbeni wakho esitulweni sakho.
Kodwa-ke, uma isibindi sakho sibhekene nezinselele noma ezinye izinkinga zivimbela ukususwa kahle kwe-bilirubin egazini lakho, le nto iqala ukunqwabelana. Yilokhu kunqwabelana kwe-bilirubin okwenza amehlo akho nesikhumba sakho kube nombala ophuzi.
Ungase uqaphele ukuphuzi emehlweni akho kuqala ngoba i-bilirubin ivame ukutholakala kalula esicutshini esaziwa ngokuthi i-conjunctiva. Ngenxa yesizinda esimhlophe esicacile seso, ngisho nokwanda okuncane kwamazinga e-bilirubin kubonakala kithi kusenesikhathi.
Yiziphi izizathu eziyinhloko zokuphakama kwamazinga e-bilirubin?
Kunezizathu eziningi zokuthi amazinga e-bilirubin akho angase akhuphuke, okubangela ukuphuzi kwamehlo. Ezinye izimbangela zincane, kanti ezinye zingaba zimbi kakhulu. Kubalulekile ukuthi waziswe ngalezi zinto.
| Imbangela | Incazelo Elula |
|---|---|
| Izimo ezihlobene nesibindi | Izimo ezinjengokulimala kwesibindi okubangelwa utshwala (i-Cirrhosis), izifo ezibangelwa amagciwane (i-Hepatitis A, B, C), noma i-Autoimmune Hepatitis, lapho amasosha omzimba ehlasela khona isibindi. |
| Izinkinga ze-Gallbladder kanye ne-Pancreatic | Izinkinga ezifana namatshe enyongo, ukuqina kwe-bile duct, noma ukuvuvukala kwe-pancreas (i-pancreatitis). |
| Izifo | I-Leptospirosis, imfiva yamagciwane efana ne-dengue, izifo ezinzima zesistimu (i-Sepsis), kanye nezifo ezibangelwa amagciwane (isib. i-Schistosomiasis). |
| Imithi kanye nobuthi | Ukusetshenziswa ngokweqile kwemithi ethile (isb., ama-steroid, ama-antibiotic athile) noma imithi yokunciphisa ubuhlungu njenge-Acetaminophen. Izindlela zokwelapha zendabuko noma ukuchayeka ebuthini obufana namakhemikhali ezolimo nakho kungaba yizimbangela. |
| Izimo zofuzo | Izimo ezizuzwe njengeSickle Cell Disease noma i-Gilbert's Syndrome ezithinta i-bilirubin metabolism. |
| Amathumba | Ukuvinjelwa kokugeleza kwenyongo ngenxa yokukhula okungengozi noma okuyingozi esibindini, enyongweni, noma ezindaweni ezizungezile. |
| I-Jaundice Yezingane Ezisanda Kuzalwa | Kuvamile ukuthi izinsana ezisanda kuzalwa zibe namehlo aphuzi emavikini azo okuqala amabili njengoba isibindi sazo sisakhula. Kodwa-ke, ngezinye izikhathi lokhu kudinga usizo lwezokwelapha. |
Iphathwa kanjani?
Kubalulekile ukuthi uqonde ukuthi i-Scleral Icterus ayisona isifo ngokwaso; iyisibonakaliso sezokwelapha . Ukwelashwa akuhloselwe ukuphuzi kwamehlo, kodwa kuhloselwe isimo sempilo esiyisisekelo esibangela lokho.
Isibonelo, uma amatshe enyongo ebangela ukuphuzi, azoxazululwa. Uma kuyisifo sesibindi, lokho kuzokwelashwa. Udokotela wakho cishe uzokwenza ukuhlolwa kwegazi noma ukuskena izithombe ukuze athole imbangela. Ngakho-ke, ungazami ukuzelapha; ukubonisana nochwepheshe wezempilo kuyindlela engcono kakhulu yokwenza.
Kwenzekani uma ungakunaki ukuphuzi kwamehlo?
Ukuphuzi ngokwako akulona ngempela ingozi, kodwa kusebenza njengesibonakaliso esiyisixwayiso esivela emzimbeni wakho. Uma kungelashwa, amazinga akhuphukayo e-bilirubin egazini lakho angathinta ubuchopho bakho, okuyisimo esibi kakhulu.
- Ezinsaneni ezisanda kuzalwa, lesi simo sibizwa ngokuthi i-Kernicterus futhi singabangela ukulimala kobuchopho okungapheli.
- Kwabantu abadala, lokhu kwaziwa ngokuthi i-Hepatic Encephalopathy, okungaholela ekudidekeni, ekudidekeni, ngisho nasekufeni.
Zombili lezi zimo zidinga usizo oluphuthumayo lwezokwelapha.
Isikhathi sokubona udokotela ngokushesha noma ukuvakashela uMnyango Wezimo Eziphuthumayo
Uma ubona ukuthi amehlo akho aphenduke aphuzi, sicela uhlele i-aphoyintimenti nodokotela wakho ngokushesha okukhulu. Kodwa-ke, uma unezinye zezimpawu ezilandelayo kanye namehlo aphuzi, hamba ngokushesha eMnyangweni Wezimo Eziphuthumayo wesibhedlela esiseduze (ED).
| Izimpawu Ezibomvu Ezidinga Ukunakekelwa Okuphuthumayo | |
|---|---|
| ⚫ Ubuhlungu besisu obukhulu noma obuqhubekayo | ⚫ Umkhuhlane |
| ⚫ Ukuhlanza okuqhubekayo | ⚫ Isiyezi noma ukulahlekelwa ukwazi |
| ⚫ Ukuvuvukala kwesisu noma ukunqwabelana koketshezi | ⚫ Ukudideka, ukozela okukhulu, noma ukudideka |
Icebiso Elisheshayo
Ngezinye izikhathi, ukukhanya okusendaweni okuyo (njengama-bulb aphuzi afudumele) kungenza amehlo akho abonakale ephuzi. Uma ungaqiniseki, yima endaweni ekhanyiswe kahle enokukhanya kwemvelo bese uhlola ukukhanya kwakho esibukweni. Lokhu kuzokusiza ukuqinisekisa ngokunembile ukushintsha kombala.
Ingabe lokhu kungavinjelwa?
Nakuba kungezona zonke izimbangela ezingavinjelwa, ungathatha izinyathelo zokunciphisa ingozi yakho:
- Lawula Ukusetshenziswa Kotshwala: Ukunciphisa ukusetshenziswa kotshwala kunciphisa kakhulu ingozi yokulimala kwesibindi.
- Hlala Ugonyiwe: Zivikele ngokuthola imijovo ezimweni ezithinta isibindi njenge-Hepatitis A no-B.
- Qaphela Ngemithi: Ungalokothi uthathe imithi, izithasiselo zamakhambi, noma amavithamini ngaphandle kweseluleko sikadokotela. Ukudlula umthamo onconywayo wemithi efana ne-acetaminophen (i-Paracetamol) kungabangela ukulimala okukhulu kwesibindi.
- Hlela Ukuhlolwa Kwaminyaka Yonke: Ngisho nokuhlolwa kwegazi okulula kungasiza ekutholeni izinguquko ekusebenzeni kwesibindi ngaphambi kokuba kuvele izimpawu zomzimba.
Umlayezo Wokuya Nawe Ekhaya
Amehlo aphuzi, i-Jaundice, i-Scleral Icterus, i-Bilirubin, isifo sesibindi, i-Jaundice, i-Bilirubin, isifo sesibindi
👩🏽⚕️ Imibuzo Evame Ukubuzwa (Imibuzo Evame Ukubuzwa)
💬 Iyini i-spleen ekhulisiwe (i-Splenomegaly) futhi kungani iyingozi?
I-spleen iyisitho esincane esitholakala ohlangothini olungaphezulu kwesobunxele lwesisu sakho, ngaphansi kwekheji lezimbambo. Sihlunga igazi lakho futhi sisuse amaseli egazi abomvu amadala. Ngokuvamile, sincane kunesibhakela sakho. 'I-spleen ekhulisiwe' isho ukuthi lesi sitho sivuvukele kakhulu futhi singazwakala ngesikhathi sokuhlolwa ngokomzimba. Lokhu kuvame ukuba uphawu oluyisixwayiso olubalulekile lwesifo esihlobene negazi noma isimo somzimba.
💬 Yiziphi izimbangela eziyinhloko zokwanda kwe-spleen?
Kunezinhlobo ezintathu eziyinhloko: 1) Umdlavuza wegazi (i-Leukemia/Lymphoma), lapho amangqamuzana amabi angena khona e-spleen. 2) I-Liver Cirrhosis, lapho umfutho wegazi ophakeme we-portal ubangela khona ukuthi igazi libuyele e-spleen. 3) Izifo ezifana ne-Malaria noma i-EBV, kanye ne-hemolytic anemias, lapho i-spleen isebenza kakhulu ekubhubhiseni amangqamuzana abomvu egazi angajwayelekile.
💬 Kunini lapho udende olukhulisiwe lubhekwa njengesimo esiphuthumayo sezokwelapha?
Ubende olukhulisiwe ludinga ukuhlolwa kochwepheshe (ngokuvamile okuhlanganisa ne-CT scan). Kodwa-ke, isimo esiphuthumayo esibucayi kakhulu 'ukuqhuma kwe-Splenic.' Uma uzwa ubuhlungu obungazelelwe, obukhulu esiswini esingaphezulu kwesobunxele obuphuma ehlombe lesobunxele (uphawu lukaKehr), oluhambisana nesizungu, ukuquleka, noma izimpawu zokushaqeka, ubende kungenzeka ukuthi uqhumile. Lokhu kungaholela ekuphumeni kwegazi kwangaphakathi okusongela impilo; funa usizo lwezokwelapha oluphuthumayo (shayela u-911) ngokushesha.
