Ib tug neeg uas tsis muaj kev kawm kho mob thiab paub me ntsis txog cov ntsiab lus ntawm kev tshawb fawb tsis zoo li yuav paub tias jaundice yog kab mob nyob hauv. Nws yuav yog qhov tseeb dua los hais tias qhov no yog qhov tshwm sim ntawm kev kho mob hauv Botkin tus kab mob, kab mob siab, lossis kab mob ntawm cov kab mob hauv nruab nrog cev, suav nrog daim siab. Peb tau ntsib txoj haujlwm tseem ceeb - qhia ua lus siv tau txog ntau yam, ua rau muaj kev cuam tshuam, tshwm sim thiab kho tus kab mob tsis zoo no.
Ua ntej, cia peb piav qhia luv luv ntawm tus mob. Jaundice yog ib qho kev hloov xim (staining) ntawm cov proteins ntawm lub qhov muag, daim tawv nqaij thiab cov mucous daim nyias nyias vim muaj kev nce siab hauv cov ntshav plasma ntawm qee cov xim - bilirubin. Cov tsos mob, chav kawm thiab qhov hnyav yuav ncaj qha nyob ntawm qhov tseeb ua rau provoked tus mob. Raws li peb pom, lub ntsiab culprit uas hloov cov xim ntawm lub cev yog bilirubin. Nws yog tsim los ntawm kev siv hemoglobin.
Ntau dhau cov xim tsis ncaj (tsis ua ke nrog cov kua qaub) yog tshuaj lom rau cov ntaub so ntswg thiab cov kabmob ntawm peb lub cev. Nws ua rau muaj teeb meem ntau thiab ntxhov siab rau cov menyuam yug tshiab thiab lawv niam lawv txiv. Physiological jaundice nyob rau hauv cov me nyuam mos yog tsimRaws li qhov tshwm sim ntawm kev tawg ntawm cov tshuaj tiv thaiv thiab erythrocytes, ces accumulates nyob rau hauv cov ntaub so ntswg. Qee zaum, kev kho mob tsis tas yuav tsum tau - cov tsos mob nyuaj ploj ntawm nws tus kheej tom qab ob peb lub lis piam.
Hom jaundice thiab lawv cov yam ntxwv
Nyob rau hauv cov txheej txheem ntawm kev kawm tag nrho ntawm pigment metabolism tsis meej, cov kws txawj txiav txim siab los faib cov pathology los ntawm hom. Txhua daim ntawv muaj tus yam ntxwv ntawm tus kheej thiab raug kho raws li ib qho kev qhia tshwj xeeb. Peb yuav to taub tag nrho cov nuances.
Obstructive, lossis mechanical
Raws li cov neeg ua haujlwm kho mob, nws feem ntau tshwm sim tawm tsam keeb kwm yav dhau los ntawm cov qog nqaij hlav qog nqaij hlav, nrog rau cholelithiasis, hypernephroma, thiab helminthic ntxeem tau. Obstructive jaundice stains ntawm daim tawv nqaij thiab sclera ntawm lub qhov muag yuav luag tam sim ntawd. Kev kho mob yog nqa tawm los ntawm ib tug minimally invasive thiab kev kho mob txoj kev. Yog koj tsis nqis tes ces muaj ib qhov txhaws ntawm txoj hlab pas.
Muaj feem ntau ntawm lawv qhov tawg. Yog tias qhov no tshwm sim, ces tag nrho cov kua tsib yuav nkag mus rau hauv cov hlab ntsha. Yog li ntawd, lub siab nrog tus po spleen loj, cov quav yuav discolored. Nrog rau lub sijhawm ntev stagnation ntawm cov kua tsib, lub siab lub hlwb raug deformed, lawv cov haujlwm ua haujlwm raug cuam tshuam.
Cholestatic jaundice
Kev txhim kho tom qab muaj kab mob los yog kis kab mob. Cholestatic jaundice raug kuaj pom sib npaug hauv cov neeg laus thiab menyuam yaus. Kev kuaj ntshav qhia tau tias muaj kev nce ntxiv hauv bilirubin, thaum cov xim metabolites tsis nyob hauv cov quav thiab zis. Raws li kev hloov pauv sab nraud ntawm daim tawv nqaij (stained daj), tus kws kho mobtuaj yeem txheeb xyuas tus kab mob.
Hemolytic type
Vim yog hom kev tawg ntawm cov qe ntshav liab - erythrocytes. Tus kab mob jaundice ntawm daim ntawv no tshwm sim sai li sai tau: tus neeg mob cuam tshuam los ntawm edema, fainting, anemia. Raws li kev txheeb cais, hom hemolytic muaj ntau dua hauv cov menyuam yug tshiab. Nws tau piav qhia los ntawm qhov muaj nyob hauv lub cev ntawm bilirubin, uas ua rau tus menyuam lom. Ntawm palpation thiab ultrasound, qhov loj ntawm tus po yog pom tau. Tus kab mob no kis tau los ntawm cov caj ces - los ntawm cov txheeb ze thiab cov poj koob yawm txwv. Yog tsis muaj kev kho kom raug thiab saib xyuas kev kho mob, qhov tshwm sim tsis zoo heev.
Parenchymal lossis kab mob siab
Decomposed erythrocytes (dawb bilirubin) raug thauj mus rau cov ntshav thiab cov kua tsib capillaries vim kev ua haujlwm tsis zoo ntawm daim siab hlwb. Los ntawm ntau npaum li cas ntawm cov xim, lub cev muaj kev ntxhov siab heev thiab ua tsis tiav. Parenchymal jaundice yog txawv los ntawm palpation ntawm tus po thiab daim siab.
Nws pab kws kho mob kuaj mob (tshwj tsis yog kuaj ntshav thiab zis). Thaum lub sij hawm palpation, compaction thiab nce nyob rau hauv cov khoom nruab nrog cev yog pom. Tus neeg mob muaj mob thiab tsis xis nyob. Nco ntsoov ua txoj kev kho mob nyuaj. Qhov kev cia siab yog qhov zoo, yog tias tus kws kho mob xav tau.
Khoom noj khoom haus qib carotene jaundice
Raws li kws kho mob, ib tus yuav tsum paub qhov txawv ntawm cov ntsiab lus xws li qhov tseeb thiab qhov tsis tseeb jaundice. Tus neeg mob zoo li cas, koj tuaj yeem tshawb pom tsuas yog ntawm tus kws kho mob lub sijhawm. daim ntawv carotenehais txog qhov cuav. Nws tshwm sim los ntawm kev noj cov zaub mov uas muaj xim txiv kab ntxwv, xws li carrots lossis txiv kab ntxwv. Kev kuaj ntshav kuaj pom pom muaj ntau ntawm beta-carotene (vitamin A), uas ua rau cov tawv nqaij, qhov muag thiab cov mucous daim nyias nyias xim.
Qhov no tsis yog pathology thiab tsis xav tau kev saib xyuas kho mob. Txhawm rau tshem tawm cov xim tsis zoo ntawm daim tawv nqaij, nws yog txaus kom tshem tawm cov khoom uas muaj enzymes los ntawm cov ntawv qhia zaub mov. Txawm li cas los xij, nws yuav tsum nkag siab tias nws yuav siv sijhawm li 12 lub hlis los ntxuav lub cev carotene kom huv. Txhawm rau zam qhov tshwm sim no, tswj koj cov zaub mov.
Kuv puas tuaj yeem mob jaundice?
kab mob siab B thiab C yog qhov txaus ntshai rau tib neeg. Tus kab mob kis tau los ntawm kev sib deev, los ntawm cov ntshav, placenta (hloov, siv tshuaj kho mob, txhuam hniav, khoom siv manicure). Lwm qhov tsis tshua muaj kev hem thawj yog kab mob siab A (Botkin's disease). Koj tuaj yeem ntes tus kab mob los ntawm cov dej tsis huv, cov zaub mov tsis huv, cov khoom tsis huv, tuav tes.
Muaj peb theem ntawm cov kab mob: mob me, nruab nrab thiab hnyav (mob sib kis). Nyob rau hauv txhua rooj plaub, tus kab mob siab kab mob siab A tshwm sim txawv. Daim ntawv txaus ntshai tshaj plaws yog kev sib kis. Tus neeg mob muaj cov kab mob CNS, qhov kev pheej hmoo ntawm mob siab coma thiab kub taub hau nce. Yuav tsum tau mus pw hauv tsev kho mob thiab saib xyuas kev kho mob tas li.
kev kho mob tshwm sim ntau
Peb pom tias mob jaundice kis tau thiabua rau muaj kev hem thawj rau lub neej. Tam sim no peb yuav piav qhia txog qhov tshwm sim uas zoo ib yam hauv txhua hom kab mob. Paub txog cov tsos mob ntawm kev kho mob, tus neeg yuav muaj peev xwm tiv thaiv tus kab mob raws sij hawm los ntawm kev nrhiav kev pab los ntawm lub tsev kho mob. Lub ntsiab txawv feature ntawm pathology yog yellowness ntawm cov dawb ntawm ob lub qhov muag, mucous daim nyias nyias thiab daim tawv nqaij.
Txawm li cas los xij, txhua daim ntawv muaj qhov ntxoov ntxoo sib txawv. Nyob rau hauv txhua yam, qhov saum npoo ntawm daim tawv nqaij kis tau ib tug daj-txiv ntseej xim nrog ib tug xim av tint. Daim ntawv hepatic yog tus cwj pwm los ntawm cov xim txiv kab ntxwv ci, thiab daim ntawv hemolytic yog txiv qaub daj. Tus kab mob no nrog rau khaus, mob siab, spleen, kab laug sab leeg, ua npaws.
Qhov no hloov xim ntawm cov zis - nws ua tsaus. Kev ua txhaum ntawm lub paj hlwb raug pom: apathy, irritability, qaug zog, insomnia tsim txom. Qhov muaj cov tsos mob zoo sib xws yuav tsum tau mus ntsib tus kws kho mob hauv zos.
ntsuas ntsuas
Nws tsis yog qhov nyuaj thiab nyuaj rau kev tsim kom muaj kab mob. Los ntawm keeb kwm, cov cim qhia sab nraud, daim siab biopsy thiab kev kuaj mob (ntshav, quav, zis), nws yog ib qho yooj yim los txiav txim qhov ua rau ntawm tus mob. Kev kuaj mob ntxiv yog yuav tsum tau: MRI, ultrasound, daim siab scan, duodenal suab, tomography.
Txoj Kev Kho Mob
Tso cai los sau cov kws kho mob tshwj xeeb, kws kho mob hematologist, kws kho mob thiab kws phais mob tom qab kuaj xyuas tiav thiab kuaj pom tseeb. Cov txheej txheem tseem ceeb ntawm kev kho tus kab mob: kev kho mob thiab kev phais, nrog rauphototherapy thiab endoscopy kuj tau ua. Kev cuam tshuam kev phais (tshem tawm ntawm adhesions, gallbladder, formations, crushing ntawm calculi) yog nqa tawm yog hais tias obstructive jaundice yog tam sim no.
Kev kho tus kab mob ntawm tus kab mob kis tau tsuas yog ua hauv tsev kho mob xwb - kev kho mob kho mob tau sau rau daim siab ua haujlwm. Kev hloov ntshav yog qhia rau hom hemolytic. Kev sib xyaw ua ke pab ntau heev. Kev ua kom zoo zoo yog pom los ntawm kev kho mob phototherapy, uas txhawb nqa cov txheej txheem ntawm cov xim thiab nws tshem tawm ntawm lub cev. Nws raug sau tseg rau cov neeg laus thiab menyuam mos. Tsis tas li ntawd, cov kev kho mob suav nrog kev siv cov khoom noj khoom haus. Cov tshuaj ntxiv pab txhawb lub siab hlwb, cov txheej txheem metabolic, thiab detoxify. Cov neeg mob tau muab tshuaj hepatoprotective (txhais tau tias tiv thaiv daim siab), tshuaj antispasmodic. Muaj ntau txoj kev kho mob. Kev xaiv cov txheej txheem kho mob tseem nyob nrog tus kws kho mob.
Kev noj haus yuav ua kom rov zoo dua
Ib daim ntawv qhia kom sib npaug yog qhov tseem ceeb hauv kev kho mob ntawm cov kab mob no (mob siab). Nrog rau kev noj tshuaj, tus neeg mob yuav tsum ua raws li kev noj haus (raws li kev pom zoo los ntawm tus kws kho mob tshwj xeeb). Cov menyuam yaus hnub nyoog qis dua ib xyoos tau txais cov kua mis nkaus xwb lossis cov mis hloov pauv.
Cov nqaij rog, qe qe, khaws cia, seasonings, khoom qab zib uas tsim kev puas tsuaj (buns, chocolate, khoom qab zib) raug tshem tawm tag nrho ntawm kev noj haus. Tag nrho cov tais diav yuav tsum tsuas yog boiled, stewed, steamed, ci. Tso cai me mebutter, natural marshmallow, zib mu, marshmallow. Nws yog ib qho tsim nyog ntxiv cov txiv hmab txiv ntoo tshiab, zaub, tshuaj ntsuab. Yuav tsum haus dej ntau: dej ntxhia, tshuaj yej, tshuaj ntsuab infusions, compotes, jelly.
Alternative Medicine recommends…
Ua ke nrog kev kho mob ib txwm muaj, koj tuaj yeem siv cov khoom xyaw tshuaj ntsuab uas txhawb nqa cov kua tsib. Decoctions thiab infusions ntawm dandelions, yarrow, plantain, calendula tau ua pov thawj lawv tus kheej zoo. Feem - ib nrab khob peb zaug ib hnub twg. Nws tsis mob kom haus cov ntsev tsis muaj ntsev sauerkraut brine thiab beetroot syrup - hloov dej haus txhua hnub (250 ml ob zaug ib hnub).
Txoj Kev Tsis Zoo
Txhua yam kab mob jaundice tuaj yeem ua rau muaj kev phom sij tsis tuaj yeem thiab ua rau muaj teeb meem txaus ntshai. Tsis txhob cia pathology coj nws cov kev kawm. Cov xim muaj kuab lom muaj kev cuam tshuam rau txhua yam hauv nruab nrog cev, ua rau Crigler-Najjar syndrome, neuropsychiatric mob, mob pancreatitis, hemolysis, oncology, cirrhosis.
Yog li, peb tau qhia cov neeg nyeem txog qhov xwm txheej txaus ntshai uas paub tsis muaj hnub nyoog txwv thiab ua rau muaj kev phom sij txaus ntshai. Txhawm rau kom tsis txhob kis tus kab mob, ceev faj: zam cov khw muag khoom noj ceev, tsis txhob haus dej haus, ntxuav zaub mov kom huv si, thiab tsis txhob kov cov tsiaj txhu. Peb yuav tsis hais txog kev sib deev nyab xeeb - txhua tus yuav tsum paub txog nws. Cov uas paub thiab coj kev tiv thaiv yog tub rog.
