Matenda a Gilbert ndi matenda obadwa nawo omwe amawoneka ndi vuto la jini lomwe limakhudzana ndi mitsempha ya bilirubin . Chifukwa chake, kuchuluka kwa mankhwala m'magazi kukuwonjezeka, ndipo nthawi zina wodwala amakhala ndi mimba yaumphawi - ndiyo, khungu ndi mucous zimakhala zachikasu. Pa nthawi yomweyo, mayeso ena onse a magazi ndi mayesero a chiwindi amakhalabe ovuta.
Matenda a Gilbert - kodi ndi mawu osavuta bwanji?
Chifukwa chachikulu cha matendawa ndicho kupangitsa kuti jini ikhale ndi glucuronyl transfasease, yomwe imayambitsa kusintha kwa bilirubin. Ngati enzyme iyi mu thupi silingakwanire, thunthulo silingathe kutulutsidwa kwathunthu, ndipo zambiri zimalowa m'magazi. Pamene chiwerengero cha bilirubin chimakula, chimfine chimayamba. Mwa kuyankhula kwina, kungoyankhula: Gilbert's matenda ndi kulephera kwa chiwindi kuti abwezeretse mankhwala owopsa pochuluka ndikuchotsa.
Gilbert's syndrome - zizindikiro
Matendawa nthawi zambiri 2-3 amapezeka kawirikawiri. Monga lamulo, zizindikiro zoyambirira za izo zimawoneka ali ndi zaka 3 mpaka 13. Matenda a Gilbert mwanayo akhoza kulandira "cholowa" kuchokera kwa makolo ake. Kuonjezerapo, matendawa amayamba chifukwa cha njala yambiri, matenda, kupsinjika kwa thupi komanso kukhumudwa. Nthawi zina matendawa amawoneka chifukwa chodya mahomoni kapena zinthu monga caffeine, sodium salicylate, paracetamol.
Chizindikiro chachikulu cha matenda ndi jaundice . Ikhoza kukhala pakatikati (kuyang'ana pambuyo kumwa mowa, chifukwa cha kuwonongeka kwa thupi kapena kupsinjika maganizo) komanso kosatha. Odwala ena, chiwerengero cha bilirubin mu Gilbert's syndrome chimauluka pang'ono, ndipo khungu limangokhala ndi khungu lochepa chabe, pamene ena amakhalanso oyera a maso. Nthawi zambiri, jaundice imadetsedwa.
Kuwonjezera pa chikasu cha khungu ndi mucous membranes, Gilbert's matenda ali ndi zizindikiro zotsatirazi:
- kusowa tulo;
- kufooka;
- kutopa mwamsanga;
- kupweteka ;
- Kuwoneka kwa kulawa kowawa pakamwa;
- kuwonongeka kwa chilakolako;
- kukhetsa;
- kumverera kolemetsa mu hypochondrium yolondola;
- matenda osungira (odwala nthawi zambiri amangodandaula za kutsekula m'mimba mosiyana ndi kudzimbidwa);
- Kuchulukitsa chiwindi (kumapezeka 25% pa milandu, pamene kukula kwa thupi kumasintha pang'ono, ndipo kulumpha kumakhalabe zopanda pake).
Gilbert's syndrome - matenda
Kuti mudziwe matendawa, muyenera kuchita kafukufuku angapo panthawi imodzi. Kuyezetsa magazi kumafunika kwa matenda a Zibera. Kuphatikiza apo, wodwalayo wapatsidwa:
- kukonza;
- kuphunzira za bilirubin m'magazi;
- zitsanzo za bilirubin (ndi nicotinic acid, njala kapena phenobarbital);
- Ultrasound ya ziwalo za m'mimba ;
- ndowe zowonongeka kwa sterbilin;
- amafufuza pa alkaline phosphatase, GGTP, AsAT, ALT.
Kufufuza kwa Gilbert's syndrome
Zotsatira za maphunziro a labotale nthawizonse zimakhala zovuta kuti zisokoneze. Makamaka, pamene ali ochuluka kwambiri, monga momwe amadziwira matendawa. Ngati pali kukayikira kwa matenda a Zibera, ndipo bilirubin poyesera ikuposa 8.5 - 20.5 mmol / l, ndiye kuti matendawa akutsimikiziridwa. Chizindikiro chosavomerezeka ndi kukhalapo kwa mankhwala owopsa m'mkodzo. Chofunika - zizindikiro za mavairasi a chiwindi mu matenda sizinatsimikizidwe.
Genetic kusanthula kwa Gilbert's syndrome
Chifukwa chakuti nthawi zambiri matendawa amakhala olowa, nthawi zambiri matenda okhudza matendawa amawafunsa mafunso a DNA. Amakhulupirira kuti matendawa amafalitsidwa kwa mwanayo pokhapokha ngati makolo onsewo akunyamula jini losadziwika. Ngati mmodzi wa achibale alibe, mwanayo adzabadwira wathanzi, koma panthawi imodzimodziyo adzakhala mtsogoleri wa jini "lolakwika".
Dziwani kuti matenda a Gilbert m'thupi la DNA amatha kudziwa ngati chiwerengero cha TA chikubwereza. Ngati iwo ali mu dera lolimbikitsa lotengera jini 7 kapena kuposa, matendawa akutsimikiziridwa. Akatswiri amalimbikitsa kwambiri kuyambitsa mayeso a majini musanayambe kumwa mankhwala, makamaka ngati mankhwala ndi mankhwala omwe ali ndi hepatotoxic zotsatira amayembekezera.
Kodi mungatani kuti mupewe matenda a Gilbert?
Ndikofunika kumvetsetsa kuti izi si matenda wamba. Choncho, mu chithandizo chapadera Gilbert's syndrome sichifunikira. Atazindikira za matendawa, odwala akulimbikitsidwa kuti aziwongolera zakudyazo - kuchepetsa kugwiritsira ntchito mchere, pachimake, - kuti adziteteze ku nkhawa ndi zochitika, kusiya makhalidwe oipa, ngati n'kotheka kukhala ndi moyo wathanzi. Mwachidule, palibe chinsinsi cha momwe angachiritse matenda a Gilbert. Koma zochitika zonse zomwe tazitchula pamwambazi zingathe kubweretsa chiwerengero cha bilirubin kubwerera.
Mankhwala ndi Gilbert's syndrome
Sankhani mankhwala alionse akhale katswiri. Monga lamulo, mankhwala osokoneza bongo ndi matenda a Gilbert amagwiritsidwa ntchito motere:
- Mankhwala ochokera ku gulu la barbiturate. Mankhwalawa ali ndi antiepileptic effect, pofanana kuchepetsa mlingo wa bilirubin.
- Hepatoprotectors . Tetezani chiwindi ku zotsatira zovulaza za zosokoneza.
- Pamaso pa matenda opatsirana, matenda a Gilbert amathandizidwa ndi ma antizytic ndi digestive digestive.
- Zowonongeka zimathandiza kuti kuchotsa bilirubin msanga kuchoka m'mimba.
Kudya mu Gilbert's syndrome
Ndipotu, zakudya zoyenera ndizofunika kwambiri kuti kubwezeretsa chiwerengero cha bilirubin mu magazi. Kudya ndi Gilbert's matenda kumafunikira kwambiri. Koma ndizothandiza. Odwala omwe ali ndi matendawa amaloledwa kudya:
- mkate wa tirigu;
- kanyumba kakang'ono ka mafuta;
- ng'ombe yamphongo yaing'ono;
- nkhuku yophika;
- supu pa bulbone ya masamba;
- phokoso;
- Zipatso (koma osati zowonongeka);
- compotes;
- tiyi wofooka.
Ndipo mankhwala omwe ali ndi Gilbert's matenda amaletsedwa motere:
- chophika chatsopano;
- tsabola;
- ayisikilimu;
- nyama yochuluka ndi nsomba;
- sipinachi;
- mafuta;
- sorelo;
- mpiru;
- mowa;
- khofi yachilengedwe.
Matenda a Gilbert - mankhwala ndi mankhwala ochiritsira
N'zosatheka kudalira njira zina zothandizira. Koma matenda a Augustin Gilbert ndi amodzi mwa matenda oterewa, omwe mankhwala opatsirana amatha kulandiridwa ngakhale ndi akatswiri ambiri. Chinthu chachikulu ndikukambirana mndandanda wa madokotala omwe akupezekapo, kuti mudziwe mlingo wanu ndipo musaiwale kuti nthawi zonse mutenge mayesero oyenera.
Matenda a Gilbert - mankhwala a mafuta ndi viniga ndi uchi
Zosakaniza:
- mafuta a azitona - 0,5 l;
- Flower uchi - 0,5 makilogalamu;
- apulo cider viniga - 75 ml.
Kukonzekera, gwiritsani ntchito:
- Sakanizani zosakaniza zonse mu chidebe chimodzi ndikutsanulira mu galasi, chophimba chatsekedwa bwino.
- Pewani mankhwala pamalo amdima (pansi pa alumali pa firiji).
- Musanagwiritse ntchito, madzi ayenera kutetezedwa ndi supuni ya matabwa.
- Imwani pafupi 15 - 20 ml 20 - 30 minutes musanadye 3 mpaka 5 pa tsiku.
- Jaundice idzayamba kutsika pa tsiku lachitatu, koma mankhwalawa ayenera kumwa mowa kwa sabata. Kusiyana pakati pa maphunziro ayenera kukhala osachepera milungu itatu.
Kuchiza kwa Gilbert's syndrome ndi burdock
Zosakaniza:
- chodabwitsa;
- madzi - 2 tsp.
Kukonzekera, gwiritsani ntchito:
- Ndibwino kugwiritsa ntchito masamba atsopano omwe amasonkhanitsidwa mu May, pamene ali ndi zinthu zowonjezera zothandiza.
- Pukutani masamba ndi madzi.
- Madzi akulimbikitsidwa kumwa mowa 15 ml katatu pa tsiku kwa masiku khumi.
Kodi matenda a Gilbert ndi owopsa bwanji?
Matendawa samatsogolera ku imfa ndipo umoyo umakhala wovuta. Koma pakadali pano, matenda a Gilbert ali ndi zotsatira zake zoipa. Kwa zaka zambiri, odwala ena omwe ali ndi jaundice amatha kukhala ndi matenda a psychosomatic. Chomwe chingakhumudwitse kwambiri njira yothetsera chikhalidwe cha anthu ndikukakamiza munthu kupita kwa katswiri wa maganizo.
Nthawi zambiri, matenda a Gilbert amachititsa miyala yofiira mu bile kapena m'matope a chikhodzodzo. Ngati izi zichitika, ndiye chifukwa cha kudzikuza kwambiri kwa bilirubin, osakaniza. Kusintha kwa chiwindi sikumakhudza. Koma ngati simungokhala ndi mowa, chakudya chovulaza ndi kumwa mankhwala osalongosoka, matenda a chiwindi amatha kukula.
Gilbert's syndrome ndi mimba
Nthawi yomweyo ndikofunika kuthetsa amayi onse amtsogolo: Matendawa ndi mimba sizilepheretsana. Matenda a Gilbert siopseza mkaziyo kapena mwana wake wam'tsogolo. Choopsa chachikulu chovumbula matenda pazochitika zosangalatsa ndizosatheka kutenga mankhwala omwe kawirikawiri amagwiritsidwa ntchito kuthetsa mkhalidwe wa odwala.
Matenda a Gilbert adzalandira, koma mayi wamtsogolo akhoza kuchepetsa kuchuluka kwa bilirubin m'magazi. Pa ichi muyenera:
- Chotsani zonse zomwe mukuchita.
- Pewani mowa.
- Pewani ngakhale kupsinjika pang'ono.
- Musati mukhale njala konse.
- Khalani ku dzuwa kwa nthawi yochepa.