Jaundice, kuphatikizapo parenchymal, imapezeka ngati khungu ndi khungu la maso limakhala ndi chikasu chachikasu. Chodabwitsa ichi chimawonedwa pamene chinthu chochuluka kwambiri cha bilirubin chimadza mu makoswe.
Zifukwa za parenchymal jaundice
Monga lamulo, parenchymal jaundice imayambitsidwa ndi matenda a maselo osokonezeka. Chifukwa chaichi, m'magazi a seramu nthawi zambiri, amadziwika kuti bilirubin. Zomalizazi ziyenera kulowa mkati mwa bile capillaries, koma zimatero motero, choncho zambiri zimabwerera ku magazi.
Zifukwa zomwe zisanachitike poyambitsa ndondomeko ya jaundice ndi izi:
- chiwindi;
- chiwindi;
- leptospirosis ;
- matenda opatsirana a mononucleosis;
- hepatocellular carcinoma;
- kumwa mowa, mankhwala kapena poizoni wa chiwindi;
- matenda a hepatitis oopsa kwambiri.
Zizindikiro za parenchymal jaundice
Kotero:
- Chiwonetsero chachikulu kwambiri cha matendawa ndi kudaya khungu ndi mucous membranes. Kuphimba kumakhala wachikasu ndi ruby kapena wofiira tinge.
- Pa ululu ndi ku US zikuwonekera, kuti chiwindi chimakula pang'ono kukula ndipo sichitha kwambiri.
- Wodwala amavutika kwambiri ndi kuyabwa.
- Pa nthawi ina, pamakhala ululu pachiwindi.
- Pozindikira kuti mankhwalawa amatha kupweteka kwambiri, zimakhala zowonongeka.
- Nkhumbayi imatha kusinthika.
- Nthendayi imadziwonetsanso ngati zizindikiro zazikulu zowonongeka.
Kuchiza kwa parenchymal jaundice
Pofuna kubwezeretsa njira yogwiritsira ntchito maselo a chiwindi ndi kubwezeretsa bilirubin kuti zikhale zachilendo ndi chifuwa chachikulu chotchedwa jaundice:
- mavitamini a gulu B;
- vitamini C;
- amino acid;
- lipoic acid.
Ngati cholestatic kapena hepatic-cellular jaundice imapezeka, yomwe imayambitsidwa ndi njira yowonjezereka, akatswiri amapempha thandizo la glucocorticoids. Mosiyana ndi chikhulupiliro chofala, kulandira chithandizo kwa odwala okhala ndi jaundice osapindulitsa sikungapindule.
Chizindikiro cha matendawa chimadalira pamene zinapezeka. Ngati matendawa atapezeka kale, ndizotheka kuchotsa. Mankhwala a jaundice opweteka kwambiri amaonedwa kuti ndi owopsa kwambiri. Matenda omwe atenga mawonekedwewa angasonyeze kuti sangakwanitse, komanso kukula kwa njira zosasinthika m'thupi.