I-Gilbert syndrome - zonke iimpawu zesifo

I-Gilbert syndrome iyisifo esizalwe sisizukulwana esichaphazelekayo esichaphazelekayo kwi-biabubin ye-metabolism. Ngenxa yoko, inani lempahla egazini liyakhula, kwaye isigulane ngesinye isikhathi sinomhlaza omnyama-oko kukuthi, ulusu kunye ne-mucous luba luhlaza. Ngelo xesha, zonke iimparameter zegazi kunye neemvavanyo zesibindi zihlala ziqhelekileyo.

I-Gilbert's syndrome - yintoni ngamazwi alula?

Isizathu esibalulekileyo sesi sifo kukungqinelana kwe-gene ejongene ne-glucuronyl transferase, i-enzyme ene-hepatic eyenza utshintshiselwano lwe-bilirubin lunokwenzeka. Ukuba le enzyme emzimbeni ayaneleyo, loo nto ayinakunyulwa ngokupheleleyo, kwaye ininzi yayo iya kungena egazini. Xa ukuxilongwa kwe-bilirubin kwanda, i-jaundice iqala. Ngamanye amagama, ukuthetha nje: Isifo sikaGilbert ukungakwazi kwesibindi ukuhlaziya isisetyhe esinobuthi esininzi kwaye sisuse.

I-Gilbert's syndrome - iimpawu

Esi sifo sininzi ngokuphindaphindiweyo amaxesha ama-2-3 aphindwa afunyanwe kumadoda. Njengomthetho, iimpawu zokuqala zalo zivela kwiminyaka eyi-3 ukuya kwe-13. I-Gilbert syndrome umntwana angafumana "ngelifa" kubazali. Ukongezelela, eso sifo sikhula ngokumalunga nexesha elide lokulala nendlala, ukusuleleka, ukukhathazeka ngokomzimba nangokomzwelo. Ngamanye amaxesha isifo sibonakala ngenxa yokungenisa amahomoni okanye izinto ezifana ne-caffeine, i-sodium salicylate, i-paracetamol.

Uphawu oluphambili lwe-syndrome luyi- jaundice . Inokuthi ibe yimida emfutshane (kubonakala emva kokusela utywala, ngenxa yokudlulela ngokomzimba okanye ukukhathazeka kwengqondo) kwaye ingapheliyo. Kwezinye izigulane, inqanaba le-bilirubin e-Gilbert's syndrome linyuka kancane, kwaye ulusu lufumana i-tint encane, ngelixa kwezinye iindawo zabamhlophe zamehlo ziba yi-ocher. Kwiimeko ezinqabileyo, i-jaundice ihlambuluka.

Ukongeza kwesolaphula kunye neembrane, isifo sikaGilbert sinempawu ezilandelayo:

I-Gilbert's syndrome - ukuxilongwa

Ukufumanisa esi sifo, kufuneka uqhube izifundo ezininzi zeklinikhi ngexesha elilodwa. Uvavanyo lwegazi olufunekayo kwi-Zibera syndrome. Ukongeza kuyo, isigulane sinikezelwa:

Uhlalutyo lwe-Gilbert's syndrome - ingxelo

Iziphumo zezifundo zebhubhoratri zihlala zilukhuni ukudibanisa. Ngokukodwa, xa kuninzi lwabo, njengokuba kuhlolisiswa kwesi sifo. Ukuba kukho ukukrokra kwe-Zibera syndrome, kwaye i-bilirubin ekuhlalutweni idlula imiqathango ye-8.5 - 20.5 mmol / l, kwaye ukuxilongwa kuqinisekiswa. Isibonakaliso esingathandekiyo sibukho besifo esinetyhefu kumchamo. Yintoni ebalulekileyo - abamakishi be-hepatitis yentsholongwane kwi-syndrome ayinqunyiwe.

Uhlalutyo lwe-Genetic lwe-Gilbert's syndrome

Ngenxa yokuba esi sifo sihlala sisifa, imisebenzi yokuxilonga kwiimeko ezininzi zibandakanya uphando lwe-DNA. Kukholelwa ukuba lesi sifo sidluliselwa kumntwana kuphela xa abazali bobabini bephethe i-gene engavamile. Ukuba enye yeentsapho ayinayo, umntwana uza kuzalwa enempilo, kodwa ngexesha elifanayo uya kuba ngumphathi wegciwane "elingalunganga".

Qinisekisa ukuba i-homozygous syndrome eGilbert kwi-DNA ukuxilongwa ingaba ngokuhlola inani le-TA eliphinda. Ukuba bahlala kwingingqi yomgqugquzeli we-gene okanye ngaphezulu, ukuxilongwa kuqinisekiswa. Iingcali zincoma kakhulu ukuqhuba uvavanyo lofuzo ngaphambi kokuba uqalise unyango, ngakumbi xa unyango lweziyobisi ezinezilwanyana ezinobungozi obulindelekile.

Indlela yokuphatha ngayo iGilbert's syndrome?

Kubalulekile ukuqonda ukuba esi sisifo esiqhelekileyo. Ngoko ke, kwiloni ekhethekileyo uGilbert's syndrome ayifuni. Xa befunde malunga nokuxilongwa kwabo, izigulane zicetyiswa ukuba zihlaziye ukutya - ukunciphisa ukusetyenziswa kosawoti, okunamandla, ukuzama ukuzikhusela ekuxinekeni kunye namava, ukuyeka imikhwa emibi, ukuba kunokwenzeka ukuba usebenzise indlela yokuphila enempilo. Ukubeka nje, akukho mfihlo yendlela yokuphilisa ngayo iGilbert's syndrome. Kodwa yonke imilinganiselo echazwe ngasentla ingakubuyisela izinga le-bilirubin ngokuqhelekileyo.

Iziyobisi ngeGilbert's syndrome

Unyule nayiphina iyeza kufuneka ube yingcali. Njengomthetho, iziyobisi kunye ne-Gilbert syndrome zisetyenziswe:

  1. Amachiza avela kwiqela le-barbiturate. Ezi zi yobisi zineempembelelo ze-antiepileptic, ngokufana nokunciphisa izinga le-bilirubin.
  2. Hepatoprotectors . Khusela isibindi kwimiphumo emibi ye-stimuli.
  3. Ngaphambi kokuphazamiseka kwe-dyspeptic, isifo sikaGilbert siphathwa nge-antiemetics kunye ne-enzyme yokugaya.
  4. Ukungena kwizinto ezifakayo kubangela ukuba kususwe ngokukhawuleza kwe-bilirubin ukusuka emathunjini.

Ukutya kwi-syndrome yeGilbert

Enyanisweni, isondlo esifanelekileyo sisisitshixo ekubuyiselweni okuyimpumelelo kwinqanaba eliqhelekileyo le-bilirubin egazini. Ukutya kunye nesifo sikaGilbert kufuna ukuba kugqitywe. Kodwa kusebenza. Izigulane ezinokuxilongwa zivunyelwe ukuba zidle:

Yaye nemveliso kunye nesifo sikaGilbert ayivunyelwe ngolu hlobo lulandelayo:

I-Gilbert syndrome - unyango kunye nezilwanyana zabantu

Akunakwenzeka ukuthembela kuphela kwiindlela ezahlukeneyo zonyango. Kodwa isifo sikaAgasin Gilbert sisinye sezifo ezinjalo, apho unyango lwabantu lwamkelwa ngongcali ezininzi. Into ephambili kukuba uxoxe uluhlu lwamachiza kunye nogqirha oya kuzo, ubeke ngokucacileyo umlinganiselo wakho kwaye ungakulibala ukuba uthabathe rhoqo uvavanyo lweemfuneko.

I-Gilbert syndrome - unyango lweoli kunye neviniga kunye nobusi

Izithako:

Ukulungiselela, sebenzisa:

  1. Hlanganisa zonke izithako ngokugqibeleleyo kwisitya esinye kwaye uthele kwiglasi, isitsha esivaliwe kakuhle.
  2. Gcina iyeza endaweni epholileyo (kwindawo ephantsi kwefriji, umzekelo).
  3. Ngaphambi kokusetyenziswa, utywala kufuneka kukhuselwe ngepuni.
  4. Phuza malunga ne-15 ukuya kwi-20 ml imizuzu engama-20 ukuya kwe-30 ngaphambi kokutya ama-3 ukuya kwezi-5 ngezihlandlo ngosuku.
  5. I-jaundice iya kuqala ukuhla ngosuku lwesithathu, kodwa isilwanyana kufuneka sotywe ubuncinane ngeveki. Ukuphuka phakathi kwezifundo kufuneka kube ubuncinane kwiiveki ezintathu.

Unyango lwe-Gilbert's syndrome kunye ne-burdock

Izithako:

Ukulungiselela, sebenzisa:

  1. Kucetyiswa ukuba kusetyenziswe amaqabunga amasha ahlanganiselwe ngoMeyi, xa equlethe ubuninzi bezinto ezincedo.
  2. Sula imifino ngamanzi.
  3. I-Juice icetyiswa ukusela 15 ml kathathu ngosuku ngemini eyi-10.

Yintoni eyingozi uGilbert syndrome?

Isifo asikho ekufeni kwaye umgangatho wobomi awunzima. Kodwa kule meko, isifo sikaGilbert sinemiphumo emibi emva kwayo yonke into. Kule minyaka, ezinye izigulane ezine-jaundice ziyakwazi ukuhlakulela izifo zengqondo. Yintoni enokubangela ukuba kube nzima ukwenza inkqubo yokulungiswa kwentlalo kwaye iqhube umntu ukuba aye kwintliziyo yengqondo.

Kwiimeko ezinqabileyo, i-Gilbert syndrome ikhiqiza amatye ahlambulukileyo kwi-bile okanye kwiidonsi zesibindi. Ukuba oko kwenzeka, ngoko ngenxa yokuqokelelwa kwemali engqalileyo ye-bilirubin, ukunqanda. Ukutshintsha kwesibindi ngokuqhelekileyo akukhathazeki. Kodwa ukuba awupheli utywala, ukutya okuyingozi kwaye uthathe amayeza angalawulwayo, i-hepatitis ingahlakulela.

I-Gilbert's syndrome kunye nokukhulelwa

Kwaoko kuyimfuneko ukuzolalisa bonke oomama abazayo: esi sifo nokukhulelwa akubandakanyi omnye nomnye. I-Gilbert's syndrome ayifuni ingozi kumfazi okanye kwikamva lakhe. Ingozi enkulu yokutyhila isigulane ngexesha lemiba enomdla kukuba akunakwenzeka ukuthatha loo mayeza aqhelekileyo asetyenziselwa ukunciphisa imeko yezigulane.

I-Gilbert syndrome ifa, kodwa umama ozayo unokunciphisa inani le-bilirubin egazini. Kule nto ufuna:

  1. Ukuphelisa ngokupheleleyo imisebenzi yomzimba.
  2. Ukunciphisa utywala.
  3. Gwema noxinzelelo olunzima.
  4. Musa ukulamba nonke.
  5. Hlala elangeni ixesha elincinane.