I-jaundice, kubandakanya i-parenchymal, ifumaneka ukuba ulusu kunye ne-sclera zamehlo zifumana i-tinge ephuzi. Le nto ibonakala xa ininzi ye-bilirubin iqokelela kwizicubu.
Iimbangela ze-jaundice ye-parenchymal
Njengomthetho, i-jaundice ye-parenchymal ibangelwa ukusuleleka kweeseli ezinobungozi. Ngenxa yoko, kwi-serum yegazi kwiimeko ezininzi, i-bilirubin ecacileyo ifunyenwe. Ezi zilandelayo zimele zingene kwi-capillaries ye-bile, kodwa yenza njalo ngokubunzima, ngoko ininzi ibuyela kwigazi kwakhona.
Izizathu ezandulela ukuphuhliswa kwe-jaundice yangempela zi:
- i-cirrhosis;
- i hepatitis;
- leptospirosis ;
- mononucleosis;
- i-hepatocellular carcinoma;
- umonakalo obunxilisayo, onobungozi okanye obunobuthi obuyingozi;
- i-hepatitis enobudlova kwifomu engapheliyo.
Iimpawu ze-jaundice ye-parenchymal
Ngoko:
- Ubonakaliso obunzulu besifo sifana nokudaywa kwesikhumba kunye neembumba. I-covers i-yellow nge ruby okanye i-tinge ebomvu.
- Kwi-palpation nase- US kubonakala, ukuba isibindi sanda ngokusayizi kwaye asiba nzima kakhulu.
- Isigulane sibhekene nokubetheka okukhulu.
- Kwinqanaba elithile, kukho intlungu kwisibindi.
- Xa ukuxilongwa kwe-jarenchce ye-parenchymal kwifomu engapheliyo, ukujikelezwa kwezinto ezinobungozi kungabonwa.
- Ipeyin iyalungeleka kakuhle.
- Esi sifo sibonakalisa njengempawu eziphambili ze-hepatic-cell failure.
Unyango lwe-parenchymal jaundice
Ukubuyisela inkqubo yokutshintshiselwa kweeseli zesibindi kwaye ubuyele kwi-bilirubin eqhelekileyo nge-jaundice ye-parenchymal yonyula:
- iivithamini zeqela B;
- vitamin C;
- amino acids;
- lipoic acid.
Ukuba i-cholestatic okanye i-hepatic-cellular jaundice ifunyanwe, eyabangelwa yinkqubo ekwakhiwa kweengxaki, iingcali ziphendulela uncedo lwe-glucocorticoids. Ngokuchasene neenkolelo eziqhelekileyo, unyango lwezonyango zezigulane ezine-jaundice ze-parenchymal aziyi kuzuza.
Ukugxekwa kwesi sifo kuxhomekeke ekubeni bekufumaniswe oko. Ukuba isifo sifumaneka kwisigaba sokuqala, kunokwenzeka ukuba sikhuphe. I-jaundice engapheliyo i-parenchymal ithathwa njengengozi kakhulu. Isifo esiye sithatha le fomu sinokubonisa ukungaqiniseki kwe-hepatic, kunye nokuphuhliswa kweenkqubo ezingenakwenzeka kwi-body.