Gilbert kuti chirwere: chii? Zvinokonzera, zviratidzo uye pakurapa chirwere

The chirwere achabatsirwa nyonganyonga pamusoro bilirubin muviri, kutanga zvakanzi kurondedzerwa muna 1901 ne A. N. Gilbert (Gilbert). Maererano nenhamba, pamwe chirwere chakafanana anotarisana vanenge 5-7% vemo nyika. Saka nei paine Gilbert kuti urwere, chii uye chii vari zviratidzo zvayo? Zvinoita kurapa zvachose chirwere?

Gilbert kuti chirwere: chii?

Kuti tinzwisise chii chaizvo chirwere ichiwanika, zvakakodzera kutanga kuwana zvimwe zvinoitwa bilirubin muviri. Ichi yeyero ruvara, iro achiumbwa chiropa kubudikidza kuora kuti Chizenga (ari kufema ruvara ropa). Zvinonzi mudzoke kunyika vakasununguka yeyero ruvara akasungwa chimiro munyama chiropa. bilirubin conjugated kwakadaro muwisira gallbladder, uye ipapo chinoita pamwe chete bile kupinda zvomudumbu turakiti uye yabudiswa pamwe mutsvina yadzo. Kana chirwere ichi vasina kusungwa bilirubin muropa inowedzerawo.

Gilbert kuti chirwere kakawanda chirwere mu vagari Africa, kunyange chinoremedza vanhu vemamwe marudzi. Panzira, vanhu vanotambura nechirwere ichi anenge 10 nguva kakawanda kupfuura vakadzi.

Gilbert kuti chirwere: chii uye chii chinokonzera izvozvo?

Iri nhaka chirwere riri chokuita basa vamwe majini. Somugumisiro, chiropa hepatocytes runningaway kukwana glucuronyl. Hazvina enzayemu iri kukonzera nokusungwa bilirubin kuti glucuronic acid. Nokudaro, kwaiva yezviri fuma kunotungamirira dzakakwirira kwevari vakasununguka yero ruvara muropa.

Gilbert kuti chirwere: chii uye chii vari zviratidzo zvayo?

The chikuru chiratidzo chirwere ichi ndicho jaundice. Zvinofanira kucherechedzwa kuti kuwedzera chirwere chinogona kukonzerwa dzakasiyana zvinhu. Kunyanya, Kushatiswa evanhu ari kuchengetwa somugumisiro kuzvidya mwoyo, panyama kuneta, kushaya zvokudya zvinovaka muviri kana nzara, kushandiswa zvimwe mishonga, uyewo yapfuura myocardial anogumbura chirwere.

Chokuita nokuwedzera wakasununguka Kuwanda bilirubin muropa rinowanika yellowness ganda uye sclera. With kukura zvimwe zviratidzo zviri chirwere zvingaitika. Vamwe varwere chokunyunyuta pamusoro musoro, wevasungwa vanotaura, kuvhiringidzika, dzungu, ndangariro vanotaura. Dzimwe nguva pane kunzwa mwoyo kana nyanyisa kutya pasi kunyonganiswa kurwisa, uye dzimwe nguva kuora mwoyo uye kushaya hope.

Sezvingatarisirwa, munewo zvinetso zviri zvomudumbu ino - iri kurasikirwa kudya, kuda kurutsa, abdominal kurwadziwa, chinyamunhari chinorwadza munzvimbo nduru dundira, chiropa unyoro, bloating uye manyoka. Mune zvimwe zviitiko, kukura kusada zvimwe zvokudya, zvakadai makabhohaidhiretsi.

Pasina rubatsiro nenguva kuratidza zviratidzo cardiac kana kufema kukundikana, chakamira pakunodengenyeka zvine, nyota yakawandisa, kuramba kurutsa, tsandanyama marwadzo, kuzvimba node nodes. In wakakura zvikuru zviitiko rikwanise chiropa kukundikana hwapedyo.

Gilbert kuti urwere: Treatment

Zvinosuruvarisa mushonga yokugara zvirwere haisi Pari zvinobvira. Ukuwo, vakawanda chirwere chiri benign - vazhinji kwemakumi emakore havasi kunyange kuziva chirwere chake. Medical kupindira kunodiwa chete nguva exacerbation. Saka, pakutanga zviratidzo jaundice vanofanira kubvunza chiremba. Bed zororo, kunwa zvinwiwa zvakawanda, mavhitaminzi uye kudya kwakakodzera kubatsira normalize kuti muviri. Mune zvimwe zviitiko, murwere ushandiswe phenobarbital, izvo zvinoderedza padanho bilirubin (kushandiswa kwezvinodhaka asingagoni pamadiro, sezvo zvisiri chipimo chemushonga kusvikira zvinobvira matambudziko anoitika chiropa kukundikana). The Kudya haafaniri kusanganisira zvinhu ane preservatives uye doro - zvokudya anofanira manyoro uye zvinganaka steamed.