Kazhinji jaundice inowanikwa mucheche, asi dzimwe nguva chirwere chinozviratidza pakukura. Chikonzero chayo ndechekusiyana kwezvipembenene muropa, pancreas uye gallbladder. Zviratidzo zve jaundice mumunhu mukuru zvinenge zvatoonekwa pakutanga kwechirwere chacho.
Ko jaundice inoitika sei kuvanhu vakuru?
Kutanga, nenzira dzakasiyana-siyana chirwere chegungwa hachisi chirwere chakazvimirira, asi chinongoratidzira kukanganisa kukuru kwebasa reimwe nhengo dzomukati, somuenzaniso, chiropa. Saka, zviratidzo zve jaundice muvanhu vakuru, zvichienderana nerudzi rwechirwere, zvinogona kunge zvakasiyana. Kune marudzi akadaro ezvirwere:
- hemolytic jaundice;
- parenchematous (hepatic) jaundice;
- subhepatic (mechanical) jaundice;
- nhema jaundice.
Chirwere chemafu chinoratidzira sechikanda cheganda uye mucosa, asi haisi chirwere, sezvo izvi zvinokonzerwa nokuwedzerwa kwecarotene muropa. Kazhinji izvi zvinoitika kana iwe ukashatisa karoti nemajisi emurairi.
Hepatic jaundice inowanzotanga kune varwere vane cirrhosis , hepatitis, kenza yechiropa. Inoratidzwa nekuwedzera kwehuwandu hwebilirubin muropa semugumisiro wekuora kwemasero emuropa. Heano zviratidzo zvekutanga zvejeriyumu zvechirudzi ichi kuvanhu vakuru:
- kurwadziwa kwakanyanya mukanini hypochondrium;
- kuputika kweganda rechiso nemuviri, pane dzimwe nguva nechinenge chidiki chine tinge;
- yellowing ye sclera yemeso uye dzimwe nzvimbo dze mucosa;
- kuwedzera mukushisa;
- kushungurudza kwakanyanya, dutu.
Nechipangama jaundice, kurutsira kunosanganisira bile, kuora mwoyo uye kurwadziwa kwakakomba mudumbu remuviri kunogonawo kutanga. Zvinokwanisika kuwedzera chiropa uye spleen, iyo inoonekwa neyekuongorora kwe ultrasound.
Ndezvipi zvimwe zvingaita kuti jaundice ionekwe nevanhu vakuru?
Mukuwedzera kune zviratidzo zvakanyorwa, zvinogona kunge zvakabatanidzana nemahesheni uye zvimwe zviratidzo zvehupfu hwehutu - marwere, kurutsa neropa uye bile. Muchiitiko ichi, pakarepo bvunza chiremba. Sezvo chirwere ichi chisina kupararira, nguva yekudzivirira haina chirwere chemajeri muvanhu vakuru, asi kazhinji chirwere chacho hachina kusimba kwemavhiki mashoma.
Inofanirawo kufunga nezvekuti sechiratidzo chechipiri chinonzi jaundice chinogona kuitika kune dzimwe zvirwere zvejenitourinary system uye gallbladder:
- cholecystitis ;
- pancreatitis;
- mabwe muine;
- kidney stones;
- hepatic and renal insufficiency;
- vamwe zvirwere zvehutachiona uye kuputika kwemukati.