Jaundice conjugation:ʻike, kumu, lapaʻau

Jaundice mea,ʻaʻole he okoa maʻi, ia mea wale nō i symptom o kekahi pathologies. Ma na hihia a pau, ka mea i e physiological, i mea unrelated i kekahi mai (i loko o na kamalii uuku). Ke kumu no keia kulana mea e mahuahua ma ka bilirubin, a haawi icteric 'ia nā pōpō o ka ili, mucous membranes a me sclera.

Jaundice: Kind

Kēia moku'āina ua inextricably ua hoʻopili i ka maʻiʻo o ka bilirubin i loko o ke koko. Naʻe, ka mea e hookomo ana mahuahua paha e okoa. Ma kekahi mau hihia, i maopopo ai i ke kumu o ka hele 'ana o kēia pathology i loko o ke kino, i pono koke lapaau. Ke kaumaha ma muli o ka mana o bilirubin pūnao kāna hana i kekahi mauʻano o ka jaundice:

1. Conjugation jaundice, i mea heʻilihune o ka hihia hoʻi conjugation o bilirubin. I ka mea, ia lŘlŘ i loko o nā pēpē.
2. Parenchymal jaundice e hoʻomōhala ana i loko o ka helu o ke akepaʻa pathologies. I ka make ana o ka parenchyma o ke kino (o ka make ana o ooieoeiiaeuiiai keena - hepatocytes)ʻo ia ka mea hiki ole i ka paʻa bilirubin a me kona hou hoonohonoho hou.
3. Obstructive jaundice, a ia lŘlŘ ma ka 'aʻe o ka outflow o bile. Ua Ua pili me ka maʻi e hoʻonui ai i ka panina 'ole hou o ka lumen o ka bile leki uea. O kŰia ia lŘlŘ ma cholelithiasis a me ka ho okumu ana oʻeho.
4. Hemolytic jaundice - pathology pili me ka disintegration o ka ula koko keena. Bilirubin - pigment a ia lŘlŘ ka wā o ka hālāwai hope o ka hemoglobin, no laila, ua hoʻokiʻekiʻeʻia erythrocyte lysis hiki aku ai, e hoʻonui kona kiʻekiʻe.
5. Kernicterus - kūʻokoʻa, a me ka noho pilikia loa ano. Ua lŘlŘ i loko o ka hihia ina wa i hooleiiaʻi mawaho, e hypoxia ka fetus i? Acaeoey a asphyxia hanau. Nō hoʻi, i ka mea i lilo i ka maʻiʻaʻai i hapai wahine. Ka weliweli ka i ka pigment accumulates i loko o nā aʻalolo keena o ka lolo, i hiki aku ai i na neurological kāna hana, a me ka i hiki e ona.

Conjugation jaundice i loko o nā pēpē i

Jaundice ia lŘlŘ i na kamalii uuku ka physiological, no ka mea, ua i pili me ka pathological kaʻina. Ua hoʻomōhala ai, IeAUPIIe, IAa IO 3-5 lā ma hope o ka hanau ana. Maʻamau, ua waiho kokoke ana i mau hou, i ua pu ma ka hemolysis ula koko keena - ko lakou lukuia'na. Ma nā mākua, i ke akepaʻa ua maopopo i hanaʻia, no laila, ke bilirubin, a ua hookuu ia e ka hoʻopöʻino 'ia o kēia mau keena i manawa e manawalea, a aole i loaa i loko o ke koko.

Ka lapaʻau kiʻi i loko o na kamalii uuku ua pili me ka, pili hou o kaʻulaʻula koko keena, a pili ake ole. Kēia kino uaʻAʻole i maopopo i hanaʻia, ka hapanui pinepine ia jaundice ia lŘlŘ ma premature keiki. Bilirubin hoʻomaka e kūkulu i loko o ke koko, a laila, accumulates i loko o kaʻili, a mucous membranes, hāʻawi ana iā lākou i ka ano waihoʻoluʻu. Ihu lua i loko o ke kolu o ka-lima o ka lā. mau symptoms laila, i hele mai i ka wehe ana o bilirubin ke kiʻekiʻe o hoi i ka maʻamau.

He aha mea kēiaʻano?

Conjugation jaundice (ICD-10) kaawale i loko o ka lahui Mea Maluna ua ole anao? Aou. Ua loaʻa P59.0 hoʻopā'ālua nā neonatal jaundice, i mea heʻilihune o premature haawi, a ua pili i hyperbilirubinemia. Lāliʻi ke kaʻina hana i ho'ākāka 'ia ma luna.

Conjugation ano o ka maʻi ia lŘlŘ loa pinepine i loko o nā keiki. Kēia transient jaundice i loko o nā pēpē i, e like me ka mea ana e hoʻomōhala ana i loko o premature na kamalii uuku, a me na keiki paku ole ia i asphyxia. Nā kumu o ka pilikia, he pinepine hereditary a me ka endocrine pathology (e like, syndromes Lyutseya-Driskopa a me Gilbert). Kēia pūʻulu nā ka lāʻau jaundice.

Bilirubin - He aha ka mea?

Ua haawiia i ke pigment, i mea he huina hoonui o ka hālāwai hope o ka hemoglobin keia inoa. Ma kekahi nā hoʻohui like ia ke kumu ana i nā pōpō o ka ili a me ka mucous membranes. Bilirubin - ka mea nui PalekanaEND_LINK ana, e like me kona mea ulu hōʻike he pathological kaʻina a me ka hoʻomaka lapaau. I ka nui o ka pigment Hōʻike 'o ka moku'āina o ke ake, a biliary'āpana.

Ma ke kino, ua loaʻa i ka bilirubin i loko o nā 'ano apau loa - kauoha a me kaʻauhau'ēʻaʻe. Me Kinohi protrudes lua o ka huli ana huahana. ʻauhau'ēʻaʻe bilirubin meaʻawahia, a ke kemu mea momona. He ua i excreted mai ke kino. Metabolic kāna hana, keia palapala hiki ke loaa, ina heʻawahia ia ma luna o ke kino. Maʻamau, ka mea, ua hoohuliia mai i loko o nā moʻopuna bilirubin mea nontoxic. Conjugation jaundice ia lŘlŘ ma muli o ka 'aʻe' ana o kona pūnao.

mail bilirubin

Ke kumu o keia pigment ka hemoglobin - i ka papa kuhikuhiE ke keʻena o ka ula koko keena. Ma ka hoʻopöʻino 'ia o ka halepaahao ulaula koko hemoglobin ua hoʻokuʻuʻia a me hooleiiaʻi mawaho cleavage. Kēia kaʻina ua lawe mai ma ka hana kūikawā macrophages nā loko (iwi ka lolo, ake a me ka spleen). E like me ka hopena o ka cleavage hana heme a me ka globin. Ka mua iho i loko o biliverdin - o ka hoʻokomo o keʻauhau'ēʻaʻe bilirubin. Kona ho okumu o biliverdin e pili ana me ka ha awina o ka ho'ākāka 'ia nā'ūhū, iwaena o lakou - o ka cytochrome P-450, heme oxygenase. E möakäka houʻauhau'ēʻaʻe bilirubin ua alakaʻi ma ka ake keena kahi mea e hoopaa ana i ka glucuronicʻakika. Pela i hana pololei bilirubin, a ua waiho i loko o ke au bladder, a laila, waiho wale excretion i loko o ka duodenum. Intestinal microflora ka poʻea pau i kona ka ho'ēmiʻana i ka urobilinogen. Part o ia mea malalo iho o ke omo, residues i hoohuliia mai i loko o sterkobilinogena a excreted i loko o nā faeces, e haawi ana ia i ka ano waihoʻoluʻu.

Keʻena hoʻokolohua e ho'āʻo ai e hōʻike i ka bilirubin ua kiʻekiʻe. He aha aʻole ia ke ano o? An mahuahua i loko o kona 'ilikai i e pili i kekahi maʻi, e noi ana ke ake PalekanaEND_LINK loiloi. Physiological mahuahua ma ka bilirubin mālama i loko o nā pēpē.

lapaʻau kiʻi

I loko nō o ka mea i no ke keiki wehewehe aku e mahuahua bilirubin, lapaʻau hoike ana ua paa ole i nā mea a pau. Symptom haawiia moku'āina - waihoʻoluʻu helehelena icteric. Ua hōʻikeʻAʻole wale i ka ili akā, no hoi ma ka mucous membranes. Physiologic jaundice conjugation ae unnoticed, akā, ināʻaʻole, e ke kēia pathology.

lapaʻau '

Jaundice hiki e ka physiological moku'āina ole wale, akā, i ka symptom o ka maʻi. Inā i ke keiki i kekahi mau 'ano o ka ili a me ka mucous membranes, ka mea pono ikaika ka mālamaʻana ma ka pediatrician. ¶ A i loko o ia manawa pono e ka pāʻana i ke kiʻekiʻe o ka bilirubin. Nō kāu, i kakahiaka lā kona ola helu o hiki 60 mmol / l, akā,ʻaʻohe nui. Eia, keia pae, piʻi pū (3-7 hola).

Nō kāu, mahuahua bilirubin palekana, a maiʻaʻoheʻawahia kanawai ma ka pēpē i ka ke kino, nae, o ka 'ilikai e ole oi aku i ka ai-kapaia borderline manaʻo nui - 205 pmol / ho'āo ai. Bilirubin, a mahuahua nui - a 'o ia hoʻi ia i ka loli? Jaundice mea he pathological a me ka pono pilikia lapaau. Inā keia aka mea pololei, akā, no ka jaundice pilikia no ka lōʻihi manawa, ka mea, ua noʻonoʻo i ka conjugation, i ka mea, i ka ka mea o ka immaturity o ke akepaʻa'ūhū nenoai.

Lapaʻau conjugation jaundice

Ma hope o ka hookolokolo ana, ka mea, ua nānā 'jaundice physiological paha pathological. Ka mua Aʻole e koi i kekahi lapaau a me ka welau a ma luna o lākou iho, a me ka kumumea. Hooloihiia jaundice (conjugation) kŰlń ao ia iho, i ka wā o ka'ūhū'ōnaehana o ke akepaʻa hope oo. Naʻe, ina ka helu aku i ka pilikia bilirubin pae E e hōʻike 'pathology. Ua hiki e mea hoʻomaʻi hepatitis, bile leki uea iaʻi, a me hemolytic jaundice.

mea hoʻomaʻi hepatitis

Kēia pathology hiki ke hele mai i iho mailoko o ke keiki i ka makuahine. E like me ka hopena, ua hanau i ke keiki me ka hepatitis mea hoʻomaʻi ano. Kanawai o ka mea hoʻomaʻi ma na kahua o ka hoʻonaʻauao kakahiaka o fetal? Acaeoey hiki i hou physical abnormalities. A hiʻona o ka maʻi, e like hepatitis B i loko o nā mākua, o ka loa loa papa. Pathology ke hoike mai ai ia ia iho, a hiki mua o ka hoouka kaua ana o jaundice. Pinepine he mea he mahuahua ma ka wela, mea hōʻemi o ka ikaika loa ka makemake, a hōʻemi iki catarrhalʻike manaʻo. Ma kekahi manawa preicteric manawa i loko o na kamalii uuku asymptomatic.

Manao i ke alo o ka hepatitis B hiki ia ma kaʻimiʻana loli ma ke ano o ka mimi a me feces. Piha koko Ka Ikepili wehewehe aku ma ka emi ana o ka leucocyte a me ka erythrocyte sedimentation kōmi. Monocytes i hoi iki māhuahua. I ka icteric palapala i Ua he nui mahuahua ma ka bilirubin, a me ka thymol. No ka kakahiakaʻike, o ka maʻi ua lawe mai i kekahi ao i ake nā'ūhū. Ma umekaumaha kaʻina mai laʻoi emi o ka prothrombin, a hoonui ammonia.

Iapaau ana o na keiki ua haliia mai la mawaho, IeAUPIIe, IAa IO i loko o ka haukapila. Ke Inc hiehie ka antiviral ai 'gepatoprotektory, nā wikamina, e like me cholagogue. Paipai i ka detoxification Inc. Mawaena o ka ole-lāʻau kāu kiʻina hana i hoʻokō pharmacotherapy pono moe koena a me ka mālie.

hemolytic jaundice

Kēia pathology Ua pili me ka hemolysis oʻulaʻula koko keena, ia mea noho pilikia loa. Ke kumu no ka discrepancy ma ka lokomaikaʻi RH ololi a me ka makuwahine o ke keiki, i mea RH-kaua. Pathology pinepine hiki aku ai i ka make - i ka make ana o 60-80%. Eia kekahi, o ka alo ana o RH kue i alakai i ka noho'na makaainana i ulu abortion.

Kāohi

Kōkua pale no hoi e pono ai jaundice adherence hāpai keiki, a breastfeeding regular checkups pediatrician. Inā jaundice premature akā, e hoʻoikaika i, pono maʻamau ka mālamaʻana o ka nui o ka bilirubin i loko o ke koko.

Nā mea maʻi me ka jaundice wehewehe aku ma kiʻiona ili waihoʻoluʻu a me mucous membranes. Kēia symptom e hōʻike i ke alo o ka maʻi ole, e noonoo i ka loli physiological i loko o ke kino (transient neonatal jaundice).

ka hopena

Ma ka loaʻaʻana o ka jaundice e i koke e hooholo i ke kiʻekiʻe o ka bilirubin a me ka houʻike. Conjugation jaundice i loko o nā pēpē i hele hou ma mua o ka transient, akā, i kekahi palekana. Ke hoʻomalu E reassure na makua a me ke koho i ninaninau. E like me ka rula, i mālama i complications.