ʻO Jaundice, me ka parenchymal, keʻikeʻia inā loaʻa i kaʻili a me ka sclera o nā maka kekahi'ōleʻele uliuli. ʻIkeʻia kēiaʻano i ka nui o ka waihona bilirubin i hōʻiliʻili i loko o nā lole.
Nā kumu o ka parenchymal jaundice
ʻOiai, he parenchymal jaundice ka hopena o nā maʻi hepic. Ma muli o kēia, i loko o ke koko i ka hapanui o nā hihia, uaʻikeʻia ka bilirubin pololei. Hiki i nā mea hope ke komo i nā capillaries bile, akā no ka paʻakikī, pēlā ka nui o ka hoʻiʻana i ke koko.
ʻO nā kumu i hala mua o ka uluʻana i nā jaundice maoli, penei:
- cirrhosis;
- he pīpī;
- leptospirosis ;
- ka mononucleosis;
- he caratooma hepatocellular;
- ka waiʻona, ka lāʻau lapaʻau a me nā meaʻona i hoʻopiliʻia;
- i ka maʻi hepatitis i loko o keʻano maʻamau.
Nā hōʻailona o ke kani paʻi
No laila:
- ʻO ka hōʻike kumu o ka maʻi,ʻo ia kaʻiliʻana o kaʻili a me nā membmo mucous. Hiki i nāʻili ke melemele me kahi huapī a iʻulaʻula.
- Ma ka palpation a ma ka US uaʻikeʻia, ua piʻi iki keʻano o ka hānai a nui a lilo iʻoi aku kaʻino.
- ʻO ka maʻi maʻi kaʻeha nui.
- I kekahi manawa, aia kaʻeha i loko o ke ake.
- Ma ka hōʻoiaʻana o ka jaordice parenchymal i loko o keʻano maʻamau, hiki keʻikeʻia kahi kahe e hoʻopuni ai i nā meaʻino.
- ʻO ke kikowaena he palpable maikaʻi.
- ʻO ka maʻi ke hōʻikeʻia e like me nā hōʻailona nui o ka lawaʻana o ka hepic cell.
Hoʻomaʻoʻia o ka diaordymal jaundice
No ka hoʻihoʻiʻana i ke kaʻina hana o ka hoʻololiʻana i nā pūpaʻa a me ka hoʻihoʻiʻana i ka bilirubin i ka mea maʻamau me ke kōkōnē manawa koho:
- nā huaʻaola o ka hui B;
- huaʻai C;
- amino acids;
- lipoic acid.
Ināʻikeʻia he jalestic cellular cholestatic a hepatic cellular, a ma muli o ka hoʻomohalaʻana o ka hana pilikino, huli nā mea lapaʻau i ke kōkuaʻana o nā glucocorticoids. Ma keʻano likeʻole i ka manaʻo loiloi nui,ʻaʻole e pōmaikaʻi ka lawelaweʻana i ka sanatorium no ka poʻe maʻi me ka parenchymal jaundice.
ʻO ka hōʻailona o ka maʻi e pili i ka manawa iʻikeʻia ai. Ināʻikeʻia ka maʻi i ka wā mua, hiki iā ia ke hoʻokuʻu iā ia. Hoʻolālāʻia ka pale parenchymal jaune he mea weliweli. ʻO kahi maʻi i lawe i kēia palapala ke hōʻike i ka lawaʻole o ka hepatic, a me ka hoʻomohalaʻana i nā hana hanaʻole i loko o ke kino.