Gilbert syndrome yog ib hom kab mob ntawm cov keeb kwm uas tshwm sim los ntawm ib qho kev txhawj xeeb uas muaj feem hauv cov metabolism hauv bilirubin . Yog li ntawd, qhov ntau ntawm cov khoom nyob rau hauv cov ntshav nce, thiab tus neeg mob qee zaus muaj me ntsis jaundice - uas yog, tawv nqaij thiab mucous ua daj. Tib lub sij hawm, tag nrho lwm cov ntshav tsis muaj thiab kuaj daim siab yeej tseem zoo li qub.
Gilbert's syndrome - nws yog lus yooj yim li cas?
Lub ntsiab ua rau tus kab mob yog qhov defectiveness ntawm cov noob rau kev hloov glucuronyl, ib hom kab mob hepatic enzyme uas ua rau kom bilirubin pauv tau. Yog tias qhov no enzyme nyob rau hauv lub cev tsis txaus, cov quav tshuaj tsis tuaj yeem ua tiav, thiab feem ntau ntawm nws yuav nkag tau rau hauv cov ntshav. Thaum lub concentration ntawm bilirubin nce, jaundice pib. Hauv lwm lo lus, tsuas yog hais lus: Gilbert tus kab mob yog qhov tsis muaj peev xwm ua rau lub siab yuav ua rau tshuaj lom cov tshuaj lom kom txaus thiab tshem tawm nws.
Gilbert tus syndrome - cov tsos mob
Tus kab mob no feem ntau yog 2-3 zaug ntau tshaj tawm rau cov txiv neej. Raws li txoj cai, thawj cov cim ntawm nws tshwm thaum muaj hnub nyoog 3 txog 13 xyoos. Gilbert syndrome tus me nyuam muaj peev xwm tau txais "los ntawm qub txeeg qub teg" los ntawm niam txiv. Tsis tas li ntawd, tus kabmob no tsim tawm tsam lub nraub qaum ntawm kev so-pib tshaib plab, kis mob, lub cev thiab lub siab lub ntsws. Qee lub sij hawm tus kab mob no tshwm sim vim tias muaj cov tshuaj hormones los yog tshuaj xws li caffeine, sodium salicylate, paracetamol.
Lub ntsiab lus tseem ceeb ntawm qhov syndrome yog daj ntseg . Nws tuaj yeem sib quas ntus (tshwm sim tom qab haus dej cawv, los ntawm kev tswj lub cev lossis kev puas hlwb) thiab mob ntev. Hauv qee tus neeg mob, cov paub txog kev paub bilirubin nyob rau hauv Gilbert's syndrome tau nce me ntsis, thiab daim tawv nqaij tsuas tau ib cov xim daj uas me ntsis, thaum nyob hauv lwm tus neeg txawm tias lub qhov muag ua ci ntsa iab. Nyob rau qee zaus, jaundice yuav xuas qhaus.
Ntxiv nrog rau daj ntawm daim tawv nqaij thiab hnyuv ntxoov, Gilbert tus kab mob muaj cov tsos mob nram qab no:
- insomnia;
- tsis muaj zog;
- ceev ceev qaug zog;
- heartburn ;
- qhov tsos ntawm qhov iab saj hauv qhov ncauj;
- deterioration ntawm qab los noj mov;
- tsam plab;
- muaj kev ntxhov siab nyob rau hauv txoj cai hypochondrium;
- quav tsis haum (cov neeg mob feem ntau yws txog kev zawv plab hloov nrog cem quav);
- o ntawm daim siab (tshwm sim hauv 25% ntawm tus neeg mob, qhov loj ntawm lub cev hloov me ntsis, thiab palpation tsis mob).
Gilbert tus syndrome - mob
Yuav txiav txim siab tus kab mob no, koj yuav tsum tau ua ntau yam kev tshawb fawb soj ntsuam ib zaug. Yuav tsum tau kuaj ntshav rau Zhibera Syndrome. Ntxiv nrog rau nws, tus neeg mob tau txais:
- urinalysis;
- kev kawm txog qhov concentration of bilirubin nyob rau hauv cov ntshav;
- cov qauv kuaj seb puas yog bilirubin (nrog nicotinic acid, starvation los yog phenobarbital);
- Ultrasound ntawm plab kab noj hniav ;
- quav quav tsom rua kev quav tshuaj ntsuab;
- ntsuam xyuas ntawm alkaline phosphatase, GGTP, Asat, ALT.
Kev soj ntsuam rau Gilbert tus syndrome - ntawv sau
Cov txiaj ntsig ntawm kev tshawb xyuas kev tshawb fawb yeej ib txwm nyuab nyom. Nyob rau hauv kev, thaum muaj ntau li ntau ntawm lawv, raws li nyob rau hauv tus mob ntawm tus kab mob no. Yog tias muaj ib qho suspicion ntawm Zhibera syndrome, thiab bilirubin nyob rau hauv qhov kev ntsuas ntau dua cov qauv ntawm 8.5 - 20.5 mmol / l, ces tus mob yog paub tseeb. Daim ntawv tsis txaus ntseeg yog qhov muaj cov tshuaj lom nyob hauv cov zis. Dab tsi yog qhov tseem ceeb - cov cim ntawm tus kab mob siab ntsws (viral hepatitis) hauv qhov Syndrome no tsis yog txiav txim siab.
Genetic ntsuam ntawm Gilbert's syndrome
Vim hais tias tus kab mob no feem ntau yog tshuaj ntsuab, kev tshawb nrhiav kev ua haujlwm feem ntau muaj kev tshawb nrhiav DNA. Nws ntseeg tau hais tias tus kab mob no kis tau mus rau tus menyuam tsuas yog thaum leej niam thiab leej txiv yog tus neeg nqa khoom ntawm lub cev tsis zoo. Yog tias ib tus txheeb ze tsis muaj nws, tus me nyuam yuav yug los muaj kev noj qab nyob zoo, tab sis tib lub sij hawm yuav yog tus neeg nqa los ntawm tus "neeg tsis haum" noob.
Seb tus homozygous Gilbert syndrome nyob rau hauv DNA mob yog los ntawm kev tshuaj xyuas tus naj npawb ntawm TA repeats. Yog tias lawv nyob hauv thaj chaw txhawb nqa ntawm lub noob 7 los sis ntau tshaj, tus kab mob no yuav pom zoo. Cov kws khomob ntseeg tau xav kom kuaj txoj kev tshuaj ntsuam genetic testing ua ntej pib kho, tshwj xeeb tshaj yog thaum kho cov tshuaj muaj kabmob muaj kabmob siab.
Yuav ua li cas kho Gilbert's syndrome?
Nws yog ib qho tseem ceeb kom to taub tias qhov no tsis yog ib qho kab mob zoo tib yam. Yog li, hauv kev kho tshwj xeeb Gilbert's syndrome tsis xav tau. Thaum lawv tau kawm txog lawv txoj kev kuaj mob, cov neeg mob tau pom zoo hloov kho cov zaub mov - kom txo cov kev noj qab haus huv, mob qoob loo, - tiv thaiv lawv tus kheej los ntawm kev ntxhov siab thiab kev paub, tso tseg kev coj cwj pwm phem, yog ua tau los xyaum ua lub neej zoo. Cias muab, tsis muaj qhov tsis pub leej twg paub kho Gilbert's syndrome. Tab sis tag nrho cov kev ntsuas tau piav saum toj no yuav zoo coj theem ntawm bilirubin rov qab rau qub.
Tshuaj nrog Gilbert's syndrome
Tsuas siv cov tshuaj twg los ua tus kws kho mob tshwj xeeb. Raws li txoj cai, siv yeeb siv tshuaj nrog Gilbert syndrome yog siv xws li:
- Cov tshuaj los ntawm pawg neeg sib koom siab. Cov tshuaj no ua rau muaj kev cuam tshuam zoo, ua kom tsis txhob muaj cov tshuaj txhuam hniav sib npaug.
- Hepatoprotectors . Tiv thaiv lub siab los ntawm qhov tsis zoo ntawm stimuli.
- Thaum muaj dyspeptic ntshawv siab, Gilbert's syndrome yog kho nrog cov tshuaj tiv thaiv thiab digestive enzymes.
- Enterosorbents ua rau kom tshem tawm sai ntawm bilirubin ntawm txoj hnyuv.
Kev noj haus nyob hauv Gilbert's syndrome
Qhov tseeb, kev noj zaub mov kom zoo yog tus yuam sij rau qhov kev kho kom zoo dua qub txog cov theem ntawm bilirubin hauv cov ntshav. Kev noj haus nrog Gilbert tus kab mob yuav tsum nruj. Tab sis nws yog qhov zoo. Cov neeg mob nrog tus mob no raug tso cai noj:
- hom qoob mog qhua;
- tsawg-rog tsev cheese;
- nqaij nyug rog tsawg;
- boiled nqaij qaib;
- soups on zaub pob txha;
- crumbly porridge;
- txiv hmab txiv ntoo (tab sis tsis acidic);
- compotes;
- qaug zog tshuaj yej.
Thiab cov khoom muag nrog Gilbert tus kab mob yog raug txwv raws li nram no:
- tshiab ci pastry;
- kua txob;
- ice cream;
- fatty nqaij thiab ntses;
- spinach;
- lard;
- sorrel;
- mustard;
- cawv;
- ntuj kasfes.
Gilbert syndrome - kev kho mob nrog tshuaj tua neeg
Nws tsis tuaj yeem tso siab rau lwm txoj kev kho mob. Tab sis lub npe ntawm Augustin Gilbert yog ib qho ntawm cov kab mob xws li, uas kev pabcuam pej xeem tau txais tos los ntawm ntau tus kws tshwj xeeb. Qhov tseem ceeb tshaj plaws yog los sib tham txog daim ntawv teev cov tshuaj nrog tus kws kho mob, kom pom meej meej cov tshuaj rau koj tus kheej thiab tsis txhob hnov qab tsis tu ncua kom tag nrho cov kev ntsuam xyuas tsim nyog.
Gilbert syndrome - roj kho nrog vinegar thiab zib ntab
Cov khoom xyaw:
- olive roj - 0,5 l;
- Paj zib mu - 0,5 kg;
- kua cider cij vinegar - 75 ml.
Npaj, siv:
- Sib tov tag nrho cov khoom xyaw kom huv hauv ib lub khob thiab ncuav rau hauv lub khob, kaw lub thawv zoo.
- Khaws cov tshuaj rau hauv qhov chaw txias tsaus (hauv qab txee ntawm lub tub yees, piv txwv).
- Ua ntej siv, kua yuav tsum tau tiv thaiv los ntawm ib tug ntoo diav.
- Haus txog 15 - 20 ml rau 20 - 30 feeb ua ntej noj mov 3 txog 5 zaug ib hnub twg.
- Jaundice yuav pib nqis mus rau hnub peb, tab sis cov tshuaj yuav tsum tau qaug dej qaug cawv rau tsawg kawg ib lub lim tiam. Tus so ntawm cov kev kawm yuav tsum tsawg kawg yog peb lub lis piam.
Kev kho ntawm Gilbert's syndrome nrog lub pob ntseg
Cov khoom xyaw:
- burdock nplooj;
- dej - 2 tsp.
Npaj, siv:
- Nws yog ib qhov tsim nyog los siv cov nplooj tshiab sau nyob rau hauv lub Tsib Hlis, thaum lawv muaj ntau npaum li cas ntawm cov khoom tsim nyog.
- So cov zaub ntsuab nrog dej.
- Kua txiv pom zoo kom haus 15 ml peb zaug ib hnub twg rau 10 hnub.
Dab tsi nyaum Gilbert syndrome?
Tus kab mob tsis ua rau tuag thiab lub neej zoo tsis pauv. Tab sis qhov no, Gilbert's syndrome tau muaj qhov tsis zoo tom qab tag nrho. Xyoo, qee cov neeg mob uas muaj jaundice tuaj yeem tsim muaj kev mob hlwb. Dab tsi yuav nyuab nyuab heev rau cov txheej txheem ntawm kev sib raug zoo thiab tiv thaiv ib tug neeg mus rau ib tus kws kho mob hlwb.
Muaj qee zaum, Gilbert syndrome ua pigmented pob zeb hauv lub bile los yog hauv cov duav ntawm lub zais zis. Yog hais tias qhov no tshwm sim, ces vim yog qhov cia txeej ntawm ntau npaum li cas ntawm indirect bilirubin, precipitating. Kev hloov ntshav siab tsis muaj kev txhawj xeeb. Tab sis yog tias koj tsis txwv koj tus kheej rau cawv, cov zaub mov muaj teeb meem thiab noj cov tshuaj tsis tswj, kab mob siab tuaj yeem tsim muaj.
Gilbert tus syndrome thiab cev xeeb tub
Nyob rau hauv ib zaug nws yog ib qhov tsim nyog yuav tau ua kom zoo rau txhua tus niam txiv yav tom ntej: tus kab mob no thiab kev xeeb tub tsis cais ib leeg. Gilbert's syndrome tsis zoo rau tus poj niam lossis nws tus me nyuam yav tom ntej. Qhov phom sij loj tshaj plaws yog qhia txog kev mob nkeeg thaum lub sij hawm muaj kev ntxhov siab yog kev tsis sib haum xeeb ntawm kev noj cov tshuaj uas siv los ntawm kev ua kom txhua tus mob ntawm cov neeg mob.
Gilbert syndrome yog tau txais, tiam sis ib tus niam txiv yav tom ntej tuaj yeem txo qhov bilirubin nyob rau hauv cov ntshav. Rau qhov koj xav tau:
- Txhawm rau tshem tawm kev qoj ib ce.
- Txhob haus cawv.
- Tsis txhob txhawj txog teeb meem.
- Tsis txhob tshaib plab tag nrho.
- Nyob twj ywm hauv lub hnub kom tsawg sijhawm.