Gilbert lub syndrome. Nws mob, txim

Gilbert lub syndrome, nws yog rau cov kab mob? Gilbert lub syndrome - lub feem ntau me me soj ntsuam variant haumxeeb hyperbilirubinemia. Tus kab mob qhia tau hais tias UGT1A1 noob hloov. Vim hais tias ntawm nws, lub enzyme yog kho los ntawm ib tug UDP. Gilbert lub syndrome yog yus muaj los ntawm cov nram qab no:

1. Kom theem ntawm cov ntshav bilurbina
2. Ib nrab tsis ua hauj lwm glyukuroniltransferazy
3. Qhaj ntawv ntawm hepatic hloov
4. Yuav txo tau ntawm kom bilirubin vim qhov kev txiav txim ntawm phenobarbital

Rau cov thawj lub sij hawm Gilbert lub syndrome twb pom nyob rau hauv 1901, Fabkis cov kws kho mob Gilbert Nicolas Augustin thiab Lereboullet P. Lawv pom cov syndrome li "ib tsev neeg cholehemia". Tom qab hais tias, nws twb pom tias ib tug ob peb lub npe, tab sis nres rau ntawm Gilbert lub syndrome. Qhov no syndrome feem ntau tshwm sim nyob rau hauv cov txiv neej hnub nyoog 25-30 xyoo.

Cov tsos mob raug rau cov kab mob

Nyob rau hauv tib neeg, muaj yog qaug zog, txoj cai qaum quadrant Colic tshwm sim. Lub ntsiab qhov tseeb ntawm tus syndrome yog lub ntxhov siab vim thiab lub pleev xim rau xim. Tej zaum nws tshwm sim hais tias lub yellowness yog tsis hnov li, thiab tus neeg uas paub txog tus kab mob tsuas yog tom qab nws muaj ib tug biochemical kab mob. Nws muaj ob hom ntawm tus kab mob: episodic thiab ntev. Yog hais tias ib tug neeg yog lub cev overloading koj lub cev, lub daj ntseg yuav tshwm sim. Nyob rau hauv tas li ntawd, yog dej caw, starvation yuav yog ib tug "pib" rau txoj kev loj hlob ntawm tus kab mob.

Gilbert lub syndrome mob.

Zuag qhia tag nrho bilubirin thaum lub sij hawm tus kab mob no tej zaum yuav nyob rau theem ntawm 21-51 mmol / l, nyob rau nws yog ua tau rau kom cov theem ntawm 85-130 micromoles / liter. Yuav kom qhia tau tias tus kab mob no, koj yuav tsum xeem kom dhau ib tug tshwj xeeb mob. Nws yuav ua tau ntawm ob peb hom.

1. Test nrog starvation. Mas siv uas tsis muaj roj noj cov zaub mov, yam tsawg kawg - yoo mov rau 48 teev. Yog li lub concentration ntawm bilirubin nyob rau hauv cov ntshav qab.
2. Test nrog pentobarbital. Kev siv cov tshuaj no ua rau stimulation ntawm cov enzyme ua si glyukuroniltrasferazu, li no kom txhob muaj cov theem ntawm bilirubin.

kev kho mob ntawm tus kab mob no

Tej tshwj xeeb kev kho mob, nyob rau hauv Feem ntau, tsis muaj, vim hais tias nws yog ib tug feature ntawm ib tug kab mob, tsis yog ib tug kab mob. Cia li mob txhob ntxiv load, nws yuav tsum ua raws li ib tug khoom noj tshwj xeeb. Dej cawv dej qab zib rau xws li ib tug neeg yuav tsum tau txwv tsis pub vim hais tias lawv siv yuav ua tau kom txoj kev loj hlob ntawm tus kab mob. Tab sis nws yog tsim nyog nco ntsoov tias nyob rau hauv cov neeg ntawm Gilbert lub syndrome yog tsis tsim nyog rau tsis kam txhaj tshuaj. Thaum lub sij hawm amplification daj ntseg kws kho mob muab ib tug tej yam kev noj haus, vitamin txoj kev kho yog kho.

Gilbert lub syndrome los

Cov neeg uas pom Gilbert lub syndrome, cov teebmeem ntawm kev txaus siab, raws li tau zoo raws li yuav ua li cas tus kab mob yuav muaj kev cuam tshuam rau lub siab. Ib txhia los tsis tau ntawm tag nrho cov, tab sis nws yog ib qho zoo ua ultrasound ntawm lub siab, raws li tau zoo raws li ib tug soj ntsuam ntshav seb bilirubin. Yuav kom lub siab tseem lawm raws li qhov kom tau ntawm Gilbert lub syndrome, koj yuav tsum tau lo rau ib tug noj cov zaub mov, thiab txwv koj tus kheej kom ib ce muaj zog. Tej zaum cov teebmeem ntawm tus kab mob no yuav tshwm sim raws li nraum xim steatosis. Yeej, cov teebmeem muaj cai nyob rau hauv cov txiv neej. Yog li ntawd, cov txiv neej raug kev txom nyem los ntawm cov syndrome yuav tsum saib xyuas lawv cov kev kho mob.

Yuav ua li cas yog cov forecasts rau cov neeg muaj mob?

Tus kab mob no yuav suav hais tias ib tug variant ntawm lub cai. Cov neeg no yog cov yuav tsum tau kuj noj qab nyob zoo, qhov ntau nyob rau hauv cov kev kho mob tshwj xeeb lawv yuav tsis tau. Txawm tias muaj tseeb hais tias hyperbilirubinemia yuav khaws cia rau lub neej, Gilbert lub syndrome tsis ua rau txoj kev tuag. Muaj ib tug tau ntawm psychosomatic mob, thiab cholelithiasis. Lub txim ntawm tus kab mob no tej zaum yuav tsis tshwm sim mus txog 20 xyoo, tab sis yeej ib txwm nrog ib tug neeg, qhov ntau uas yuav ua caj tshaj. Qhov tseem ceeb tshaj yog tias tus kab mob no yog tsis yog tshwj xeeb kev cuam tshuam rau tib neeg ua si.