I-jaundice, kufaka phakathi i-parenchymal, itholakala ukuthi isikhumba nesiplephu samehlo zithola i-tinge ephuzi. Lesi simo sibonakala lapho izinto ezimbi kakhulu ze-bilirubin ziqoqa ngezicubu.
Izimbangela ze-jaundice ye-parenchymal
Njengomthetho, i-jaundice ye-parenchymal ibangelwa ukutheleleka kwamaseli ase-hepatic. Ngenxa yalokhu, kwi-serum yegazi ezimweni eziningi, i-bilirubin eqondile iyatholakala. Lezi zinsuku kumele zifinyelele ngaphakathi kwe-capillaries ye-bile, kodwa yenza kanjalo ngobunzima, ngakho iningi libuyela egazini legazi futhi.
Izizathu ezandulela ukuthuthukiswa kwe-jaundice yangempela yizi:
- i-cirrhosis;
- i-hepatitis;
- i-leptospirosis ;
- i-mononucleosis esithathelwanayo;
- i-hepatocellular carcinoma;
- ukulimala ngokweqile, okunomuthi noma okwesibindi;
- i-hepatitis enobudlova ngesimo esingapheli.
Izimpawu ze-jaundice ye-parenchymal
Ngakho:
- Ukubonakaliswa okuyisisekelo kunazo zonke kwesifo yilona ukudaywa kwesikhumba kanye nezimbungulu ezinamaqanda. Izitshalo ziphuzi nge-ruby noma i-tinge ebomvu.
- Ekulweni nase- US kubonakala, ukuthi isibindi sanda kancane usayizi futhi asiba nzima kakhulu.
- Isiguli sibhekene nokushaya okukhulu.
- Esikhathini esithile, kukhona ubuhlungu esibindi.
- Lapho kutholakala i-jaundice ye-parenchymal ngesimo esingapheli, ukusabalalisa kwezinto ezinobungozi kungatholakala.
- I-spleen ihleleke ngokuphelele.
- Lesi sifo sibonakala futhi njengezibonakaliso eziyinhloko zokungasebenzi kahle kwe-hepatic-cell.
Ukwelashwa kwe-jaundice ye-parenchymal
Ukuze ubuyisele inqubo yokushintshaniswa kwamaseli wesibindi bese ubuyela i-bilirubin evamile nge-jaundice ye-parenchymal ukuqoka:
- amavithamini weqembu B;
- i-vitamin C;
- amino acid;
- i-lipoic acid.
Uma kutholakala i-jaundice ye-cholestatic noma i-hepatic-cellular, eyabangelwa inqubo yokwelapha ngokuzikhandla, izazi zisiza usizo lwe-glucocorticoids. Ngokuphambene nenkolelo evamile, ukwelashwa kwezidakamizwa zeziguli ezine-jaundice ye-parenchymal ngeke kuzuze.
Ukuchazwa kwesifo kuncike ekutheni kutholakala kahle. Uma lesi sifo sitholakale esiteji sokuqala, kungenzeka ukuthi siyisuse. I-jaundice engapheliyo ye-parenchymal ibhekwa njengeyingozi kakhulu. Isifo esithathile leli fomu singase sikhombise ukungakwazi kahle kwe-hepatic, kanye nokuthuthukiswa kwezinqubo ezingenakuguqulwa emzimbeni.