Cagaarshow

Cagaarshowgu waa midab jaalle ah oo maqaarka ah, xuubka xabka, ama indhaha. Midabka hurdiga ah wuxuu ka yimaadaa bilirubin, oo ah wax soo saar unugyada dhiigga cas ee duugga ah. Cagaarshowgu wuxuu astaan ​​u noqon karaa dhibaatooyin caafimaad oo dhowr ah.

Tiro yar oo unugyada dhiigga cas ee jirkaaga ah ayaa maalin kasta dhinta, waxaana lagu beddelaa kuwo cusub. Beerku wuxuu soo saaraa unugyadii hore ee dhiiga. Tani waxay abuurtaa bilirubin. Beerku wuxuu caawiyaa inuu jabiyo bilirubin si jirka looga saaro saxarada.

Cudurka cagaarshowgu wuxuu dhici karaa marka bilirubin aad u badani jidhka ku bataan.

Cagaarshowgu wuxuu dhici karaa haddii:

• Unugyo badan oo dhiig cas ayaa dhimanaya ama jabaya oo u tagaya beerka.
• Beerka ayaa la raray ama la dhaawacay.
• Bilirubin ka soo baxa beerka ma awoodo inuu si sax ah ugu gudbo marinka dheef-shiidka.

Cagaarshowgu badanaa waa calaamadda dhibaatada beerka, xameetida, ama xammeetida. Waxyaabaha sababi kara cagaarshowga waxaa ka mid ah:

• Caabuqyada, badanaa fayraska
• Isticmaalka dawooyinka qaarkood
• Kansarka beerka, kaadi mareenka ama xammeetida
• Dhibaatooyinka dhiigga, dhagaxaanta xammeetida, cilladaha dhalashada iyo tiro kale oo xaalado caafimaad ah

Cagaarshowgu wuxuu u muuqan karaa si lama filaan ah ama si tartiib tartiib ah ayuu u kobcayaa waqtiga. Calaamadaha cagaarshowga badanaa waxaa ka mid ah:

• Maqaarka huruudda ah iyo qaybta cad ee indhaha (sclera) - marka cagaarshowgu aad u daran yahay, meelahaasi waxay u muuqan karaan bunni
• Midab huruud ah gudaha afka
• Kaadi midab madow ama bunni leh
• Saxaro midabkeedu yahay cirro ama dhoobo
• Cuncun (pruritis) badanaa waxay ku dhacdaa cagaarshow

Fiiro gaar ah: Haddii maqaarkaagu huruud yahay oo cadadka indhahaagu aanu huruud ahayn, ma yeelan kartid cagaarshow. Maqaarkaagu wuxuu isu beddeli karaa midab huruud-ilaa-liin ah haddii aad cunto wax badan oo ah carotene, midabka liinta ee karootada.

Calaamadaha kale waxay kuxiran yihiin cilladaha keena cagaarshowga:

• Kansarradu ma soo saari karaan wax calaamado ah, ama waxaa jiri kara daal, miisaan lumis, ama calaamado kale.
• Cagaarshowgu wuxuu soo saari karaa lallabbo, matag, daal, ama calaamado kale.

Bixiyaha xanaanada caafimaadka ayaa sameyn doona baaritaan jireed. Tani waxay muujin kartaa barar beerka ah.

Baadhitaan dhiig ah oo bilirubin ah ayaa la samayn doonaa. Tijaabooyinka kale waxaa ka mid noqon kara:

• Gudiga fayraska cagaarshowga si loo baaro infekshanka beerka
• Tijaabada shaqada beerka si loo ogaado sida ugu wanaagsan ee beerku u shaqeynayo
• Tirinta dhiiga oo dhameystiran si loo hubiyo in dhiigaagu yaraado ama dhiig yari
• Ultrasound caloosha
• Sawirka CT-ga ee caloosha
• Magnetic resonance cholangiopancreatography (MRCP)
• Endoscopic retrograde cholangiopancreatography (ERCP)
• Qalliinka 'cholangiogram' ee 'pheutatic cholangiogram' (PTCA)
• Cad ka-qaadista beerka
• Heerka Kalastaroolka
• Waqtiga Prothrombin

Daaweyntu waxay kuxirantahay sababta cagaarshowga.

La xiriir adeeg bixiyahaaga haddii aad ku dhacdo cudurka cagaarshowga.

Xaaladaha la xiriira cagaarshowga; Maqaarka iyo indhaha huruudda ah; Maqaarka - jaalle; Icterus; Indhaha - jaalle; Cagaarshow jaalle ah

• Cagaarshow
• Dhallaanka jaundised
• Cirrhosis ee beerka
• Nalalka Bili

Berk PD, Korenblat KM. U dhowaanshaha bukaanka cagaarshow ama baaritaanno aan caadi ahayn oo beerka ah. Gudaha: Goldman L, Schafer AI, eds. Daawada Goldman-Cecil. 25aad. Philadelphia, PA: Elsevier Saunders; 2016: cutubka 147.

Fargo MV, Grogan SP, Saquil A. Qiimaynta cagaarshowga dadka waaweyn. Am Fam Dhakhtarka. 2017; 95 (3): 164-168. PMID: 28145671 www.ncbi.nlm.nih.gov/pubmed/28145671.

Lidofsky SD. Cagaarshow Gudaha: Feldman M, Friedman LS, Brandt LJ, eds. Cudurka caloosha iyo beerka ee Sleisenger iyo Fordtran. 10aad ed. Philadelphia, PA: Elsevier Saunders; 2016: cutubka 21.

Taylor TA, Wheatley MA. Cagaarshow Gudaha: Walls RM, Hockberger RS, Gausche-Hill M, eds. Daawada Degdega ah ee Rosen: Fikradaha iyo Tababarka Caafimaadka. 9aad. Philadelphia, PA: Elsevier; 2018: cutubka 25.