Gilbert tus syndrome - cov tsos mob

Gilbert's syndrome (Gilbert tus kab mob, cov neeg tsis muaj kab mob hauv tsev neeg, mob plab hnyuv siab rau tsev neeg, kev cai hyperbilirubinemia) yog ib hom kab mob uas zoo heev nrog rau kev mob benign, uas yog los ntawm kev hloov ntawm tus gene lub luag hauj lwm rau kev ua kom paub bilirubin nyob hauv lub siab. Tus kab mob no muaj npe tom qab tus kws kho mob gastroenterologist nyob hauv Augustine Nicolas Gilbert, uas nws tau piav txog nws nyob rau xyoo 1901. Gilbert's syndrome feem ntau tshwm sim nws tus kheej ua theem siab ntawm bilirubin hauv cov ntshav, jaundice thiab qee yam kev qhia tshwj xeeb uas tsis txaus ntshai thiab tsis tau kho sai.

Cov tsos mob ntawm Gilbert's Syndrome

Cov tsos mob ntawm tus kab mob no tseem muaj cov nram qab no:

1. Jaundice, thaum thawj zaug pom cov lus icsteinic ntawm lub sclera ntawm lub qhov muag (ntawm yuav luag tsis paub meej). Hauv qee zaum, tej zaum yuav muaj ib qho xim ntawm daim tawv nqaij nyob rau hauv daim duab peb sab, palms, qhov chaw.
2. Kev tsis zoo nyob rau hauv txoj kev hypochondride, qee qhov, tej zaum yuav muaj me ntsis nce hauv daim siab loj.
3. Kev tsis muaj zog thiab qaug zog.
4. Muaj qee zaus, xeev siab, ua kom tsis muaj zog, quav mob, ua tsis zoo rau tej yam khoom noj.

Qhov ua rau Gilbert's syndrome yog ib qho tsis muaj peev xwm nyob rau hauv daim siab ntawm lub tshwj xeeb enzyme (glucuronyltransferase), uas yog lub luag hauj lwm rau kev sib pauv ntawm bilirubin. Yog li ntawd, tsuas yog li 30% ntawm cov nqi ntawm cov kabmob uas cov kabmob mis no kuj ua rau hauv lub cev, thiab cov qoob loo ntau hauv cov ntshav, uas ua rau cov tsos mob ntawm tus kabmob no feem ntau - daj ntseg.

Kev kuaj ntawm Gilbert's Syndrome

Tus mob ntawm Gilbert's syndrome yog feem ntau raws li cov kev kuaj ntshav:

1. Tus bilirubin hauv Gilbert's syndrome yog 21 mus rau 51 μmol / l, tab sis yuav nce mus rau 85-140 μmol / l ntawm qaug zog ntawm lub cev los yog lwm cov kab mob.
2. Qauv nrog kev tshaib plab. Xa mus rau tej (tsis heev heev) cov kev ntsuam xyuas rau Gilbert's syndrome. Tiv thaiv kom tsis txhob muaj kev yoo mov los yog ua raws li kev noj haus hauv ob hnub -tsawg calorie noj, bilirubin nyob rau hauv cov ntshav nce ntawm 50-100%. Kev ntsuas ntawm bilirubin yog ua rau ntawm lub plab ua ntej qhov kev kuaj ntawd, thiab tom qab ntawd ob hnub.
3. Qauv nrog phenobarbital. Thaum noj tshuaj phenobarbital, theem ntawm bilirubin nyob rau hauv cov ntshav ntws sharply.

Yuav ua li cas nyob nrog Gilbert's syndrome?

Tus kab mob nws tus kheej tsis yog xav tau thiab tsis feem ntau yuav tsum tau kho. Txawm hais tias lub siab ntawm bilirubin nyob rau hauv cov ntshav ua mob thoob plaws hauv lub neej, tab sis nws qhov kev phom sij tsis muaj kev phom sij. Lub txiaj ntsim ntawm Gilbert lub tsos mob feem ntau yog txwv tsis pub dhau kev tawm tsam thiab qhov tsis xis nyob, yog li ntawd, nrog rau kev noj haus, qhov kev kho tsuas yog siv cov tshuaj tua kab mob siab xwb los ua kom lub cev muaj zog. Thiab kuj (hauv qee zaum, mob hnyav heev) noj tshuaj uas pab tshem tawm cov xim ntau dhau ntawm lub cev.

Tsis tas li, cov tsos mob ntawm tus kab mob no tsis ruaj khov thiab feem ntau tseem yuav ua tsis tau li, ua rau lub cev qaug zog, kev haus dej haus cawv, kev tshaib plab, kev mob khaub thuas.

Qhov tsuas yog qhov uas yuav ua tau yog Gilbert's syndrome - nyob rau hauv tsawg zaus, yog hais tias tsoom fwv tsis hwm thiab noj zaub mov mob, nws txhawb rau kev mob ntawm kev ua mob ntawm biliary ib ntsuj av thiab cholelithiasis .

Thiab nws yuav tsum nco ntsoov hais tias tus kab mob no yog me nyuam, yog tias muaj keeb kwm ntawm ib tus niam txiv, nws raug pom zoo los sab laj nrog ib tug kws kho mob ua ntej npaj plab me nyuam.