Jaundice ndi mkhalidwe umene khungu, sclera ndi mucous membrane zimakhala ndi chikasu. Zimayambitsa chifukwa cha kuchuluka kwa bilirubin m'magazi, komanso momwe zimakhalira m'magazi. Pali mitundu yambiri ya jaundice malingana ndi ma pathogenesis. Zitha kukhala zamwano, zowonongeka komanso zodabwitsa.
Chitchainizi (Chosavuta Kumva)
Kuwonekera kwa jaundice wamtundu wachangu kumachitika chifukwa chophwanya intrahepatic bilirubin metabolism. Kwa mtundu woterowo, mtundu wowala kwambiri wa sclera, khungu ndi seramu ndi khalidwe. Pali mitundu yambiri ya jaundice yomwe ikukula m'chiwindi:
- Enzymopathic - ndi chizindikiro cha kusakwanira kwa michere, yomwe imayambitsa njira zamagetsi zamatsenga.
- Cholestest - mtundu uwu wa jaundice umachitika ndi matenda a chiwindi, chiwindi chilichonse choopsa cha chiwindi, cholestasis yowonongeka, choyambirira cha biliary cirrhosis ndi hepatosis ya amayi apakati).
- Kachilombo-khungu - chimapezeka ndi chiwindi cha chiwindi, chiwindi cha chiwindi, kuwonetsa kwa poizoni, kuwonongeka kwa mowa ku chiwindi ndi kugwiritsa ntchito mankhwala ena).
Kusokonezeka kwa mankhwala a bilirubin m'magawo osiyanasiyana a chifuwa cha jaundice kungayambitse khungu lachikasu, komanso kanseru, kawirikawiri ndi zotayirira, malungo ndi ululu mu hypochondrium.
Hemolytic jaundice
Mankhwalawa amayamba chifukwa cha kuwonjezeka kwa maselo ofiira a m'magazi komanso kuchuluka kwa bilirubin mapangidwe, omwe chiwindi sichikhoza kusungunuka. Mkhalidwe woterewu ukhoza kukhala wobadwa kapena wopezeka. Igulidwa ndi:
- magazi;
- hemoglobinopathy;
- kupweteka kwa mapapo ;
- lymphosarcoma.
Mankhwala a jaundice
Mtundu uwu wa jaundice, monga mawotchi, umayamba chifukwa cha kutsekedwa kwa mazira a extrahepatic bile. Izi zimalepheretsa kutuluka kwa bile mu duodenum. Matendawa, monga lamulo, ndi zotsatira za kukhalapo kwa mankhwala a miyala, chotupa kapena tizilombo toyambitsa matenda.