Jaundice yog ib qho mob uas muaj tawv nqaij, sclera thiab mucous membranes kom tau ib lub paj daj. Nws tshwm sim vim muaj kev txav deb ntawm bilirubin nyob rau hauv cov ntshav, as Well as nws cov deposition hauv cov ntaub so ntswg. Nws muaj ntau hom jaundice nyob ntawm seb nws cov kab mob pathogenesis. Nws tuaj yeem ua mob hepatic, adrenal thiab adrenal.
Hepatic jaundice
Cov tsos mob ntawm jaemice yog tshwm sim los ntawm kev ua txhaum ntawm intrahepatic bilirubin metabolism. Rau li ib lub xeev, ib tug heev ci icteric xim ntawm sclera, daim tawv nqaij thiab ntshav dej yog cov yam ntxwv. Muaj ntau hom daj ntseg hauv daim siab:
- Enzymopathic - yog ib qho kev qhia ntawm kev ua haujlwm tsis txaus ntseeg ntawm cov roj ntsha enzymes, uas yog lub luag haujlwm ntawm cov txheej txheem metabolic ntawm bilirubin).
- Cholestatic - hom kab mob no hu ua tus kab mob siab daj siab, muaj kev puas siab rau daim siab, ua rau cov neeg mob hlwb me, thawj tus kab mob siab cirrhosis thiab hepatosis ntawm cov poj niam cev xeeb tub).
- Hepatic-cell - tshwm muaj kab mob siab, daim siab mob siab, kis tau rau cov tshuaj lom, ua rau lub siab puas rau lub siab thiab siv cov tshuaj).
Disturbance of bilirubin metabolism hauv ntau hom mob daj ntseg yuav ua tsis tau tsuas yog yellowing ntawm daim tawv nqaij, tab sis kuj xeev siab, nquag thiab quav quav, kub thiab mob hauv hypochondrium.
Hemolytic jaundice
Hemolytic jaundice yog tshwm sim los ntawm kev tawg disintegration ntawm cov ntshav liab thiab qib siab ntawm bilirubin tsim, uas lub siab tsis tau tuaj yeem tag. Xws li tus mob yuav ua tau yug los yog tau txais. Nws yog yuav nrog:
- anemia;
- hemoglobinopathy;
- lub ntsws oob khab ;
- lymphosarcoma.
Mechanical jaundice
Qhov hom ntawm jaundice, zoo li mechanical, tsim vim obturation ntawm extrahepatic bile ducts. Qhov no txwv tsis pub lub cev qis ntawm xuas tes rau hauv duodenum. Qhov no, raws li txoj cai, yog qhov tsim nyog ntawm qhov kuaj pom hauv cov kab mob ntawm cov pob zeb, qog lossis cab.