Anter
- He aha ka Bilirubin?
- No ke aha e ʻikea ai ka jaundice i nā pōpoki?
- Nā ʻōuli o ka jaundice i loko o nā pōpoki
- ʻōpaʻapaʻa ate
- He aha nā kumu e alakaʻi ai i ka jaundice ate i nā pōpoki?
- hope jaipice post-hepatic
- jaundice non-hepatic
- Pehea wau e ʻike ai i ke kumu o ka jaundice i loko o kaʻu pōpoki?
KA ʻōmaʻomaʻo jaundice hoakakaia ma ke ano ka pigmentation melemele o ka ʻili, mimi, serum a me nā mea i hoʻokumu ʻia e ka hōʻiliʻili o bilirubin, i loko o ke koko a me nā aʻa. He hōʻailona hōʻailona ia i hiki ke kumu mai nā maʻi he nui. Inā loaʻa i kāu pōpoki ke kala ʻokoʻa i kēlā me kēia ʻāpana o ke kino, pono i ka veterinarian ke hoʻokō i nā hoʻokolohua like ʻole e hiki ai ke hoʻokumu i kahi ʻano ʻokoʻa.
Inā pilikia kāu pōpoki i kēia mau loli a makemake ʻoe e ʻike iki e pili ana i ko lākou kumu, e heluhelu i kēia ʻatikala na PeritoAnimal kahi a mākou e wehewehe kikoʻī ai i ka nā kumu maʻamau o ka jaundice i nā pōpoki.
He aha ka Bilirubin?
ʻO Bilirubin kahi huahana i nā hopena mai ka hoʻohaʻahaʻa erythrocyte (nā ʻulaʻula koko) ke hiki lākou i ka hopena o ko lākou ola (kahi e 100 mau lā). Hoʻopau ʻia nā hunaola ʻulaʻula i loko o ka iwi a me ka iwi iwi, a mai ka pigment i hāʻawi iā lākou i ko lākou kala - hemoglobin, ua hana ʻia kekahi pigment, melemele i ke kala, bilirubin.
He hana paʻakikī ia e hoʻomaka ai ka hemoglobin ma o ka lilo ʻana i biliverdin a lilo i bilirubin momona-hoʻōloli. Hoʻokuʻu ʻia ʻo Bilirubin i loko o ka holo, huakaʻi pū me kahi protein a hiki i ke ake.
I ke akepaʻa, ka mīkini hoʻomaʻemaʻe nui o ke kino, hoʻololi ʻia i bilirubin i hoʻopili ʻia a mālama ʻia i loko o ka pahu hānai. I kēlā me kēia manawa ke kahe o ka gallbladder i loko o ka ʻōpū liʻiliʻi, kahi hapa liʻiliʻi o nā lau bilirubin me nā koena o ka bile i koe. Ma o ka hana ʻana o kekahi mau koʻohune, ua hoʻololi ʻia ka bilirubin i loko o nā pigment maʻamau a mākou e ʻike nei i kēlā me kēia lā: stercobilin (kala i ka pahu) a me urobilinogen (nā kala i ka mimi).
No ke aha e ʻikea ai ka jaundice i nā pōpoki?
I kēia manawa ua ʻike paha ʻoe i kēlā ke akepaʻa ʻo ia ke kī. Hōʻike ʻo Jaundice ke noho ke kino hiki ʻole ke kinai pono i ka bilirubin a me nā mea i koe o ka bile. Ke hoʻoholo nei i ka hopena o kēia hopena ka hana paʻakikī loa.
E hoʻomaʻalahi i kēia kumuhana paʻakikī hiki iā mākou ke kamaʻilio e pili ana:
- ʻōpaʻapaʻa ate (ke kumu i ke ake).
- hope jaipice post-hepatic (hana ke akepaʻa i kāna hana akā aia ka maikaʻi ʻole o ka mālama a me ka lawe ʻana.
- jaundice non-hepatic (ke pili ʻole ka pilikia me ke ake, a i ʻole me ka mālama ʻana a me ka excretion o ka pigment).
Nā ʻōuli o ka jaundice i loko o nā pōpoki
E like me ka mea i ʻōlelo ʻia ma ka hoʻomaka o ka ʻatikala, he hōʻailona hōʻailona ka jaundice e hōʻike ana ua ʻeha ka feline i kekahi pilikia olakino. ʻO ka hōʻailona maopopo loa o kēia pilikia ke kala melemele o ka ʻili, ʻike maopopo ʻia i ka waha, ka pepeiao a me nā wahi me ka liʻiliʻi o ka lauoho.
ʻōpaʻapaʻa ate
Hana ka jaundice ate ke holo pono ʻole kekahi mea ma ka pae o ke ake, ʻo ia hoʻi, ke hiki ʻole i ke akepaʻa ke hoʻokō i kāna nuʻukia a ʻaʻole hiki ke hoʻokuʻu i ka bilirubin hele mai kēlā iā ia. Ma lalo o nā kūlana maʻamau, nā hunaola ate (hepatocytes) excrete i kēia pigment i loko o ka bile canaliculi a mai laila aku hele i ka gallbladder. Akā ke hoʻopili ʻia nā hunaola e kekahi pathology, a i ʻole aia kahi mumū e pale ai i ka hele o bilirubin i loko o nā aʻa oʻa. intrahepatic cholestasis.
He aha nā kumu e alakaʻi ai i ka jaundice ate i nā pōpoki?
ʻO kēlā me kēia pathology e hoʻopili pololei i ke akepaʻa hiki ke hana i kēia hōʻiliʻili o bilirubin. I loko o nā pōpoki loaʻa iā mākou kēia mau mea:
- lipidosis ate: ʻo ke ake momona i nā pōpoki hiki ke hōʻike ʻia ma ke ʻano he hopena o ka hoʻolōʻihi hoʻolōʻihi ʻana i nā pōpoki momona. Lawe ʻia ka momona i ke akepaʻa i ka hoʻāʻo ʻana e loaʻa nā meaola, i waena o nā kumu ʻē aʻe. I kekahi manawa ʻaʻole hiki ke ʻike i ke ʻano o kēia neʻe a e kāhea mākou i ka pilikia idiopathic hepatic lipidosis.
- neoplasm: keu hoʻi i nā mea maʻi ʻelemakule, ʻo nā neoplasms mua ka kumu pinepine o ka holo pono ʻole o ke ake.
- hepatitis feline: hiki ke hoʻopau ʻia nā hepatocytes e nā mea i komo wale ʻia e ka pōpoki a hiki i ka maʻi hepatitis i nā pōpoki.
- biliary cirrhosis: ʻo fibrosis o ka biliary canaliculi ke kumu o ka hiki ʻole ke hoʻokō i ka nuʻukia o ka hoʻoili ʻana i ka bilirubin i ka pahu hānai.
- Nā hoʻololi i ka pae vascular.
I kekahi manawa, aia nā loli e hiki ai ke hōʻeha i ke ake ma ke kula kiʻekiʻe, ʻo ia hoʻi, hana ʻia e nā pathologies i loaʻa nā hopena ʻaoʻao i ke ake. Hiki iā mākou ke ʻike, no ka laʻana, nā ʻāʻī i hoʻopili ʻia e neoplasms kekona i ka leukemia feline. Hiki iā mākou ke loaʻa nā loli a me nā hōʻino o ke akepau i hoʻokumu ʻia e ka peritonitis infectious feline, kahi toxoplasmosis a i ʻole ma muli o ka diabetes mellitus. Ma ke ʻano he hopena o kēia mau pilikia, e ʻike ʻike ʻia ka jaundice i ka pōpoki.
hope jaipice post-hepatic
ʻO ke kumu o ka hōʻiliʻili bilirubin ʻo mai ke akepaʻa, ke hala ka pigment i loko o nā hepatosit e hana. ʻO kahi laʻana, kahi mīkini mechanical o ke kehena o ka extrahepatic bile duct, e hoʻokahe i ka bile i loko o ka duodenum. Hiki ke hoʻokumu ʻia kēia ālai e:
- he pancreatitis, pehu o ka pancreas.
- he neoplasm i ka duodenum a i ʻole ka pancreas, kahi e kaomi i ka wahi ma kahi kokoke a hiki ʻole ke hoʻopau i nā mea o ka gallbladder.
- he maha ma muli o ka hōʻeha i ke dule o ka bile, kahi hiki ʻole ke hoʻoneʻe ʻia ka iwi i ka ʻōpū (holo i luna, kuʻi, hāʻule mai ka puka aniani ...)
I nā hihia kahi i hoʻopau loa ʻia o ke kahe o ka bile (rupture of the bile duct) hiki iā mākou ke ʻike i ke kala melemele o nā membrane mucous a i ʻole ka ʻili. Hiki paha i nā noho ʻaina ʻole i pena ʻia, ʻoiai ʻo ka pigment e hāʻawi ana iā lākou i ke kala ʻaʻole hiki i ka ʻōpū (stercobilin).
jaundice non-hepatic
Hana kēia ʻano jaundice i nā pōpoki ke pilikia ka i ka hana bilirubin oi aku, i kahi ala e hiki ʻole ai i ke akepaʻa ke kipaku aku i ka nui keu o ka pigment, ʻoiai ʻaʻohe mea i hōʻino ʻia i loko o ia mea, ʻaʻole hoʻi i ka lawe ʻana i ka duodenum. Hana ʻia ia, ma kahi laʻana, ma hemolisis (haki o nā ʻulaʻula koko), ma muli paha o nā kumu e like me:
- ʻawahia: ʻo kahi laʻana, paracetamol, mothballs a i ʻole nā ʻakaʻakai he mau mea i kumu i ka haki ʻana o nā hunaola ʻulaʻula olakino, e hoʻoulu ana i ka anemia a me ka nui o ka ʻōnaehana i mālama i ka luku ʻana i nā koena o kēia mau huna koko.
- Nā maʻi virus a i ʻole koʻohau, e like me hemobartonellosis. Waiho ʻia nā antigens ma ka ʻili o nā hunaola ʻulaʻula a ʻike ka ʻōnaehana pale i nā pahuhopu no ka luku. I kekahi manawa, ʻaʻohe kōkua i waho e pono ai, a hāʻule ʻole ka ʻōnaehana pale pilikino a hoʻomaka e luku i kāna mau ʻulaʻula koko ponoʻī no ke kumu ʻole.
- hyperthyroidism: ʻo ka hana a ka jaundice e hana ʻia ai i nā pōpoki me ka hyperthyroidism ʻaʻole ʻike nui ʻia, akā ma muli paha o ka hoʻonui ʻia o ka hoʻohaʻahaʻa o nā hunaola ʻulaʻula.
Pehea wau e ʻike ai i ke kumu o ka jaundice i loko o kaʻu pōpoki?
Ma nā ho'āʻo keʻena hoʻokolohua a me nā diagnostics diagnostics he mea nui, a me ka mōʻaukala kikoʻī e hoʻomākaukau ai ka kauka holoholona e pili ana i ka ʻike a mākou e hāʻawi ai. ʻOiai paha he mea ʻole ia, pono mākou e kamaʻilio i kēlā me kēia kikoʻī i ke kikoʻī.
Ke hana nei i kahi helu koko a me ka biochemistry serum, a me ka hoʻoholo ʻana i ka hematocrit a me nā protein āpau, ʻo ia ka hoʻomaka o kahi papa o nā hoʻokolohua kōkua.
I nā pōpoki me ka jaundice, he mea maʻamau ka loaʻa o nā kiʻekiʻe nā akeakamai ate, akā ʻaʻole ia e hōʻike inā he kumu maʻi hepatobiliary a kumu lua paha ke kumu. I kekahi manawa, ʻo ka hoʻonui nui ʻana i kekahi o lākou e pili ana i nā poʻe ʻē aʻe hiki ke alakaʻi iā mākou, akā pono e hoʻokō mau ʻia kahi ultrasound a me radiological study (hiki iā mākou ke ʻike i nā lehulehu, nā halawai duodenal, infiltration momona ...). ʻOiai ma mua o kēia mau mea a pau, mōʻaukala hoʻokolohua a me ka hoʻokolokolo kino hiki iā lākou ke ʻae i ka veterinarian e loaʻa i nā nodule thyroid, ka wai i loko o ka ʻōpū (ascites) a ʻike pū i ka hiki ke loaʻa i nā lāʻau hepatotoxic.
Pono mākou e nānā i ka jaundice ma ke ʻano he hōʻailona hōʻailona i kaʻana ʻia e nā hanana he nui o nā ʻano like ʻole, ʻo ia ke kumu e ʻike pono ai i kona kumu me kahi mōʻaukala piha, nā hoʻokolohua kino a me nā keʻena hoʻokolohua a me nā hoʻokolohua diagnostic.
ʻO kēia ʻatikala no ka ʻike wale nō, ma PeritoAnimal.com.br ʻaʻole hiki iā mākou ke kuhikuhi i nā lāʻau lapaʻau lāʻau a hana paha i kekahi ʻano o ke kuhi. Paipai mākou iā ʻoe e lawe i kāu pipi i ka kauka holoholona inā loaʻa kekahi ʻano o ke ʻano a ʻoluʻolu ʻole paha.