Colouring of a leather, skler and muous membranes in yellow olor ours at the maintenane of bilirubin in whey of blood more than mg of % on Yens-, or more than mmol/, and its adjournment in fabris.
Depending on pathogeneti mehanisms distinguish hepati, or parenhimatoznuju, gemolitiheskuju, mehanial jaundies, and also a jaundie onneted with defet of fermental systems.
Hepati, or parenhimatoznaja, a jaundie. Arises at massive defeat of hepati ells (nekroz, a dystrophy) owing to whih arry of bilirubin from blood in bilious ways is broken. There is parenthimatoznaja a jaundie at a sharp hepatites (virus, toxi), an aggravation of a hroni hepatites and a irrhosis of a liver. It is haraterized by inrease of a level of diret fration of bilirubin. Inrease of ativity tsitolitiheskih enzymes is simultaneously observed, at heavier proess - and mito- (see the Hepatites hroni). Alongside with it parameters belkovo-- funtions of a liver, et.
Gemolitiheskaja a jaundie an hange. It is observed as independent disease (see the Anemia gemolitiheskaja) or a symptom at other diseases (at a irrhosis of the liver, aompanied signifiant splenomegaliej, septi endokardite, various diseases of blood, et.) .
the Jaundie owing to hereditary defet of fermental systems. See Pigmentary gepatozy, Syndrome mej--, Syndrome Kriglera - Nadzhara.
Mehanial (podpehenohnaja), or obturatsionnaja, a jaundie. Results from partial or full losing of bilious ways owing to anomaly of development of bilious system, formation kisty, orkings by a stone, a tumour, askaridami, sdavlenija solderings, peretjazhkami, parasiti kistami (ehinokokk, et.) . It is observed vnepehenohnaja and vnutripe- (holestatiheskaja the form of a sharp virus hepatites, hroni holestatihesky a hepatites, biliarnyj a irrhosis of a liver, anomaly of development vnut- bilious ways, alveokokkoz and ehino- a liver) forms.
proof inrease of a level of diret bilirubin Is harateristi. Peroralnaja and intravenous ekskretornye holegrafii not always allow to reeive the image as seretory funtion of a bilious bubble and a hepati ell an be broken. In these ases
The diagnosti laparosopy or a paw- with simultaneous kontrastirovaniem bilious ways on an operational table introdution of ontrast through a bilious bubble is spent.
the Jaundie alimen garnogo origins (karotinovaja). Iteri olouring of a leather by arotin (provitamin A) owing to the long use of a plenty of the produts ontaining arotin: arrots, tangerines, et. Feature of this form is absene of yellowness of muous membranes and skler, inreases in a liver, and also normal painting kala and urine. The jaundie gradually disappears after the termination of the use in food of the produts ontaining arotin.
the Jaundie mediamentous. Appears after treatment akrihinom or others krasjashhjami medial produts. Clinial displays same, as at karotinovoj to a jaundie.