The reason of old person icterus?

summary

As we all know, because the physical quality of the elderly is not as good as that of the young, it is more important to prevent various diseases or master the symptoms of multiple diseases in the elderly. Jaundice is a common disease, to actively grasp the symptoms of the elderly jaundice, symptomatic treatment can have a better effect, then the elderly jaundice reason? Let's talk about it

The reason of old person icterus?

Obstructive jaundice (or obstructive jaundice): about 80% of the jaundice in the elderly is obstructive jaundice, more than half of which are pancreatic head cancer and liver metastases, the latter two thirds of the primary focus from the digestive tract; In addition, it can also come from other parts of the body, such as breast, thyroid, lung, bronchus or urinary tract, but it is rare. According to the common causes, it can be divided into two categories, both of which need surgical treatment.

Choledocholithiasis obstruction: it is also a common cause of jaundice in the elderly. About 1 / 5 patients over 70 years old have cholelithiasis. In mild cholangitis with obstruction, there is usually no obvious pain, but the transaminase is significantly increased, which can be misdiagnosed as hepatitis. B-ultrasound, ERCP or MRCP have diagnostic value.

Drug induced jaundice: its incidence is similar to that of viral hepatitis, which can be simulated as extrahepatic obstruction and acute liver parenchymal injury. Due to the weakness and multiple diseases of the elderly people, it is difficult to determine the pathogenic drugs. Drugs are mainly metabolized through the liver. With aging, the enzyme activity of liver microsomes in the elderly decreases, and the enzymatic effect decreases, which leads to the prolongation of the half-life of some drugs; The liver blood flow gradually decreased with age, which reduced the ability of the elderly to transform and remove some drugs from the body; The decrease of plasma albumin and renal excretion function in the elderly tend to accumulate drugs. The drugs causing intrahepatic cholestasis include oral hypoglycemic agents and steroids, methyldopa and isoniazid, which can cause hepatitis like reaction similar to viral hepatitis or chronic active hepatitis. Jaundice subsided after drug withdrawal.

matters needing attention

Although the disease of jaundice in the elderly is not necessarily cancer, it is not a good phenomenon, so in daily life, if the elderly have jaundice, they must pay attention to it, go to the regular hospital for examination and treatment in time, keep a good attitude and face the disease actively.