Uvavanyo lwegazi lweBilirubin

Uvavanyo lwegazi lwe-bilirubin lulinganisa inqanaba le-bilirubin egazini. IBilirubin ngumbala omthubi ofumaneka kwi-bile, ulwelo olwenziwa sisibindi.

I-Bilirubin inokulinganiswa novavanyo lomchamo.

Isampulu yegazi iyafuneka.

Akufuneki utye okanye usele okungenani iiyure ezi-4 phambi kovavanyo. Umboneleli wakho wezempilo unokuyalela ukuba uyeke ukuthatha amayeza achaphazela uvavanyo.

Amachiza amaninzi anokutshintsha inqanaba le-bilirubin egazini lakho. Qiniseka ukuba umboneleli wakho uyazi ukuba ngawaphi amayeza owasebenzisayo.

Xa kufakwa inaliti ukutsala igazi, abanye abantu baziva iintlungu eziphakathi. Abanye baziva behlaba okanye behlaba kuphela. Emva koko, kunokubakho ukubetha okanye ukukrala kancinci. Oku kuya kuhamba kungekudala.

Inani elincinci leeseli ezibomvu ezindala zithathelwa indawo ziiseli ezintsha zegazi yonke imihla. I-Bilirubin ishiywe emva kokuba iiseli ezindala zegazi zisuswe. Isibindi sinceda ukwahlula i-bilirubin ukuze isuswe emzimbeni kwisitulo.

Inqanaba le-bilirubin egazini le-2.0 mg / dL linokukhokelela kwi-jaundice. IJaundice ngumbala otyheli kulusu, inwebu yencindi, okanye amehlo.

IJaundice sesona sizathu siqhelekileyo sokujonga inqanaba le-bilirubin. Uvavanyo luya kuyalelwa xa:

• Umboneleli ukhathazekile malunga ne-jaundice yentsana (uninzi lweentsana ezisandul 'ukuzalwa lunayo i-jaundice)
• I-jaundice ikhula kwiintsana ezindala, abantwana kunye nabantu abadala

Uvavanyo lwe-bilirubin luyalelwa kwakhona xa umboneleli ekrokrela ukuba umntu unengxaki yesibindi okanye ye-gallbladder.

Kuqhelekile ukuba ne-bilirubin egazini. Inqanaba eliqhelekileyo yile:

• Ngqo (ekwabizwa ngokuba yi-conjugated) bilirubin: ngaphantsi kwe-0.3 mg / dL (ngaphantsi kwe-5.1 µmol / L)
• Iyonke i-bilirubin: 0.1 ukuya ku-1.2 mg / dL (1.71 ukuya ku-20.5 µmol / L)

Amaxabiso esiqhelo ahluka kancinci phakathi kweelebhu ezahlukeneyo. Ezinye iilebhu zisebenzisa imilinganiselo eyahlukeneyo okanye zinokuvavanya iisampulu ezahlukeneyo. Thetha nomboneleli wakho malunga nentsingiselo yeziphumo zakho zovavanyo.

Kwiintsana, inqanaba le-bilirubin liphezulu kwiintsuku zokuqala zobomi. Umboneleli womntwana wakho kufuneka athathele ingqalelo oku kulandelayo xa esenza isigqibo sokuba ngaba inqanaba le-bilirubin yomntwana wakho liphezulu kakhulu:

• Ukukhawuleza kwenqanaba kuye kwenyuka
• Nokuba umntwana wazalwa kwangethuba
• Iminyaka yosana

I-jaundice inokwenzeka kwakhona xa iiseli ezibomvu zegazi kunokuba ziqhelekile. Oku kunokubangelwa:

• Ingxaki yegazi ebizwa ngokuba yi-erythroblastosis fetalis
• Isifo segazi esibomvu esibizwa ngokuba yi-hemolytic anemia
• Ukusabela kotofelo-gazi apho iiseli ezibomvu zegazi ezazinikwe kutofelo-gazi zitshatyalaliswa ngumzimba womntu

Ezi ngxaki zilandelayo zesibindi zinokubangela i-jaundice okanye inqanaba eliphezulu le-bilirubin:

• Ukuqhekeka kwesibindi (i-cirrhosis)
• Ukudumba kunye nokutsha kwesibindi (hepatitis)
• Esinye isifo sesibindi
• Ukuphazamiseka apho i-bilirubin ingasetyenziswanga ngokuqhelekileyo sisibindi (isifo seGilbert)

Ezi ngxaki zilandelayo zine-gallbladder okanye i-bile ducts inokubangela amanqanaba aphezulu e-bilirubin:

• Ukuncipha okungaqhelekanga kwendlela eqhelekileyo yenyongo (ungqinisiso lwe-biliary)
• Umhlaza wepancreas okanye inyongo
• Amatye egall

Akukho mngcipheko ubandakanyekileyo ekuthatheni igazi lakho. Imithambo yahluka ngobukhulu ukusuka komnye umntu ukuya komnye nokusukela kwelinye icala lomzimba ukuya kwelinye. Ukufumana isampulu yegazi kwabanye abantu kunokuba nzima ngakumbi kunabanye.

Iingozi ezinxulunyaniswa nokutsalwa kwegazi zincinci, kodwa zinokubandakanya:

• Ukopha kakhulu
• Ukufa isiqaqa okanye ukuziva ungenantloko
• Ukugqobhoza okuninzi ukufumana imithambo
• I-Hematoma (ukuqokelela kwegazi phantsi kolusu)
• Usulelo (umngcipheko omncinci nangaliphi na ixesha ulusu lwaphukile)

Iyonke bilirubin - igazi; I-bilirubin yegazi engafakwanga; Ngokungangqalanga bilirubin - igazi; Ukudibanisa i-bilirubin - igazi; Bilirubin ngqo - igazi; I-jaundice - uvavanyo lwegazi lwe-bilirubin; Hyperbilirubinemia -uvavanyo lwegazi lwe-bilirubin

• Isifo senyongo esanda kuzalwa - ukubhobhoza

• Uvavanyo lwegazi

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UPincus MR, u-Tierno PM, uGleeson E, uBowne WB, uBluth MH. Ukuvavanywa kokusebenza kwesibindi. Ku: McPherson RA, Pincus MR, ii-eds. Ukuchongwa kweKlinikhi kaHenry kunye noLawulo ngeendlela zeLebhu. Umhla we-23. ISt Louis, MO: Elsevier; I-2017: isahluko 21.

IPratt DS. I-chemistry yesibindi kunye novavanyo lomsebenzi. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Amathumbu kunye nezifo zesibindi: iPathophysiology / Diagnosis / Management. Ngomhla we-10. IPhiladelphia, PA: Elsevier Saunders; Ngo-2016: isahluko 73.