IBilirubin kumchamo

Umxholo

• Yintoni i-bilirubin kuvavanyo lomchamo?
• Isetyenziselwa ntoni?
• Kutheni ndifuna ibilirubin kuvavanyo lomchamo?
• Kwenzeka ntoni ngexesha le-bilirubin kuvavanyo lomchamo?
• Ngaba kuya kufuneka ndenze nantoni na ukulungiselela uvavanyo?
• Ngaba bukhona ubungozi kuvavanyo?
• Zithetha ntoni iziphumo?
• Izalathiso

Yintoni i-bilirubin kuvavanyo lomchamo?

I-bilirubin kuvavanyo lomchamo ilinganisa amanqanaba e-bilirubin kumchamo wakho. I-Bilirubin yinto etyheli eyenziwe ngexesha lenkqubo yomzimba yokwaphula iiseli ezibomvu zegazi. IBilirubin ifumaneka kwi-bile, ulwelo kwisibindi sakho olukunceda ukwetyise ukutya. Ukuba isibindi sakho siphilile, siyakususa uninzi lwe-bilirubin emzimbeni wakho. Ukuba isibindi sakho sonakele, i-bilirubin inokuvuza egazini nasemchameni. I-Bilirubin kumchamo inokuba luphawu lwesifo sesibindi.

Amanye amagama: uvavanyo lomchamo, uhlalutyo lomchamo, i-UA, ukuvavanywa kwemichiza, i-bilirubin ngqo

Isetyenziselwa ntoni?

I-bilirubin kuvavanyo lomchamo ihlala iyinxalenye yovavanyo lokuchama, uvavanyo olulinganisa iiseli ezahlukeneyo, iikhemikhali kunye nezinye izinto kumchamo wakho. I-Urinalysis ihlala ibandakanywa njengenxalenye yovavanyo oluqhelekileyo. Olu vavanyo lunokusetyenziselwa ukujonga iingxaki zesibindi.

Kutheni ndifuna ibilirubin kuvavanyo lomchamo?

Umboneleli wakho wezempilo unoku-odola i-bilirubin kuvavanyo lomchamo njengenxalenye yokuhlolwa kwakho rhoqo, okanye ukuba uneempawu zesifo sesibindi. Ezi mpawu zibandakanya:

• IJaundice, imeko ebangela ukuba ulusu namehlo akho ajike abe tyheli
• Umchamo omnyama-mnyama
• Intlungu zesisu
• Isicaphucaphu nokugabha
• Ukudinwa

Ngenxa yokuba i-bilirubin kumchamo ingabonakalisa ukonakala kwesibindi ngaphambi kokuba kuvele ezinye iimpawu, umboneleli wakho wezempilo unoku-odola i-bilirubin kuvavanyo lomchamo ukuba usemngciphekweni omkhulu wokonakaliswa kwesibindi. Imingcipheko yesifo sesibindi iquka:

• Imbali yosapho yesifo sesibindi
• Ukusela kakhulu
• Ukubonakaliswa okanye ukubonakaliswa kwintsholongwane ye-hepatitis
• Ukutyeba kakhulu
• Seswekile
• Ukuthatha amayeza athile anokubangela ukonakala kwesibindi

Kwenzeka ntoni ngexesha le-bilirubin kuvavanyo lomchamo?

Umboneleli wakho wezempilo uya kufuna ukuqokelela isampulu yomchamo wakho. Ngexesha lotyelelo lwakho eofisini, uyakufumana isikhongozeli sokuqokelela umchamo kunye nemiyalelo ekhethekileyo yokuqinisekisa ukuba isampulu ayinazintsholongwane. Le miyalelo ihlala ibizwa ngokuba "yindlela yokubambisa ecocekileyo." Indlela yokubamba ecocekileyo ibandakanya la manyathelo alandelayo:

1. Hlamba izandla zakho.
2. Coca indawo yakho yobuni ngesiphedi sokucoca osinikwe ngumboneleli wakho. Amadoda kufuneka asule incam yelungu labo lobudoda. Abasetyhini kufuneka bavule iilabia zabo kwaye bacoceke ngaphambili ukuya ngasemva.
3. Qalisa ukuchama kwindlu yangasese.
4. Hambisa isitya sokuqokelela phantsi komjelo wakho womchamo.
5. Qokelela ubuncinci i-ounce okanye ezimbini zomchamo kwisitya, ekufuneka sinamanqaku ukubonisa izixa.
6. Gqiba uchama ungene kwindlu yangasese.
7. Buyisela isampulu yesikhongozelo kumboneleli wakho wezempilo.

Ngaba kuya kufuneka ndenze nantoni na ukulungiselela uvavanyo?

Awudingi naluphi na ulungiselelo olukhethekileyo lokuvavanya i-bilirubin kumchamo. Ukuba umboneleli wakho wezempilo uyalele omnye umchamo okanye uvavanyo lwegazi, unokufuna ukuzila ukutya (ungatyi okanye usele) iiyure ezininzi ngaphambi kovavanyo. Umboneleli wakho wezempilo uya kukwazisa ukuba ngaba kukho nayiphi na imiyalelo ekhethekileyo ekufuneka uyilandele.

Ngaba bukhona ubungozi kuvavanyo?

Akukho bungozi bokuba novavanyo lokuchama okanye i-bilirubin kuvavanyo lomchamo.

Zithetha ntoni iziphumo?

Ukuba i-bilirubin ifunyenwe kumchamo wakho, inokubonisa:

• Isifo sesibindi njenge-hepatitis
• Ukuvaleka kwezakhiwo ezihambisa inyongo kwisibindi sakho
• Ingxaki ngokusebenza kwesibindi

I-bilirubin kuvavanyo lomchamo inye kuphela yemilinganiselo yokusebenza kwesibindi. Ukuba iziphumo zakho aziqhelekanga, umboneleli wakho wokhathalelo lwempilo unoku-odola uvavanyo lwegazi kunye nomchamo, kubandakanya ipaneli yesibindi. Iphaneli yesibindi luthotho lweemvavanyo zegazi ezilinganisa ii-enzymes ezahlukeneyo, iiproteni kunye nezinto ezisesibindi. Ihlala isetyenziselwa ukukhangela isifo sesibindi.

Funda ngakumbi malunga novavanyo lwelabhoratri, uluhlu lweereferensi, kunye neziphumo zokuqonda.

Izalathiso

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2. UHinkle J, uCheever K. Brunner kunye neSuddarth's Handbook yeLebhu kunye noVavanyo lokuChonga. 2^nd Ed, Kindle. IPhiladelphia: Impilo yeWolters Kluwer, uLippincott Williams kunye noWilkins; Ngowama-2014. Bilirubin (Umchamo); 86-87 iphe.
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6. Ikliniki yaseMayo [kwi-Intanethi]. Isiseko seMayo seMfundo yezoNyango noPhando; c1998–2017. Urinalysis: Ulungiselela njani; 2016 Okt 19 [icatshulwe ngo-2017 nge-23 kaMatshi]; [malunga nezikrini ezi-4]. Ifumaneka kwi: http://www.mayoclinic.org/tests-procedures/urinalysis/details/how-you-prepare/ppc-20255388
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8. Umdibaniso wencwadi yomsebenzisi yenguqulo [ye-Intanethi]. IKenilworth (NJ): IMerck kunye neCh., Inc .; c2017. Uhlalutyo lomchamo [ucatshulwe ngo-2017 nge-23 kaMatshi]; [malunga nezikrini ezi-2]. Ifumaneka kwi: https://www.merckmanuals.com/home/kidney-and-urinary-tract-disorders/diagnosis-of-kidney-and-urinary-tract-disorders/urinalysis
9. Inkqubo yezeMpilo ye-Saint Francis [kwi-Intanethi]. I-Tulsa (Kulungile): Inkqubo yezeMpilo yaseSt. c2016. Ulwazi loMonde: Ukuqokelela iSampuli yokuCoca okuCocekileyo okuCocekileyo; [icatshulwe ngo-2017 kaJulayi 14]; [malunga nezikrini ezi-3]. Ifumaneka kwi: https://www.saintfrancis.com/lab/Documents/Collecting%20a%20Clean%20Catch%20Urine.pdf
10. IZiko likaJohn Hopkins Lupus [kwi-Intanethi]. Unyango lukaJohn Hopkins; c2017. Uhlalutyo lomchamo [ucatshulwe ngo-2017 nge-23 kaMatshi]; [malunga nezikrini ezi-3]. Ifumaneka kwi: https://www.hopkinslupus.org/lupus-tests/screening-laboratory-tests/urinalysis/
11. IYunivesithi yaseRochester Medical Centre [i-Intanethi]. URochester (NY): KwiYunivesithi yaseRochester Medical Centre; c2017. Health Encyclopedia: Direct Bilirubin [icatshulwe ngowama-2017 kuMatshi 23]; [malunga nezikrini ezi-2]. Ifumaneka kwi: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid;=bilirubin_direct

Ulwazi olukule ndawo akufuneki lusetyenziswe endaweni yonyango okanye iingcebiso. Nxibelelana nomboneleli wezempilo ukuba unemibuzo malunga nempilo yakho.