I-Urobilinogen kumchamo: inokuba yintoni kunye nokuba ungayenza ntoni
Umxholo
I-Urobilinogen yimveliso yokuthotywa kwebilirubin ziibhaktheriya ezikhoyo emathunjini, eqhutyelwa egazini kwaye ikhutshwe zizintso. Nangona kunjalo, xa kukho isixa esikhulu se-bilirubin eveliswayo, kukho ukwanda kokuxinana kwe-urobilinogen emathunjini kwaye, ngenxa yoko, kumchamo.
Ubukho be-urobilinogen buthathwa njengesiqhelo xa buphakathi 0.1 kunye ne-1.0 mg / dL. Xa amaxabiso angentla, kubalulekile ukukhangela ezinye iiparameter ezivavanyiweyo, kunye nezinye iimvavanyo ezinokuthi zicelwe, ukuze wazi unobangela wokunyuka kwe-bilirubin kumchamo.
Inokuba yi-urobilinogen kumchamo
I-Urobilinogen inokufumaneka ngokwendalo kumchamo, ngaphandle kokubaluleka kweklinikhi. Nangona kunjalo, xa ikho ngobuninzi obungaphezulu kokulindelweyo kwaye xa kukho utshintsho kwezinye izinto ezihlalutyiweyo kumchamo kunye novavanyo lwegazi, inokubonisa:
- Iingxaki zesibindi, ezinjenge-cirrhosis, hepatitis okanye umhlaza wesibindi, apho ubukho be-bilirubin kumchamo bunokubonwa khona. Jonga ukuba yintoni i-bilirubin kumchamo;
- Igazi liyatshintsha, apho umzimba uvelisa izilwa-buhlungu ezisabela ngokuchasene neeseli ezibomvu zegazi, kunye nokutshatyalaliswa kwazo, ngenxa yoko, imveliso enkulu yebilirubin, enexabiso elonyukayo elinokubonwa ngohlalutyo lwegazi. Ukongeza, kwimeko ye-hemolytic anemias, kunokwenzeka ukuba kuqinisekiswe notshintsho kubalo lwegazi, ngakumbi kwinani leeseli ezibomvu zegazi kunye nehemoglobin.
Ukongeza, ubukho be-urobilinogen kumchamo bunokubonisa iingxaki zesibindi kwangaphambi kokuba kuvele iimpawu okanye utshintsho kwiimviwo. Ke, xa ubukho be-urobilinogen kumchamo buqinisekiswa, kubalulekile ukuba uqaphele ukuba lukhona na olunye utshintsho kuvavanyo lomchamo, kunye nesiphumo solunye uvavanyo lwegazi, njengokubalwa kwegazi, TGO, TGO kunye ne-GGT, kwimeko yeengxaki zesibindi, kwaye, kwimeko ye-hemolytic anemia, imilinganiselo ye-bilirubin kunye novavanyo lwe-immunological. Funda ngakumbi malunga nendlela yokuqinisekisa isifo se-hemolytic anemia.
[uphononongo lokujonga kwakhona]
Kwenziwe ntoni
Ukuba izixa ezibonakalayo ze-urobilinogen ziyajongwa kumchamo, kubalulekile ukuba unobangela ukuba uphandwe ukuze unyangwe ngokuchanekileyo. Ukuba ubukho be-urobilinogen bubangelwa yi-hemolytic anemia, ugqirha unokucebisa unyango ngamachiza alawula amajoni omzimba, njenge-corticosteroids okanye i-immunosuppressants.
Kwimeko yeengxaki zesibindi, ugqirha unokucebisa ukuphumla kunye nokutshintsha kwindlela yokutya, umzekelo. Kwimeko yomhlaza wesibindi, utyando kungafuneka lususe ingingqi echaphazelekayo kunye ne-chemotherapy.