Kuyezetsa magazi kwa Bilirubin

Kuyezetsa magazi kwa bilirubin kumayeza kuchuluka kwa bilirubin m'magazi. Bilirubin ndi mtundu wachikasu womwe umapezeka mu bile, madzimadzi opangidwa ndi chiwindi.

Bilirubin amathanso kuyezedwa ndimayeso amkodzo.

Muyenera kuyesa magazi.

Simuyenera kudya kapena kumwa kwa maola 4 musanayezetse. Wothandizira zaumoyo wanu akhoza kukulangizani kuti musiye kumwa mankhwala omwe amakhudza mayeso.

Mankhwala ambiri amatha kusintha mulingo wa bilirubin m'magazi anu. Onetsetsani kuti opereka chithandizo akudziwa mankhwala omwe mukumwa.

Pamene singano imayikidwa kuti ikoke magazi, anthu ena amamva kupweteka pang'ono. Ena amangomva kubaya kapena kuluma. Pambuyo pake, pakhoza kukhala kupunduka kapena kuvulala pang'ono. Izi posachedwa zichoka.

Maselo ofiira ang'onoang'ono akale amasinthidwa ndi maselo amwazi tsiku lililonse. Bilirubin imatsalira pambuyo poti maselo akale amwazi achotsedwa. Chiwindi chimathandizira kugwetsa bilirubin kuti athe kuchotsedwa mthupi mwa chopondapo.

Mulingo wa bilirubin m'magazi a 2.0 mg / dL ukhoza kuyambitsa matenda a jaundice. Jaundice ndi wachikasu pakhungu, mamina am'mimba, kapena m'maso.

Jaundice ndiye chifukwa chofufuzira mulingo wa bilirubin. Mayesowo atha kuyitanidwa pamene:

• Woperekayo amakhudzidwa ndi matenda a chikasu a ana obadwa kumene (ana ambiri obadwa kumene amakhala ndi jaundice)
• Jaundice imayamba mwa makanda achikulire, ana, komanso akulu

Mayeso a bilirubin amalamulidwanso pamene wothandizirayo akukayikira kuti munthu ali ndi vuto la chiwindi kapena ndulu.

Ndi zachilendo kukhala ndi bilirubin m'magazi. Mulingo wabwinobwino ndi:

• Direct (yotchedwanso conjugated) bilirubin: osakwana 0.3 mg / dL (osakwana 5.1 5.1mol / L)
• Chiwerengero cha bilirubin: 0.1 mpaka 1.2 mg / dL (1.71 mpaka 20.5 µmol / L)

Mitengo yamtengo wapatali imatha kusiyanasiyana pakati pa ma labotore osiyanasiyana. Ma lab ena amagwiritsa ntchito miyeso yosiyanasiyana kapena amatha kuyesa mitundu yosiyanasiyana. Lankhulani ndi omwe akukuthandizani za tanthauzo la zotsatira zanu zoyeserera.

Kwa akhanda akhanda, mulingo wa bilirubin umakhala wokwera m'masiku ochepa oyamba amoyo. Wopereka mwana wanu ayenera kuganizira izi posankha ngati mulingo wa bilirubin wa mwana wanu ndiwokwera kwambiri:

• Mulingo ukuwonjezeka mwachangu
• Kaya mwanayo adabadwa msanga
• Msinkhu wamwana

Jaundice imathanso kupezeka ngati maselo ofiira ambiri kuposa omwe abwinobwino agwa. Izi zitha kuyambitsidwa ndi:

• Matenda a magazi otchedwa erythroblastosis fetalis
• Matenda a magazi ofiira otchedwa hemolytic anemia
• Kuyika magazi momwe maselo ofiira ofiira omwe amapatsidwa magazi amawonongedwa ndi chitetezo chamthupi cha munthuyo

Mavuto otsatirawa a chiwindi amathanso kuyambitsa matenda a jaundice kapena kuchuluka kwa bilirubin:

• Kutupa kwa chiwindi (cirrhosis)
• Kutupa ndi kutupa chiwindi (hepatitis)
• Matenda ena a chiwindi
• Matenda omwe bilirubin samasinthidwa moyenera ndi chiwindi (matenda a Gilbert)

Mavuto otsatirawa ndi ndulu kapena ma ducts angayambitse kuchuluka kwa bilirubin:

• Kuchepetsa kwachilendo kwa njira yodziwika ya bile (biliary stricture)
• Khansa ya kapamba kapena ndulu
• Miyala

Pali chiopsezo chochepa chotenga magazi anu. Mitsempha imasiyana mosiyanasiyana kuchokera pa munthu wina ndi mnzake komanso kuchokera mbali imodzi ya thupi kupita mbali inayo. Kupeza magazi kuchokera kwa anthu ena kumatha kukhala kovuta kuposa ena.

Zowopsa zomwe zimakhudza kukoka magazi ndizochepa, koma zimatha kuphatikiza:

• Kutaya magazi kwambiri
• Kukomoka kapena kumva mopepuka
• Ma punctures angapo kuti mupeze mitsempha
• Hematoma (kusonkhanitsa magazi pansi pa khungu)
• Kutenga (chiopsezo chochepa nthawi iliyonse khungu likasweka)

Okwana bilirubin - magazi; Mafuta osakanikirana - magazi; Osalunjika bilirubin - magazi; Conjugated bilirubin - magazi; Direct bilirubin - magazi; Jaundice - kuyesa magazi kwa bilirubin; Hyperbilirubinemia - kuyezetsa magazi kwa bilirubin

• Mwana wakhanda jaundice - kumaliseche

• Kuyezetsa magazi

Chernecky CC, Berger BJ. Bilirubin (yathunthu, yolunjika [yolumikizidwa] ndi yosalunjika [yosagonjetsedwa]) - seramu. Mu: Chernecky CC, Berger BJ, olemba., Eds. Kuyesa Kwantchito ndi Njira Zakuzindikira. Lachisanu ndi chimodzi. St Louis, MO: Elsevier Saunders; 2013: 196-198.

Pincus MR, PM wa Tierno, Gleeson E, Bowne WB, Bluth MH. Kuwunika kwa chiwindi kumagwira ntchito. Mu: McPherson RA, Pincus MR, olemba., Eds. Henry's Clinical Diagnosis and Management by Laboratory Methods. Wachitatu. St Louis, MO: Elsevier; 2017: mutu 21.

Pratt DS. Chemistry chemistry ndi ntchito zoyesa. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi matenda a m'mimba ndi chiwindi a Fordtran: Pathophysiology / Diagnosis / Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 73.