So wo nipadua reyɛ kɔkɔɔ? Momma yensua bilirubin sɔhwɛ no ho ade.

So woate nka pɛn sɛ wo were anaa w’ani fitaa adan kɔkɔɔ? Anaasɛ woate pɛn sɛ obi ka sɛ, "Akokoaa no yɛ kɔkɔɔ kakra, ɛsɛ sɛ yɛsɔ kanea" bere a wokɔsra akokoaa a wɔawo no foforo no? Yɛfrɛ tebea yi jaundice. Ade titiriw nti a ɛte saa ne sɛ ‘bilirubin’ a ɛwɔ yɛn nipadua mu no kɔ soro. Enti, ɛnnɛ yɛbɛka nea bilirubin sɔhwɛ yi yɛ ne nea enti a wɔyɛ no ho asɛm.

Dɛn ankasa ne bilirubin?

Sɛ yɛbɛka no tiawa a, bilirubin yɛ kɔla kɔkɔɔ-akutu a ɛba bere a yɛn mogya mu nkwammoaa kɔkɔɔ no asɛe no. Susuw mogya mu nkwammoaa kɔkɔɔ a ɛwɔ yɛn nipadua mu no ho sɛ adwumayɛfo nketewa. Wɔyɛ adwuma kakra na afei ‘wɔkɔ pɛnhyen’, a ɛkyerɛ sɛ wowuwu. Wɔfrɛ saa ade a wɔsɛe no yi bilirubin.

Nea ɛtaa ba ne sɛ yɛn mmerɛbo no fa bilirubin a ɛwɔ mogya no mu, sesa ne nnuru su, na eyi fi nipadua no mu. Wɔtow emu dodow no ara gu nsu mu sɛ bile, na kakraa bi nso fi nsu mu.

Nanso, sɛ wo bilirubin dodow dɔɔso sen sɛnea ɛte daa a, ɛkyerɛ sɛ wo mogya mu nkwammoaa kɔkɔɔ no resɛe ntɛmntɛm sen sɛnea ɛte daa, anaasɛ wo mmerɛbo no ntumi nhohoro bilirubin yi ho yiye na eyi mfi wo nipadua mu. Ɛtɔ mmere bi a, sɛ ɔkwan a ɛde bilirubin fi mmerɛbo no mu kɔ nsu mu no siw a.

Dɛn nti na ɛsɛ sɛ yɛyɛ bilirubin nhwehwɛmu yi?

Wɔ mpanyimfo ne mmofra nyinaa mu no, nnuruyɛfo de sɔhwɛ yi di dwuma de hwehwɛ mmerɛbo ne mogya ntini mu nyarewa na wɔhwɛ so. Sɛ nhwɛso no, ebetumi aboa ma wɔahu tebea horow te sɛ akisikuru, mmerɛbo mu yare, anaa akisikuru.

Nea ɛka ho no, nhwehwɛmu yi nso ho hia na ama wɔahu sɛ mogya a ɛtɔ kɔ nipadua no mu ahorow bi wɔ hɔ, titiriw mogya a ɛtɔ kɔ mogya mu, a mogya mu nkwammoaa kɔkɔɔ sɛe ntɛmntɛm sen sɛnea wɔyɛ no.

Jaundice, honam ani ne aniwa a ɛyɛ kɔkɔɔ no ba bere a bilirubin dodow kɔ soro dodo no. Saa tebea yi abu so kɛse wɔ nkokoaa a wɔawo wɔn foforo mu. Nnuruyɛfo begyina mfe a akokoaa no adi, bilirubin dodow, ne ne su so ahu sɛ ebia ayaresa ho hia anaa.

Ɔkwan bɛn so na wɔyɛ sɔhwɛ yi?

Wobetumi asusuw bilirubin dodow wɔ wo nsu ne wo mogya nyinaa mu. Wɔtaa yɛ nsu mu nhwehwɛmu de hwɛ sɛ bilirubin wɔ mu anaa. Sɛ wo nsu mu da bilirubin adi a, afei wo duruyɛfo bɛhyɛ sɛ wɔnyɛ mogya mu nhwehwɛmu na ama wɔahu dodow pɔtee a ɛwɔ wo mogya mu.

Wɔtaa de mogya mu nhwehwɛmu na ɛyɛ eyi. Ɔyarehwɛfo anaa lab technician de ade ketewaa bi begye mogya kakraa bi afi ntini bi a ɛwɔ wo nsa mu no mu. Wɔ mmofra a wɔawo wɔn foforo fam no, wɔtaa fa mogya denam tokuru ketewaa bi a wɔyɛ wɔ akokoaa no nan ase so.

Titiriw wɔ nkokoaa nkumaa ne wɔn a wosuro nnade ho no, ɛtɔ mmere bi a sɔhwɛ bi wɔ hɔ a wɔyɛ a wɔmfa nnade nhyɛ mu. Wɔfrɛ no bilirubin a wɔde susuw honam ani . Wɔde afiri ketewaa bi si akokoaa no koko anaa ne moma so na wɔhyerɛn kanea bi fa mu. Ebetumi asusuw bilirubin dodow a ennye mogya.

Henanom na ɛsɛ sɛ wɔyɛ sɔhwɛ yi?

Tebea horow pii wɔ hɔ a wo duruyɛfo betumi ahyɛ sɛ wɔbɛyɛ nhwehwɛmu yi. Hwɛ pon a ɛwɔ ase hɔ no.

Ɔkwan bɛn so na ɛsɛ sɛ misiesie me ho ansa na wɔayɛ sɔhwɛ no?

Mpɛn pii no, wobetu wo fo sɛ nnni anaa nnom biribiara nnɔnhwerew 4 ansa na wɔayɛ sɔhwɛ no . Afei nso, nnuru bi a worenom betumi aka nea efi sɔhwɛ yi mu ba. Enti, ɛho hia paa sɛ woka nnuru a worenom nyinaa, vitamin mpo ho asɛm kyerɛ wo duruyɛfo.

• Nnuru a ebetumi ama bilirubin dodow akɔ soro no bi ne: nnuru bi a ekum ɔyare mmoawa, nnuru a ekum asramma, morphine, nnuru a wɔde siw nyinsɛn ano a wɔnom, ne steroid ahorow bi.
• Nnuru a ebetumi ama bilirubin dodow so atew: barbiturates, caffeine, penicillin, ne salicylates dodow a ɛdɔɔso.

Dɛn na nea efi mu ba no ka?

Bilirubin nhwehwɛmu kyerɛ wo bilirubin dodow nyinaa. Yebetumi nso ahu dodow a ɛwɔ ahorow atitiriw abien no mu wɔ ɔkwan soronko so.

1. Bilirubin a wɔmfa nkabom: Wɔsan frɛ no "indirect." Eyi ne bilirubin ‘raw’ a ɛba bere a mogya mu nkwammoaa kɔkɔɔ no asɛe no. Ɛfa mogya no mu kɔ mmerɛbo no mu.

2. Conjugated bilirubin: Wɔsan frɛ eyi sɛ "direct." Sɛ edu mmerɛbo no mu wie a, wɔde nnuru sesa bilirubin ‘a wɔannoa’ no na wɔyɛ no ɔkwan bi so a wobetumi ayi afi nipadua no mu. Saa bilirubin a ‘wɔatew ho’ no ne nea yɛfrɛ no conjugated bilirubin.

Bilirubin dodow a ɛfata

| Onipa/Type | Nsuo a Ɛwɔ Hɔ (mg/dl) |

| ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ------------------------------------------ |

| Mpanyimfo (boro mfe 18) | Ɛkɔ 1.2 mg/dl (Bilirubin nyinaa) |

| Mmofra (a wonnii mfe 18) | Ɛkɔ 1.0 mg/dl (Bilirubin nyinaa) |

| Nkokoaa a Wɔawo Wɔn Foforo | Ɛkɔsi 12 mg/dl (Total Bilirubin) - ɛtɔ da bi mpo a ɛboro saa |

| Conjugated (Tẽẽ) | Ɛsɛ sɛ ɛyɛ nea ennu 0.3 mg/dl |

Na sɛ bilirubin dodow dɔɔso nso ɛ? (Bilirubin a Ɛdɔɔso) .

Sɛ ɔpanyin bi bilirubin dodow boro 2.0 mg/dl a, ebetumi ayɛ jaundice ho sɛnkyerɛnne. Sɛ akokoaa a wɔawo no foforo dodow boro 15 mg/dl a, nnuruyɛfo befi ase sa yare.

Nneɛma a ɛde bilirubin a ɛkɔ soro ba:

• Mogya a ɛtɔ kɔ nipadua mu
• Cirrhosis a ɛma obi ho kyere no
• Sɛnea obi yɛ n’ade wɔ mogya a wɔde ma no ho
• Gilbert syndrome - Eyi yɛ tebea a ɛtaa ba, a wonya fi awosu mu a ɛnam enzyme bi a ɛpaapae bilirubin a enni hɔ nti.
• Mpɔtorɔ mu yare a ɔyare mmoawa de ba
• Mmɛn mu yare a nsa a wɔnom boro so de ba
• Abo a wɔde yɛ akisikuru
• Apɔw-mu-teɛteɛ a emu yɛ den, te sɛ mmirikatu a wɔde tu mmirika denneennen

Nneɛma a ɛma bilirubin kɔ soro wɔ nkokoaa a wɔawo wɔn foforo mu:

• Mogya su a ɛnhyia a ɛna ne akokoaa ntam
• Oxygen a wonnya wɔ awo mu
• Nyarewa a wonya fi awo mu
• Yare a ɛka mmerɛbo

Na sɛ bilirubin dodow sua nso ɛ? (Bilirubin a ɛba fam) .

Mpɛn pii no, wommu bilirubin dodow a ɛba fam sɛ ɔhaw kɛse. Ebetumi afi caffeine anaa nnuru bi mu aba. Ɛntaa mma sɛ wobetumi de wɔn abata nyarewa bi a nipadua no tumi ko tia nyarewa nso ho.

Mpɛn pii no, egye nnɔnhwerew kakraa bi anaa da koro ansa na wɔanya sɔhwɛ no mu aba. Sɛ wunya nea efii mu bae a, wo duruyɛfo no bɛkyerɛkyerɛ nea ɛkyerɛ ne nea ɛsɛ sɛ woyɛ akyi.