Ðe wò ŋutilã le ɣiea? Mina míasrɔ̃ nu tso bilirubin dodokpɔa ŋu.

Ðe nèse le ɖokuiwò me kpɔ be yeƒe ŋutigbalẽ alo wò ŋku ƒe ɣiwo trɔ zu ɣia? Alo èse ame aɖe gblɔ be, "Vidzĩa le ɣie vie, ehiã be míasi akaɖiwo" ne èyi ɖakpɔ vidzĩ si wodzi yeyee kpɔa? Míeyɔa nɔnɔme sia be jaundice. Susu vevitɔ si tae nye be ‘bilirubin’ si le míaƒe ŋutilã me dzina ɖe edzi. Eyata, egbea míaƒo nu tso nusi bilirubin dodokpɔ sia nye kple nusita wowɔe ŋu.

Nuka tututue nye bilirubin?

Kpuie ko la, bilirubin nye amadede ɣi kple aŋutiɖiɖi si dona ne míaƒe ʋumenugbagbevi dzĩwo gblẽ. Bu ʋumenugbagbevi dzĩ siwo le míaƒe ŋutilã me be wonye dɔwɔla suewo. Wowɔa dɔ hena ɣeyiɣi aɖe eye emegbe ‘woxɔa dzudzɔ le dɔme’, si fia be wokuna. Woyɔa gbeɖuɖɔ sia be bilirubin.

Nusi dzɔna zi geɖe enye be míaƒe aklã xɔa bilirubin si le ʋua me, trɔa eƒe atike ƒe nɔnɔme, eye wòɖenɛ ɖa le ŋutilãa me. Eƒe akpa gãtɔ dona le aɖuɖɔ me abe ʋumenugbagbeviɣi ene, eye eƒe akpa sue aɖe dona le aɖuɖɔ me.

Gake ne wò bilirubin ƒe agbɔsɔsɔ sɔ gbɔ wu alesi wòle be wòanɔ la, efia be wò ʋumenugbagbevi dzĩwo le gbagbãm kabakaba wu alesi wòle, alo wò aklã mete ŋu kɔ bilirubin sia ŋu nyuie heɖee le wò ŋutilã me o. Ɣeaɖewoɣi la, esia ate ŋu adzɔ ne mɔ si tsɔa bilirubin tso aklã me yia aɖuɖɔ me la xe.

Nukatae wòhiã be míawɔ bilirubin dodokpɔ sia?

Le ame tsitsiwo kple ɖeviwo siaa gome la, ɖɔktawo zãa dodokpɔ sia tsɔ dia aklã kple ʋukawo ƒe dɔlélewo heléa ŋku ɖe wo ŋu. Le kpɔɖeŋu me, ate ŋu akpe ɖe ame ŋu wòanya nɔnɔmewo abe aklãdɔ, aklãdɔ, alo aɖuɖɔtoemekpe ene.

Tsɔ kpe ɖe eŋu la, dodokpɔ sia hã le vevie be woatsɔ aɖo kpe ʋusɔgbɔdɔ ƒomevi aɖewo ƒe anyinɔnɔ dzi, vevietɔ ʋusɔgbɔdɔ si me ʋumenugbagbeviɣidɔ le, si me ʋumenugbagbevi dzĩwo tsrɔ̃na kabakaba wu alesi wowɔa woe.

Jaundice, si nye ŋutigbalẽ kple ŋku ƒe ɣie, dzɔna ne bilirubin ƒe agbɔsɔsɔ va sɔ gbɔ akpa. Nɔnɔme sia bɔ ɖe vidzĩ siwo wodzi yeyee dome ŋutɔ. Ðɔktawo anɔ te ɖe ƒe si vidzĩa xɔ, bilirubin ƒe agbɔsɔsɔ, kple eƒe ƒomevi dzi akpɔe ɖa be ehiã hã.

Aleke wowɔa dodokpɔ siae?

Woate ŋu adzidze bilirubin ƒe agbɔsɔsɔ le wò aɖuɖɔ kple ʋu siaa me. Zi geɖe la, wowɔa aɖuɖɔ dodokpɔ be woatsɔ akpɔe ɖa be bilirubin le eme hã. Ne bilirubin le wò aɖuɖɔ me la, ekema wò ɖɔkta aɖe gbe be woado ʋu kpɔ be woakpɔ agbɔsɔsɔ si tututu le wò ʋu me.

Zi geɖe la, wowɔa esia to ʋudodokpɔ me. Dɔnɔdzikpɔla alo dodokpɔxɔ me dɔwɔla aɖe atsɔ aŋe sue aɖe axɔ ʋu sue aɖe tso ʋuka aɖe si le wò alɔnu me. Le vidzĩ yeyewo gome la, zi geɖe la, woɖea ʋu to do sue aɖe wɔwɔ ɖe vidzĩa ƒe afɔkpodzi me.

Vevietɔ le vidzĩ suewo kple amesiwo vɔ̃na na aŋewo gome la, dodokpɔ aɖe li ɣeaɖewoɣi si wowɔna aŋe manɔmee. Woyɔa esia be bilirubin dzidzedze to ŋutigbalẽ me . Wotsɔa mɔ̃ sue aɖe dana ɖe vidzĩa ƒe akɔta alo eƒe ŋgonu eye woklẽna toa eme. Ate ŋu adzidze bilirubin ƒe agbɔsɔsɔ ʋu maxɔmaxɔe.

Amekae wòle be wòawɔ dodokpɔ sia?

Nɔnɔme geɖe li siwo me wò ɖɔkta ate ŋu aɖe gbe be woawɔ dodokpɔ sia le. Kpɔ kplɔ̃ si le ete.

Aleke wòle be madzra ɖo hafi adoe kpɔ?

Zi geɖe la, woaɖo aɖaŋu na wò be mègaɖu nu alo ano naneke gaƒoƒo 4 hafi woawɔ dodokpɔa o . Azɔ hã, atike aɖewo siwo zãm nèle ate ŋu akpɔ ŋusẽ ɖe dodokpɔ sia me tsonu dzi. Eyata ele vevie ŋutɔ be nàgblɔ atike siwo katã zãm nèle, vitaminwo gɔ̃ hã na wò ɖɔkta.

• Atike siwo ate ŋu ana bilirubin ƒe agbɔsɔsɔ nadzi ɖe edzi dometɔ aɖewoe nye: dɔlékuiwutike aɖewo, asrãtikewo, morphine, mɔxexeɖefufɔfɔnu siwo woano, kple steroid aɖewo.
• Atike siwo ate ŋu aɖe bilirubin ƒe agbɔsɔsɔ dzi akpɔtɔ: barbiturates, caffeine, penicillin, kple salicylates ƒe agbɔsɔsɔ gbogbo aɖe.

Nukae emetsonuwo gblɔ?

Bilirubin dodokpɔ dzidzea wò bilirubin ƒe agbɔsɔsɔ bliboa. Míate ŋu anya ƒomevi vevi eveawo ƒe agbɔsɔsɔme hã ɖe vovo.

1. Bilirubin si wometsɔ ƒo ƒui o: Wogayɔnae be "indirect." Esiae nye bilirubin ‘ƒuƒu’ si dona ne ʋumenugbagbevi dzĩwo gblẽ. Ezɔa mɔ to ʋukawo me yia aklã me.

2. Conjugated bilirubin: Wogayɔa esia be "direct." Ne eɖo aklã me vɔ la, wotrɔa asi le bilirubin ‘si womeɖa’ o ŋu to atikewo me hewɔnɛ wòzua nɔnɔme si woate ŋu ado le ŋutilãa me. Bilirubin ma si ‘wokɔ’ lae nye nusi míeyɔna be bilirubin si wotsɔ ƒo ƒui.

Bilirubin ƒe agbɔsɔsɔ si sɔ

| Ame/Ƒomevi | Agbɔsɔsɔ si sɔ (mg/dl) |

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

| Ame tsitsiwo (ƒe 18 kple edzivɔ) | Vaseɖe 1.2 mg/dl (Bilirubin bliboa) |

| Ðeviwo (siwo mexɔ ƒe 18 haɖe o) | Vaseɖe 1.0 mg/dl (Bilirubin bliboa) |

| Vidzĩ yeyewo | Vaseɖe 12 mg/dl (Total Bilirubin) - ɣeaɖewoɣi la, esɔ gbɔ wu gɔ̃ hã |

| Conjugated (Tɔtrɔ) | Ele be wòanye esi mede 0.3 mg/dl |

Ke ne bilirubin ƒe agbɔsɔsɔ sɔ gbɔ ɖe? (Bilirubin si sɔ gbɔ) .

Ne ame tsitsi ƒe bilirubin ƒe agbɔsɔsɔ sɔ gbɔ wu 2.0 mg/dl la, ate ŋu anye ʋumenugbagbeviɣidɔ ƒe dzesi. Ne vidzĩ si wodzi yeyee ƒe agbɔsɔsɔ sɔ gbɔ wu 15 mg/dl la, ɖɔktawo adze atikewɔwɔ gɔme.

Nusiwo hea bilirubin ƒe dzidziɖedzi vɛ:

• Ʋusɔgbɔdɔ
• Cirrhosis ƒe dɔléle
• Alesi wowɔa nui ne wodo ʋu nɛ
• Gilbert ƒe dɔléle - Esia nye domenyiŋusẽfianu si bɔ, si tsoa domenyiŋusẽfianu si gblẽa bilirubin me ƒe anyimanɔmanɔ gbɔ.
• Dɔlékui ƒe aklãdɔléle
• Aklãdɔ si ahanono fũu akpa hena vɛ
• Gallstones ƒe kpewo
• Kamedede sesẽ, abe duɖimekeke ƒe duɖimekeke ene

Nusiwo hea bilirubin ƒe dzidziɖedzi vɛ le vidzĩ siwo wodzi yeyee me:

• Ʋu ƒe hatsotso ƒe masɔmasɔ le vidada kple vidzĩ dome
• Oxygen ƒe anyimanɔmanɔ le vidzidzi me
• Dɔlékui si tso domenyiŋusẽfianu me
• Dɔléle si gblẽa nu le aklã ŋu

Ke ne bilirubin ƒe agbɔsɔsɔ le sue ɖe? (Bilirubin si mebɔ o) .

Zi geɖe la, womebua bilirubin ƒe agbɔsɔsɔ si bɔbɔ be enye kuxi gã aɖeke o. Woate ŋu atso caffeine alo atike aɖewo gbɔ. Ƒã hafi woate ŋu ado ƒome kple dɔléle aɖewo siwo dɔlélenutsiŋutete hena vɛ hã.

Zi geɖe la, exɔa gaƒoƒo ʋɛ aɖewo alo ŋkeke ɖeka hafi wokpɔa dodokpɔa me tsonu. Ne èkpɔ wò dodokpɔa me tsonu la, wò ɖɔkta aɖe nusi wofia kple nusi nàwɔ emegbe me na wò.