Koj puas tau xav tias koj daim tawv nqaij lossis koj lub qhov muag dawb tig daj? Los yog koj puas tau hnov ib tug neeg hais tias, "Tus menyuam mos daj me ntsis, peb yuav tsum qhib teeb" thaum koj mus ntsib tus menyuam mos? Peb hu qhov mob no ua mob daj ntseg. Qhov laj thawj tseem ceeb rau qhov no yog vim 'bilirubin' hauv peb lub cev nce ntxiv. Yog li, hnub no peb yuav tham txog qhov kev kuaj bilirubin no yog dab tsi thiab vim li cas nws thiaj ua.
bilirubin yog dab tsi tiag?
Hais yooj yim xwb, bilirubin yog ib yam xim daj-txiv kab ntxwv uas tsim tawm thaum peb cov qe ntshav liab tawg. Xav txog cov qe ntshav liab hauv peb lub cev ua cov neeg ua haujlwm me me. Lawv ua haujlwm ib pliag thiab tom qab ntawd 'so haujlwm', uas txhais tau tias lawv tuag. Cov khoom pov tseg no hu ua bilirubin.
Feem ntau peb lub siab yuav nqus cov bilirubin hauv cov ntshav, hloov nws cov tshuaj lom neeg, thiab tshem nws tawm ntawm lub cev. Feem ntau ntawm nws raug tso tawm hauv cov quav ua cov kua tsib, thiab me me raug tso tawm hauv cov zis.
Txawm li cas los xij, yog tias koj cov bilirubin siab dua li qub, nws txhais tau tias koj cov qe ntshav liab tab tom tawg sai dua li qub, lossis koj lub siab tsis tuaj yeem ntxuav cov bilirubin no thiab tshem nws tawm ntawm koj lub cev. Qee zaum qhov no tuaj yeem tshwm sim yog tias muaj kev thaiv hauv txoj kev uas nqa bilirubin los ntawm lub siab mus rau cov quav.
Vim li cas peb thiaj yuav tsum ua qhov kev kuaj bilirubin no?
Rau cov neeg laus thiab cov menyuam yaus, cov kws kho mob siv qhov kev kuaj no los nrhiav thiab saib xyuas cov kab mob ntawm lub siab thiab cov kav dej ntawm cov kua tsib. Piv txwv li, nws tuaj yeem pab kuaj mob xws li mob cirrhosis, mob siab, lossis mob pob zeb hauv lub zais zis.
Tsis tas li ntawd xwb, qhov kev kuaj no kuj tseem ceeb heev kom paub tseeb tias muaj qee hom mob ntshav tsis txaus, tshwj xeeb tshaj yog mob ntshav tsis txaus, uas cov qe ntshav liab raug rhuav tshem sai dua li lawv tsim tawm.
Mob daj ntseg, uas yog ib qho mob daj ntawm daim tawv nqaij thiab qhov muag, tshwm sim thaum cov bilirubin ntau dhau. Qhov mob no feem ntau tshwm sim rau cov menyuam mos tshiab. Cov kws kho mob yuav txiav txim siab seb puas xav tau kev kho mob raws li tus menyuam lub hnub nyoog, bilirubin, thiab hom.
Qhov kev xeem no ua li cas?
Cov qib bilirubin tuaj yeem ntsuas tau hauv koj cov zis thiab cov ntshav. Feem ntau yuav kuaj zis kom paub seb puas muaj bilirubin. Yog tias koj cov zis qhia txog bilirubin, koj tus kws kho mob yuav hais kom kuaj ntshav kom paub tseeb tias muaj pes tsawg hauv koj cov ntshav.
Feem ntau qhov no ua tiav los ntawm kev kuaj ntshav. Tus kws tu mob lossis tus kws kho mob hauv chaw kuaj mob yuav siv ib rab koob me me los rho me ntsis ntshav los ntawm cov leeg ntshav hauv koj txhais caj npab. Rau cov menyuam mos, feem ntau yuav rho ntshav los ntawm kev tho ib qho me me rau ntawm pob taws ntawm tus menyuam.
Tshwj xeeb tshaj yog rau cov menyuam yaus thiab cov neeg uas ntshai koob txhaj tshuaj, qee zaum muaj kev kuaj uas ua yam tsis tau ntxig koob txhaj tshuaj. Nws hu ua kev ntsuas bilirubin transcutaneous . Ib lub cuab yeej me me raug muab tso rau ntawm tus menyuam lub hauv siab lossis hauv pliaj thiab lub teeb ci ntsa iab los ntawm nws. Nws tuaj yeem ntsuas cov qib bilirubin yam tsis tas siv ntshav.
Leej twg yuav tsum xeem qhov kev xeem no?
Muaj ntau qhov xwm txheej uas koj tus kws kho mob yuav xaj kom kuaj qhov no. Saib lub rooj hauv qab no.
| Cov tsos mob uas tau hnov | Cov xwm txheej tsis meej pem |
|---|---|
| Tawv nqaij thiab qhov muag daj (jaundice) | Kab mob siab, kev thaiv cov kua tsib, ntshav tsis txaus |
| Cov zis dub (zoo li dej tshuaj yej) | Teeb meem nrog kev ua haujlwm ntawm daim siab |
| Xeev siab thiab ntuav | Kab mob siab lossis lwm yam kab mob |
| Mob plab los yog o | Kev loj hlob ntawm daim siab, cirrhosis |
| Cov rooj zaum xim av nplaum (dawb) | Kev txhaws hauv cov ducts ntawm cov kua tsib |
| Kev xav tias qaug zog heev tas li | Kab mob ntshav tsis txaus, kab mob siab ntev |
Ntxiv rau, qhov kev kuaj no kuj raug pom zoo rau cov neeg uas haus cawv ntau dhau, cov neeg uas tau raug tus kab mob siab, thiab cov neeg uas xav tias lawv tau muaj kev tsis haum tshuaj rau qee yam tshuaj.
Kuv yuav tsum npaj li cas ua ntej qhov kev xeem?
Feem ntau, koj yuav raug qhia kom tsis txhob noj lossis haus dab tsi li 4 teev ua ntej qhov kev kuaj mob . Tsis tas li ntawd, qee cov tshuaj uas koj noj tuaj yeem cuam tshuam rau cov txiaj ntsig ntawm qhov kev kuaj mob no. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum qhia rau koj tus kws kho mob txog txhua yam tshuaj uas koj noj, txawm tias cov vitamins.
- Cov tshuaj uas ua rau bilirubin nce ntxiv suav nrog: qee cov tshuaj tua kab mob, tshuaj tiv thaiv kab mob malaria, morphine, tshuaj tiv thaiv kev xeeb tub, thiab qee cov tshuaj steroids.
- Cov tshuaj uas tuaj yeem txo cov bilirubin: barbiturates, caffeine, penicillin, thiab cov tshuaj salicylates ntau.
Cov txiaj ntsig qhia li cas?
Kev kuaj bilirubin ntsuas koj cov bilirubin tag nrho. Peb kuj tuaj yeem txiav txim siab cov theem ntawm ob hom tseem ceeb sib cais.
1. Unconjugated bilirubin: Kuj hu ua "indirect." Qhov no yog 'raw' bilirubin uas tsim tawm thaum cov qe ntshav liab tawg. Nws mus los ntawm cov ntshav mus rau lub siab.
2. Conjugated bilirubin: Qhov no kuj hu ua "ncaj qha." Tom qab nws mus txog rau hauv lub siab, cov bilirubin 'raw' raug hloov kho los ntawm tshuaj lom neeg thiab ua rau hauv daim ntawv uas tuaj yeem tawm ntawm lub cev. Cov bilirubin 'purified' ntawd yog qhov peb hu ua conjugated bilirubin.
Cov theem bilirubin ib txwm muaj
| Tus Neeg/Hom | Qib Ib Txwm (mg/dl) |
| ------------------- | ------------------------------------------ |
| Cov neeg laus (hnub nyoog tshaj 18 xyoo) | Txog li 1.2 mg/dl (Tag Nrho Bilirubin) |
| Cov Menyuam (qis dua 18 xyoo) | Txog li 1.0 mg/dl (Tag Nrho Bilirubin) |
| Cov menyuam mos | Txog li 12 mg/dl (Tag Nrho Bilirubin) - qee zaum ntau dua |
| Sib xyaw (Ncaj qha) | Yuav tsum tsawg dua 0.3 mg/dl |
Yuav ua li cas yog tias qib bilirubin siab? (Bilirubin Siab)
Yog tias tus neeg laus cov bilirubin siab dua 2.0 mg/dl, nws yuav yog ib qho cim ntawm tus mob daj ntseg. Yog tias tus menyuam mos cov bilirubin siab dua 15 mg/dl, cov kws kho mob yuav pib kho.
Cov ua rau muaj bilirubin ntau ntxiv:
- Kab mob ntshav tsis txaus
- Kab mob siab
- Kev teb rau kev hloov ntshav
- Gilbert syndrome - Qhov no yog ib qho mob uas tshwm sim los ntawm noob caj ces uas tshwm sim los ntawm qhov tsis muaj enzyme uas rhuav tshem bilirubin.
- Kab mob siab kis
- Kab mob siab los ntawm kev haus dej cawv ntau dhau
- Pob zeb hauv lub zais zis
- Kev tawm dag zog hnyav, xws li khiav marathon
Cov ua rau muaj bilirubin ntau ntxiv rau cov menyuam mos:
- Kev tsis sib haum xeeb ntawm hom ntshav ntawm niam thiab menyuam
- Tsis muaj oxygen thaum yug los
- Kev kis kab mob los ntawm noob caj noob ces
- Ib yam kab mob uas cuam tshuam rau lub siab
Yuav ua li cas yog tias qib bilirubin qis? (Qis Bilirubin)
Feem ntau cov bilirubin qis tsis suav tias yog teeb meem loj. Lawv tuaj yeem tshwm sim los ntawm caffeine lossis qee yam tshuaj. Tsis tshua muaj, lawv kuj tuaj yeem cuam tshuam nrog qee yam kab mob autoimmune.
Feem ntau nws yuav siv sijhawm ob peb teev lossis ib hnub kom tau txais cov txiaj ntsig ntawm kev kuaj. Thaum koj tau txais koj cov txiaj ntsig, koj tus kws kho mob yuav piav qhia txog lawv lub ntsiab lus thiab yuav ua li cas tom ntej.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Bilirubin yog cov khoom pov tseg ntuj tsim uas tsim thaum cov qe ntshav liab tawg.
- Thaum qhov no nce ntxiv hauv cov ntshav, daim tawv nqaij thiab qhov muag yuav daj. Peb hu ua mob daj ntseg.
- Kev kuaj bilirubin tuaj yeem muab cov ntaub ntawv tseem ceeb txog koj txoj kev noj qab haus huv ntawm lub siab, teeb meem ntawm cov kua tsib, thiab qee hom ntshav tsis txaus.
- Yog koj muaj cov tsos mob ntawm tus mob daj ntseg, lossis xav tias muaj kab mob siab, mus ntsib kws kho mob tam sim ntawd.
- Tsis txhob txhawj txog cov txiaj ntsig ntawm kev kuaj, ib txwm nrog koj tus kws kho mob tham kom nkag siab meej.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus