Omubiri gwo gufuuka gwa kyenvu? Ka tuyige ku kukebera bilirubin.

Wali owuliddeko ng’olususu lwo oba enjeru z’amaaso go zifuuse za kyenvu? Oba wali owuliddeko omuntu ng'agamba nti, "Omwana ali mu kyenvu katono, twetaaga okukoleeza amataala" ng'ogenda okulaba omwana eyaakazaalibwa? Embeera eno tugiyita jaundice. Ensonga enkulu lwaki tukola kino kwe kuba nti ‘bilirubin’ mu mubiri gwaffe yeeyongera. Kale, leero tugenda kwogera ku kigezo kino ekya bilirubin kye ki era lwaki kikolebwa.

Ddala bilirubin kye ki?

Mu ngeri ennyangu, bilirubin langi ya kyenvu-emicungwa ekolebwa ng’obutoffaali bwaffe obumyufu bumenyese. Lowooza ku butoffaali obumyufu obuli mu mibiri gyaffe ng’abakozi abatono. Bakola akaseera oluvannyuma ne ‘bawummula’, ekitegeeza nti bafa. Kasasiro ono ayitibwa bilirubin.

Ekitera okubaawo, ekibumba kyaffe kitwala bilirubin mu musaayi, ne kikyusa obutonde bwakyo obw’eddagala, ne kimuggya mu mubiri. Ebisinga bifulumira mu musulo ng’entuuyo, ate akatono ne kafulumira mu musulo.

Wabula singa bilirubin yo esinga ku ya bulijjo, kitegeeza nti oba obutoffaali bwo obumyufu bumenya mangu okusinga ku bwa bulijjo, oba ekibumba kyo tekisobola kwoza bulungi bilirubin ono n’okumuggya mu mubiri gwo. Oluusi kino kiyinza okubaawo singa wabaawo okuzibikira mu kkubo eritwala bilirubin okuva mu kibumba okutuuka mu musulo.

Lwaki twetaaga okukola okukebera kuno okwa bilirubin?

Mu bantu abakulu n’abaana abasawo bakozesa okukebera kuno okunoonya n’okulondoola endwadde z’ekibumba n’emikutu gy’entuuyo. Okugeza, kiyinza okuyamba okuzuula embeera nga cirrhosis, hepatitis oba amayinja mu nnyindo.

Okugatta ku ekyo, okukebera kuno era kikulu okukakasa nti waliwo ebika by’omusaayi ebimu naddala eby’omusaayi ebiyitibwa hemolytic anemia, nga mu kino obutoffaali obumyufu busaanawo mangu okusinga bwe bukolebwa.

Jaundice, okufuuka okwa kyenvu kw’olususu n’amaaso, kubaawo ng’omuwendo gwa bilirubin guyitiridde. Embeera eno etera nnyo mu baana abaakazaalibwa. Abasawo bajja kuzuula oba obujjanjabi bwetaagibwa okusinziira ku myaka gy’omwana, omuwendo gwa bilirubin n’ekika kye.

Okugezesebwa kuno kukolebwa kutya?

Ebipimo bya bilirubin bisobola okupimibwa mu musulo gwo n’omusaayi gwo. Okukebera omusulo kutera okukolebwa okukebera oba bilirubin. Singa omusulo gwo gulaga bilirubin, omusawo ajja kulagira okukeberebwa omusaayi okuzuula obungi obutuufu obuli mu musaayi gwo.

Kino kitera okukolebwa nga bakeberebwa omusaayi. Omusawo oba omukugu mu laabu ajja kuggya omusaayi omutono okuva mu musuwa oguli mu mukono gwo ng’akozesa empiso entono. Ku balongo, omusaayi gutera okuggyibwa nga bakola akatundu akatono mu kisinziiro ky’omwana.

Naddala ku balongo abato n’abo abatya empiso, oluusi wabaawo okukebera okukolebwa nga tebayingiddemu mpiso. Kiyitibwa okupima bilirubin okuyita mu lususu . Akasimu akatono kateekebwa ku kifuba oba mu kyenyi ky’omwana ne bamuyitamu ettaala. Kisobola okupima omuwendo gwa bilirubin nga tofunye musaayi.

Ani alina okukola ekigezo kino?

Waliwo embeera eziwerako omusawo wo mw’ayinza okulagira okukeberebwa kuno. Laba ekipande wansi.

Nteekwa ntya nga sinnakeberebwa?

Mu budde obutuufu, ojja kuweebwa amagezi obutalya oba okunywa ekintu kyonna okumala essaawa 4 nga tonnakeberebwa . Ekirala, eddagala erimu ly’omira liyinza okukosa ebyava mu kukeberebwa kuno. N’olwekyo kikulu nnyo okubuulira omusawo wo ku ddagala lyonna ly’omira, wadde vitamiini.

• Eddagala eriyinza okwongera ku muwendo gwa bilirubin mulimu: eddagala erimu eritta obuwuka, eriweweeza ku musujja, morphine, eddagala eriziyiza okuzaala eriweebwa mu kamwa, n’eddagala erimu erya steroids.
• Eddagala eriyinza okukendeeza ku muwendo gwa bilirubin: barbiturates, caffeine, penicillin, ne dose nnyingi eza salicylates.

Ebyavaamu byogera ki?

Okukebera bilirubin kupima omuwendo gwa bilirubin gwo gwonna. Tusobola n’okuzuula emitendera gy’ebika ebikulu ebibiri nga byawuddwamu.

1. Bilirubin etali ya kuyungibwa: Era eyitibwa "indirect." Eno ye bilirubin ‘embisi’ ekolebwa ng’obutoffaali obumyufu bumenyese. Buyita mu musaayi okutuuka mu kibumba.

2. Conjugated bilirubin: Kino era kiyitibwa "obutereevu." Oluvannyuma lw’okutuuka mu kibumba, bilirubin ‘embisi’ akyusibwamu eddagala n’akolebwa mu ngeri esobola okufulumizibwa mu mubiri. Oyo ‘purified’ bilirubin kye tuyita conjugated bilirubin.

Emiwendo gya bilirubin egya bulijjo

| Omuntu/Ekika | Omutendera ogwa bulijjo (mg/dl) |

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

| Abantu abakulu (abasukka mu myaka 18) | Okutuuka ku 1.2 mg/dl (Omugatte gwa Bilirubin) |

| Abaana (abali wansi w’emyaka 18) | Okutuuka ku 1.0 mg/dl (Omugatte gwa Bilirubin) |

| Abalongo | Okutuuka ku 12 mg/dl (Total Bilirubin) - oluusi n’okusingawo |

| Ekiyungibwa (Obutereevu) | Alina okuba wansi wa 0.3 mg/dl |

Watya singa omuwendo gwa bilirubin guba mungi? (Bilirubin omungi) .

Singa bilirubin y’omuntu omukulu esukka 2.0 mg/dl, kiyinza okuba akabonero ka jaundice. Singa omwana eyaakazaalibwa omutindo gusukka 15 mg/dl, abasawo bajja kutandika obujjanjabi.

Ebivaako bilirubin okweyongera:

• Okukendeera kw’omusaayi
• Obulwadde bwa Cirrhosis
• Engeri gye yeeyisaamu ng’omuntu ateekebwamu omusaayi
• Gilbert syndrome - Eno mbeera ya bulijjo, ey’obuzaale ereetebwa obutaba na enzyme emenya bilirubin.
• Obulwadde bw’ekibumba obuva ku kawuka
• Obulwadde bw’ekibumba obuva ku kunywa omwenge ekisusse
• Amayinja g’omu lubuto
• Dduyiro ow’amaanyi, gamba ng’okudduka emisinde gya marathon

Ebivaako bilirubin okweyongera mu baana abaakazaalibwa:

• Obutakwatagana mu kika ky’omusaayi wakati wa maama n’omwana
• Obutabeera na mukka gwa oxygen nga bazaalibwa
• Obulwadde obw’obuzaale
• Obulwadde obukwata ekibumba

Watya singa omuwendo gwa bilirubin guba mutono? (Bilirubin omutono) .

Ebiseera ebisinga emiwendo gya bilirubin emitono tegitwalibwa ng’ekizibu kinene. Ziyinza okuva ku caffeine oba eddagala erimu. Tekitera kubaawo, era zisobola okukwatagana n’endwadde ezimu ez’abaserikale b’omubiri.

Ebiseera ebisinga kitwala essaawa ntono oba olunaku okusobola okufuna ebyava mu kukeberebwa. Bw’onoofuna ebyava mu kulonda, omusawo ajja kukunnyonnyola kye bitegeeza ne ky’olina okuddako.