I thisena thil sen (yellow substance) chungchang hriat i duh em? Bilirubin test chungchang hi han sawi ila!

Aw, a chang chuan, a bik takin nausen piang tharteah chuan taksa chu a sen thin tih i hre tawh em? A nih loh leh doctor-in nangmah emaw, i hriat mi emaw hnenah `(Bilirubin)` test ti turin a hrilh tawh em? Bilirubin tih thumal i hriat hian tlem a hlauthawng tih hi thil pangngai a ni. Mahse, lungngai suh! Vawiin hian he thu hi awlsam takin, i hriatthiam theih angin kan sawi dawn a ni.

Bilirubin chu eng nge ni? A awlsam zawngin i hrethiam ang u!

Ngaihtuah teh, kan taksaa thisen sen (thisen tia koh bawk) te hi thlak danglam zel a ni. Thisen sen hluite a chhe chuan thil sen, bilirubin , an siam chhuak a ni. Thil hlui i paih chhuah huna a la awm ang mai a ni.

Tunah chuan he bilirubin hian kan thisenah a kal a, liver-ah a kal ta a ni. Liver hi kan taksaa factory ang mai a ni a, duh loh zawng a tifai thin. Liver hian he bilirubin hi a khawlkhawm a, bawlhhlawh dang nen a inzawm khawm a, "bile" an tih tui a siam a ni. I hria em, he bilirubin hi bile hi a rawng sen petu a ni. Tichuan he bile hi kan intestines kaltlangin taksa atangin a chhuak ta a ni. Ni e, he bilirubin hi i bawlhhlawh rawng pe theitu lian tak a ni.

Chuti a nih chuan, bilirubin thisen test chu eng nge ni?

A awlsam khawp mai. Doctor chuan i kut vein pakhat atanga thisen sample te tak te a la a, lab-ah test turin a thawn a. Lab hian i thisenah bilirubin engzat nge awm tih a teh thin. Level chu normal range chhungah a awm em tih an en a, a sang lutuk nge a hniam lutuk tih an en thin. Bilirubin level a dik lo a nih chuan khawi emaw laiah chuan chutiang thisen sen hlui te tihchhiat atanga tan a, taksa atanga bilirubin lakchhuah atanga tawp thin harsatna a awm thei tihna a ni.

Thisen a bilirubin level hian eng nge min hrilh?

Doctor te chuan he bilirubin test hi i liver hriselna enfiah nan an ti fo thin . Hei hi liver function test tam tak zinga pakhat chauh a ni. Heng value te hi a sang emaw a hniam emaw a nih chuan liver chu eng emaw zat stress hnuaiah a awm tih a tilang thei a ni. Mahse, bilirubin level dik lo chuan liver-ah harsatna a awm tihna a ni ngai lo. A châng chuan buaina chu hmun dangah a awm thei bawk.

Engvangin nge he bilirubin level hi a san? (Hyperbilirubinemia) tih hi a ni.

I thisena bilirubin a pun chhan hi chhan hrang hrang a awm thei. Eng nge an nih hi han thlir ila:

• I thisen sen (red blood cells) te hi a chhe rang lutuk: Thisen natna thenkhat, hemolytic anemia te hian thisen sen te chu a ti chhe rang lutuk a, chu chuan bilirubin a ti tam lutuk thin. Factory-in thil a dawng tam lutuk ang maiin han ngaihtuah teh.
• I liver hian bilirubin awm zat pangngai pawh a tifai harsa thei: A châng chuan hei hi a thleng thei a, chu chu liver-in thil tha lo (toxic) a tawk nghal a nih chuan a ni. A nih loh leh, hun rei tak chhunga thin natna (`(Chronic liver disease)`) avangin thin a thawk tha lo thei bawk.
• I biliary system hian bile a chhuah tha lo a ni:Bile duct emaw gallbladder emaw ah blockage a awm thei a, chu chuan bile chu thisenah a back up thei a ni. Hei hi gallstone a awm pawhin a thleng thei bawk.

Ngaihtuah teh, tui bawm chhunga tui luhtirtu pipe chu a lian a, tank atanga tui chhuahna pipe chu a inkhar a nih chuan tank chu a boil ang.

Bilirubin level a hniam thei em? (Hypobilirubinemia) tih a ni.

Ni e, a chang chuan bilirubin level a hniam thei bawk. Damdawi thenkhatin a thlen thei. Entirnan, antibiotics thenkhat, birth control pill, mutna damdawi, leh seizure damdawi te hian bilirubin level a ti tlahniam thei a ni. Mahse, bilirubin level hniam hi a tlangpuiin ngaihtuahawm a ni lo.

Kan taksa chhunga bilirubin hi eng nge thleng tak tak?

Bilirubin hi bawlhhlawh a ni a, thisen sen hlui atanga paih chhuah a ni. A tlangpuiin kan taksa hian intestine hmangin a paih chhuak thin. Mahse, tunah chuan a chhuah chhuah avangin hlawkna tenau engemaw zat a nei tih hmuhchhuah a ni ta. Research thar chuan bilirubin hian antioxidant angin hna a thawk a, rilru lam natna laka min humhim thei tih a tarlang.

Mahse, eng thil pawh ang bawkin, a sang lutuk chuan toxic a ni thei . I thisenah bilirubin tam lutuk a lo punkhawm chuan i rilru a hahdam lo thei. Tin, i vun hnuaia nerve te a tichak thei a, a ti na thei bawk.

Bilirubin sang lutuk hian eng symptoms nge a neih?

Bilirubin tamna chhinchhiahna ber chu jaundice a ni . Hei hi i vun sen leh i mit var a ni. Hei hi doctor-in i bilirubin level a enfiah huna a zawn hmasak ber tur chhinchhiahna a ni fo thin.

Tin, thisena bilirubin a pun chuan zun chhungah pass out a tum bawk. Hei hian zun chu a rawng a ti dum thei (tea rawng ang chi).

Tin, bilirubin chu bawlhhlawh atanga chhuak tha lo a nih chuan bawlhhlawh chu a rawng hring (leilung ang) a lo ni thei bawk .

Mi thenkhat chuan an taksa pawh an hrual nasa thei hle .

Engtin nge bilirubin thisen test hi an tih thin?

Hei hi a awlsam hle.

• A tlangpuiin, puitling tan chuan doctor emaw, nurse emaw chuan i kut zungtang pakhat aṭangin thisen sample tlemte a la ang . Test hma darkar engemaw zat chhung chu engmah ei leh in lo turin an ti mai thei che. Needle dah leh lakchhuah hian natna tlem i nei thei a, mahse minute tlemte hnuah a reh mai ang. Chumi hnuah thisen sample chu lab-ah thawn a ni. Report a lo let leh theih nan hun rei tak a ngai a ni.
• Nausen piang tharin jaundice a neih chuan doctor chuan bilirubin level chu a sang lutuk lo tih a enfiah ang. Jaundice hi nausen piang thar tan chuan thil pangngai a ni a, a tlangpuiin ngaihtuahawm a ni lo. Mahse, bilirubin level a san lutuk chuan naute tan a pawi thei hle.Naute thisen hi a tlangpuiin an kekawrte chu needle te tak te (heel stick) hmanga hliam a ni . Hei hi nausen piang tharte chunga test tih tlanglawn tak a ni.

Report ka dawnah hian eng nge awm? Eng nge a awmzia?

Test report i dawn chuan i thisena bilirubin level chu number-in a tarlang ang. A nihna takah chuan i thisenah hian bilirubin hi chi hnih a awm a, chungte chu: bilirubin tihfai tur liver-a kal, leh bilirubin tihfai hnua liver atanga chhuak. I report hian heng chi hnih hi a hranin a tarlang ang a, chubakah bilirubin zawng zawng pawh a tarlang bawk ang. Unit-a tarlan a ni tlangpui a, chu chu milligram per deciliter (mg/dL) an ti a ni.

Direct leh Indirect Bilirubin hi eng nge ni? (Conjugated leh Unconjugated) tih a ni.

A awlsam zawngin:

• Liver tihfai tur bilirubin chi chu "Unconjugated" bilirubin a ni. Tuiah a hmin lo. Thisen chhunga protein albumin an tih nena inzawm liver-ah a kal a. Hei vang hian report-ah hian "Indirect" bilirubin tia sawi a ni fo. A chhan chu direct-a teh theih a nih loh vang a ni. Bilirubin zawng zawng atanga conjugated bilirubin lakchhuah atanga hmuh a ni.
• He bilirubin hi liver-in a tihfai hnuah sugar molecule pakhatah a binding a, tuiah a inthiar theih phah a ni. Chumi hnuah chauh chuan bile nena inzawm intestine kal tlangin a kal thei ang. He bilirubin liver-in a tihfai hi "conjugated" bilirubin an ti a. Report-ah hian "direct" bilirubin tiin an sawi bawk a, a chhan chu direct-a teh theih a nih vang a ni.

I hrethiam em? Pakhat chu thin lama a kal hmain, a dang chu thinin a tihthianghlim hnuah.

Bilirubin hi eng level nge kan ngaihtuah tur?

Lab tin ten bilirubin level pangngai anga an ngaihah hian danglamna tlem a awm thei. Mahse a tlangpuiin, bilirubin level zawng zawng 0.2 leh 1.3 mg/dL inkar chu puitling leh naupang tan chuan thil pangngai anga ngaih a ni . I level chu hei aia sang a nih chuan i doctor chuan a chhan hriat tumin test dang a ti leh thei ang. Ngaihven ngai dinhmun a kawk thei a ni. Mahse, bilirubin sang tak tak hi chu natna khirh tak a ni lo va, a tlangpuiin enkawl a ngai lo.

Mahse, nausen piang thar tan chuan a thawnthu hi a danglam deuh hlek a ni. Naute zingah bilirubin level pangngai chu 1.0 mg/dL atanga 12.0 mg/dL thleng a ni thei. A tam zawkah chuan nau piang thar zingah hyperbilirubinemia hi beisei a ni a, a mah chauhin a bo vek ang. Mahse, doctor-te chuan he natna hi an enfiah chhunzawm zel dawn a, bilirubin level a sang lutuk nge a hniam lutuk tih an enfiah chhunzawm zel dawn a ni. An tih chuan natna khirh tak a ni thei a, naute tan pawh a pawi thei hle.

Nausen piang thar tan eng level nge bilirubin hi a hlauhawm?

Doctor-te chuan nau piang tharte chu bilirubin level a zirin enkawl tan turin an rawt a ni.Darkar 48 hmasa berah 15 mg/dL aia tam a nih chuan, darkar 72 hnuah 20 mg/dL aia tam a nih chuan. Heng level-ah hian unconjugated bilirubin awm zat hian a binding theihna tur albumin awm zat aiin a tam zawk a ni. Chumi hnuah chuan he unconjugated bilirubin hian thisen leh thluak inkharkhip chu nau piang thar thluak chhungah a paltlang thei a, thluak lo thanglian zel chu a tichhe thei a ni. Hei hian thluak chhiatna chi hrang hrang a thlen thei a, chu chu kernicterus .

He risk hi puitling leh naupang kum upa zawk tan chuan a inang lo. Puitling thluak hi a sensitive lo hle a, unconjugated bilirubin level hi puitlingah chuan a sang lutuk lo. Nau piang tharte hian puitling aiin bilirubin an siam rang zawk a, an conjugate zawi zawk hle bawk.

Conjugated bilirubin ``(Conjugated hyperbilirubinemia)`` hi puitlingah a pung thei chhan tam tak a awm a. Puitlingah chuan bilirubin tihpun hi dinhmun hlauhawm tak chhinchhiahna a ni thei a, mahse bilirubin ngei pawh hian hlauhawm lian tak a thlen lo (nausen ang lo takin).

I bilirubin level a san chuan eng nge a awmzia?

I taksain thisen sen a tihfai theih aia rang zawka a tihchhiat chuan i unconjugated (indirect) bilirubin level a sang thei a ni. Hei hian hetiang hi a kawk thei a ni:

• Hemolytic natna a ni
• Sickle cell natna a ni
• Thisen pek avanga thil tha lo tihna

Nausen piang tharte unconjugated bilirubin tihpun chhan tlangpui :

• Hun hmaa nau neih
• Naute leh nu inkara thisen chi hrang hrang inmil lo
• Nu hnute tuiah thil engemaw zat avanga thil thleng (reaction).

I taksain bilirubin dik taka paih chhuah a harsat chuan i conjugated (direct) bilirubin level a sang thei. Hei hian biliary disease emaw gallstones emaw i nei tihna a ni thei. Entirnan:

• Gallstones a awm
• Cholecystitis natna a ni
• Bile ducts a natna (Cholangitis) .

I liver-in bilirubin a tihfai theihna tichhe thei dinhmun avang hian bilirubin chi hnih hi thisenah a pungkhawm thei a ni.

I total bilirubin level a sang thei a, damdawi thar i hman tan emaw, zu i in tam emaw, liver-a hun engemaw chen a tihbuai vang emaw pawh a ni thei. A nih loh leh, acute emaw chronic liver disease vang pawh a ni thei. A chhan thenkhat chu:

• Viral hepatitis leh mononucleosis ang chi natna hrik te.
• Bilirubin metabolism tichhe thei genetic condition, Gilbert’s syndrome, Wilson’s disease, leh Crigler-Najjar syndrome te hi a ni.
• Toxic hepatitis (zu emaw ruihhlo emaw avanga lo awm) .
• Cirrhosis leh liver failure rei tak nei te

Ka test report-ah hian thil dik lo a awm a nih chuan eng nge thleng leh ang?

Doctor chuan i symptoms leh medical history te chu a en ang a, a chhan awm thei te chu eng nge ni tih hriat tumin a bei ang. A chhan tin hian enkawlna kawng hrang hrang an nei vek a. I dinhmun hriat chian zawk nan thisen test leh imaging test tam zawk an order mai thei. I bilirubin level pawh an test leh thei bawk a, a sang lehzual em tih an enfiah thei bawk. I nau piang thar bilirubin level a sang lutuk chuan tihhniam nan enkawl an rawt mai thei.

Nausen piang tharte bilirubin tihpunna tur enkawlna tur engte nge ni?

Nau piang tharte bilirubin level tihhniamna atana standard treatment chu phototherapy a ni . Chumi awmzia chu doctor chuan i naute chu eng bik hnuaiah a dah tihna a ni. He light hian blue-colored light a pe chhuak thin. He light hian bilirubin chu a tichhia a, tuiah a inthiar theih phah a ni. Hei hian liver-ah conjugate lovin taksa atangin a chhuak thei a ni. Hei hian naute thluak tissue-a unconjugated bilirubin awm khawm chu a titawp a ni.

Engtin nge i bilirubin level i tihhniam theih ang?

I bilirubin level tisangtu dinhmun hi uluk taka enkawl leh control a nih chuan i bilirubin level a tlahniam ang. Hei hi a chhanah a innghat. I doctor chuan he natna enkawl dan tur emaw, a nghawng tihtlem dan tur emaw a sawipui ang che.

A tlangpuiin, zu leh damdawi tul lo (a theih ang anga over-the-counter (OTC) damdawi pawh) tihtlem a, ei leh in hrisel ei hian i liver-a harsatna awm chu i tihtlem thei a ni.

Bilirubin zun test hi eng nge ni?

Urinalysis tihnaah hian urine bilirubin test i nei thei bawk. Hei hi hriselna endikna pangngaia tel ve a ni thei. A nih loh leh, i doctor chuan jaundice emaw, zun dum emaw i neih chuan he test hi a bik takin a ti thei ang . I zun (bilirubinuria) a bilirubin hi a pangngai lo. Mahse, i conjugated bilirubin level a sang hle a nih chuan hetiang hi a thleng thei.

He test atan hian doctor chuan zun sample lakna tur bottle te tak te a pe ang che. Tin, i zun hmaa i genital area tihfai nan ``sanitary wipe`` an pe bawk ang che. Bottle-ah hian zun engzat nge lakkhawm tur tih chhinchhiahna a awm ang. Bottle chhung lam khawih lovin, sample i la khawm ang a, doctor hnenah i pe ang. Lab-ah test turin an thawn ang.

Thil pawimawh ber - I hriat reng tur thil (Take-Home Message)

Okay, chuti a nih chuan tunah chuan bilirubin chungchang hi kan sawi nasa tawh a ni lawm ni?

I taksa emaw mit emaw a rawng sen (jaundice) i hmuh chuan doctor pan ngei ngei tur leh bilirubin test neih ngei ngei tur a ni tih chhinchhiahna a ni.Jaundice hi bilirubin level pangngai aia a let hnih atanga a let thum a nih chuan a lo lang tan thin. Hetiang level-ah hian i zun chu a dum (tea-colored) tih i hmu thei bawk.

Mahse, a chang chuan bilirubin level hi a sang thei a, symptom engmah a awm lo. Bilirubin test hian i doctor chu natna rinhlelh thenkhat chu a nemnghet thei a, a chhan pawh a hriat theih nan a pui thei bawk.

Chuvangin, bilirubin tih thumal i hriat hian hlau suh. Kan taksaa thil awm dan pangngaia tel a ni. Mahse, a level a inthlak chuan a chhan hriatchhuah a pawimawh a, a tul chuan enkawl a pawimawh. Zawhna i neih chuan doctor nen inbiakna neih hreh ngai suh. I tanpui turin an awm reng a ni.

` Bilirubin, bilirubin test, jaundice, yellow fever, thin, thisen sen, nausen piang thar