I taksa chu a sen tawh em? Bilirubin test chungchang hi i zir chiang ang u.

I vun emaw, i mit var emaw chu a sen vek angin i inhriat ngai em? A nih loh leh naute piang thar hmu tura i kal hian mi pakhatin, "Naute chu a sen deuh a, light kan on a ngai" a tih i hre ngai em? Hetiang dinhmun hi jaundice kan ti a. A chhan ber chu kan taksaa ‘bilirubin’ a pung vang a ni. Chuvangin, vawiin hian he bilirubin test hi eng nge a nih a, engvangin nge tih a nih tih kan sawi dawn a ni.

Bilirubin hi eng nge ni tak tak?

A awlsam zawngin bilirubin hi yellow-orange pigment a ni a, kan thisen sen (red blood cells) a chhiat chuan a lo piang chhuak thin. Kan taksaa thisen sen (red blood cells) te hi hnathawk tlemte angin han ngaihtuah teh. Hun engemaw chen an thawk a, chutah chuan ‘retire’ an ni a, chu chu an thi tihna a ni. He bawlhhlawh hi bilirubin an ti a.

A tlangpuiin kan thin hian thisena bilirubin chu a la a, a chemical nature a thlak danglam a, taksa atanga a paih chhuak thin hi a ni. A tam zawk hi fece-ah bile angin a chhuak a, a tlem zawk chu zun-ah a chhuak bawk.

Mahse, i bilirubin level chu a tlangpui aia sang a nih chuan i thisen sen (red blood cells) te chu a tlangpui aia rangin a chhe vek tihna a ni a, a nih loh leh i thin (liver) hian he bilirubin hi a tifai tha thei lo a, i taksa atangin a chhuah tir thei lo tihna a ni. A châng chuan hei hi a thleng thei a, chu chu liver aṭanga stool-a bilirubin phurtu kawngpuiah blockage a awm chuan a ni.

Engvangin nge he bilirubin test hi kan tih a ngaih?

Puitling leh naupangah pawh doctor-te chuan he test hi liver leh bile duct-a natna awmte zawn leh enfiah nan an hmang thin. Entirnan, cirrhosis, hepatitis, gallstones ang chi natna hriatchhuahna kawngah a pui thei a ni.

Tin, he test hi thisen tlakchhamna chi hrang hrang a awm leh awm loh finfiah nan a pawimawh bawk a, a bik takin hemolytic anemia, thisen sen (red blood cells) te chu an siam chhuah aiin a chhe chak zawk a ni.

Jaundice, vun leh mit sen (yellowing) hi bilirubin level a san lutuk chuan a awm thin. Hetiang dinhmun hi nausen piang thar zingah a hluar hle. Doctor-te chuan naute kum, bilirubin level leh chi hrang hrang a zirin enkawl a ngai em tih an rel ang.

Engtin nge he test hi tih a nih?

Bilirubin level hi i zun leh thisenah te teh theih a ni. Urine test hi bilirubin a awm leh awm loh enfiah nan an ti tlangpui. I zun-ah bilirubin a lang a nih chuan i doctor chuan i thisen a awm zat dik tak hriat theih nan thisen test turin a ti ang.

Hei hi thisen test hmanga tih a ni tlangpui. Nurse emaw lab technician emaw chuan i kut a vein atanga thisen tlemte chu needle te tak te hmangin a la ang. Nausen piang thar tan chuan naute kekawrteah hliam tenau siamin thisen lak a ni tlangpui.

A bik takin nausen naupang leh zungbun hlau te tan chuan a chang chuan zungbun thun loha tih thin test a awm thin. Transcutaneous bilirubin tehna an ti a . Naute rilruah emaw, a hmaiah emaw hmanraw te tak te dahin, chuta tang chuan eng an eng chhuak thin. Thisen la lovin bilirubin level a teh thei a ni.

He test hi tute nge ti tur?

I doctor-in he test hi a order theihna tur dinhmun engemaw zat a awm. A hnuaia table hi en rawh.

Test hmain engtin nge ka inbuatsaih ang?

A tlangpuiin, test hma darkar 4 chhung chu engmah ei leh in lo turin hriattir i ni ang . Tin, damdawi i ei thenkhat hian he test result hi a nghawng thei bawk. Chuvang chuan i damdawi ei zawng zawng, Vitamin thlengin i doctor hnenah hrilh hmasak a pawimawh hle.

• Bilirubin level tisang thei damdawi te chu: antibiotics thenkhat, antimalarias, morphine, oral contraceptives, leh steroid thenkhat te an ni.
• Bilirubin level tihhniam thei damdawi: barbiturates, caffeine, penicillin, leh salicylates dose sang tak te.

Results hian eng nge a sawi?

Bilirubin test hian i bilirubin level zawng zawng a teh thin. Tin, chi lian pahnih level chu a hranin kan ruat thei bawk.

1. Unconjugated bilirubin: "Indirect" an ti bawk. Hei hi thisen sen (red blood cells) a chhiat avanga ‘raw’ bilirubin siam chhuah a ni. Thisen kaltlangin thin (liver) thlengin a kal a.

2. Conjugated bilirubin: Hei hi "direct" an ti bawk. Liver a thlen hnuah bilirubin ‘raw’ chu chemical hmanga siam danglamin taksa atanga chhuak thei tur angin siam a ni. Chu ‘purified’ bilirubin chu conjugated bilirubin kan tih chu a ni.

Bilirubin level pangngai a awm

| Mi/Type | A level pangngai (mg/dl) |

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

| Puitling (kum 18 chunglam) | 1.2 mg/dl thleng (Bilirubin zawng zawng) |

| Naupang (kum 18 hnuai lam) | 1.0 mg/dl thleng (Bilirubin zawng zawng) |

| Nau piang thar | 12 mg/dl thleng (Total Bilirubin) - a chang chuan a aia tam |

| Conjugated (Direct) hmanga tih a ni | 0.3 mg/dl aia tlem lo tur |

Bilirubin level a san chuan engtin nge ni ang? (Bilirubin sang tak) .

Puitling bilirubin level 2.0 mg/dl aia tam a nih chuan jaundice chhinchhiahna a ni thei. Nausen piang thar level chu 15 mg/dl aia sang a nih chuan doctor ten enkawl an tan ang.

Bilirubin tihpun chhan: 1.1.

• Thisen tlakchhamna (Anaemia).
• Cirrhosis natna (Cirrhosis) a awm
• Thisen pek a nih avanga a chhanna
• Gilbert syndrome - Hei hi natna tlanglawn tak, thlahtute atanga lo chhuak a ni a, bilirubin tichhe thei enzyme tlakchham vang a ni.
• Viral hepatitis natna a ni
• Zu in tam lutuk avanga thin natna
• Gallstones a awm
• Exercise hahthlak tak tak, marathon tlan ang chi

Nausen piang tharte bilirubin tihpun chhan:

• Nu leh naute thisen chi hrang hrang inmil lo
• Pian tirh atanga oxygen tlakchhamna
• Hri kai hi thlahtute atanga lo chhuak a ni
• Natna, thin (liver) tibuaitu

Bilirubin level a hniam chuan engtin nge ni ang? (Bilirubin a hniam) .

Bilirubin level hniam hi harsatna lian takah ngaih a ni lo tlangpui. Caffeine emaw damdawi thenkhat emaw avanga lo awm thei an ni. A tlem berah chuan autoimmune natna thenkhat nen pawh an inzawm thei bawk.

Test result hmuh nan darkar tlemte emaw ni khat emaw a ngai tlangpui. I result i hmuh hunah i doctor chuan an sawi tum leh a hnua i tih tur chu a hrilhfiah ang che.