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

Nausen piang thar, vun sen deuh deuh i hmu tawh em? A nih loh leh puitling mit sen nei? Hei hi ‘yellow fever’ kan ti fo thin. Hetiang vun sen a awm chhan ber chu taksaa bilirubin level a san vang a ni. Chuvangin vawiinah hian bilirubin chu eng nge a nih, kan taksa tana a pawimawh chhan, leh a chanchin hriat theihna tura bilirubin test tih zawng zawng kan sawi dawn a ni.

A awlsam zawngin, bilirubin chu eng nge ni?

Bilirubin hi kan taksain a siam chhuah reng reng a ni. Orange-yellow pigment a ni. Ngaihtuah teh, kan taksaa thisen sen (red blood cells) te hian dam chhung hun engemaw chen an nei bawk. Hun engemaw chen hnua heng thisen sen (red blood cells) te hi an chhiat chuan chu thil kalphung atanga lo chhuak (byproduct) angin bilirubin chu a lo piang ta a ni.

Chuvangin hetianga bilirubin lo awm chu thisen kaltlangin kan thin (liver)-ah a kal a ni. Kan taksaah hian liver hi super purification center a ni. Liver hian a tih tur chu he bilirubin hi a la a, a chemical nature a thlak danglam a, kan taksa atanga a chhuah theih dan tur a buatsaih hi a ni. He bilirubin buatsaih hi bile nen a inzawm a, intestines kaltlangin a kal a, a tawpah chuan bawlhhlawh nen a chhuak ta a ni.

Chu buaina chu hetiang hi a ni thei:

• I thisen sen (red blood cells) te chu a tlangpui aia rang zawkin a chhe thei a ni.
• I liver hian hna a thawk tha lo mai thei a, he bilirubin bawlhhlawh hi a process tha thei lo mai thei bawk.
• A nih loh leh, khawi emaw laiah chuan liver atanga pawn lam panna kawngpuiah chuan stool nen blockage a awm thei bawk.

Engvangin nge bilirubin test kan tih a ngaih?

Doctor-te chuan he test hi natna engemaw zat hriatchhuah nan leh enkawl laiin natna kal zel dan enfiah nan an hmang thin. A bik takin puitling leh naupang tan chuan:

• Liver leh gallbladder natna: Liver natna chi hrang hrang cirrhosis, hepatitis, leh gallstone ang chi natna te.
• Anemia: Thisen tlakchhamna chi hrang hrang a awm a, entirnan, hemolytic anemia. Hei hi thisen sen (red blood cells) siam chhuah aia rang zawka tihchhiat a nih chuan a ni. Hetiang dinhmun hriat chian nan hian he test hi a pawimawh hle bawk.
• Jaundice: Kan sawi tawh ang khan taksaa bilirubin level a san chuan vun leh mit a sen vek thin. Hei hi jaundice an ti a. He test hi he natna thlen chhan hriat nan a pawimawh hle.

Nausen piang thar zingah bilirubin level sang hi a tam hle. Doctor-te chuan naute kum, chi leh bilirubin level a zirin enkawl a ngai em tih an rel ang.

Engtin nge he test hi tih a nih?

Bilirubin level tehna kawng lian pahnih a awm a. Pakhat chu zun test hmanga tih a ni a, pakhat zawk chu thisen test hmanga tih a ni. Zun test pangngai (Urine Full Report) chuan bilirubin a zawng thin. I zun test-ah bilirubin a awm a nih chuan i doctor chuan i thisen a awm zat dik tak tehna atan thisen test turin a ti ang.

Bilirubin hi thisen sample hmanga test 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. Nau piang thar tan chuan thisen hi a tlangpuiin a kekawrte vun chu zungbun te tak te hmanga hliam a ni. He thisen sample hi laboratory-ah test turin an thawn thin.

Hei bakah hian natna nei lo tih dan dang a awm a, a bik takin nausen naupang tan a ni. Transcutaneous Bilirubin Measurement tih a ni a . Hetah hian doctor chuan i rilru emaw lu emaw-ah hmanraw te tak te a dah a, chu chuan vun kaltlangin êng chak tak thawn chhuakin bilirubin level a teh a ni. Hei hian needle a mamawh lo.

Test hmain engtin nge i inbuatsaih ang?

Thisen test hma darkar 4 chhung chu engmah ei leh in lo turin thurawn pek i ni thei bawk. Tin, i doctor chuan test hmain damdawi thenkhat ei kha rei lo te chhung bansan turin a fuih thei bawk che a, test result a nghawng thei a ni. Damdawi i ei zawng zawng hi doctor hnenah hrilh vek a pawimawh hle.

• Bilirubin level tisang thei damdawi: Antibiotics thenkhat, malaria damdawi, morphine, birth control pill, leh steroid thenkhat.
• Bilirubin level tihhniam thei damdawi: barbiturates, caffeine, penicillin, leh salicylates dose sang tak te.

Test report hian eng nge a sawi?

Bilirubin test report-ah hian a bik takin hmun thum a tel a ni.

1. Total Bilirubin: Hei hi thisen a bilirubin awm zawng zawng a ni.

2. Unconjugated (Indirect) Bilirubin: Hei hi thisen sen (red blood cells) a chhiat avanga liver-in a la process loh bilirubin "raw" a ni.

3. Conjugated (Direct) Bilirubin: Hei hi "processed" bilirubin a ni a, liver-ah hruai a ni a, chemical hmanga tihdanglam a ni a, taksa atanga chhuak tura buatsaih a ni.

A level pangngai chu engte nge ni?

• Puitling (kum 18 chunglam): .Bilirubin level zawng zawng hi thisen deciliter khatah milligram 1.2 (1.2 mg/dl) thleng a pangngai a ni. Conjugated (Direct) bilirubin level chu 0.3 mg/dl aia tlem a ni tur a ni.
• Nausen piang thar: An bilirubin level hi 12 mg/dl vel a ni thei.

A tlangpuiin mipaah ​​bilirubin level hi hmeichhia aiin a sang deuh hlek a ni.

Bilirubin level sang hian eng nge a awmzia?

Puitling bilirubin level 2.0 mg/dl aia tam a nih chuan jaundice chhinchhiahna a ni. Nausen piang thar level chu 15 mg/dl aia tam a nih chuan doctor-te chuan enkawl an rawt a ni.

Bilirubin level sang tak thlen thei thilte:

• Thisen tlakchhamna (Anaemia).
• Cirrhosis natna (liver) a awm
• Thisen pek a nih avanga a chhanna
• Gilbert Syndrome - Hei hi thlahtute atanga lo chhuak a ni a, bilirubin ti chhe thei enzyme a tlachham a ni.
• Viral Hepatitis natna a ni
• Zu in avanga thin natna
• Gallstones a awm

Chu bâkah, exercise hahthlâk tak tak , marathon tlan ang chi tih chuan bilirubin level chu rei lo tê chhûngin a tisang thei a ni.

Bilirubin level hniam lutuk hi i ngaihtuah tur em ni?

Bilirubin level hniam hi harsatnaah ngaih a ni lo. Caffeine emaw damdawi thenkhat emaw hian a level a ti hniam thei. A tlem berah chuan autoimmune natna thenkhat, rheumatoid arthritis ang chi nen a inzawm tih an sawi a, mahse hei hi ngaihtuahawm a ni tlangpui lo.

Test result hmuh nan darkar tlemte emaw ni khat emaw a ngai tlangpui. Results i hmuh zawh chuan i doctor nen an sawi tum leh eng step nge i tih tur tih sawipui a pawimawh.