I mit leh vun chu a sen tawh em? Bilirubin test chungchang hi a awlsam zawngin i zir dawn nia.

A châng chuan i mit chu a sen deuh ang maiin i inhria thei a, i taksa chu rin loh takin a chau hle bawk. A nih loh leh naute piang thar hmu tura i kal hian miten, "Naute chu a jaundice deuh a ni," an tih i hre mai thei bawk. Vawiin hian thil pakhat ‘bilirubin’ tih kan sawi dawn a, chu chu heng zawng zawng nen hian a inzawm thei a ni. Eng nge a nih, kan taksa tana a pawimawh chhan leh a test-nain eng nge a sawi tih hi i hrethiam mai ang u.

A awlsam zawngin, bilirubin chu eng nge ni?

Kan taksaa thisen sen (red blood cells) te hi hnathawktu angin han ngaihtuah teh. Heng hnathawkte hian dam chhung hun bituk an nei bawk. Chu dam chhung chu a tawp chuan, chu chu an tar hunah heng thisen sen (red blood cells) te hi an chhe vek tihna a ni. Chutiang chuan bilirubin kan ti a, chu chu thisen sen hlui a chhiat avanga lo awm thin yellow pigment a ni.

He bilirubin hian kan thisenah a kal a, kan liver-ah a kal nghal a ni. Liver hi kan taksaa factory lian ber ang mai a ni. He bilirubin leh bawlhhlawh dangte hi a la a, a tifai a, ‘bile’ an tih tui hmangin paih chhuah theih turin a buatsaih a ni. He bilirubin hian i bawlhhlawh chu a rawng dum a pe a, i bile chu a rawng sen a pe bawk.

Chuti a nih chuan he bilirubin thisen test hi eng nge ni?

A awlsam khawp mai. Bilirubin thisen test hian i thisena bilirubin awm zat a teh thin. Doctor-in he test hi ti turin a ti che a nih chuan i kut vein pakhat atanga thisen sample tlemte an la a, lab-ah an thawn tlangpui ang. Lab chuan i bilirubin level chu normal range chhungah a awm leh awm loh a enfiah ang.

He level hi a tlangpui aia sang (high) emaw lower (low) emaw a nih chuan kan thisen sen (red blood cells) te tihchhiat, liver-a tihfai, leh taksa atanga lakchhuahna kawngah khawi emaw laiah harsatna tenau a awm thei tihna a ni.

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

Thisenah bilirubin a khawlkhawm theih chhan lian tak pathum a awm a. Hetiang hian i hrethiam ang u.

Bilirubin level hniam hi harsatna a ni em?

Bilirubin level hniam hi harsatna lian takah ngaih a ni lo tlangpui. Damdawi thenkhat (e.g. antibiotics, birth control pill) te hian hetiang hi a thlen thei a ni. Ngaihtuah buai tur a ni lo.

Bilirubin tihpun hian eng symptoms nge a neih?

Bilirubin level a san chuan kan taksa hian symptom engemaw zat a lantir thin.

• Jaundice: Hei hi a chhinchhiahna ber leh langsar ber a ni. I mit leh vun var te chu a sen vek thin .
• Zun dum: Thisen a bilirubin tam lutuk chu kal (kidney)-in a filter a, zun atanga a chhuah avangin zun hian rawng dum a nei a, tea rawng nen a inang.
• Pale stool: Bilirubin hian intestines a thlen dik loh avangin stool chu a normal brown color ai chuan clay ang maiin a light a ni.
• Itchy skin: Bilirubin level a san lutuk chuan vun hnuaiah a lo pungkhawm thei a, mi thenkhatah itchy (pruritus) a thlen thei bawk.

Heng symptoms te hi i neih chuan a tha ber chu a rang thei ang bera Doctor pan hi a ni.

Test report hi engtin nge kan hriatthiam ang? Direct leh Indirect bilirubin te pawh a awm

Report i dawn chuan ‘Total Bilirubin’ tih value a nei ang. Tin, ‘Direct Bilirubin’ leh ‘Indirect Bilirubin’ tih value pahnih a awm bawk. Eng nge a danglamna?

Liver hi thil ‘pack’ tu factory angin han ngaihtuah teh.

• Indirect (Unconjugated) Bilirubin: Hei hian liver-a tihthianghlimna atana lo kal ‘unconjugated’ bilirubin a kawk a ni. Tuiah a inthiar thei lo. Chuvangin thisen chhunga protein (albumin) pakhat nena inzawm thin liver thlengin a thleng a ni.
• Direct (Conjugated) Bilirubin: Hei hian liver chhunga ‘packaged’ tawh bilirubin a kawk a, chu chu tihthianghlim leh tuiah a inthiar theih tura siam tihna a ni. Hengte hi bile nen taksa atanga chhuak tura buatsaih an ni.

I report-a heng chi hnih zingah hian eng chi nge a hluar zawk tih en hian doctor chuan harsatna chu khawiah nge a awm tih a hre thei ang.

Engtikah nge bilirubin level hi a nasat em em?

Puitling leh naupang tan bilirubin level pangngai chu 0.2 leh 1.3 mg/dL inkar a ni. Chu aia a san chuan doctor chuan a chhan a zawng tan ang.

Nausen piang tharte tan engvangin nge hei hi a pawimawh bik?

Nausen piang tharte hian an pianphungah puitling aiin bilirubin level a sang deuh hlek a ni. Hei hi ‘physiological jaundice’ an ti a. Ni rei lo te chhungin a bo tlangpui.

Mahse, a chang chuan he level hi a sang hle thin.Nausen tan a hlauhawm thei hle. A chhan chu, an thluak a lo than chhoh hun chhung hian he bilirubin tam lutuk (a bik takin indirect type) hian thluak ah a kal a, a tichhe thei a ni. Hei hi `(Kernicterus)` an ti a. Chuvang chuan doctor-te chuan naute ‘jaundice’ hi an ngaihtuah nasa hle a ni. Naute bilirubin level chu hlauhawm tak a thleng niin a lang a nih chuan enkawl tan a ni ang.

Naute enkawlna ber chu ‘phototherapy’ a ni. A awlsam zawngin, naute chu light blue bik hnuaiah dah a ni. He light hian bilirubin a tichhia a, taksain a paih chhuah a awlsam phah a ni.

Bilirubin level hi tihhniam theih a ni em?

I bilirubin level tihhniam nan chuan a tihpunna chhan bulpui (underlying condition) kha i enkawl a ngai a ni. I doctor chuan a chhan a hmu ang a, a enkawlna tur tha ber chu a hrilh ang che.

Chutih rual chuan liver a tlangpuiin pressure tihziaawm a pawimawh hle bawk.

• Zu in hi bansan vek rawh.
• Doctor thurawn tel lo chuan damdawi tul lo hmang suh.
• Ei leh in hrisel ei.

Hetiang thil hian i liver hriselna a humhim thei a ni.