Muviri wako uri kuchinja kuita yero here? Ngatidzidzei nezve bilirubin test.

Wakambonzwa here sekuti ganda rako kana kuti maziso machena ashanduka kuita yero? Kana kuti wakambonzwa mumwe munhu achiti, "Mwana atsvuka zvishoma, tinofanira kuvheneka mwenje" paunoenda kunoona mwana achangoberekwa? Tinowanzoti chirwere ichi jaundice. Chikonzero chikuru cheizvi ndechekuti 'bilirubin' mumuviri wedu inowedzera. Saka, nhasi tichataura nezve kuti bvunzo iyi yebilirubin chii uye kuti nei ichiitwa.

Chii chinonzi bilirubin chaizvo?

Zvichitaurwa zviri nyore, bilirubin iruvara rweyero-orenji runogadzirwa kana masero edu matsvuku eropa aputsika. Funga nezvemasero matsvuku eropa ari mumiviri yedu seanoshanda zvishoma. Anoshanda kwenguva yakati obva 'arega', zvinoreva kuti anofa. Iyi tsvina inonzi bilirubin.

Chinowanzoitika ndechekuti chiropa chedu chinotora bilirubin muropa, chochinja hunhu hwayo hwemakemikari, choibvisa mumuviri. Yakawanda yacho inoburitswa mutsvina se bile, uye huwandu hushoma hunoburitswa muweti.

Zvisinei, kana huwandu hwe bilirubin yako hwakakwira kupfuura hwakajairika, zvinoreva kuti masero matsvuku eropa rako ari kupwanyika nekukurumidza kupfuura zvakajairika, kana kuti chiropa chako hachikwanise kuchenesa bilirubin iyi zvakanaka nekuiburitsa mumuviri wako. Dzimwe nguva izvi zvinogona kuitika kana paine kuvharika munzira inotakura bilirubin kubva pachiropa kuenda kutsvina.

Sei tichifanira kuita bvunzo iyi ye bilirubin?

Muvanhu vakuru nevana, vanachiremba vanoshandisa bvunzo iyi kutsvaga nekutarisa zvirwere zvechiropa ne ducts dze bile. Semuenzaniso, inogona kubatsira kuona zvirwere zvakaita se cirrhosis, hepatitis, kana matombo emunduru.

Pamusoro pezvo, bvunzo iyi yakakoshawo kusimbisa kuvapo kwemamwe marudzi eanemia, kunyanya hemolytic anemia, umo masero matsvuku eropa anoparadzwa nekukurumidza kupfuura aanogadzirwa.

Jaundice, iyo inonzi yero yeganda nemaziso, inoitika kana huwandu hwebilirubin hwakwira zvakanyanya. Dambudziko iri rinowanzoitika kuvana vacheche vachangoberekwa. Vanachiremba ndivo vachaona kana kurapwa kuchidikanwa zvichienderana nezera remwana, huwandu hwebilirubin, uye rudzi rwechirwere.

Bvunzo iyi inoitwa sei?

Mazinga eBilirubin anogona kuyerwa muweti yako neropa. Kuongororwa weti kunowanzoitwa kuti uone kana bilirubin iripo. Kana weti yako ikaita bilirubin, chiremba wako anobva arayira kuti ropa rako riongororwe kuti aone huwandu chaihwo huri muropa rako.

Izvi zvinowanzoitwa nekuongororwa ropa. Mukoti kana nyanzvi yekurabhoritari anotora ropa shoma kubva mutsinga iri muruoko rwako achishandisa tsono diki. Kune vacheche vachangoberekwa, ropa rinowanzotorwa nekuita kuboorwa kudiki pachitsitsinho chemwana.

Kunyanya kune vacheche vadiki neavo vanotya tsono, dzimwe nguva pane bvunzo inoitwa pasina kuisa tsono. Inonzi transcutaneous bilirubin measurement . Mudziyo mudiki unoiswa pachipfuva chemwana kana pahuma uye chiedza chinovhenekerwa nacho. Chinogona kuyera huwandu hwe bilirubin pasina kutora ropa.

Ndiani anofanira kunyora bvunzo iyi?

Pane mamiriro akati wandei apo chiremba wako anogona kuraira bvunzo iyi. Ona tafura iri pazasi.

Ndinofanira kugadzirira sei bvunzo isati yaitwa?

Kazhinji, unorayirwa kuti usadye kana kunwa chero chinhu kwemaawa mana bvunzo isati yaitwa . Zvakare, mimwe mishonga yauri kutora inogona kukanganisa mhedzisiro yebvunzo iyi. Saka, zvakakosha kuudza chiremba wako nezvemishonga yese yauri kutora, kunyangwe mavhitamini.

• Mishonga inogona kuwedzera huwandu hwebilirubin inosanganisira: mimwe mishonga inorwisa mabhakitiriya, mishonga inorwisa malaria, morphine, mishonga yekudzivirira pamuviri inonwiwa, uye mimwe mishonga inorwisa mabhakitiriya.
• Mishonga inogona kuderedza mazinga e bilirubin: barbiturates, caffeine, penicillin, uye madosi akawanda e salicylates.

Mhedzisiro yacho inoti chii?

Kuongororwa kwebilirubin kunoyera huwandu hwese hwebilirubin yako. Tinogonawo kuona huwandu hwemhando mbiri idzi dzakasiyana.

1. Bilirubin isina kusanganiswa: Inonziwo "indirect." Iyi ndiyo bilirubin 'isina kubikwa' inogadzirwa kana masero matsvuku eropa aputsika. Inofamba nemuropa ichienda kuchiropa.

2. Bilirubin yakasanganiswa: Izvi zvinonziwo "zvakananga." Kana yasvika muchiropa, bilirubin 'isina kubikwa' inogadziriswa nemakemikari yogadzirwa kuita chimiro chinogona kuburitswa mumuviri. Bilirubin iyoyo 'yakacheneswa' ndiyo yatinodaidza kuti bilirubin yakasanganiswa.

Mazinga akajairika ebilirubin

| Munhu/Rudzi | Nhanho Yakajairika (mg/dl) |

| -- ... |

| Vakuru (vanopfuura makore 18) | Kusvika 1.2 mg/dl (Bilirubin Yese) |

| Vana (vari pasi pemakore gumi nemasere) | Kusvika 1.0 mg/dl (Bilirubin Yese) |

| Vacheche | Kusvika 12 mg/dl (Total Bilirubin) - dzimwe nguva zvakatonyanya |

| Yakabatana (Yakananga) | Inofanira kunge iri pasi pe 0.3 mg/dl |

Ko kana huwandu hwebilirubin hwakakwira? (Bilirubin Yakakwira)

Kana huwandu hwebilirubin mumunhu mukuru hwakakwira kupfuura 2.0 mg/dl, chingave chiratidzo chejaundice. Kana huwandu hwemwana achangoberekwa hwakakwira kupfuura 15 mg/dl, vanachiremba vachatanga kurapwa.

Zvikonzero zvekuwedzera kwe bilirubin:

• Kushaya ropa
• Kurwara neCirrhosis
• Kuita kana munhu awedzerwa ropa
• Gilbert syndrome - Ichi chirwere chinowanzoitika, chinogara nhaka chinokonzerwa nekushaikwa kweenzyme inoputsa bilirubin.
• Chiropa chinotapukira
• Chirwere chechiropa chinokonzerwa nekunwa doro zvakanyanya
• Matombo eGallstone
• Kurovedza muviri kwakaoma, sekumhanya marathon

Zvikonzero zvekuwedzera kwe bilirubin muvana vacheche:

• Kusawirirana kwerudzi rweropa pakati paamai nemwana
• Kushaya okisijeni pakuzvarwa
• Utachiona hwenhaka
• Chirwere chinokanganisa chiropa

Ko kana huwandu hwebilirubin hwakaderera? (Bilirubin Yakaderera)

Kuderera kwemazinga e bilirubin hakuwanzoonekwa sedambudziko guru. Zvinogona kukonzerwa ne caffeine kana mimwe mishonga. Kashoma, zvinogonawo kusanganiswa nezvimwe zvirwere zve autoimmune.

Zvinowanzotora maawa mashoma kana zuva kuti uwane mhinduro dzebvunzo. Kana wawana mhinduro dzako, chiremba wako achakutsanangurira zvadzinoreva uye zvekuita zvinotevera.