Ngamanye amaxesha ungaziva ngathi amehlo akho atyheli kancinci, okanye umzimba wakho uzive udiniwe kakhulu. Okanye xa usiya kubona usana olusandul’ ukuzalwa, ungaziva abantu besithi, “Usana lune-jaundice kancinci.” Namhlanje siza kuthetha ngento ebizwa ngokuba yi-'bilirubin', enokunxulunyaniswa nazo zonke ezi zinto. Masiqonde nje ukuba yintoni, kutheni ibalulekile emzimbeni wethu, kwaye uvavanyo lwayo luthini.
Ngamafutshane, yintoni i-bilirubin?
Cinga ngeeseli ezibomvu zegazi emizimbeni yethu njengabasebenzi. Aba basebenzi nabo banexesha elithile lobomi. Xa elo xesha lobomi liphelile, oko kukuthi, xa besaluphala, ezi seli zibomvu zegazi ziyawohloka. Yiyo loo ndlela esiyibiza ngayo i-bilirubin, umbala otyheli owenzeka xa iiseli ezibomvu zegazi ezindala ziwohloka.
Le bilirubin ihamba egazini lethu ize iye ngqo esibindini sethu. Isibindi sifana nomzi-mveliso omkhulu emzimbeni wethu. Sithatha le bilirubin kunye nezinye izinto ezingafunekiyo, sizicoce, size sizilungiselele ukukhupha ngolwelo olubizwa ngokuba yi-'bile'. Le bilirubin yiyo enika indle yakho umbala omdaka kunye nebile yakho umbala otyheli.
Ngoko ke yintoni le vavanyo yegazi le-bilirubin?
Kulula kakhulu. Uvavanyo lwegazi lwe-bilirubin lulinganisa ubungakanani be-bilirubin egazini lakho. Ukuba ugqirha ucela ukuba wenze olu vavanyo, badla ngokuthatha isampuli encinci yegazi elivela kumthambo osengalweni yakho baze balithumele kwilebhu. Ilebhu iya kujonga ukuba inqanaba lakho le-bilirubin likwinqanaba eliqhelekileyo na.
Ukuba eli nqanaba liphezulu (liphezulu) okanye liphantsi (liphantsi) kunesiqhelo , oko kuthetha ukuba kunokubakho ingxaki encinci kwinkqubo yokuqhekeza iiseli zethu ezibomvu zegazi, ukuzicoca esibindini, nokuzisusa emzimbeni.
Olu vavanyo lwe-bilirubin ludla ngokwenziwa ukujonga impilo yesibindi sethu. Luyinxalenye nje yoluhlu lweemvavanyo ezijonga ukusebenza kwesibindi.
Kutheni inqanaba le-bilirubin linyuka? (Hyperbilirubinemia)
Kukho izizathu ezintathu eziphambili zokuba i-bilirubin inokuqokelelana egazini. Masiyiqonde ngolu hlobo.
| Unobangela | Icacisiwe ngokulula |
|---|---|
| 1. Ukuqhekeka ngokukhawuleza kweeseli ezibomvu zegazi | Xa iiseli ezibomvu zegazi ziqhekeka ngokukhawuleza kunesiqhelo, i-bilirubin eninzi kakhulu iqokelelana egazini, nto leyo isibindi esingenakuyicoca. Oku kunokwenzeka kwezinye izifo zegazi (ezifana ne -hemolytic anemia). |
| 2. Ukungasebenzi kakuhle kwesibindi | Isibindi asikwazi ukucoca ngokufanelekileyo nokuba yi-bilirubin eqhelekileyo engena kuso. Kwezinye iimeko ezifana nesifo sesibindi esingapheliyo kunye ne-hepatitis , isibindi sinokuba buthathaka. |
| 3. Ukuvaleka kombhobho wenyongo | I-bilirubin ecociwe sisibindi (ene-bile) kufuneka iye emathunjini. Ukuba into efana nelitye inamathela endleleni (imibhobho ye-bile), i-bile iqala ukubuya ize iqokelele egazini. |
Ingaba amanqanaba aphantsi e-bilirubin yingxaki?
Amanqanaba aphantsi e-bilirubin adla ngokungajongwa njengengxaki enkulu. Amanye amayeza (umz. amayeza okubulala iintsholongwane, iipilisi zokulawula ukuzalwa) anokubangela oku. Akukho nto inokubangela ukukhathazeka ngayo.
Ziziphi iimpawu zokwanda kwe-bilirubin?
Xa amanqanaba e-bilirubin enyuka, imizimba yethu ibonisa iimpawu ezahlukeneyo.
- I-Jaundice: Olu luphawu oluphambili nolucacileyo. Lubangela ukuba amhlophe emehlweni naselusu lwakho ajike abe tyheli .
- Umchamo omnyama: Njengoko i-bilirubin engaphezulu egazini ihluzwa zizintso kwaye ikhutshwa emchameni, umchamo uba nombala omnyama, ofana nombala weti.
- Indle ephaphathekileyo: Ngenxa yokuba i-bilirubin ayifikeleli kakuhle emathunjini, indle iba nombala okhanyayo, ofana nodongwe endaweni yombala wayo omdaka oqhelekileyo.
- Ulusu olurhawuzelelayo: Xa amanqanaba e-bilirubin ephezulu kakhulu, anokuqokelelana phantsi kolusu aze abangele ukurhawuzelela (pruritus) kwabanye abantu.
Ukuba unayo nayiphi na kwezi mpawu, eyona nto ingcono onokuyenza kukubona ugqirha ngokukhawuleza.
Ungayiqonda njani ingxelo yovavanyo? I-bilirubin ethe ngqo nengathanga ngqo
Ingxelo oyifumanayo iya kuba nexabiso elibizwa ngokuba yi-'Total Bilirubin'. Kukwakho namaxabiso amabini abizwa ngokuba yi-'Direct Bilirubin' kunye ne-'Indirect Bilirubin'. Yintoni umahluko?
Cinga ngesibindi njengomzi-mveliso 'opakisha' iimpahla.
- I-Bilirubin engathanga ngqo (engadibaniyo): Oku kubhekisa kwi-bilirubin 'engadibaniyo' eza esibindini ukuze ihlanjululwe. Ayinyibiliki emanzini. Ngenxa yoko, ifikelela kwisibindi esinamathele kwiproteni (i-albumin) egazini.
- I-Bilirubin ethe ngqo (edityanisiweyo): Oku kubhekisa kwi-bilirubin 'efakwe' ngaphakathi kwesibindi, oko kuthetha ukuba ihlanjululwe kwaye yenziwa yanyibilika emanzini. Ezi zezo zilungiselelwe ukukhutshwa emzimbeni kunye ne-bile.
| Uhlobo lweBilirubin | Inkcazo |
|---|---|
| Okungathanga ngqo (Okungadibaniyo) | I-bilirubin "ekrwada", evela esibindini. Oku kuyanda xa iiseli ezibomvu zegazi ezininzi ziqhekeka. |
| Ngqo (edityanisiweyo) | I-Bilirubin "efakwe" sisibindi. Oku kuyanda ukuba kukho ukuvaleka kwendlela ephumayo esibindini. |
Ngokujonga ukuba loluphi uhlobo kwezi zimbini oluxhaphakileyo kwingxelo yakho, ugqirha unokufumana umbono wokuba ingxaki ikuphi.
Inqanaba le-bilirubin liba yingozi nini?
Inqanaba eliqhelekileyo le-bilirubin kumntu omdala nakumntwana liphakathi kwe-0.2 kunye ne-1.3 mg/dL. Xa liphezulu kunoko, ugqirha uya kuqala ukukhangela unobangela.
Eyona nto ibalulekileyo kukuba, ungoyiki wedwa emva kokubona la maxabiso. Ngugqirha wakho kuphela onokujonga ingxelo yakho, ayilungelelanise nemeko yakho, aze ayichaze ngokuchanekileyo.
Kutheni oku kubaluleke kakhulu kwiintsana ezisandul’ ukuzalwa?
Iintsana ezisandul’ ukuzalwa ngokwendalo zinezinga eliphezulu le-bilirubin kunabantu abadala. Oku kubizwa ngokuba yi-'physiological jaundice'. Idla ngokunyamalala kwiintsuku ezimbalwa.
Nangona kunjalo, ngamanye amaxesha eli nqanaba liba phezulu kakhulu.Kunokuba yingozi kwiintsana. Kuba, ngexesha apho ingqondo yazo ikhula, le bilirubin igqithisileyo (ingakumbi uhlobo olungangqalanga) inokuya engqondweni ize yonakalise. Oku kubizwa ngokuba yi-'(Kernicterus)'. Yiyo loo nto oogqirha bexhalabile kakhulu 'nge-jaundice' yeentsana. Ukuba inqanaba le-bilirubin yomntwana libonakala lifikelela kwinqanaba eliyingozi, unyango luya kuqaliswa.
Unyango oluphambili olunikwa iintsana 'yi -phototherapy' . Ngamafutshane, umntwana ufakwa phantsi kwesibane esiluhlaza okwesibhakabhaka esikhethekileyo. Esi sibane siqhekeza i-bilirubin kwaye senza kube lula ngomzimba ukuyisusa.
Ngaba amanqanaba e-bilirubin anokuncitshiswa?
Ukuze wehlise amanqanaba akho e-bilirubin, kufuneka unyange imeko ebangela ukwanda. Ugqirha wakho uza kufumana unobangela aze akuxelele ukuba loluphi unyango olulungele yona.
Kwangaxeshanye, kubaluleke kakhulu ukunciphisa uxinzelelo kwisibindi ngokubanzi.
- Yeka ukusela utywala ngokupheleleyo.
- Musa ukusebenzisa amayeza angeyomfuneko ngaphandle kwengcebiso kagqirha.
- Ukutya ukutya okunempilo.
Izinto ezinje zinokukunceda ukukhusela impilo yesibindi sakho.
Umyalezo Wokuya Ekhaya
- I-Bilirubin yi-pigment etyheli eveliswa xa iiseli ezibomvu zegazi ezindala ziwohloka. Iyacocwa kwaye ikhutshwe emzimbeni sisibindi.
- Ukuba amehlo okanye ulusu lwakho luba tyheli (i-jaundice), luphawu olukhulu lwamanqanaba aphezulu e-bilirubin. Kwiimeko ezinjalo, bonana nogqirha ngokukhawuleza.
- Uvavanyo lwe-bilirubin lunokubonelela ngolwazi olubalulekileyo malunga nempilo yesibindi sakho kunye ne-bile ducts.
- Musa ukutsiba ufikelele kwizigqibo ngokusekelwe kwixabiso elikwingxelo yovavanyo. Ngugqirha wakho kuphela onokuluhlalutya ngokuchanekileyo aze akunike iingcebiso ozifunayo.
- Nangona i-jaundice kwiintsana ezisandul’ ukuzalwa idla ngokuba yinto embi kakhulu, kwezinye iimeko ifuna unyango, ngoko ke kubalulekile ukuyinyamekela.
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