Bilirubin kuongorora ropa

Iyo bilirubin ropa bvunzo inoyera chiyero che bilirubin muropa. Bilirubin iruvara rweyero runowanikwa munyuchi, chinoyerera chakagadzirwa nechiropa.

Bilirubin inogona kuyerwa zvakare nemuedzo weti.

Muenzaniso weropa unodiwa.

Iwe haufanire kudya kana kunwa kweanenge maawa mana pamberi pebvunzo. Anokupa hutano anogona kukuraira kuti usiye kutora mishonga inobata bvunzo.

Mishonga yakawanda inogona kuchinja chikamu che bilirubin muropa rako. Ita shuwa kuti mupi wako anoziva kuti ndeipi mishonga yauri kutora.

Kana tsono ikaiswa kukweva ropa, vamwe vanhu vanonzwa kurwadziwa zvine mwero. Vamwe vanongonzwa kubaya kana kubaya. Mushure meizvozvo, panogona kuve nekurohwa kana kupwanya zvishoma. Izvi zvinokurumidza kuenda.

Chikamu chidiki chemasero matsvuku eropa akatsiviwa nemasero matsva eropa mazuva ese. Bilirubin inosara mushure mekunge masero eropa aya abviswa. Chiropa chinobatsira kuputsa bilirubin kuitira kuti igone kubviswa mumuviri uri muchitsiko.

Chiyero che bilirubin muropa re 2.0 mg / dL chinogona kutungamira ku jaundice. Jaundice yero yeruvara rweganda, mamenhe, kana maziso.

Jaundice ndicho chikonzero chakajairika chekutarisa bilirubin level. Muedzo ungango kurairwa kana:

• Mupiro anoshushikana nezve jaundice yemwana achangozvarwa (vazhinji vacheche vane mamwe majaundice)
• Jaundice inokura muvacheche vachembera, vana uye vakuru

Chiyero chebilirubin chinorairwawo kana mupi achifungidzira kuti munhu ane chinetso chechiropa kana chenduru.

Zvakajairika kuva nebilirubin muropa. Chikamu chakajairwa ndechekuti:

• Direct (inonziwo conjugated) bilirubin: isingasviki 0.3 mg / dL (isingasviki 5.1 µmol / L)
• Yese bilirubin: 0.1 kusvika 1.2 mg / dL (1.71 kusvika 20.5 µmol / L)

Zvakajairika kukosha masenduru anogona kusiyana zvishoma pakati pemarabhoritari akasiyana. Mamwe marabhu anoshandisa zviyero zvakasiyana kana anogona kuyedza masampuli akasiyana. Taura nemupi wako nezve zvinorehwa nemimwe miedzo yako.

Mune vacheche, bilirubin mwero wakakwirira kwemazuva ekutanga ehupenyu. Mupi wemwana wako anofanira kufunga zvinotevera paanenge achisarudza kuti chikamu chebirirubin chemwana wako chakanyanya here:

• Kutsanya kwacho kwave kuchikwira
• Kunyangwe mwana akazvarwa kare
• Zera remwana

Jaundice inogona zvakare kuitika kana mamwe maseru matsvuku eropa kupfuura zvakajairwa aputswa. Izvi zvinogona kukonzerwa ne:

• Chirwere cheropa chinonzi erythroblastosis fetalis
• Iropa dzvuku reropa dambudziko rinonzi hemolytic anemia
• Kuwedzerwa kweropa uko masero matsvuku eropa akapihwa mukuisirwa anoparadzwa ne immune system yemunhu

Aya anotevera matambudziko echiropa anogona zvakare kukonzera jaundice kana yakakwira bilirubin nhanho:

• Kupenga kwechiropa (cirrhosis)
• Kuzvimba uye chinopisa chiropa (hepatitis)
• Zvimwe chirwere chechiropa
• Kukanganiswa uko bilirubin isingaitwe zvakajairika nechiropa (chirwere cheGilbert)

Aya anotevera matambudziko ane nduru kana bile ducts anogona kukonzera mazinga epamusoro ebilirubin:

• Kusanzwisisika kudzikira kweiyo yakajairika bile duct (biliary solidure)
• Cancer yepancreas kana nduru
• Matombo

Pane njodzi shoma inosanganisirwa nekutorwa kweropa rako. Tsinga dzinosiyana pakukura kubva pamunhu kuenda kune mumwe uye kubva kune rimwe divi remuviri kuenda kune rimwe. Kuwana muyero weropa kubva kune vamwe vanhu kunogona kunetsa kupfuura kune vamwe.

Njodzi dzakabatana nekutorwa kweropa idiki, asi dzinogona kusanganisira:

• Kuwedzera kubuda ropa
• Kufenda kana kunzwa kushaya musoro
• Akawanda punctures ekutsvaga mutsinga
• Hematoma (kuunganidza ropa pasi peganda)
• Utachiona (hushoma njodzi chero nguva ganda parinovhunika)

Yese bilirubin - ropa; Unconjugated bilirubin - ropa; Zvisina kunangana bilirubin - ropa; Yakasanganiswa bilirubin - ropa; Kunanga bilirubin - ropa; Jaundice - bilirubin kuongororwa ropa; Hyperbilirubinemia - bilirubin ropa bvunzo

• Achangoberekwa jaundice - buditsa

• Kuongorora ropa

Chernecky CC, Berger BJ. Bilirubin (yakazara, yakananga [conjugated] uye isina kunangana [isina kugadziriswa]) - serum. Mune: Chernecky CC, Berger BJ, eds. Rabhoritari Kuyedza uye Maitiro Ekuongorora. 6th ed. St Louis, MO: Elsevier Saunders; 2013: 196-198.

Pincus MR, Tierno PM, Gleeson E, Bowne WB, Bluth MH. Kuongorora kwechiropa basa. Mune: McPherson RA, Pincus MR, eds. Henry's Clinical Diagnosis uye Management nemaLabhoritari Maitiro. 23rd ed. St Louis, MO: Elsevier; 2017: chitsiko 21.

Pratt DS. Chiropa chemistry uye basa bvunzo. Muna: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger uye Fordtran's Gastrointestinal uye Chirwere Chiropa: Pathophysiology / Kuongorora / manejimendi. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits 73.