Pamene maselo ofiira amakalamba kapena kuonongeka, amathyoledwa ndi chiwindi . Panthawi imeneyi, chinthu chotchedwa bilirubin chimapangidwa. Mankhwala achikasu otchedwa brownish omwe ali ndi bile, bilirubin amachotsedwa pamtundu pang'onopang'ono, ndipo ma pigments amatha kupatsa mtundu wake wofiirira.
Zifukwa za Bilirubin Yokwera
Kutenga chiwindi kumagwira ntchito kuchokera ku matenda monga matenda a chiwindi.
ndi zowonongeka m'matope (njira) zomwe zimachokera ku chiwindi kupita kumatumbo aang'ono zimakhala ziwiri zomwe zimayambitsa ma bilirubin m'magazi. Kuonjezera apo, matenda ena amodzi monga hemolytic anemia angayambe kuchuluka kwa bilirubin.
Pamene njira yomwe bilirubin imatulutsidwa imasokonekera ndi matenda kapena matenda, magulu a bilirubin amakula m'magazi ndipo amatha kupanga chizindikiro cha zizindikiro zomwe zimatchedwa jaundice. Jaundice ikhoza kuchititsa:
- Khungu la khungu ndi azungu a maso
- Mtsinje umene uli wakuda kuposa nthawi zonse
- Zitsulo zomwe zili zotumbululuka
Mayesero Kuti Tipeze Bilirubin Yotchuka
Bilirubin m'magazi amapezeka m'magawo awiri:
- Osagonjetsedwa, kapena osalunjika, bilirubin: Sipasuka mu madzi ndikuyenda kudzera m'magazi mpaka chiwindi, kumene amasinthidwa kukhala mawonekedwe osungunuka.
- Zogwirizana, kapena zowonongeka: Zopangidwa ndi chiwindi kuchokera ku indirect bilirubin, mawonekedwewa sungunuka.
Dokotala akamayesa kuyesera kuti aone chiwindi cha chiwindi, nthawi zambiri kuyesa kwa bilirubin kumaphatikizapo. Kuyezetsa magazi kumatha kuyeza bilirubin ndi ma bilirubin, ndipo ma intricular indirect bilirubin akhoza kufotokozedwa kuchokera ku chiwerengero cha chiwerengero cha bilirubin.
Miyezo ya Bilirubin yozolowereka
Ngakhale mabala osiyanasiyana amagwiritsa ntchito mitundu yosiyanasiyana yowerengera, makamaka, kwa ana achikulire ndi akulu, mitsinje yotsatirayi ikuwonetsa masankhulidwe abwino a bilirubin:
- Conjugated (molunjika) bilirubin: 0 mpaka 0.3 mg / dL (milligrams per deciliter).
- Chiwerengero cha bilirubin (mwachindunji ndi chosagwirizana): chikuchokera ku 0.3 mpaka 1.2 mg / dL.
Zotsatira Zotsatira
Ngati ma bilirubin ali pamwamba, dokotala adzafuna kudziwa chifukwa chake. Nthaŵi zambiri, kujambula kwa mimba kumachitidwa kudzera mwa ultrasonography, kuchuluka kwa tomato (CT), kapena maginito opanga mafilimu (MRI).
Ngati ultrasound ikuwonetsa kuti pali ndondomeko yotulutsa bile, mayesero ena akhoza kulamulidwa kuti adziwe chifukwa chake. Nthawi zina, chiwindi cha chiwindi chidzafunika, mwachitsanzo ngati zifukwa zina, kuphatikizapo chiwindi cha chiwindi, zikudandaula kapena pamene madokotala akulimbana ndi matendawa.
Nthawi ina chifukwa chachikulu chapezeka ndipo matendawa athandizidwa, njira zothandizira zothandizira kuthetsa matendawa. Mwachitsanzo, ngati kachilombo koyambitsa matenda a shuga akuyambitsa jaundice, ikhoza kuthetsa pang'onopang'ono popanda kuchiza. Koma ngati matenda obwera chifukwa cha chiwindi ndi omwe amachititsa, ngakhale chitetezo chitatha, mankhwala ena amatha kuganiziridwa. Ngati vutoli ndilowetsa bongo, njira yotsegulira njirayi ingathe kuchitidwa, kawirikawiri yokhazikika, pogwiritsira ntchito njira zochepa zomwe zimawonongeka.
Chinthu chofunika kukumbukira chokhudzana ndi chiwerengero cha bilirubin ndikuti ndi chizindikiro cha matenda osati matenda okhaokha.
Kufufuza kwina kuli pafupi nthawi zonse, ndipo dokotala wanu ayenera kuyang'ana pa kupeza vutoli.