Chizoloŵezi cha bilirubin m'magazi a akazi

Hemoglobin ndi erythrocytes, zomwe zakhala zikugwira ntchito zawo, zikuyenera kugwiritsidwa ntchito m'chiwindi. Chifukwa cha njira zoterezi, bilirubin imapangidwa - chikasu chobiriwira. Chizindikiro cha chiwindi ndi nthata, njira zamagetsi. Choncho, chizoloŵezi chovomerezeka cha bilirubin m'magazi a akazi chimaonedwa kuti ndicho chimodzi mwa mfundo zazikuru pakuchita mayeso a ma laboratory kuti azindikire matenda osiyanasiyana a hepatological, endocrine ndi matenda oyambitsa matenda.

Kawirikawiri ya bilirubin yonse pofufuza magazi mwa amayi

Mapangidwe a bilirubin amayamba ndi maselo ofiira ofiira omwe ali ndi hemoglobini ndi kutulutsa oksijeni ku ziwalo zonse zofewa ndi ziwalo za mkati. Erythrocytes, nthawi yawo yatha, kenaka phala ndi mafupa, komanso chiwindi, kumene chiwonongeko chawo chimachitika. Chifukwa cha kugawidwa kwa maselowa ndi chigawo cha hemoglobin, bilirubin imatulutsidwa. Choyamba, sizowoneka bwino komanso ndi poizoni kwa thupi, choncho chiwindi parenchyma chimapatsa mphamvu michere yapadera yomwe imatembenuza chigawocho kukhala bilirubin. Mankhwalawa amatulutsidwa mu bile, kenaka amalowa m'matumbo ndipo mwachibadwa amachotsedwa pamodzi ndi nyansi.

Bilirubin m'nkhaniyi ili ndi urobilin ndi stercobilin, nkhumbazi, zomwe zimapereka mthunzi wa mkodzo ndi nyansi zozizira. Choncho, pamene chigawochi chikugwiritsidwa ntchito pakuwonjezeka, mtundu wa kutuluka kwa thupi umasintha. Mitsempha imapeza mtundu wakuda, ndipo nyansi zimakhala zoyera.

Chizoloŵezi cha bilirubin kapena chiwerengero cha bilirubin m'magazi mwa amayi chichokera ku 3.4 mpaka 17.2 μmol / l. Ngati pali mbiri ya matenda a chiwindi, mbiri yakale ya chiwindi cha chiwindi, zizindikiro zimatha kuchokera ku 8.5 mpaka 20.5 μmol / L, zotsatiridwa ndi normalization.

Ndikoyenera kudziwa kuti mtengo wapaderawo umayesedwa wolondola ngati malamulo onse adasankhidwa pofufuza:

1. Musadye madzulo a phunzirolo. Ndi bwino kusiya chakudya kwa maola 12, koma tiyeni tiyambe nthawiyi.
2. Musamamwe khofi ndi zakumwa zilizonse zomwe muli ndi caffeine musanapereke magazi.
3. Osamwa hepatoprotectors , choleretic kukonzekera, mankhwala omwe amatsitsa magazi (aspirin, heparin, warfarin).
4. Musadye njala, musadye chakudya musanafufuze.

Nthawi yabwino yoperekera magazi amagazi ndi 9 koloko m'mawa.

Kodi ndi chikhalidwe chotani cha bilirubin m'magazi amodzi mwa amayi?

Puloteni yamtundu wonyezimira kapena mtundu wa bilirubin ndi glucuronic acid, yokonzeka kutulutsidwa kuchokera m'thupi, sayenera kupitirira 4.3 μmol / l (mwa amayi ena - mpaka 7.9 μmol / l omwe ali ndi matenda a chiwindi ndi ndulu) kapena 20 -25% ya bilirubin yonse.

Mng'alu wobiriwira wonyezimira wobiriwira m'magazi umatanthauzidwa ndi kuti, monga lamulo, amachotsedwa nthawi yomweyo kuchokera ku thupi kupyolera mumadzimadzi ndi nyansi.

Kodi ndi chikhalidwe chotani cha bilirubin osadziwika mu magazi a akazi?

Mzere wofotokozedwawo mu mawonekedwe osayenerera (kachigawo kakang'ono kosaoneka), monga tawatchulira kale, ndi poizoni wa zamoyo ndipo akuyenera kusinthidwa mwamsanga mu maselo a chiwindi. Ndilo lingaliro lake lomwe ndilo lophunzitsira kwambiri ngati kuli kofunikira kuti azindikire momwe hepatological ikuyendera ndi njira zamagetsi.

Chizoloŵezi cha bilirubin chosadziwika kapena chaulere m'magazi a akazi sayenera kupitirira 15.4 μmol / l. Choncho, mtundu wa pigment uli pafupifupi 70-75% ya bilirubin yonse mu plasma.

N'zochititsa chidwi kuti kachigawo kakang'ono kachindunji, kamene kamatchedwanso kuti mawonekedwe aulere, si chinthu chimodzi, koma chimakhala chophatikizapo nyimbo ndi albumin. Kuwona momwe zimakhalira ndendende mu labotale ndizotheka kokha pokhapokha kuwonongeka kwa molekyulu yoteroyo ndi kusandulika kwake kukhala gawo la kusungunuka m'madzi.