Direct bilirubin

Direct bilirubin ndi imodzi mwa magawo ambiri a bilirubin, omwe ndi mbali ya bile. Izi ndizimene zimapanga chiwindi. Zikuwoneka ngati chifukwa cha kuphulika kwa mapuloteni otere monga hemoglobin, cytochrome ndi myoglobin. Kusokonezeka kumapezeka m'mafupa, nthenda ndi chiwindi, komwe zimachokera ku thupi kudzera mu bile.

Kodi ndi nthawi ziti zomwe amatumizidwa kukayezetsa bilirubin?

Pali zinthu zingapo zazikuluzikulu, chifukwa nthawi zambiri zimatumizidwa ku kafukufuku wa chizindikiro ichi:

• matenda a chiwindi;
• bile yobwereketsa;
• kukayikira za jaundice.

Chizolowezi cha bilirubin mwachindunji ndi 0-3.4 μmol / l. Musanapereke mayeso, simungadye. Mukhoza kumwa madzi oyera okha. Pachifukwa ichi, zotsatirazi zingakhudze zinthu zingapo: mafuta, njala, mankhwala ambiri (antibiotics, kulera pamlomo, barbiturates ndi ena). Chifukwa cha izi zonse, magulu a bilirubin nthawi zambiri sali olondola.

Kuwonjezeka kwa bilirubin

Mbali yapamwamba ya bilirubin imasonyeza chiwindi cha chiwindi.

Nthawi zambiri izi zimasonyeza kupezeka mu thupi la matenda amodzi kapena ambiri opatsirana:

• chiwindi;
• mononucleosis ;
• syphilis;
• matenda a parasitic.

Kuwonjezera apo, mavuto ndi kutuluka kwa bilirubin mwachindunji angawoneke chifukwa cha:

• kulandira mankhwala a hepatotoxic;
• mafuta a hepatosis a amayi apakati;
• matenda a chiwindi;
• cholecystitis ndi cholangitis;
• matenda obadwa nawo.

Kutsekedwa kwa miyala yamwala - kubisa kwa ma ducts, omwe amapezeka chifukwa cha matendawa. Zitha kuchitanso chifukwa cha mavuto omwe amabwera chifukwa cha kapangidwe kake, kapangidwe ka jaundice, kapangidwe ka biliary cirrhosis.

Kuchepetsa bilirubin

Low bilirubin muzochitika zachipatala ndizochepa. Zifukwa za zizindikiro zoterezi zikuwerengedwa ndi asayansi ochokera padziko lonse lapansi - amakhulupirira kuti zochitika izi m'tsogolomu zidzakhudza kwambiri umoyo waumunthu.

Kawirikawiri, chiwerengero chochepa cha chizindikiro ichi ndi zotsatira za kubwereka kolakwika komweko. Pali zifukwa zingapo zazikulu zomwe zimakhudza kusintha kwa zotsatira:

• kumwa mowa kapena zakumwa zofiira;
• phwando la glucocorticoids, antibiotics ngakhale ngakhale ascorbic acid.

Njira zomwe zimapangitsa kuti kuchepa kwa bilirubin zisaphunzire bwino. Kuti mupeze mayeso olondola a magazi a bilirubin mwachindunji, muyenera:

1. Tsiku lomwe lisanayambe kupita ku labotayi kusiya chakudya chambiri, chokazinga, kuti asatengere chiwindi, - zophika kapena zowonjezera, nkhuku yophika, mapiri.
2. Kwa theka la mwezi musanapereke magazi, asiye kumwa mankhwala, kapena yesetsani kuchepetsa chiwerengero chawo mofanana ndi mapiritsi nthawi zambiri kuwonjezera kuchuluka kwa zinthu, zomwe zingasokoneze kwambiri ntchitoyi.
3. Patsiku losiya kugwira ntchito, kuphatikizapo masewera, chifukwa izi zimakhudza ntchito ya chiwindi.
4. Pewani kupsinjika maganizo - nkhawa zimatha kusintha magazi.

Ngati izo zinadziwika kuchokera ku zofukufuku za zotsatira zosawerengedwa za bilirubin, ndiye poyamba chofunikira kukumbukira ngati machenjezo onsewa anawonedwa. Ngati chimodzi mwa zinthuzi chaphwanyidwa - mayesero ayenera kubwezeretsedwanso. Ndi kutsimikiziridwa, mungathe kunena mosapita m'mbali kuti uku ndikutembenuka kuchoka ku chizoloŵezi.

Asayansi ambiri amanena kuti mitengo yochepa ndi yogwirizana kwambiri ndi matenda a mtima, makamaka ischemia. Ichi ndi matenda aakulu, choncho, pakupeza zotsatira zofananako, m'pofunikira kupita kwa katswiri wa zamoyo, komwe kuli kofunikira kuyesa mayesero atsopano.