Ịba ụba bilirubin - akpata

Bilirubin bụ piglement pigmenti, nke bụ ngwaahịa na-edozi nke nhazi nke mkpụrụ ndụ uhie ochie. Dị ka ọ dị, onye okenye tozuru etozu na plasma ọbara nwere obere obere ihe a (3,4 - 22,2 μmol / l), nakwa otu urine dị n'ụdị urobilinogens (4 mg) kwa ụbọchị.

Ihe dịka 96% nke bilirubin n'ime ọbara bụ redireubin na-adịghị edozi ahụ, nke a na-enweghị mmiri na mmiri ma na-egbu egbu, n'ihi na nwere ike ịbanye n'ime akpụkpọ ụkwụ ma na-akpaghasị ọrụ dị mkpa nke mkpụrụ ndụ. 4% fọdụrụnụ bụ kpọmkwem bilirubin, mmiri soluble, nke akụrụ na-ehichapụ ma na-apụ na mmamịrị. Ọnụ ọgụgụ nke bilirubin bụ ọkwa n'ogo zuru oke na nke na-enweghị isi.

Na ụfọdụ pathologies, ọdịnaya nke bilirubin na ọbara, na n'ihu na urine, na-abawanye. Nke a na-akpata jaundice na ọchịchịrị nke mmamịrị.

Ihe kpatara oke bilirubin dị elu na ndị okenye

Ka anyị tụlee, n'ihi ihe ndị mere a ga - eji zụlite ma ọ bụ mụbaa ọhaneze.

Ihe kpatara nke bilirubin kpọmkwem

Ọdịdị nke bilirubin kpọmkwem na ọbara na-abawanye n'ihi na o mebiri ọpụpụ bile. N'ihi ya, a na-eziga bile na ọbara, ọ bụghị n'ime afo. Ihe kpatara nke a bụ ọtụtụ ihe ndị na-esonụ:

• ịba ọcha n'anya nke etiology viral na nnukwu ụdị (ịba ọcha n'anya A, B, na mononucleosis na-efe efe);
• ịba ọcha n'anya nke etiology bacterial (leptospirosis, brucellosis);
• ọrịa ịba ọcha n'anya na-adịghị ala ala;
• ịba ọcha n'anya autoimmune;
• ọgwụ ịba ọcha n'anya (n'ihi ọgwụgwọ ọgwụgwọ, ọgwụ ndị na-adịghị egbochi ọgwụ ọjọọ, ọgwụ antitumor na ọgwụ ndị na-egbochi ọrịa ụkwara nta);
• ịba ọcha n'anya nke na-egbu egbu (nsi na fungal poisons, ọgwụ ndị na-emepụta ụlọ ọrụ);
• cancer nke gallbladder, imeju ma ọ bụ pancreas;
• cholelithiasis;
• biliary cirrhosis;
• syndromes nke Rotor, Dabin-Johnson.

Ihe na-akpata redirubin na-agbasaghị

A na-enwe mmụba nke ọdịnaya nke redirect nke bilirubin puru iche na mmebi nke ọbara ọbara uhie ma ọ bụ na-eme ka ọ ghara ịdị na nhazi nke indirect bilirubin. Ọ bara uru ịkọba nke ahụ, ebe ọ bụ mmuta bilirubin na mmiri anaghị akwatu, ọbụna na mmụba dị ịrịba ama na ọkwa ya n'ọbara, ọ dịghị ngbanye na nyocha nke mmamịrị. Ya mere, ihe kpatara nke a nwere ike ịbụ:

• Ọrịa hemolọp na-arịa ọrịa (sickle cell, spherocytic, nesferocytic, thallasemia, ọrịa Marciyafawa-Michele);
• akpọnwụ ọbara ọbara (megide ọrịa ogbu na nkwonkwo, sistemụ lupus erythematosus, lycthocytic leukemia, lymphanganulmatosis, wdg);
• ọgwụ anaemia hemolytic (nke metụtara insulin, aspirin, levomycetin, levofloxacin, cephalosporins, wdg);
• ọrịa syndrome nke Lucy-Driskol, Gilbert, Kriegler-Nayyar;
• ọrịa na-efe efe (ịba, ọrịa na-efe efe, sepsis);
• egbu egbu na-egbu egbu ( nsị na nsị mushrooms, poisons, nsị ahụhụ, agwọ, nsị na mushrooms, lead, salts salts, etc.).

Ihe kpatara ụba bilirubin dị na ime

A na-ahụkarị bilirubin mụbara n'ime ndị ime ime (jaundice na ime ime). A na - ekewa ihe kpatara nke a n'ime ụzọ abụọ:

• n'ihi ihe omuma nke ime ime (oke ogbuju nke imeju, gestosis, oke vomiting, wdg);
• kpatara ọrịa dị iche iche (ịba ọcha n'anya, hemolytic anaemia, wdg).

Ihe kpatara ụba bilirubin na mmamịrị

A na-ahụ ọkwa bilirubin na-arịwanye elu na mmamịrị na ọrịa ndị na-esite na mbibi nke imeju umeji mkpụrụ ndụ:

• ịba ọcha n'anya;
• cirrhosis nke imeju ;
• mmebi imeju metastatic;
• imeju mmerụ, wdg.

Ọgwụgwọ nke bilirubin elu

Ọ bụrụ na ule ahụ na-egosi na bilirubin n'ime ọbara ma ọ bụ na mmamịrị ahụ dị elu, ụkpụrụ nke ọgwụgwọ ga-adabere n'ihe kpatara nke a. Dịka, usoro ọgwụgwọ gụnyere ịṅụ ọgwụ ma dozie nri.