Ụdị nke bilirubin n'ime ọbara

Otu n'ime isi isi nke nchoputa nke ọrịa bụ nyocha ọbara, nke na-egosi ọtụtụ ihe ngosi, gụnyere ụkpụrụ bilirubin na ọbara. Tụlee ụdị ụdị na otú ọ ga-adị na nyocha nke onye ahụike.

Gịnị bụ bilirubin?

Bilirubin bụ otu n'ime enzymes bile, nke nwere agba odo-acha ọbara ọbara. A na-emepụta ya n'ihi mbido nke ọbara, karịsịa site na hemoglobin, nke na-ekpuchi sel ọbara uhie nwụrụ anwụ n'oge mmerụ ahụ (mmerụ ahụ) ma ọ bụ ịka nká. Hemoglobin na-agbada n'ime sụgharịa oghere na ọnya ụwa, bụ nke mesịrị ghọọ amino acid. Na ikiri, na-emekọrịta na enzymes, na-aghọ indirect bilirubin, nke a na-ekpebi ihe dị iche n'etiti mkpokọta na kpọmkwem bilirubin.

A na - akpọ ya na - enweghị ike ma ọ bụ n'efu - ọ na - egbu egbu, dị ka abụba na - esi ike, ọ na - abanye n'ime sel, na - emebi ọrụ ha. Ọ bụ ya mere ọdịnaya nke akụkụ a nke bilirubin n'ime ọbara n'elu usoro dị njọ.

Enzyme dị n'ụdị a jikọtara albumin ọbara ma banye n'ime imeju, ebe ọ na - enweta "neutralization" ma ghọọ mmiri soluble. Nke a na-akpọ indirect bilirubin. Enzyme dị otú ahụ na bile, ma ọ bụrụ na ọrụ imeju na-akụghasị, ahụ na-akwụsị ịnagide ọrụ nke ịtụgharị indirect bilirubin n'ime kpọmkwem, ọdịnaya ya dị n'ọbara dị elu karịa nke nkịtị.

Ọbara ọbara maka bilirubin

Ọnụ ọgụgụ nke enzyme ke ọbara ọbara bụ na-ekpebi na biochemical analysis na a par nwere ihe ndị dị ka hemoglobin, haptoglobin, cholesterol, urea, glucose, creatinine, triglycerides, na ndị ọzọ.

A na-ewere ọbara maka nchọpụta naanị site na vein. N'elu elekere nke nyocha ahụ ị gaghị aṅụ mmanya, mmiri ara ehi, kọfị, tii na mmanya na-aba n'anya. Ogologo nkeji iri na abuo tupu ebunye ọbara enweghi ike iri ya, ulo oru nyocha ga-abia n'ime afo. Ị nwere ike ịṅụ mmiri.

A na-eji ogwe aka dị n'elu ikpere aka na-eme ka a na-ejikọta ya na onye na-emegharị ahụ, a na-etinye akpụkpọ anụ ya na antiseptic ma tinye nịnye n'ime eriri ahụ, bụ nke a na-ewere ọbara. Dị ka ọ na-achị, ihe ka ọtụtụ ná ndị mmadụ na-eche na usoro a adịghị njọ karịa inye ọbara site na mkpịsị aka.

Nsonaazụ nke ọmụmụ

Na laabu, a na-emepụta bilirubin zuru ezu na nyocha ọbara nke ọbara - usoro nke enzyme a na-abụkarị 8.5 - 20.5 μmol / L, ọ bụ ezie na ọnụ ọgụgụ ahụ nwere ike ịdịgasị iche dabere na ndị na-eme ihe ọmụmụ ahụ. Ya mere, maka ụlọ nyocha nke ọ bụla, e nwere ụkpụrụ, a na-egosikwa ókèala ya na nsonaazụ ndị ahụ.

Ya mere, ụfọdụ ebe na-ekwu ọnụ ọgụgụ, dịka usoro nke bilirubin si nyocha ọbara bụ nke ruru 22 μmol / l.

Mfri nke dị kpọmkwem ruru 5.1 μmol / l, na n'elu - ruo 17.1 μmol / l.

Ntak emi ẹdahade bilirubin?

N'ụbọchị nke abụọ nke abụọ mgbe a mụsịrị ozu ahụ, mbibi imebi nke erythrocytes na-ewere ọnọdụ, Otú ọ dị, usoro bilirubin (conjugating system) (nke na-eme ka akụkụ nke mkpụrụ ndụ enzyme ahụ dị na ya) bụrụ nke zuru oke ka a na-emebeghị nke ọma n'ime ụmụ ọhụrụ. N'ihi nke a, ụmụaka na - azụlite jaundice physiology - ọ na - agafe izu 1 - 3. Ma gịnị bụ ụkpụrụ nke bilirubin n'ime ọbara ụmụ ọhụrụ? Ọ bụ usoro dị elu karịa ndị okenye: n'ụbọchị nke atọ - ụbọchị nke asaa mgbe a mụsịrị nwa, 205 μmol / l nke enzyme dị (maka ụmụ ọhụrụ aka - 170 μmol / l). Iji N'izu nke atọ nke ihe ngosi ahụ na-ebelata omenala 8.5-20.5 μmol / l.

Enwere otutu ihe mere eji eme ka etu nke biiki enzyme di na okenye:

1. Ọnụ ọgụgụ nke erythrocytes e bibiri ebibi na-amụba, nke bụ okwu banyere anaemia hemolytic , dịka ọmụmaatụ.
2. Imeju mebiri ma ghara ịnagide ọrụ nke iwepụ bilirubin.
3. Ogbugbu nke bile na obere eriri afọ nwere nsogbu.
4. A na-emebi ọrụ nke enzymes nke na-etolite kpọmkwem bilirubin.

Ọ bụrụ na otu n'ime nsogbu ahụ amalite, jaundice amalite, nke agba nke membranes mucous, anya na akpụkpọ ahụ na-acha odo odo.