N'oge ọrịa shuga, onye ọrịa na-eche ọtụtụ nsogbu ahụ ike. Ma ọ bụrụ na ịmaliteghị ọgwụgwọ n'oge iji kwado shuga n'ọbara ma wepu ihe mgbaàmà nke ọrịa ahụ, ndị ọrịa mamịrị nwere ike ịmalite ọrịa nke akwara obi, akụrụ ma ọ bụ imeju. Otu n'ime nsogbu ọrịa shuga nwere ike ịkpata bụ ọkwa bilirubin dị elu.
A na-etolite bilirubin dị n’ọbara n’ihi nkwụghachi nke mkpụrụ ndụ ọbara uhie. Nke mbu, a na emeghari bilirubin na aru - ihe na-egbu egbu nke a na-agbanyeghi na mmiri.
Nke a pụtara na azọpụghị ya iche, n'ihi ya, ya na ọbara, ọ na-abanyekwa imeju, ma gbanwee ya na bilirubin.
Ihe emejuputara, n'aka nke ya, nwere ike igbari na mmiri mmiri ma wepụta ya site na ahụ mmadụ site na mmamịrị na ọnya ahụ, na-enye ha ezigbo aja aja.
Iji chọpụta ngụkọta bilirubin na okenye, ịkwesịrị ime nnwale ọbara dị iche. Ọnụ ego a na-ahụkarị bụ 3.4 µmol / liter maka kpọmkwem na 17.1 µmol / lita maka bilirubin na-apụtaghị ìhè.
A na-achọpụta ọnụọgụ bilirubin na-abawanye na ndị okenye nwere ọnụego karịrị 4.6 na 15.4 μmol / liter, n'otu n'otu.
Ihe mgbaàmà nke bilirubin mụbara
Ọ bụrụ na ọkwa nke bilirubin n'ọbara rịrị elu nke ukwuu, onye ọrịa ahụ nwere ụda odo na-acha odo odo na mmamịrị gbara ọchịchịrị. Nke a na-egosi na ịba ụba nke bilirubin abanye n'ime anụ ahụ mmadụ, na-emechi ha na agba isi awọ.
Ọzọkwa, ka ọkwa bilirubin na-arị elu, mmadụ nwere ike inwe ahụ erughị ala na hypochondrium ekpe mgbe ọ rụsịrị mmega ahụ, n'ihi nke onye ọrịa ahụ nwere ike ịnweta adịghị ike, ike ọgwụgwụ na ahụ ọkụ.
Ọ bụrụ na mmadụ nwere ụdị ọrịa ahụ, ọ pụtara na ọ dị mkpa ịgwọ anụ ahụ. Should ga-agakwuru dọkịta ozugbo ga-eduzi ule ọbara iji chọpụta mkpokọta bilirubin ma nye gị ọgwụgwọ. Ọ bụrụ n'ogo nke ihe a na-ahụkarị dị oke elu, nke a na-egosi na enwere ụfọdụ ihe kpatara mmepe nke ọrịa ahụ kwesịrị ịgwọ ya.
N'ọnọdụ ụfọdụ, ọkwa dị egwu nke bilirubin nwere ike ịbawanye na nkeji 300, nke dị ize ndụ maka ahụike ma chọọ ọgwụgwọ ozugbo. Dịka iwu, enwere ike ịhụ ihe ngosi dị 300 /mol / liter na ụmụ ọhụrụ, ndị dọkịta na-akpọ nke a jaundice nwata, nke na-apụ n'anya mgbe ụbọchị ole na ole gasịrị.
N'ilekwasị anya na mgbaàmà ahụ, dọkịta ga-edenye nyocha ọbara iji chọpụta ọkwa nke bilirubin. A na-eme nyocha maka Bilirubin kachasị elu n'ụtụtụ na afọ efu.
Tupu ịmalite nyocha ahụ, ịnweghị ike ị drinkụ mmanya maka awa anọ. Ọ bụrụ na agbaso usoro iwu niile, a ga-enweta nsonaazụ nyocha ziri ezi.
Ihe na-akpata bilirubin
Ihe kpatara mmụba nke bilirubin n'ọbara nwere ike ibute ọrịa nke imeju na sistem. Enwere otutu nhọrọ ihe kpatara na enwere mmebi nke ịta ihe n’ahụ.
- N’ihi nsonaazụ ma ọ bụ enwetara n’ọbara mmadụ, mbibi nke mkpụrụ ndụ ọbara uhie n’ime ọbara na-agbadata, nke na-eduga n’ịkwa ọkwa nke bilirubin. Ọrịa a na - ebilite n'ihi ụba ụba nke ihe a. Ọzọkwa, n'ihi ọbara ọgbụgba, bilirubin na-apụtaghị ìhè.
- Ihe ọzọ kpatara ya jikọtara ya na mmepụta ụrọ nke bilirubin kpọmkwem n'ime imeju. Ọrịa ndị a ma ama dịka ọrịa ịba ọcha n'anya, ọrịa nrịanrịa, kansa na ụdị ọrịa ndị ọzọ nwere ike ibute nke a. Gụnyere ihe kpatara mmụba nke ọkwa bilirubin nwere ike bụrụ ihe nketa. Dịka ọmụmaatụ, ọrịa Gilbert's syndrome na-eduga mmebi nke mmepụta enzymes imeju.
- Ihe nke atọ nwere ike ịbụ nsogbu gallbladder. N'ihi mmebi nke bile si na choleretic eriri afo, ogo bilirubin dị n'ahụ na-abawanye.
- Gụnyere ihe ndị kpatara ya nwere ike jikọta ya na iji ọgwụ ọ bụla. Nke a pụtara na tupu ịmalite ọgwụgwọ, ị ga-amatarịrị nke ọma na contraindications nke edepụtara na ntuziaka ahụ.
- Ọtụtụ mgbe, ihe kpatara mmụba bilirubin bụ na ọrịa nke anụ ahụ na helminths. Mgbe achọtara helminthiasis, ọ dị mkpa iji gwọọ ọgwụgwọ dị mkpa, wee gafee nnwale ọbara ma nyochaghachi ụkpụrụ bilirubin.
- Site na ụkọ vitamin B12, ọkwa bilirubin nwekwara ike ịba ụba. Nke a pụtara, tupu iji ọgwụ agwọ ọrịa, ịkwesịrị ịtugharị anụ ahụ na ihe ndị ọzọ bara uru.
Mbelata ọkwa nke Bilirubin n'ọbara
Tupu ịmalite ọgwụgwọ, ọ dị mkpa ịchọpụta ihe kpatara ọrịa ahụ. Availablezọ dị na ọgwụ ọgbara ọhụrụ na-enye gị ohere ịgwọ ndị mebiri emebi dabere na ngosipụta edepụtara. Maka nke a, naanị dọkịta nwere ike ịkọwa mbelata ọkwa nke bilirubin.
Site na enyemaka nke ọgwụ infusion, a na-abanye glucose na ọgwụ detoxification intravenously.
Usoro ọgwụgwọ a na-enye gị ohere ihicha anụ ahụ nke ụba bilirubin. A na-eji usoro yiri ya mee ihe ma ọ bụrụ na onye ọrịa nwere nnukwu ọnọdụ.
Ejiri Phototherapy belata ọkwa bilirubin ọ bụghị naanị na ndị okenye kamakwa na ụmụ ọhụrụ. Consistszọ a gụnyere iwepu onye ọrịa ahụ site na enyemaka nke oriọna ndị pụrụ iche, n'okpuru mmetụta nke bilirubin na-agbanwe agbanwe gaa n'ụdị usoro, emesia ọ nwere ike ịhapụ ahụ ahụ ngwa ngwa.
Ọ bụrụ na ihe kpatara mmụba nke bilirubin dabere na mwepụ nke bile site n'ahụ ahụ, dọkịta depụtara ọgwụgwọ kwesịrị ekwesị na ọgwụ pụrụ iche. Nke mbu, obu ogwu choleretic nke nwere otite bile.
Usoro ọgwụgwọ na-enyekwa aka belata mkpụkọ Bilirubin n'ime ọbara. Ọzọkwa, ọgwụgwọ a na-eso ya iji unyi na-arụ ọrụ, nhicha ọgwụ na nsị na-ewepụ ihe. Agụnyere abụba abụba, eghe, ose na ihe ọ carbonụ carbonụ carbonated na nri onye ọrịa.
Ọ bụrụ na ọrịa ahụ na-arịa ọrịa ịba ọcha n'anya, ihe mbụ e nyere onye ọrịa ahụ bụ ọgwụgwọ nke ọrịa a, nke n'aka nke ya na-ebelata bilirubin. Includgụnye na dọkịta depụtara ọgwụ iji chebe imeju.
Site na ọrịa Gilbert na ụfọdụ ọrịa ọrịa imeju, Phenobarbital ka edepụtara.
Iji zere nsogbu, ịgwọ ọrịa na ọgwụ kwesịrị ka dọkịta dechaa ya mgbe nyochachara ya.
Ọrịa Bilirubin dị elu
Direct bilirubin na-abawanye ma ọ bụrụ na e nwere ihe ndị a:
- Mmụba bilirubin na ọbara;
- Ọrịa ịba ọcha n'anya A, B, ịba ọcha n'anya na mononucleosis na-efe efe;
- Ọrịa ịba ọcha na-adịghị ala ala, ọrịa ịba ọcha n'anya autoimmune;
- Ọrịa Brucellosis na ọrịa ịba ọcha n'anya nke leptospirosis;
- Withụ ọgwụ na-egbu egbu ma ọ bụ ihe na-egbu egbu;
- Ojiji nke mgbochi mgbochi homonụ, NSAIDs, ọgwụ megide ụkwara nta na akpụ;
- Jaundice n'oge afọ ime;
- Ọkpụkpụ imeju;
- Biliary cirrhosis;
- Jaredice hereditary - ọrịa syndrome Rotor, Dabin-Johnson.
Bilirubin dị elu na-abawanye n'ọbara n'ihi ihe ndị a:
- Ọbara ọbara hemolytic, gụnyere spherocytic, non-spherocytic, sickle cell, thalassemia, Markyafa-Michele ọrịa;
- Ọbara anakịrị na-arịa ọrịa hemolytic, nke na-ebilite megide nzụlite system nke lupus erythematosus, ọrịa ogbu na nkwonkwo, ọnya ụbụrụ, lymphagranulomatosis.
- Sepsis, fever ịba, ịba na ọrịa ndị ọzọ na-efe efe;
- Ọgwụ ịba ọcha n'anya hemolytic kpatara site na ị takingụ insulin, cephalosporins, aspirin, NSAIDs, chloramphenicol, penicillin, levofloxacin;
- Mmiri nhụjuanya hemolytic sitere na nsí nwere ihe nsi, olu, arsenic, sulfate ọla kọpa, ahụhụ nke ụmụ ahụhụ na-egbu egbu.
- Syndromes nke Gilbert, Krigler-Nayyar, Lucy-Driscola.
