Thaum metabolism hauv lub cev, hemoglobin cleaved nyob hauv lub siab, ua tus bilirubin ua cov khoom lwj. Nws pom muaj nyob rau hauv cov ntshav dej thiab hauv kab mob. Bilirubin yog tawm ntawm lub cev nrog cov zis thiab quav, zoo li cov kua mis. Yog hais tias theem ntawm bilirubin nce, nws ua nws tus kheej nyob rau hauv daim ntawv ntawm yellowing ntawm daim tawv nqaij - jaundice .
Thaum txheeb xyuas cov ntsiab lus ntawm bilirubin nyob rau hauv cov ntshav ntshav, txiav txim seb qhov ncaj qha thiab tsis ncaj cov hom pig no. Ob hom yog hom bilirubin. Ncaj Ncees - qhov no yog thaum cov pigment twb tau cog rau hauv lub siab lub hlwb thiab npaj txhij rau kev tshem tawm, thiab tus indirect ib tug twb nyuam qhuav tsim thiab tseem tsis tau tau neutralized. Cov ntsiab lus ntawm bilirubin nyob rau hauv cov ntshav qhia li cas lub siab thiab bile ducts ua hauj lwm. Ua kom cov ntshav qab zib tsawg dua rau qhov qhab nia yog ib qho teeb meem loj heev thiab yuav tsum tau ua kiag tam sim.
Yuav ua li cas siv ib qho kev ntsuam xyuas rau bilirubin?
Muaj ntau txoj cai rau kev kuaj ntshav rau hom bilirubin:
- Yuav kom txiav txim siab txog theem ntawm bilirubin, cov ntshav sampling yog tsim los ntawm cov leeg hauv plab ntawm lub luj tshib ntawm caj npab. Cov menyuam mosliab noj ntshav los ntawm pob taws lossis caj npab ntawm taub hau.
- Ua ntej koj yuav kuaj qhov tsawg kawg 3 hnub koj noj tsis tau cov zaub mov rog thiab koj yuav tsum tsis txhob haus cawv.
- Qhov kev tsom xam tsuas yog ua tiav ntawm lub plab tas. Koj yuav tsum tau tshaib plab yam tsawg 8 teev. Raws li txoj cai, ntshav tau noj thaum sawv ntxov. Rau cov me nyuam tsis muaj kev txwv.
Qhov tshwm sim ntawm qhov kev ntsuam xyuas tuaj yeem cuam tshuam los ntawm cov nram qab no:
- noj tshuaj kas fes thiab caffeine-muaj tshuaj;
- noj Warfarin, Aspirin, Heparin;
- kev noj haus thiab kev tshaib plab;
- noj ib co cholagogue preparations los yog decoctions ntawm tshuaj ntsuab, cov tshuaj rau daim siab;
- cev xeeb tub.
Cov qauv ntawm bilirubin nyob rau hauv ib txoj kev kuaj ntshav
Tus naj npawb ntawm bilirubin tag nrho rau cov neeg laus yog los ntawm 3.4, (raws li lwm qhov chaw los ntawm 5.1) mus rau 17 micromolar ib liter.
Cov qes seem yog 70-75%, cov nyeem hauv micromoles rau ib qhov liter ntawm 3.4 mus rau 12. Qhov feem feem ntau yog sib txawv ntawm 1.7 mus 5.1 micromolar ib liter. Qee qhov chaw hais tias tus qauv yuav pom tau los ntawm 0 mus rau 3.5 micromolar ib liter.
Nws yuav tsum tau sau tseg hais tias cov poj niam cev xeeb tub me ntsis nce siab ntawm bilirubin feem ntau yog xam txoj cai. Rau cov menyuam yug tshiab, tus
Bilirubin nyob rau hauv kev soj ntsuam ntawm zis
Yog tias bilirubin nyob hauv kev soj ntsuam ntawm cov zis, qhov no yog thawj qhov kev qhia ntawm kev ua haujlwm hauv lub siab thiab kab mob hauv lub cev. Kev tsom xam muaj kev tshawb nrhiav thaum ntxov xws li:
- cirrhosis ;
- kab mob siab;
- kab mob ntawm lub gallbladder;
- cancer.