I-bilirubin ngokufanelekileyo ngenye yeengxenye ze-bilirubin eziqhelekileyo, eziyingxenye ye-bile. Le yimibala ebonakalayo kwisibindi. Kubonakala ngathi ngenxa yokucoca kwezi proteyini njenge-hemoglobin, i-cytochrome kunye ne-myoglobin. Ukutshatyalaliswa kubonakala kwintsipho yethambo, i-spleen nesibindi, apho iimveliso eziphumo zikhutshwe emzimbeni nge-bile.
Ziziphi iimeko apho bathunyelwa iimvavanyo ezibonisa i-bilirubin?
Kukho iinkalo ezibalulekileyo, ngenxa yokuba zihlala zijoliswe ekuhanjisweni kwezihlalutyi zale khombisi:
- isifo sesibindi;
- yexesha elibi;
- krokra ye jaundice.
Umgangatho we-bilirubin ngokuthe ngqo ngu-0-3.4 μmol / l. Ngaphambi kokuba udlule uvavanyo, awukwazi ukuyidla. Unokusela kuphela amanzi ahlambulukileyo. Kule meko, isiphumo sinokuchaphazela izinto ezininzi: ukutya okunamafutha, indlala, amaninzi amachiza (iintsholongwane, iintsholongwane zomlomo, i-barbiturates nabanye). Ngenxa yento yonke, amanqanaba e-bilirubin ayedla ngokuchanekileyo.
Ukwandisa i-bilirubin ngqo
Izinga eliphakamileyo le-bilirubin elibhekiselele libonisa ezinye iintsholongwane zesibindi.
Ngokuqhelekileyo oku kubonisa ubukho emzimbeni wesinye sezifo ezithintekayo:
- i-hepatitis yentsholongwane;
- mononucleosis ;
- i-syphilis;
- izifo ezithintekayo.
Ukongezelela, iingxaki ngokuphuma kwe-bilirubin ngqo zivela ngenxa yokuba:
- kwamkela amayeza e-hepatotoxic;
- i-hepatosis enamafutha abafazi abakhulelweyo;
- izifo zesibindi;
- cholecystitis kunye ne-cholangitis;
- nezifo.
Isithintelo seGallstone - ukugqithwa kwe-bile ducts, eyenzeka ngenxa yesifo esifanayo. Iyakwenzeka kwakhona ngenxa yeengxaki zepascreas, i-jaundice yomatshini, i-cirrhosis ye-biliary.
Ukunciphisa i-bilirubin ngqo
I-bilirubin ephantsi kwindlela yokwelapha ayiqhelekanga. Izizathu zezo zikhombisi ziyaqhubeka zifundwa lulwazi kwihlabathi lonke - zikholelwa ukuba le nto izayo iya kuba nefuthe elibi kwimpilo yabantu ngokubanzi.
Ngokuqhelekileyo, inqanaba eliphantsi loluphawu luyisiphumo sokuhanjiswa okungalunganga kohlalutyo ngokwalo. Kukho izinto ezibalulekileyo ezichaphazela utshintsho kwiziphumo:
- ukusetyenziswa kotywala okanye utywala;
- kwamkela i-glucocorticoids, i-antibiotics kunye ne-ascorbic acid.
Iinkqubo ezikhokelela ekunciphiseni kwe-bilirubin azikaze zifundwe ngokupheleleyo. Ukufumana uvavanyo oluchanekileyo lwegazi lwe-bilirubin ngqo, kufuneka:
- Usuku olungaphambi kohambo oluya kwibhubhoratri ukuba linike amafutha, ukutya okuthosiweyo (okunzima), ukuze kungabi ukulayisha isibindi, ngokufanelekileyo - kukho izityalo eziphekiweyo okanye ezigayiweyo, inkukhu ebilisiwe, i-porridges.
- Isiqingatha senyanga ngaphambi kokunikela ngegazi, uyeka ukuthatha amayeza, okanye uzame ukunciphisa inani labo njengoko iipilisi zivame ukunyusa ukuxilongwa kwezinto, eziza kuba nzima kakhulu umsebenzi.
- Ngosuku lokuyeka ukunyusa umzimba, kuquka nemidlalo, njengoko oku kuchaphazela umsebenzi wesibindi.
- Gwema uxinzelelo lwengqondo - uxinzelelo lunokutshintsha ukubala kwegazi.
Ukuba yaziwa ngokuhlalutya malunga neziphumo ezingaphantsi kweziphumo ze-bilirubin, ngokokuqala kubalulekile ukuba ukhumbule ukuba zonke izilumkiso zaziwa. Ukuba kunjalo enye yezinto sele iphulwe - iimvavanyo mazibuyiselwe kwakhona. Ngokuqinisekisiweyo, usenokuba usho ngokukhuselekileyo ukuba oku ukuphambuka kwimiqathango.
Inzululwazi ezininzi zithi amazinga aphantsi ahambelana ngqo nesifo senhliziyo, ngokukodwa i-ischemia. Esi sisifo esibalulekileyo, ngoko ke, xa ufumene iziphumo ezifanayo, kubalulekile ukuba uhambe ngokukhawuleza kwi-cardiologist, apho kuya kubakho ukuthatha iimvavanyo ezintsha.