I-direct bilirubin ingenye yezingxenye ze-bilirubin ejwayelekile, engxenyeni ye-bile. Lona yi-pigment eyenza esibindi. Kubonakala njengomphumela wokuqhafaza kwamaprotheni anjenge-hemoglobin, i-cytochrome ne-myoglobin. Ukwehlukaniswa kwenzeka emnothweni wamathambo, uhlangothi lwesibindi nesibindi, lapho imikhiqizo ephumela khona idonswa emzimbeni nge-bile.
Kuziphi izimo ezithunyelwa ukuhlolwa ezibonisa i-bilirubin?
Kunezici eziningana eziyinhloko, ngenxa yokuthi zivame ukuqondiswa kanjani ekulethwe kwezibalo zalesi sibonakaliso:
- isifo sesibindi;
- ukubambezeleka kwe-bile;
- ukusola nge-jaundice.
Umkhuba we-bilirubin oqondile yi-0-3.4 μmol / l. Ngaphambi kokuba udlule ukuhlolwa, awukwazi ukudla. Ungaphuza kuphela amanzi ahlanzekile. Kulesi simo, umphumela ungathinta izici eziningana: ukudla okunamafutha, indlala, imithi eminingi (ama-antibiotics, izisu zomlomo, izibhamu kanye nabanye). Ngenxa yalokhu konke, amazinga e-bilirubin ngokuvamile ayilungile.
Ukwandiswa kwe-bilirubin eqondile
Izinga eliphakeme le-bilirubin eliqondile likhombisa ezinye izifo zesibindi.
Ngokuvamile lokhu kubonisa ukuba khona emzimbeni wesifo esisodwa noma ngaphezulu esithathelwanayo:
- i-hepatitis yegciwane;
- i-mononucleosis ;
- i-syphilis;
- izifo ezithathelwanayo.
Ngaphezu kwalokho, izinkinga zokuphuma kwe-bilirubin ngqo zingabonakala ngenxa:
- ukwamukela imithi ye-hepatotoxic;
- i-fatty hepatosis yabesifazane abakhulelwe;
- isifo sesibindi sesibindi;
- i-cholecystitis ne-cholangitis;
- izifo ezifa.
Ukuvinjelwa kweGallstone - ukugqoka ama-bile amadokodo, okwenzeka ngenxa yesifo esifanayo. Kungenzeka futhi ngenxa yezinkinga nge-pancreas, i-jaundice yemishini, i-cirrhosis ye-biliary.
I-bilirubin eqondisiwe ngqo
I-bilirubin ephansi emisebenzini yezokwelapha ayivamile. Izizathu zezinkomba ezinjalo zisacwaningwa ososayensi abavela emhlabeni wonke - bakholelwa ukuthi lesi simo esizayo esikhathini esizayo siyoba nomthelela omkhulu empilweni yabantu ngokujwayelekile.
Ngokuvamile, izinga elincane lale nkhomba liwumphumela wokulethwa okungalungile kokuhlaziywa uqobo. Kunezici ezimbalwa eziyinhloko ezithinta ushintsho kwimiphumela:
- ukuphuza utshwala noma utshwala;
- ukwamukelwa kwe-glucocorticoids, ama-antibiotics ngisho ne-ascorbic acid.
Izindlela eziholela ekunciphiseni kwe-bilirubin azange zifundwe ngokugcwele. Ukuze uthole ukuhlolwa kwegazi olunembile kakhulu kwe-bilirubin eqondile, udinga:
- Ngosuku olulandelayo uhambo oluya ebhokisatri ukuyeka ukudla okunamafutha, okuthosiwe (okunzima), ukuze ungalayishi isibindi, ngokufanele - kukhona imifino ebilisiwe noma i-steamed, inkukhu ebilisiwe, ama-porridges.
- Isiqingatha inyanga ngaphambi kokunikela ngegazi, yeka ukuthatha imithi, noma uzame ukunciphisa inani labo njengoba amaphilisi ngokuvamile ekhulisa ukuhlushwa kwezinto, okuzokwenza kube nzima ukwenza umsebenzi.
- Ukuze uthole usuku lokuyeka ukusebenza ngokomzimba, kuhlanganise nemidlalo, njengoba lokhu kuthinta umsebenzi wesibindi.
- Gwema ukucindezeleka ngokomzwelo - ukucindezeleka kungashintsha igazi elibala.
Uma kwaziwa kusukela ekuhlaziyweni ngemiphumela engacatshangwanga ye-bilirubin, okokuqala kubalulekile ukukhumbula ukuthi ngabe zonke izixwayiso zaziwa. Uma kungenjalo enye yezinto iphuliwe - ukuhlolwa kumele kukhishwe. Ngesiqiniseko, usuvele usho ngokuphepha ukuthi lokhu ukuphambuka kusuka kuvamile.
Ososayensi abaningi bathi amazinga aphansi ahlobene ngqo nesifo senhliziyo, ikakhulukazi ischemia. Lesi yisifo esibi kakhulu, ngakho-ke, uma uthola imiphumela efanayo, kuyadingeka ukuba uhambe ngokuphuthumayo ku-cardiologist, lapho kuzodingeka khona ukuthatha izivivinyo ezintsha.