Lapho umzimba wesithomende, i-hemoglobin ihlanganiswa esibindi, yenza i-bilirubin njengomkhiqizo wokubola. Itholakala ku-serum futhi nge-bile. I-Bilirubin idonswa emzimbeni nge-urine nemifino, kanye ne-bile. Uma izinga le-bilirubin landa, libonakala ngendlela yokuphuziza isikhumba - i- jaundice .
Uma kuhlaziywa okuqukethwe kwe-bilirubin e-plasma yegazi, thola izinhlobo eziqondile nezingaqondile zalolu pigment. Izinhlobo ezimbili zivamile bilirubin. Ukuqondisa - lokhu kungukuthi i-pigment isivele iboshwe emangqamuzaneni yesibindi futhi ilungele ukususwa, futhi okungaqondile kwakhiwe kamuva futhi engakaze yenzeke. Okuqukethwe kwe-bilirubin egazini kubonisa indlela ukusebenza ngayo isibindi ne-bile. Ukwandisa izinga le-pigment kuya kumamaki aphezulu kuyinto eyingozi kakhulu futhi kudinga isinyathelo ngokushesha.
Ungathatha kanjani ukuhlaziywa kwe-bilirubin?
Kunezimiso eziningana zokuthatha ukuhlolwa kwegazi kwe-bilirubin evamile:
- Ukuze unqume izinga le-bilirubin, isampuli segazi senziwa kusukela emthanjeni ngaphakathi kwe-elbow yengalo. Izinsana zithatha igazi esithende noma emithanjeni ekhanda.
- Ngaphambi kokuthatha ukuhlolwa okungenani izinsuku ezingu-3 awukwazi ukuthatha ukudla okunamafutha futhi udinga ukuphuza utshwala.
- Ukuhlaziywa kwenziwa kuphela esiswini esingenalutho. Kufanele ulambe okungenani amahora angu-8. Njengomthetho, igazi lithathwa ekuseni. Izingane azikho imikhawulo.
Umphumela wokuhlaziywa ungathonywa yizici ezilandelayo:
- ukuthatha ikhofi kanye nezidakamizwa ezine-caffeine;
- ukuthatha i-Warfarin, i-Aspirin, i-Heparin;
- ukudla nokulala;
- ukuthatha amalungiselelo e-cholagogue noma ama-decoctions wamakhambi, imithi yesibindi;
- ukukhulelwa.
Izindlela ze-bilirubin ekuhlolweni kwegazi
Umkhuba we-bilirubin ophelele kubantu abadala uvela ku-3.4, (ngokusho kweminye imithombo evela ku-5.1) kuya ku-17 micromolar ngalinye ilitha.
Ingqikithi engacacile ingu-70-75%, ukufundwa kwe-micromoles ngetreji ibanga kusuka ku-3.4 kuya ku-12. Ingxenyana eqondile ihluka kusuka ku-1.7 kuya ku-5.1 micromolar ngetitha. Ezinye imithombo ithi ukujwayelekile kungacatshangwa kusuka ku-0 kuya ku-3.5 micromolar ngetitha.
Kumele kuqashelwe ukuthi kwabesifazane abakhulelwe izinga eliphakeme kakhulu le-bilirubin ngokuvamile libhekwa njengelesijwayelekile. Kubantwana abasha, i
I-Bilirubin ekuhlaziyweni komchamo
Uma i-bilirubin itholakale ekuhlaziyweni komchamo, lokhu kuyisibonakaliso sokuqala kokungasebenzi emibhodleleni yesibindi ne-bile. Ukuhlaziywa kunikeza ukutholakala kokuqala kwezifo ezinjenge:
- i-cirrhosis ;
- i-hepatitis;
- izifo ze-gallbladder;
- umdlavuza.