Bilirubin nyob rau hauv cov ntshav - ib tug tseem ceeb diagnostic qhia ntawm digestive system kab mob

Txhua tus neeg nyob hauv tsawg kawg ib zaug nyob rau hauv nws lub neej tau ntsib nrog lub sij hawm "cov ntshav bilirubin" surrendering kev ntsuam xyuas nyob rau hauv lub tsev kho mob los yog tsev kho mob. Tab sis ob peb cov neeg to taub zoo npaum li cas tus nqi ntawm qhov ntsuas no.

Bilirubin yog thawj xim, cholic, daj-liab xim, uas ua los ntawm lub neej puas hemoglobin. Qhov no yuav txiav txim cov xim daj doog rau lub thib peb hnub thiab daim tawv nqaij nyob rau hauv daj ntseg.

Tag nrho cov bilirubin muaj ob fractions - ncaj qha thiab indirect, txhua tus uas muaj nws tus kheej lub ntsiab lus. Nrog rau cov kev puas tsuaj ntawm hemoglobin, myoglobin, thiab lwm yam tshwj xeeb ntshav cov nqaijrog reticuloendothelial hlwb tso indirect los yog free feem, uas ces nkag mus rau hauv daim siab thiab binds rau glucuronic acid, ua ib tug ncaj los yog txuam feem.

Qhov tseem ceeb (rau Iendrasheku): tag nrho bilirubin - 8,5-20,5 mmol / l, direct - 0-5,1 mol / l. Nyob rau hauv cev xeeb tub cov poj niam nyob rau hauv lub thib peb peb lub hlis thiab cov me nyuam mos ntawm cov thawj lub hlis ntawm lub neej muaj yog ib tug muaj sia nce nyob rau hauv xim.

bilirubin theem yog txiav txim heev tsuas. Yoo mov (tsis muaj ntxov tshaj tom qab 8 teev tom qab kawg noj mov), tus neeg mob yuav muab kev pab cov ntshav los ntawm ib tug hlab ntsha. Nws yog tsim nyog los tsis kam noj tshuaj, haus dej cawv, zaub mov muaj roj, los ntawm sab kawg qoj ib ce. Nyob rau hauv txoj kev tshawb no ntawm cov ntshav diazoreaktiv ntxiv, tom qab uas lub bound feem yog pleev xim rau liab - ib tug ncaj qha teb. Ib tug dawb feem tsis hnov mob, li ntawd, lub raj twb ntxiv ib qho organic hnyav, enabling nws tso tawm - yog ib indirect cov tshuaj tiv thaiv. Kuaj ntshav rau bilirubin yuav tsum npaj kom txhij rau hnub ntawd.

Yog hais tias cov ntshav bilirubin theem siab tshaj 27 mmol / l, jaundice (hyperbilirubinemia), uas manifests yellowness daim tawv nqaij, txheej week thiab sclera. Nyob rau hauv tas li ntawd, cov neeg mob tej zaum yuav muaj palpitations, kub taub hau, tso zis dub. Tej zaum yuav muaj kev tsis txaus siab txog tsis xis nyob nyob rau hauv rau sab laug sab sauv quadrant, mob taub hau, kev tsis muaj zog.

Kom bilirubin nyob rau hauv cov ntshav yuav tsum tshwm sim los ntawm ib yam ntawm cov nram qab no lub ntsiab yog vim li cas:

1. Yog hais tias ntxhov lub khiav ntawm cov kua tsib (eg, cholelithiasis).
2. Yog hais tias koj nyom secretion ntawm conjugated bilirubin mus rau hauv lub bile.
3. Yog hais tias koj muaj lub siab tus kab mob, rau lub metabolism ntawm bilirubin.
4. Yog hais tias ib tug tsis txaus tus naj npawb ntawm faib enzymes lub luag hauj lwm rau cov hloov dua siab tshiab ntawm bilirubin, los yog lawv muaj nuj nqi zoo.
5. Yog hais tias cov xov tooj ntawm cov ntshav liab tshaj qhov lwj tus nqi (e.g., hemolytic anemia).

Muaj 3 degrees ntawm heev ntawm daj ntseg:

1. Lub teeb - bilirubin nyob rau hauv cov ntshav tsis pub tshaj 85 mmol / l.
2. Medium - 86-169 mmol / l.
3. Heavy - ntau tshaj 170 micromol / l.

Thaum bilirubin yog tsa ntau ntawm kev kho mob kho los ntawm ib tus kws kho mob! Ua ntej ntawm tag nrho cov, nws yuav yog nyob ntawm seb qhov ua rau ntawm lub qhia pathology. Tus thawj theem ntawm kev kho mob yog noj cov zaub mov. Tus neeg mob yuav tsum tau kiag li tshem tawm cov zaub mov, "hnyav" rau lub siab: roasted, las, smoked, muaj roj, haus dej cawv, ntsim, thiab lwm yam Nws tseem yog tsim nyog los txwv cov nqi ntawm ntsev, kas fes thiab qhob cij. Nyob rau hauv cov ntaub ntawv no, cov khoom noj yuav tsum tau nce dej kom tsawg thiab cereal porridges.

Ntawm tshuaj ntsuab haum chamomile, St. John lub wort, Motherwort, peppermint, sawv duav, birch nplooj. Siv nyias los yog nyob rau hauv mixtures nyob rau hauv daim ntawv ntawm cov infusions rau dej. Lawv yog cov nyob rau hauv tas li ntawd mus rau lub yooj yim kev kho mob.

Nyob rau hauv lub pathology ua rau tus kws kho mob yuav muab tshuaj rau ib tug xov tooj ntawm medicaments, kev qhia cov normalization ntawm bilirubin theem, cov yuav txhawb siab, plob tsis so tswj cleansing thiab mus pab tau tus tiv thaiv thaj chaw ntawm tus kab mob.

Bilirubin nyob rau hauv cov ntshav yog ib qho tseem ceeb diagnostic qhia ntawm ib tug xov tooj ntawm cov kab mob ntawm lub digestive system. Nws yuav pab ntes txawv txav, txawm tias tsis muaj tsos mob, li ntawd, ib feem ntawm qhov kev xeem ntawm tej tus neeg mob.