Kom bilirubin nyob rau hauv tus me nyuam mos: Ua

Ua nyob rau hauv kev puas tsuaj ntawm cov ntshav hemoglobin thiab lwm yam cov nqaijrog muaj nyob rau hauv ntshav thiab cov kua tsib xim muaj ib tug daj-xim av nyob rau hauv cov xim - nws yog bilirubin. Nws tus nqi ntawm cov ntshav yog tsis tau tib yam: nyob rau hauv cov me nyuam tshaj li ib lub hli uas muaj hnub nyoog laus lub concentration ntawm cov xim yog 8,5-20,5 umol / L nyob rau hauv cov me nyuam mos - mus txog rau 205 mmol / l los yog ntau tshaj.

Yog li ntawd kom bilirubin nyob rau hauv cov me nyuam mos yog heev nkag siab. Ib tug me nyuam yuav tsis ua pa rau ntawm lawv tus kheej, thaum nyob rau hauv lub tsev menyuam. Nws cov ntaub so ntswg oxygen nkag los ntawm txoj kev erythrocytes uas muaj me nyuam hauv plab hemoglobin. Nws yuav ruaj tom qab lub tsos ntawm ib tug me nyuam mus rau hauv lub ntiaj teb no, yog li ntawd yog puas lawm. Yog li ntawd, muaj ib tug muaj zog bilirubin nyob rau hauv tus me nyuam mos. Nws yog free, nyob rau hauv lwm yam lus, indirect xim ua insoluble. Lub ob lub raum yuav tsis thim nws, ces nws yeej nyob rau hauv cov ntshav raws li ntev raws li lub cev yog tsis paub tab enzyme systems. Thaum zoo li no tshwm sim, lub indirect bilirubin yog hloov mus rau hauv ib tug ncaj kab thiab qhia.

Daj ntseg nyob rau hauv cov me nyuam mos

Tsa bilirubin nyob rau hauv cov me nyuam mos yuav tshwm sim ntawm daj ntseg. Rau feem ntau cov me nyuam nws yog ib tug muaj sia, tau pom los ntawm kwv yees li 3-4 hnub tom qab yug tus me nyuam thiab nws thiaj li ploj tsis muaj ib txoj lw, tsis tas yuav ua tej kev tsim txom rau hauv lub cev. Daj ntseg feem ntau tshwm sim nyob rau hauv tus neeg mob qhov twg muaj yog intrauterine me nyuam hauv plab hypoxia, naim li mob ntshav qab zib. Ho txhawb bilirubin nyob rau hauv cov me nyuam mos yuav ntxias txoj kev loj hlob ntawm pathological daj ntseg. Yog vim li cas rau nws tshwm sim muaj xws li kev puas tsuaj ntawm erythrocytes tshwm sim los ntawm txhob kaw incompatible niam thiab tus me nyuam nyob rau ntawm lub Rhesus los yog cov ntshav pawg lesion kab xwm siab, plob tsis so tswj rhuav txhua, hormonal ntshawv siab, kev cai hepatic kawg, thiab lwm tus neeg. Yog xav paub dab tsi tshwm sim los qhov tshwm sim ntawm pathology, yuav tsuas ib tug kws, raws li nyob rau hauv cov kev tshwm sim ntawm kev kuaj ntshav thiab lwm yam kev soj ntsuam.

bilirubin encephalopathy

Yog hais tias muaj yog ib tug muaj zog nce nyob rau hauv bilirubin nyob rau hauv cov me nyuam mos, muaj yog ib tug txaus ntshai ntawm nws cov allergic rau hauv lub paj hlwb thiab rendering nws lom los. Nws yog txaus ntshai rau lub paj chaw zov me nyuam thiab lub hlwb mob hu ua bilirubin, los yog nuclear, encephalopathy. Nws cov tsos mob nyob rau hauv txo me nyuam mos qab ib co kab reflex, tej ntshav siab, mob nkees nkees, qaug dab peg. Los ntawm cov muaj hnub nyoog ntawm rau lub hlis tus me nyuam tej zaum yuav muaj lub rooj sib hais tsis tau, tuag tes tuag taw, muaj hlwb ruamqauj.

Nce bilirubin: kev kho mob

Yog hais tias tus me nyuam muaj ib tug physiological daj ntseg, qhov zoo tshaj txoj kev kho mob yog Phototherapy. Siv lub teeb kis unconjugated bilirubin yog hloov dua siab tshiab rau tsis yog-tshuaj lom, uas yog ces tas nyob hauv cov zis thiab feces li ntawm 12 teev. Txawm li cas los, cov teeb kev kho mob tej zaum yuav ntxias phiv xws li raws plab, daim tawv nqaij nti. Tom qab lub cessation ntawm Phototherapy lawv kis tau. Nyob rau hauv tas li ntawd, rau ib tug ntau ceev tshem tawm ntawm lub physiological daj ntseg yog feem ntau pom zoo kom pub koj tus me nyuam mis. Vim lub colostrum los ntawm lub cev tso tawm kom pom thawj quav (meconium) ua ke nrog bilirubin. Nyob rau hauv pathological daj ntseg, dua li uas siv cov kev kho mob yuav tsum tau tsim ib tug txoj kev kho tswj xa cov ua ntawm tus kab mob.