Cov cai ntawm bilirubin nyob rau hauv cov ntshav ntawm cov poj niam

Hemoglobin thiab erythrocytes, uas tau ua tiav lawv lub zog, yuav raug ua haujlwm hauv daim siab. Raws li ib tug ntawm cov kev xws li, bilirubin yog tsim - ib daj-ntsuab xim. Nws yog ib qho qhia tau ntawm daim siab thiab poov hlau, cov kabmob metabolic. Yog li, feem ntau lees paub cov cai ntawm bilirubin nyob rau hauv cov ntshav hauv cov poj niam yog suav hais tias yog ib qho ntawm cov ntsiab lus tseem ceeb hauv kev kuaj kev sim rau kev kuaj mob ntawm ntau yam kabmob hepatological, endocrine thiab digestive.

Tus naj npawb ntawm bilirubin tag nrho hauv kev ntsuam xyuas ntawm cov ntshav hauv cov poj niam

Kev tsim ntawm bilirubin pib nrog cov ntshav hauv cov ntshav uas muaj hemoglobin thiab thauj cov pa mus rau txhua cov nqaij mos thiab cov hauv nruab nrog cev. Erythrocytes, dhau caij nyoog lawv lub sij hawm, nkag mus rau spleen thiab pob txha marrow, as Well as lub siab, qhov twg kev ntawm lawv kev puas tsuaj tshwm sim. Raws li ib qho kev sib tawg ntawm cov hlwb thiab cov kab mob hemoglobin, bilirubin yog tso tawm. Ua ntej, nws yog ib qho tsis ncaj ncees thiab mob toxic rau lub cev, yog li nyob rau hauv lub siab parenchyma nws compensates rau tshwj xeeb enzymes uas hloov lub compound mus ncaj qha bilirubin. Cov khoom ua ke yog tso tawm hauv cov kua mis, tom qab uas nws nkag mus rau hauv cov hnyuv thiab yog lawm tso nrog rau cov quav.

Bilirubin nyob rau hauv cov ntaub ntawv no muaj urobilin thiab stercobilin, cov pigments, uas muab tus yam ntxwv ntxoov ntxoo cov zis thiab quav, feem. Yog li ntawd, thaum lub concentration ntawm lub compound nyob rau hauv kev saib xyuas nce, cov xim ntawm tus tawm kuj hloov. Cov zis muaj peev xim xaj xim, thiab cov quav yuav tuaj dawb.

Tus naj npawb ntawm tag nrho los yog tag nrho bilirubin nyob rau hauv cov ntshav ntawm cov poj niam yog los ntawm 3.4 rau 17.2 μmol / l. Yog hais tias muaj keeb kwm ntawm daim siab mob siab, keeb kwm tsis ntev los no ntawm tus kab mob siab viral, qhov indices tuaj yeem los ntawm 8.5 mus rau 20.5 μmol / L, ua raws li ntawm normalization.

Nws yog tsim nyog sau tseg tias qhov nqi teev muaj nqis raug suav hais tias yog tag nrho cov cai tau pom thaum uas dhau kev soj ntsuam:

1. Tsis txhob noj nyob rau lub sijhawm ntawm kev kawm. Nws yog qhov zoo uas muab zaub mov rau 12 teev, tab sis cia peb hais tias lub caij nyoog yog 4 xuab moos.
2. Txhob haus kas fes thiab haus cov dej muaj caffeine ua ntej tso ntshav.
3. Tsis txhob haus dej haus cawv hepatoprotectors , choleretic preparations, cov tshuaj uas dilute cov ntshav (aspirin, heparin, warfarin).
4. Tsis txhob tshaib plab, tsis txhob noj khoom haus ua ntej kev tshawb fawb.

Lub sijhawm zoo tshaj plaws rau tub tuag tes tuag taw yog txog 9 o'clock in the morning.

Dab tsi yog qhov kev cai ncaj qha bilirubin hauv ntshav venous hauv cov poj niam?

Cov paug dej uas yog xim daj-xim ntsuab los yog bilirubin compound nrog glucuronic acid, npaj txhij los ntawm lub cev, yuav tsum tsis pub tshaj 4.3 μmol / l (hauv qee tus poj niam - txog li 7.9 μmol / l nrog rau daim siab thiab cov kab mob qaub ncaug) -25% ntawm tag nrho bilirubin.

Xws li ib qho me me ntawm cov xim daj-ntsuab xim hauv cov ntshav yog piav qhia los ntawm qhov tseeb tias nws, raws li txoj cai, yog tam sim ntawd tawm ntawm lub cev los ntawm lub qhov quav nrog rau cov quav thiab cov kua tsib.

Dab tsi yog cov cai ntawm indirect bilirubin nyob rau hauv cov ntshav ntawm cov poj niam?

Cov ntsiab lus piav qhia nyob rau hauv daim ntawv (tsis qis), raws li twb tau hais lawm, yog ib qho tshuaj lom rau lub cev thiab yuav tsum tau ua tam sim ntawd hauv daim siab lub siab. Nws yog nws concentration uas yog feem ntau qhia yog tias tsim nyog los ntsuam xyuas lub xeev cov kab mob siab hepatological thiab cov txheej txheem metabolic.

Cov cai ntawm cov ntaub ntawv dawb los yog dawb bilirubin hauv cov ntshav ntawm cov poj niam yuav tsum tsis pub tshaj 15.4 μmol / l. Yog li, cov pob txha tsis qog neeg yog 70-75% ntawm cov bilirubin tag nrho cov ntshav.

Nws yog ib qho nthuav tias ib feem ntawm qhov tsis ncaj, kuj hu ua ib daim ntawv pub dawb, tsis yog ib yam khoom, tab sis ib txoj haujlwm ntawm lub cev nrog albumin. Los txiav txim siab rau nws cov ntsiab lus nyob hauv kev kuaj tsuas yog ua tau tom qab kev puas tsuaj xws li ib lub cev thiab nws txoj kev hloov mus rau hauv lub xeev ntawm cov dej nyob hauv dej.