Direct bilirubin yog ib qho ntawm feem ntau hom bilirubin, uas yog ib feem ntawm cov kua mis. Qhov no yog cov pigment uas ua rau daim siab. Nws tshwm los ntawm kev sib cais ntawm cov nqaijrog xws li hemoglobin, cytochrome thiab myoglobin. Disintegration tshwm sim nyob rau hauv cov pob txha pob txha, spleen thiab daim siab, qhov kawg ntawm cov khoom ua tau raug tawm ntawm lub cev los ntawm kab mob.
Nyob rau hauv cov ntaub ntawv twg yog lawv xa rau cov kev kuaj uas qhia tias bilirubin?
Nws muaj ob peb yam tseem ceeb, vim hais tias ntawm lawv feem ntau tau qhia rau lub caij ntawm kev ntsuas ntawm qhov ntsuas no:
- daim siab mob;
- bile tawm zis;
- suspicion ntawm jaundice.
Txoj cai ntawm kev ncaj qha bilirubin yog 0-3.4 μmol / l. Ua ntej koj dhau txoj kev kuaj, koj noj tsis tau. Koj tsuas haus tau dej huv xwb. Hauv qhov no, qhov tshwm sim tuaj yeem ua rau ntau yam: muaj rog rog, tshaib plab, ntau yam tshuaj (tshuaj tua kab, tshuaj tiv thaiv kabmob qhov ncauj, sibtham thiab lwm tus). Vim hais tias txhua yam no, feem ntau cov bilirubin feem ntau tsis yog.
Tsub kom ncaj qha bilirubin
Qib siab ntawm txoj kev ncaj qha bilirubin qhia qee tus kab mob pathologies.
Feem ntau qhov no qhia tau hais tias lub xub ntiag nyob rau hauv lub cev ntawm ib los yog ntau dua kab mob kis:
- viral mob siab;
- mononucleosis ;
- syphilis;
- noj cov kab mob cab.
Tsis tas li ntawd, cov teeb meem nrog kev tawm ntawm cov ncaj qha bilirubin tuaj yeem tshwm sim vim:
- txais tos cov tshuaj tua kabmob;
- fatty hepatosis rau cov poj niam cev xeeb tub;
- oncological siab kab mob;
- cholecystitis thiab cholangitis;
- hereditary kab mob.
Gallstone thaiv - clogging ntawm bile bile, uas tshwm sim los ntawm tus kab mob coj. Nws kuj tuaj yeem tshwm sim vim muaj teeb meem nrog rau cov txiav, cov hlab ntsha, cov hlab ntses.
Reduced ncaj qha bilirubin
Paub tsis paub pes tsawg tus bilirubin nyob rau hauv kev kho mob. Yog vim li cas rau cov ntsuas no tseem kawm tau los ntawm cov kws tshawb fawb los ntawm thoob plaws lub ntiaj teb - lawv ntseeg tias qhov tshwm sim nyob rau hauv lub neej yav tom ntej yuav muaj feem xyuam rau tib neeg kev noj qab haus huv feem ntau.
Feem ntau, ib qib qis ntawm qhov ntsuas no yog qhov tshwm sim ntawm qhov tsis muaj tseeb ntawm kev ntsuam xyuas nws tus kheej. Muaj ob peb yam tseem ceeb hauv kev hloov hauv cov txiaj ntsig:
- siv dej cawv lossis caffeinated cawv;
- txais tos ntawm glucocorticoids, tshuaj tua kab mob thiab ascorbic acid.
Cov mechanisms uas ua rau ib tug thawj hauv bilirubin tseem tsis tau kawm tag nrho. Yuav kom tau txais kev kuaj ntshav ntxiv rau kev ncaj ncees ncaj qha, koj yuav tsum:
- Hnub ua ntej mus rau qhov chaw kuaj mob ua rau muaj roj, khoom noj (hnyav), yog li tsis txhob thauj khoom rau lub siab, hom phiaj - yog muaj zaub los yog ua zaub ua rau zaub, nqaij qaib, qhwv qaib, porridges.
- Rau ib nrab ntawm lub hlis ua ntej cov ntshav pub, tsis txhob noj cov tshuaj, lossis sim txo lawv cov xov tooj ntau npaum li cov ntsiav tshuaj feem ntau nce cov concentration ntawm cov tshuaj, uas yuav cuam tshuam qhov hauj lwm.
- Rau ib hnub los tso lub cev lub cev, nrog rau kev ua si, raws li qhov no cuam tshuam rau kev ua haujlwm ntawm lub siab.
- Tsis txhob muaj kev ntxhov siab - kev ntxhov siab tuaj yeem hloov cov ntshav.
Yog tias nws paub los ntawm cov kev soj ntsuam hais txog qhov txheeb xyuas tau zoo tshaj plaws ntawm bilirubin, ces thaum xub thawj nws tseem ceeb heev kom nco ntsoov tias txhua qhov kev ceeb toom tau pom. Yog tias tseem tshuav ib qho ntawm cov khoom tau ua txhaum lawm - cov ntawv xeem yuav tsum rov qab muab dua. Nrog kev pom zoo, koj tuaj yeem ua tau zoo hais tias qhov no yog qhov sib txawv ntawm cov cai.
Muaj ntau cov kws tshawb fawb sib cav hais tias cov nqi qis yog ncaj qha ntsig txog kab mob hauv lub plawv, hauv kev khaus no. Qhov no yog ib qho kab mob loj heev, yog li ntawd, thaum tau txais cov txiaj ntsim zoo ib yam, nws yuav tsum mob siab mus rau cov kws kho mob, qhov uas nws yuav tsum tau coj mus kuaj tshiab.