Xa amangqombela egazi abomvu adala okanye awonakaliswe, aphulwe phantsi kwesibindi . Ngelo xesha, into ebizwa ngokuba yi-bilirubin iveliswa. Into ephuzi ebomvu eline-bile, i-bilirubin idla ngokugqithiselwa emzimbeni ngokusebenzisa inkqubo yokuchasana, kunye neengulube ezisezantsi ukuze zinike umbala obomvu oqhelekileyo.
Iimbangela zeBilirubin ephakamileyo
Umsebenzi ochaphazelekayo wesibindi kwizifo ezinjenge-hepatitis.
kunye nokuvinjelwa kwimizila ye-bile (imizila) apho ukudlula i-bile esuka esibindi ukuya emathunjini amancinci zimbini zeemeko eziphambili ezibangela amazinga aphezulu e-bilirubin egazini. Ukongezelela, izifo ezithile zegazi ezifana ne-hemolytic anemia zingabangela amazinga aphezulu e-bilirubin.
Xa inkqubo eyenziwa yi-bilirubin idityaniswe nayiphi na imeko okanye izifo, amazinga e-bilirubin akhula kwigazi kwaye angabangela isetyenzisi seempawu kunye neempawu ezibizwa ngokuba yi-jaundice. I-jaundice ingabangela:
- Ukuqhwala kwesikhumba kunye nabamhlophe kwamehlo
- I-Urine ebumnyama kunesiqhelo
- Izitshixo ezibalaphale ngombala
Uvavanyo lokufumana i-Bilirubin ephakamileyo
I-Bilirubin egazini ikhona kwiifom ezimbini:
- Ukungabonakali, okanye ngokungathanga ngqo, i-bilirubin: Ayichitheki emanzini kwaye uhamba ngegazi ukuya kwisibindi, apho utshintshilwa yifom.
- Idibeneyo, okanye ichanekileyo: Eveliswa sisibindi ukusuka kwi-bilirubin engacacanga, le fomu iyanqabisa.
Xa ugqirha eyala iimvavanyo ukulinganisa impilo yesibindi, uvavanyo lwe-bilirubin luhlala luquka njalo. Uvavanyo lwegazi lunokulinganisa zombini i-bilirubin kunye namanqanaba e-bilirubin ngokuthe ngqo, kwaye amanqanaba angama-bilirubin angacacanga angenziwa kwi-total and direct bilirubin.
Amanqanaba eBilirubin aqhelekileyo
Nangona iilbs ezahlukeneyo zisebenzisa iindawo ezahlukeneyo zeenkcukacha, ngokuqhelekileyo, kubantwana abadala kunye nabantu abadala, ezi zilandelayo zibonisa amanqanaba aqhelekileyo e-bilirubin:
- Idibeneyo (ngokuthe ngqo) i-bilirubin: 0 ukuya ku-0.3 mg / dL (i-milligram nge-deciliter).
- Iyonke i-bilirubin (ngokuthe ngqo kunye engahambelaniyo idityanisiweyo): ivela kwi-0.3 ukuya kwi-1.2 mg / dL.
Amanyathelo alandelayo
Ukuba amazinga e-bilirubin aphakanyisiwe, ugqirha uya kufuna ukufumana isizathu. Kwiimeko ezininzi, ukucinga ngeesisu kuqhutyelwa nge-ultrasonography, i-computed tomography (CT), i-IMRI).
Ukuba i-ultrasound ibonisa ukuba kukho ukukhutshwa kwe-bile duct, ezinye iimvavanyo zingalelwe ukuba zichane isizathu. Kwezinye iimeko, i-biopsy yesibindi iyakufuneka, umzekelo xa iimeko ezithile, kuquka i-hepatitis, zikhankanywa okanye xa oogqirha bezama ukufikelela kwi-diagnostic.
Xa isizathu esisisiseko sifumanekile kwaye ukuxilongwa kuye kwafunyanwa, unyango lujoliswe ekujonganeni nesifo okanye imeko. Ngokomzekelo, ukuba i-hepatitis ye-viral hepatitis ibangela i-jaundice, inokusombulula ngokuthe ngcembe yodwa ngaphandle kwonyango. Kodwa ukuba i-hepatitis engapheliyo yimbangela, nangona i-jaundice iphela, ezinye iindlela zonyango ziyakucingelwa. Ukuba isisombululo sokukhusela i-bile, iprogram yokuvula i-buct ye-bile ingenziwa, ngokuqhelekileyo iphela, isebenzisa amacandelo amancinci.
Into ebalulekileyo ukuba uyikhumbule ngamanqanaba e-bilirubin aphakamileyo kukuba zibonakalisa izifo kungekhona isifo ngokwazo.
Uphando oluthe gqolo luhlala lufanelekile, kwaye ugqirha wakho kufuneka agxile ekufumaneni imeko ephantsi.