Yibilirubin esiphakamileyo sosana: Oonobangela

Kwaphumela ekutshatyalalisweni haemoglobin igazi kunye nezinye iiproteni equlathwe plasma kunye inyongo ebala ukuba mthubi-mdaka ngebala - kuba yibilirubin. izinga ligazi akufani: ngabantwana ngaphezu kwenyanga enye yobudala kunye abadala uyondelelwano lwee- kombala yi 8,5-20,5 umol / L kwiintsana - ukuya ku 205 mmol / l okanye ngaphezulu.

Ngoko yibilirubin ophakamileyo xa kuzalwa Kuyaqondakala. Umntwana kuphefumla ngokwabo, ngoxa esibelekweni. oksijini inyama yayo kubonelelwa ngokusebenzisa erythrocytes eziqulathe athwala Palsy. Iba ngokungeyomfuneko emva kokuvela komntwana, ndifikile ehlabathini, ukuze oko batshatyalaliswe. Ngoko ke, kukho yibilirubin ukwanda sosana. It is free, ngamanye amazwi, ukuba ezingenakunyibilika isakhi ngqo. Izintso abakwazi ukusirhoxisa, ngoko atyhutyhela egazini okoko nje umzimba ngokupheleleyo iinkqubo enzyme oqolileyo. Xa oku kusenzeka, lo yibilirubin ngqo uguqulwe umgca ngqo kunye nemiboniso.

Senyongo kwiintsana

yibilirubin kwaphakanyiswa kwiintsana ibandakanya okuvela senyongo. Kuba kids abaninzi ke komzimba, wabonwa nama-3-4 iintsuku emva kokuzalwa yaye ekugqibeleni shwaka ngaphandle umkhondo, ngaphandle ebangela nawuphi na umonakalo emzimbeni. Senyongo kaninzi kwenzeka kwiimeko apho kukho hypoxia intrauterine ezingekazalwa, isifo seswekile koomama. Ngokubonakalayo yibilirubin ephakamileyo kuzalwa ukuze bandiqumbise uphuhliso senyongo yezifo. Izizathu livela ziquka ukutshatyalaliswa erythrocytes ezibangelwa unina zemfuza awahambisani nomntwana kwi Rhesus okanye amaqela igazi sisilonda esidumbileyoesingaphakathi isibindi indalo ezosulelayo, kwesisu isithintelo, ukuphazamiseka kwamadlala, kwekhono siseko hepatic, kunye nabanye. Ukuze ufumanise ukuba yintoni eyabangela ukwenzeka leengxaki, kwangathi oyingcaphephe kuphela, ngokusekelwe kwiziphumo zeemvavanyo yegazi kunye nezinye uphando.

yibilirubin Encephalopathy

Ukuba kukho ukwanda olomeleleyo yibilirubin e kubelekwa, kukho ingozi elalana lwalo luvo yaye benikela it neziphumo ezinetyhefu. Kuyingozi kumaziko luvo kunye nobuchopho imeko ekuthiwa yibilirubin, okanye inyukliya, Encephalopathy. iimpawu zayo ekunciphiseni usana owanyayo reflex, bemthoba uxinzelelo lwegazi, ukozela kakhulu, ukuxhuzula. Xa eneenyanga ezintandathu ubudala usana abe ubuthulu, ukukhubazeka, ukukhubazeka engqondweni.

yibilirubin Ukwanda: unyango

Ukuba umntwana uzelwe senyongo komzimba, indlela isebenzayo unyango yi phototherapy. Ukusebenzisa exposure ukukhanya yibilirubin unconjugated aguqulwa kwi non-ityhefu, nto leyo ke kwazona kwi umchamo endleni zingadlulanga iiyure eziyi-12. Nangona kunjalo, lo unyango ukukhanya ukuze bandiqumbise iziphumo ebezingalindelekanga ezifana norhudo, isikhumba yokuzikhwebula. Emva kokuba ekumeni phototherapy awugqithe. Ukongeza, ukuba ukupheliswa ngokukhawuleza nangaphezulu senyongo komzimba kudla kucetyiswa ukuba ukondla usana lwakho ngobisi lwebele. Ngenxa umthubi kumzimba oluboniswe endleni yokuqala (meconium) kunye ne yibilirubin. Xa senyongo yezifo, ngaphandle ngokusebenzisa ezi unyango kufuneka bavelise kwanonyango ejolise Ngokuphelisa izinto zesi sifo.