Yintoni yibilirubin, nanjengokwesimo kwaye ukuphambuka

Yibilirubin - khemikhali mpilo. Oku kumiselwa serum kwaye yahlulwe ngqo nengxelo-ntetho. Indlela yophando na calorimetry photometric. Iyunithi yomlinganiselo of yibilirubin ngqo nengxelo- yi micromoles ilitha nganye. Biomaterials for lokuvandlakanya lunokuba lwemithambo okanye capillary igazi. Ngaphambi kokuba kwilebhu isigulane kufuneka kwiiyure ezili-12 phambi kokuba unikezelo zohlalutyo akathathi ukutya okanye umsi yemizuzu engama-30.

Yintoni yibilirubin? Elabhoratri, isigqibo isiqulatho ubungakanani yibilirubin egazini. It izenzo sombala brown bulubhelu kwaye likubona nomchamo, duct ilindle efanayo umbala.

Athwala - enye inxalenye iseli ebomvu yegazi. Kwi isixokelelwano sokuphefumla haemoglobin ethwala ioksijini ancedisana, yaye kwelinye icala - carbon dioxide. Ngenxa cleavage pathways mpilo, oluthi luqokelelane ukusuka yibilirubin ngqo (unconjugated). Emini oveliswa ukuya ku 250 mg. Emva kwale inguquko kwenzeka esibindini. Hepatocytes Jikela yibilirubin ukuba glucuronic acid, ngaloo ndlela, zokuguqula conjugated (ethe ngqo). Olu hlobo yibilirubin uyakwazi inyibilike lulwelo. I encinci igazi ebala ngqo. Xa lwee- ukuphazamiseka pathways angandiswa, ekhokelela hyperbilirubinemia. High lamanani ukubonisa iimpawu senyongo: yellowing ulusu, inwebu yangaphakathi kunye sclera, kwaye kananjalo ukulunywa.

Yintoni yibilirubin? iintlobo ezintathu ukuphazamiseka of yibilirubin ukutya:

1. Hemolysis iiseli ezibomvu zegazi. Ziphakama xa kukho ukutshatyalaliswa iiseli ezibomvu zegazi. Kuye ambona cell anemia irhengqa, sverotsitoze, isifo hemolytic le usana kunye ezifana Kwakhona hemolysis kunokwenzeka ngenxa yokuba sesichengeni izinto eziyityhefu emzimbeni.

2. Ukophulwa ingqibelelo yokwakheka okanye esebenza hepatocytes. Ukubangela imo sohlobo wentsholongwane egazini, kwakunye isiphumo ityhefu utywala, amayeza, nendlu neekhemikhali mveliso.

3. Omnye umqobo ukuba indlela inyongo ukuya emathunjini we iphecana biliary. Oku kwenzeka xa zixinaniswe okanye gqitha umendo kwi nangezilonda, kwiindawo ezandisiweyo nkovu okanye zeDyskinesia.

Yintoni yibilirubin? Uhlalutyo yibilirubin kunceda ukuchonga inani iimeko zophendlo lwezifo izinto ezinxulumene ngqo okanye ngokungathanga ngqo sesibindi okanye hematopoietic iinkqubo kakuhle.

Uhlalutyo olunjalo kuyimfuneko ukuze:

- ukuxilonga iindidi ezahlukeneyo kwegazi;

- ukuvavanya ingqibelelo iiseli isibindi;

- ukuchonga hepatitis egazini;

- ukuqinisekisa patency nesiqephu biliary;

- ekufunyanisweni kwe igazi hemolytic kuzalwa;

- ukucacisa ubuzaza imeko yomguli kwi iintlobo ezahlukeneyo yityhefu.

Yintoni yibilirubin? Ukwandisa izinga ibonisa ekutshatyalalisweni iiseli ezibomvu, umonakalo hepatocyte okanye ukuphazamiseka iindlela inyongo lokuphuma biliary. yibilirubin elisezantsi ixabiso elincinane diagnostic. Ukuqinisekisa inqanaba kufuneka zihlolelwe yibilirubin. KwiSithethe kukuba ukuya ku-20 Mol / ilitha ukuba abantu abadala.