Direct bilirubin akakwidziridzwa - zvinorevei? Direct bilirubin: romuzvarirwo

kwazvo havasi vose vanoziva anatomi zvomuviri wako uye fuma, nezvekutanga kuti zvinosanganisira. Nokuda kwechikonzero ichi, mushure mekugamuchira pakuongororwa isu dzimwe nguva ndinonzwa rakawedzera mwoyo. Pashure pezvose, hatigoni kutsanangura kana kunzwisisa dzimwe tsika, uye naizvozvo, haasi kugona kwedu kuongorora avo ezvinhu zvakanaka. Mumwe tsika iyi kujeka yakakwirira bilirubin muropa. Zvinokukonzera uye kurapwa, uyewo zviratidzo ichi uchaongororwa pazasi.

Bilirubin - fuma mumuviri womunhu

Izvi fuma Organic yakaumbwa mumakore kwomuzvarirwo kuora kuti Chizenga nokuda kuparadzwa masero matsvuku eropa - red ropa masero. Izvi kunoitika ichi- sezvo yapfuura upenyu basa erythrocytes. Bilirubin anogona kuonekwa ropa kana kuti plasma bile. Zvemamiriro pamberi bilirubin mu zvinwiwa izvi kazhinji rinoratidza kuvapo zvemamiriro ezvinhu ropa (kunyanya kuparadzwa masero matsvuku eropa), hepatic kana biliary turakiti.

yakananga bilirubin Kusiyana nemamwe marudzi

Musayenzi yezvokurapa, pane mhando mbiri bilirubin - zvakananga uye zvisina kunanga. Wechipiri izvi, inonzi kunyange chokuita kuumbwa mumasero chiropa (anenge 80%), uye vamwe - iri chirwatata, uye mwongo masero.

Direct bilirubin, inonzi akasungirwa, yakaumbwa muna chiropa nokubatana zvisina kunanga bilirubin glucuronic acid. Izvi zvaida kuti ave nechokwadi kuti chepfu uye insoluble fuma akarega kupinda soluble chimiro uye zvinobudirira excrete bile.

Zvisinei, asiri chepfu uye nyore soluble conjugated bilirubin anogona kunge migumisiro inokuvadza pamusoro muviri. At yakakwirira kuwanda nefuma iri bile zviri asingatani kwemvura uye crystallization, izvi pakupedzisira zvinogona kutungamirira paumbwe hwakasimba deposits ari STRUCTURAL pezvokuvamba gallbladder yayo ducts.

Zvakabuda murabhoritari nemiedzo kazhinji raireva zvachose bilirubin, asi nezita kurapwa, mumuviri acho haasi. Pasi pfungwa iyi zvinoreva uwandu zvakananga uye zvisina kunanga bilirubin.

Nei basa bvunzo kuti zvakananga bilirubin ropa?

Kudzidza uku kunokosha nokuti kunoita kuti upindure mubvunzo yakawedzera bilirubin nokuda chiropa basa vanotaura kana kwete. Zvakawanikwa bilirubin nokuda yakakwirira kwevari zvisina kunanga zvinogoneka chete kuwedzera Kuparara hemoglobin. Kuwedzera nyore soluble chete fuma chinonyanya zvakajairika water drainage vakashanda bile kare kuumbwa, akadai zvokuimba blockage yacho bile ducts.

Zvikonzero zvibereko bilirubin muropa zvakasiyana. Zviri chakajairika chakakomba diffuse chiropa chirwere - Hepatitis. The chirwere kunoratidzwa nokuti masero muviri havagoni kurega zvakarurama uwandu ruvara ari gallbladder uye ayo ducts. Panguva Chaiyo bvunzo pamusoro zvakananga bilirubin mufambiro neropa kuziva chirwere uye kudzivisa kumwe ayo kunoita.

Chii mwero ropa bilirubin?

Kuti zvakarurama kuona pathological ezvinhu, nyanzvi makasimbisa pfungwa ndozvakajairwa bilirubin muropa. Zvingaita nomumwe akasiyana siyana, asi nekumwisa tsika izvi zvingaratidza zvoutano zvirwere.

In inotevera tafura tinogona kuona kuti dzemazera akasiyana-siyana mwero siyana bilirubin muropa. Wakawedzera bilirubin, zviratidzo, kurapwa akatsunga bedzi nyanzvi, anogona kuitika mumazuva okutanga pashure pokuberekwa. Saka zvinokosha kuti akuteerere pamwero yaro ropa, saka kuti vasarasikirwe zvakakomba zvokurwara yacho zvomukati.

Kana zvokurwara iri kuwedzera zvakananga bilirubin?

Inosimudzira ruvara wevasungwa zvinogoneka kana kuumbwa zvakawanda, kana pane zvipingamupinyi ayo excretion.

Vazhinji zvakawandisa kugadzirwa bilirubin iri kuchengetwa siyana nhaka zvirwere, uye kwete chete chiropa, asiwo hematopoiesis. To izvi zvinogona kukonzera zvakasiyana-siyana kupererwa, kunyanya akarondedzera wakawedzera fragility masero matsvuku eropa, uyewo zvokurwara ari chirwatata, zvakanyanyisa achiparadza masero matsvuku eropa, kusanganisira utano vaya.

Matambudziko ari kuchinja uye excretion kuti bilirubin kazhinji chokuita chiropa chirwere, yokuvamba nokuda zvinokuvadza muchetura kana panowanikwa inflammations. Kazhinji, izvi zvinopa mufananidzo gallstone chirwere uye kenza kuchinja.

Zvikonzero kuti zvakakonzera kuwedzera bilirubin mumatunhu ari Analyses vakakamurwa muzvikwata zvikuru zviviri: Fígado Extrahepatic. Wokutanga kazhinji kunokonzerwa diffusive pezvakaitwa ari chiropa, uye wechipiri - pamwe vanga kana zvimwe zvemaziso kusagadzikana bile water drainage kwacho.

Chiropa zvikonzero:

• Chenjera nemavhairasi chiropa A, B, C.
• Chirwere kuzvimba chiropa uye kwemabhakitiriya (nokuti brucellosis, leptospirosis).
• Chepfu chiropa, kunokonzerwa kuitwa zvinodhaka kusanganisira.
• Intrahepatic cholestasis.
• Oncological chiropa chirwere.

Extrahepatic zvikonzero:

• Compression of bile ducts.
• Zvirwere runoita akadaro.

Saka, yakakwirira kwevari zvakananga bilirubin angava anoratidza zvinetso siyana mumuviri uye haagoni kuva hwaro kuongororwa zvakarurama. Asi achiziva mamakisi, unogona maitiro mamwe zvakanangwa pakuongorora murwere.

Kuwedzera vasina kusungwa bilirubin muropa

Kana pakuongororwa vanoratidza anotoita kuti kunanga ruvara, zvakakodzera kuteerera CBC, kureva nhamba masero matsvuku eropa uye hemoglobin. Sezvo kunanga bilirubin nechakatsinhiwa nokuda vawedzere kuora kuti Chizenga muvanhu vachava zviratidzo pachena kuti kupererwa neropa. Nokuda kuunganidza ropa rakawandisa vasina kusungwa ruvara uye yakakura nyaya kuonekwa hemolytic kupererwa neropa (by jaundice).

Zvinokonzera yakaderera bilirubin

Mumwe vaitungamirira zvinokonzera rutapudzo zvakananga bilirubin ndiyo chirwere mwoyo coronary. Uyewo, Fani iyi kunoitika pashure nokutora doro, caffeine (kusanganisira simba zvinwiwa) uye vamwe zvinodhaka (kuti penicillin, prednisone nevamwe).

Sezvo kunze kunoratidzwa yakawedzera bilirubin muropa?

Kana zvakananga bilirubin rakakwirira, zvinorevei? At mukuru wevasungwa zvakananga bilirubin neropa varwere kuona yellowing pamusoro sclera, uye zvikuru ezvinhu uye ganda. Weti inofambidzana yakazara yero ruvara uye mutsvina yadzo, zvinopesana discolors nokuda havachanyatsogoni excretion kubudikidza ura ruvara. On kuongororwa, chiremba anogona kuona chisimbiso kana yakawedzerwa chiropa, zvinobvira kurwadziwa fungidziro pamusoro gallbladder.

Kana zvakananga bilirubin rakakwirira, izvi zvinorevei kuti varwere chakasimba nemavhairasi chiropa? Panyaya iyi, munhu anogona chokunyunyuta pamusoro nokurasikirwa kudya, kuda kurutsa, kufundumwara uye marwadzo zvakarurama hypochondrium.

Kana kupfupika water drainage ose bile pane kuchinja rweganda. Izvi imhaka yokuti hapana bilirubin anobviswa kubudikidza ura, asi akadzokera muropa uye yakasvinwa nomudzimu neitsvo. Kuwedzera zviratidzo "jaundice", anogona kuratidza zvakajeka zviratidzo chirwere chakaparira kutyora water drainage pakati bile. Izvi zviratidzo chenjera, chisingaperi pfungwa nomuviri zvemwana asati, cholelithiasis , nezvakadaro. The inonyatsobudirira nzira diagnostrovaniya chirwere muzviitiko zvakadai vari tomography kana Ultrasound. Vanobatsira kuziva anogumbura mumatenhere madziro bile ducts, uyewo bindepinde anomera siyana.

Bilirubin mu vacheche oupenyu okutanga

Muviri vachangoberekwa siyanei kuti vanhu vakuru. Pakuzvarwa pane mukuru ropa Chizenga zviri fetus pasi nokukurumidza kudzikisirana uye excretion kubva mumuviri. Naizvozvo, mumazuva upenyu chokutanga kakawanda kuchengetwa vasiri, dzinongoitika jaundice. Asi sezvo paumbwe chiropa enzayemu ino kuti zvaanobata kunanga bilirubin nenzira yakarurama mutsetse, zviratidzo izvi vaende nokukurumidza.

Zvisinei, pane ndingangokuvara chiitiko uye pathological jaundice pakati achangozvarwa. Inogona kukonzerwa pezvakaitwa akadai:

• kuchipesana ropa boka uye kusapindirana kweropa chinoita wamai uye mwana;
• nhaka fragility pamusoro erythrocytes, izvo chinoita rakawedzera kugadzirwa kunanga bilirubin;
• rwarisa chiropa;
• kutyorwa kuri water drainage ose bile kubva chiropa uye dzimwe zvokuimba hunhu.

Mabatirwo yakakwirira bilirubin muropa

Zvakadini kana bilirubin rakakwirira, hazvibviri zvechokwadi kutaura. Zviito kuvimba zvinoverengeka pamusoro. First unofanira kuziva hunhu chirwere, sei akasimuka. Zvikonzero Zvakawanikwa bilirubin muropa dzaisiyana iri nechirwere uye vabatwe chiremba kugadzwa rirege inobva mashoko ongororo imwe chete kana mbiri. Zvimwe Zvidzidzo vangaendeswa: Ultrassom, computed tomography, vachibvumira kuzivisa kuvapo hwakasimba deposits kana zvimwe zvakavhara chokubuda bile, nokuda asina yakawedzerwa bilirubin muropa. Zvinokonzera, vabatwe ichi chirwere kwacho vangasarudza mune zvimwe zviitiko, rimwe hematologist (ropa chirwere nyanzvi), nevamwe - zvirwere zvinotapuriranwa. Kana mukawana matambudziko water drainage kuti bile basa kurapa zvainanga kusukwa kurwadza kwacho ari bile ducts uye nenduru dundira.

Zvisinei, kufanana zhinji zvinhu mumuviri, bilirubin hakufaniri kutorwa sezvo zvachose maturo gang. Sezvinoratidzwa zvichangobva kudzidzwa, bilirubin chinhu chakanaka chaizvo antioxidant, vachipfuma kushanda vhitamini E. It anokwanisa inactivate ari peroxide yeimwe kutadzisa kukura vakawanda pathological ezvinhu uye zvirwere. Saka, vanhu vane BP bilirubin mukana atherosclerotic vascular maronda uye vakarondedzera mwoyo chirwere iri yekudyidzana ipfupi. Bilirubin anokwanisa kurwa nehasha vakasununguka radicals, yekudyidzana kuderedza mukana kenza.

Features vakadzi vane pamuviri bilirubin

Dzimwe nguva zvinoitika kuti yakananga bilirubin rakakwirira vakadzi vane pamuviri. Izvi zvinorevei kwavari? State pamuviri havagoni kutsamwisa kuderera kana zvibereko fuma iyi. Kakawanda, vanaamai pamuviri wakaona kuti migumisiro Kuongorora bhuku indekisi zvinhu anoenderana mbiru "Bilirubin zvakananga mutemo". Waitsigira, demoted, angasava nokuda pamuviri, uye panguva exacerbation echirwere nezvirwere kana chimiro pathologies matsva. Yakakwirira ropa ruvara kugutsikana anogona kukonzerwa nezvirwere zvakadai cholestasis, hemolytic kupererwa neropa, hepatitis, cholecystitis. zvinhu zvakadai zvinoda pakarepo uye kwakakwana kuongorora vakadzi, uye ipapo chiremba prescribes ane zvakakwana uye inobudirira kurapwa.

Nzira tikarega bilirubin

Kana ukava mune zviratidzo yakawedzera yakananga bilirubin, zvakakodzera kubvisa kwavari, sezvo zvakadaro kunogona kukanganisa mamiriro zvomukati. Kuderedza padanho ruvara anofanira kutanga kuongorora zvaunodya. Migumisiro yakanaka inogona kubudirira nokuchinja zvokudya. Kuti aite izvi,

• mira kudya fried uye Spicy zvokudya;
• kunze zvachose zvokudya doro;
• regai kushandisa zvokudya nokumwa navo magasi;
• vachangoberekwa kiddies vanofanira kunwa zvakawanda zvinwiwa kuti nokukurumidza kubvisa tsvina kubva mumuviri.

Zvakakodzera kunyatsoisa mamiriro chiropa. Kushandisa mitemo iyi nyore nemushonga, iwe kubvumira muviri ichi kuchenesa uye achapora. A chiropa utano ari kushingaira ndichipfeka kubvisa yakawanda bilirubin ari bile uye ropa. Uyezve, zvinokosha kuti vatevere akagwinya intestinal basa. Hunovira uye akabika chikafu kunoita basa zvakanaka ura. Haugoni kupedza pacharo husingaperi zvokudya kana nenzara, inotungamirira kuti atadze kushanda zvakanaka pamusoro zvomudumbu zvomukati.

Saka, asi chiratidzo ndiwo mugariro uko zvakananga bilirubin inowedzerwa. Zvinorevei? Izvi zvinoratidza kuti zvakakosha kwete kungoita kuderedza uwandu ruvara muropa, asiwo kubata chikonzero.

Pathological pezvakaitwa vari chiropa kuchaita kuonekwa kuburikidza kuda kurutsa, marwadzo mumuviri ichi, manzwiro waziya, nefivhiri, shungu kuravidza mumuromo. Kana kupererwa neropa imhaka vawedzere bilirubin, zvichava unooneka kuburikidza yeyero Hue ari mucous membranes, chisingaperi kuneta, kakawanda kurova kwehana, marwadzo ari kurutivi pechipfuva rworuboshwe. Kwakakwidziridzwa bilirubin nokuda biliary turakiti chirwere, richiratidzwa kwasviba weti, kuvhiringidza kudya, zvikuru kuvaviwa, uye svoto.

Under izvi ezvinhu zvinokosha bvunzo kuti zvakananga bilirubin ropa. Migumisiro uye kurumbidza nokuda mukuderedza nayo - chiremba anoti.