Qhov tseem ceeb kom paub: tus qauv ntawm bilirubin hauv tus menyuam hnub nyoog hli

Qhov tseem ceeb kom paub: tus qauv ntawm bilirubin hauv tus menyuam hnub nyoog hli
Qhov tseem ceeb kom paub: tus qauv ntawm bilirubin hauv tus menyuam hnub nyoog hli
Anonim

Cov qauv ntawm bilirubin hauv tus menyuam hnub nyoog ib hlis thiab tus menyuam yug tshiab yog qhov sib txawv ntawm qhov ntsuas tib yam hauv cov neeg laus. Thaum yug los, qib ntawm cov tshuaj no hauv cov ntshav yog nce ntxiv hauv cov menyuam yaus. Qhov no feem ntau qhia nyob rau hauv lub npe hu ua physiological jaundice, uas feem ntau tshwm sim ua ntej hnub thib tsib tom qab yug me nyuam thiab ploj mus thaum kawg ntawm thawj lub hlis.

ib txwm bilirubin nyob rau hauv ib lub hlis tus me nyuam
ib txwm bilirubin nyob rau hauv ib lub hlis tus me nyuam

Tus qauv ntawm bilirubin hauv tus menyuam hnub nyoog ib hlis yog yuav luag piv rau cov neeg laus thiab yog 8.5 - 20.5 µmol / liter. 75% ntawm qhov concentration yog indirect bilirubin, thiab 25% yog ncaj qha. Yog li, nyob rau hauv ib tug me nyuam muaj hnub nyoog ib hlis, qhov ib txwm theem ntawm cov xim no yog 5.1 μmol / l - qhov no yog ncaj qha bilirubin. Cov qauv hauv cov menyuam yaus hnub nyoog no ntawm kev tsis ncaj ncees bilirubin nce mus txog 15.4 µmol / l.

Nrhiav kom paub qhov concentration ntawm cov tshuaj no hauv koj tus menyuam cov ntshav yog ib qho yooj yim - tsuas yog kuaj ntshav biochemical. Nws raug coj los ntawm cov hlab ntsha, txawm li cas los xij, hauv cov menyuam yug tshiab thiab cov menyuam yaus txhua hli, cov leeg pom tsis zoo thiab palpable,Yog li ntawd, qee zaum cov qauv coj los ntawm cov hlab ntsha hauv lub taub hau, uas feem ntau ua rau cov niam txiv tsis tau npaj txhij. Tsis txhob txhawj - yog tias qhov kev ua haujlwm tau ua los ntawm tus kws tshaj lij, tsis muaj laj thawj txhawj xeeb.

Vim li cas cov menyuam yaus thaum yug los ntau dua li cov qauv ntawm bilirubin? Nyob rau hauv ib lub hlis, qhov no qhia nyob rau hauv yellowing ntawm daim tawv nqaij thiab txhais tau hais tias muaj ib tug ua txhaum ntawm lub siab. Hauv cov menyuam yug tshiab, siab bilirubin yog qhov tshwm sim ntawm qhov tseeb tias erythrocytes, uas muaj cov hemoglobin tshwj xeeb, raug rhuav tshem sai, uas tus menyuam yug los tsis xav tau. Cov txheej txheem physiological no yog tus qauv.

ib txwm bilirubin hauv cov menyuam yaus
ib txwm bilirubin hauv cov menyuam yaus

Bilirubin hauv cov menyuam mos (ib yam tsis ncaj ncees ntawm cov xim no) hauv cov ntsiab lus siab tsis zoo cuam tshuam rau kev ua haujlwm ntawm lub siab, lub paj hlwb thiab lwm yam hauv nruab nrog cev ntawm tus menyuam. Yog li ntawd, nws yog ib qho tseem ceeb kom txiav txim siab tam sim ntawd qhov ua rau muaj cov ntsiab lus ntawm cov tshuaj no nyob rau hauv tus me nyuam cov ntshav thiab siv sij hawm ntsuas kom normalize nws qib.

Yuav kom paub seb koj tus menyuam lub bilirubin puas zoo li qub, tsuas yog kuaj ntshav biochemical niaj hnub. Yog tias tsim nyog, tus kws kho mob yuav sau ib qho kev ntsuam xyuas ntxiv kom paub tias vim li cas cov kab mob bilirubin raug ua txhaum.

Hauv tus menyuam hnub nyoog ib hlis thiab thaum thawj lub hlis ntawm lub neej, qhov laj thawj tseem ceeb ntawm kev nce ntxiv ntawm cov xim no hauv cov ntshav yog lub siab tsis muaj peev xwm tsim cov enzymes tsim nyog rau nws tshem tawm ntawm lub cev. Feem ntau qhov no yog ib qho kev coj cwj pwm uas ua rau nws tus kheej xav tau nyob rau hauv thawj hnub ntawm lub neej.

ib txwm bilirubin hauv cov menyuam yaus
ib txwm bilirubin hauv cov menyuam yaus

YogTus kws kho mob tau sau ib qho kev kho mob lossis hais kom mus pw hauv tsev kho mob ntawm tus menyuam - tsis txhob quav ntsej nws cov tshuaj kom tsis txhob muaj kev loj hlob ntawm pathologies ntawm lub cev hauv nruab nrog cev ntawm tus menyuam nyob rau hauv kev cuam tshuam ntawm indirect bilirubin. Niaj hnub no, muaj ntau txoj hauv kev los pab koj tus menyuam yam tsis muaj kev phom sij rau nws txoj kev noj qab haus huv.

Tsis txhob xav tias yog vim li cas yog koj lossis koj lub mis. Kev txwv tsis pub pub niam mis tsis yog ib qho kev lees paub tias tus menyuam mob daj ntseg yuav ploj mus. Tsuas yog nyob rau hauv cov xwm txheej sib cais, cov kws kho mob pom zoo kom txwv tsis pub pub niam mis rau lub sijhawm kho. Koj tsuas yog yuav tsum tau kho cov khoom noj ntawm tus niam laus kom normalize bilirubin hauv tus menyuam cov ntshav.

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