ʻO ke kūlana o bilirubin i loko o ke koko o nā wāhine

ʻO nā hemoglobin a me nā erythrocytes, i hana i kā lākou mau hana, ua mālamaʻia i ka hana i loko o ke ake. Ma muli o ka hopena o ia mau hana, ua hoʻokumuʻia ka bilirubin - he puaʻaʻeleʻele-'ōmaʻomaʻo. ʻO ia ka hōʻailona o ke ake a me ka'ōniu, nā mechanabalic mechanics. No laila,ʻo ka bilirubin i laweʻia i ke koko i waena o nā wāhine, ua manaʻoʻia kekahi o nā kumu nui i ka hanaʻana i nā hoʻokolohua hōʻalo no ka hōʻoia o nā maʻi hepatological, endocrine a me nā maʻiʻeha.

ʻO ke kūlana o ka nui o ka bilirubin i ka hōʻoiaʻana o ke koko i nā wāhine

Hoʻomakaʻia keʻano o bilirubin me nā kinikopaʻulaʻula me ka hemoglobin a lawe i ka oxygen i nā mea maʻemaʻe a me nā opu āpau. Erythrocytes, ua lōʻihi o ko lākou manawa, komo i ka iwi a me ka iwi o ka iwi, a me ke akepaʻa, kahi i hanaʻia ai ka hopena o ko lākou luku. Ma muli o ka hoʻokaʻawaleʻiaʻana o kēia mau pūnaewele a me ka hapa hemoglobin, ua hoʻokuʻuʻia ka bilirubin. ʻO ka mea mua, he meaʻawaʻawa a meaʻino i ke kino, no laila i loko o ka ate parenchyma ukuʻia ia no nā enzymes pono e hoʻololi i ka pūpū i ka bilirubin pono. Laweʻia ka mea paʻa i ka bile, a ma hope iho komo ia i loko o ka'ōpū a ma keʻano e hele pū me nā manu feces.

ʻO ka bilirubin i loko o kēia hihia, he urobilin a me ke koko,ʻo kēia mau momona, nā mea e hāʻawi mai ai i kahi malu o ka mimi a me ka feces. Nolaila, i ka hoonui ana o ka noonoo ana o ka waihona malalo o ka noonoo, ua hoololiia ka laula o ka momona. Ke loaʻa neiʻo Urine i kaʻeleʻeleʻeleʻele, a lilo nā feces i keʻokeʻo.

ʻO ka maʻamau o ka nui o ka bilirubin i loko o ke koko i loko o nā wāhine mai 3.4 a 17.2 μmol / l. Inā he moʻolelo o ka maʻi o ka ate, he moʻolelo o ka maʻi pīpī viral, hiki ke heluʻia nā hōʻailona mai 8.5 a 20.5 μmol / L, a ma muli o ke kauʻana.

He mea pono e hoʻomaopopo i ka heluʻana o ka helu i'ōleloʻia he pololei inā i mālamaʻia nā kānāwai a pau i ka wā i hala ai ka hoʻopiliʻana:

1. Maiʻaiʻoe i kaʻewalu o ka haʻawina. Heʻoi aku ka maikaʻi o ka hāʻawiʻana i nā meaʻai no nā hola he 12, akā e'ōlelo kākou he 4 mau hola.
2. Maiʻaiʻoe i kaʻewa a me nā mea inu e komo ana i ka momi ma mua o ka hāʻawiʻana i ke koko.
3. Mai inuʻoe i nā hepatoprotectors , nā papahana hoʻoponopono, nā lāʻau e hoʻokahe i ke koko (aspirin, heparin, warfarin).
4. Mai hoʻopilikia,ʻaʻole eʻai i mua o ka noiʻi.

ʻO ka manawa kūpono no ka hāʻawiʻana i nā koko koko e kokoke i ka 9 o ke kakahiaka.

He aha keʻano o direct bilirubin i loko o nā kokoʻeha i nā wāhine?

ʻO ka puaʻa-kōmaʻomaʻu-'ōmaʻomaʻo a me ka bilirubin pū me ka glucuronic acid, e hele ana e hemo i ke kino,ʻaʻole ia eʻoi aʻe ma luna o 4.3 μmol / l (ma kekahi mau wāhine - a hiki i ka 7.9 μmol / l me nā maʻi āpau a me nā maʻi gallbladder) a 20 paha. -25% o ka billion bilirubin.

ʻO kēiaʻano liʻiliʻi o ka puaʻa kaumaʻomaʻo a me ka'ōmaʻomaʻo pololei i loko o ke koko, ua weheweheʻia ma kaʻoiaʻiʻo,ʻo ia, ma keʻano he kūlana, ua wehe kokeʻia mai ke kino ma o ka'ōpala me nā feces a bile.

He aha keʻano o ka bilirubin liʻiliʻi i ke koko o nā wāhine?

ʻO ka mea i ho'ākākaʻia i loko o keʻano o kaʻole (hapa liʻiliʻi), e like me ka mea i'ōlelo muaʻia, he lāʻau make no ka mea ola a hiki ke hana kokeʻia i loko o nā pūpaʻa. ʻO kāna kūpaʻa heʻoi aku kaʻikeʻole inā pono e nānā i ka nohoʻana o ka'ōnaehana hepatological a me nā kaʻina hana.

ʻO ke kumu o ka bilirubin liʻiliʻi aʻoleʻole i loko o ke koko o nā wāhineʻaʻole ia eʻoi aku ma mua o 15.4 μmol / l. No laila,ʻo ka puaʻaʻaʻaʻole kahi 70-75% o ka bilirubin piha i ka plasma.

He meaʻoluʻoluʻo ka hapa liʻiliʻi, ai kapaʻia he'utehe liʻiliʻi,ʻaʻole ia he hoʻokahi mea, akā heʻano kino maʻamau me albumin. No ka hoʻoholoʻana i kona kūpono maʻamau i ka hale kelepili hiki i ka pau waleʻana o kēlā kinaika a me ka hoʻololiʻana i kahiʻano pale i ka wai.