Bilirubin kev kuaj ntshav

Txoj kev kuaj ntshav bilirubin ntsuas cov theem ntawm bilirubin hauv cov ntshav. Bilirubin yog cov xim daj uas pom hauv cov kua tsib, cov kua dej ua los ntawm daim siab.

Bilirubin tseem tuaj yeem ntsuas nrog ntsuas cov zis.

Xav tau cov ntshav ntxiv.

Koj yuav tsum tsis txhob noj lossis haus tsawg kawg yog 4 teev ua ntej ntsuas. Koj tus kws kho mob yuav qhia koj kom tsis txhob noj tshuaj uas cuam tshuam rau kev kuaj mob.

Ntau yam tshuaj yuav hloov qib bilirubin hauv koj cov ntshav. Nco ntsoov tias koj tus kws kho mob paub txog cov tshuaj koj siv.

Thaum cov koob tau tso rau hauv cov ntshav, qee cov neeg hnov ​​mob me ntsis. Lwm tus ho hnov ​​tus mob lossis ceg tawv xwb. Tom qab ntawd, tej zaum yuav muaj qee qhov thos lossis me me sib duav. Tsis ntev no ploj mus.

Qhov tsawg ntawm cov qe ntshav liab qub yog hloov los ntawm cov qe ntshav tshiab txhua hnub. Bilirubin tseem tshuav tom qab cov qog ntshav no tshem tawm. Lub siab pab zom cov bilirubin kom nws tuaj yeem tshem tawm ntawm lub cev hauv plab.

Ib theem ntawm bilirubin hauv cov ntshav ntawm 2.0 mg / dL tuaj yeem ua rau mob daj ntseg. Jaundice yog xim daj nyob rau ntawm daim tawv nqaij, hnoos qeev, lossis qhov muag.

Jaundice yog qhov laj thawj muaj rau feem ntau los kuaj seb qib bilirubin. Qhov kev sim yuav zoo li yuav xaj thaum:

• Tus kws zov me nyuam muaj kev txhawj xeeb txog kev muaj lub cev daj (menyuam mos liab feem ntau muaj qee qhov ntsej muag daj)
• Jaundice muaj kev loj hlob ntawm cov menyuam mos, cov menyuam yaus thiab tus neeg laus

Txoj kev kuaj bilirubin tseem raug txiav txim thaum tus kws zov me nyuam xav tias tus neeg muaj teeb meem daim siab lossis mob plab.

Nws yog qhov ib txwm muaj qee cov bilirubin hauv cov ntshav. Qib ib txwm yog:

• Direct (tseem hu ua conjugated) bilirubin: tsawg dua 0.3 mg / dL (qis dua 5.1 µmol / L)
• Tag nrho bilirubin: 0.1 txog 1.2 mg / dL (1.71 txog 20.5 µmol / L)

Cov kab ke tus nqi yuav txawv me ntsis ntawm ntau lub chaw soj nstuam. Qee qhov kuaj pom siv cov kev ntsuas sib txawv lossis sim cov qauv sib txawv. Tham nrog koj tus kws kho mob txog cov ntsiab lus ntawm koj cov kev kuaj sim.

Hauv cov menyuam mos, bilirubin qib siab dua rau thawj ob peb hnub ntawm lub neej. Koj tus neeg zov me nyuam yuav tsum xav txog cov hauv qab no thaum txiav txim siab seb koj tus menyuam qib bilirubin puas ntau dhau:

• Ceev npaum li cas qib tau nce siab
• Txawm tias tus menyuam yug thaum ntxov los
• Lub hnub nyoog menyuam mos

Jaundice tseem tuaj yeem tshwm sim thaum cov ntshav liab ntau dua li ib txwm tau tawg lawm. Qhov no tuaj yeem ua rau:

• Cov ntshav tsis meej hu ua erythroblastosis fetalis
• Ntshav liab lub cev hu ua hemolytic anemia
• Txoj kev txhab ntshav ntxiv uas cov qe ntshav liab tau muab rau hauv cov ntshav tau ntxiv rau lub cev ntawm kev tiv thaiv kab mob

Cov teeb meem mob siab hauv qab no tuaj yeem ua rau lub ntsej muag daj lossis ua kom muaj bilirubin siab:

• Scarring ntawm daim siab (mob ntsws)
• Cov qog o thiab mob rau daim siab (mob siab)
• Lwm tus kab mob siab
• Tsis meej nyob rau hauv uas bilirubin tsis ua raws li ib txwm muaj daim siab (kab mob Gilbert)

Cov teeb meem hauv qab no nrog gallbladder los yog bile ducts tuaj yeem ua rau cov qib bilirubin ntau dua:

• Qhov txawv txav ntawm lub nqaj uas nquag ib txwm ua (biliary stricture)
• Mob kheesxaws ntawm tus txiav lossis tawv ncauj
• Gallstones

Txoj kev pheej hmoo me ntsis nrog kev coj koj cov ntshav mus. Txoj leeg muaj qhov sib txawv ntawm ib tus neeg mus rau lwm qhov thiab ntawm ib sab ntawm lub cev mus rau lwm qhov. Mus nqa cov ntshav los ntawm ib cov neeg tej zaum yuav nyuaj tshaj li los ntawm lwm tus.

Kev phom sij cuam tshuam nrog kev tso ntshav tawm ntawm lub cev me ntsis, tab sis yuav suav nrog:

• Los ntshav ntau
• Tsaus muag lossis hnov ​​nkaus lub teeb
• Ntau cov punctures los nrhiav cov leeg ntshav
• Hematoma (ntshav hauv qab daim tawv nqaij)
• Kev kis tus kab mob (muaj kev pheej hmoo me me txhua lub sijhawm ntawm daim tawv tawg)

Tag nrho bilirubin - ntshav; Unconjugated bilirubin - ntshav; Indirect bilirubin - ntshav; Conjugated bilirubin - ntshav; Direct bilirubin - ntshav; Jaundice - bilirubin kuaj ntshav; Hyperbilirubinemia - bilirubin kev kuaj ntshav

• Tus me nyuam mos liab daj - tso zis

• Kuaj ntshav

Chernecky CC, Berger BJ. Bilirubin (tag nrho, ncaj qha [sib txuas nrog] thiab tsis ncaj qha [kev sib txuas tsis tau]) - ntshiab. Hauv: Chernecky CC, Berger BJ, eds. Kev kuaj thiab kuaj mobCov. 6 tus ed. St Louis, MO: Elsevier Saunders; Xyoo 2013: 196-198.

Pincus MR, Tierno PM, Gleeson E, Bowne WB, Bluth MH. Kev soj ntsuam ntawm lub siab ua haujlwm. Hauv: McPherson RA, Pincus MR, eds. Henry's Kev Kuaj Mob thiab Kev Tswj Xyuas los ntawm Laboratory Txoj KevCov. 23rd ed. St Louis, MO: Elsevier; 2017: chap 21.

Pratt DS. Kev kuaj mob siab thiab ua haujlwm rau kev ntsuam xyuas. Hauv: Feldman M, Friedman LS, Brandt LJ, eds. Stus kws tshaj lij thiab Fordtran's Txoj Kev Mob Plab thiab Mob Ntshav Qab Zib: Kab Kho Tus Kab Mob / Kev Tshuaj Ntsuam Xyuas / Kev TswjCov. 10 tus ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 73.