Uma amangqamuzana egazi abomvu egugile noma ewonakele, aphulwa yisibindi . Phakathi nale nqubo, into ebizwa nge-bilirubin ikhiqizwa. Into ephuzi ephuzi equkethe i-bile, i-bilirubin ivame ukukhishwa emzimbeni ngokusebenzisa inqubo yokuhlunga, futhi i-pigment igwebe ukuyibeka umbala wayo obomvu ojwayelekile.
Izimbangela Ze-Bilirubin Ephakanyisiwe
Ukusebenza kwesibindi kuhlanganiswe nezifo ezinjenge-hepatitis.
kanye nokuvinjelwa emideni ye-bile (imizila) lapho ukudlula i-bile kusuka esibindi kuya emathunjini amancane yizimo ezimbili eziyinhloko ezibangela amazinga aphezulu e-bilirubin egazini. Ngaphezu kwalokho, izinkinga ezithile zegazi ezifana ne-hemolytic anemia zingabangela amazinga aphezulu we-bilirubin.
Uma inqubo ye-bilirubin ekhishwa ngayo isengozini nganoma yisiphi isimo noma isifo, amazinga e-bilirubin akhula egazini futhi angabangela isici sezimpawu nezimpawu ezibizwa ngokuthi i-jaundice. I-jaundice ingabangela:
- I-Yellowing yesikhumba namhlophe asehlo
- I-urine engumnyama kunejwayelekile
- Izitshalo ezikhanyayo ngombala
Izivivinyo Zokuthola I-Bilirubin Ephakanyisiwe
I-Bilirubin egazini legazi ikhona emafomu amabili:
- Okungaxhunyiwe, noma okungaqondile, i-bilirubin: Ayichitheki emanzini futhi uhamba ngegazi elibheke esibindi, lapho liguqulwa khona libe ifomu elihlelekile.
- Ukuxilongwa, noma okuqondile: Okukhiqizwa isibindi kusuka ku-indirect bilirubin, leli fomu lihlunga.
Uma udokotela eyala ukuhlola ukukala impilo yesibindi, ukuhlolwa kwe-bilirubin cishe kufakwe njalo. Ukuhlolwa kwegazi kungalinganisa kokubili bilirubin kanye namazinga okuqondisa e-bilirubin, futhi amazinga angamaqondana ne-bilirubin angabalwa kusukela esilinganisweni esilandelayo nesiqondisi se-bilirubin ngqo.
Amazinga ajwayelekile we-Bilirubin
Nakuba ama-lab ahlukene asebenzisa izigaba ezahlukene zokubhekisela, ngokuvamile, kubantwana abadala nakwabantu abadala, lezi zigaba ezilandelayo zikhombisa amazinga ajwayelekile e-bilirubin:
- Ihlanganisiwe (eqondile) i-bilirubin: 0 kuya ku-0.3 mg / dL (ama-milligram ngamunye nge-deciliter).
- Ingqikithi ye-bilirubin (ehlangene ngqo nangaphandle): ivela ku-0.3 kuya ku-1.2 mg / dL.
Izinyathelo Ezilandelayo
Uma amazinga e-bilirubin ephakanyisiwe, udokotela uzofuna ukunquma imbangela. Ezimweni eziningi, ukucabangela kwesisu kwenziwa nge-ultrasonography, ukuhlolwa kwe-computed tomography (CT), noma i-imagery magnetic resonance (MRI).
Uma i-ultrasound ibonisa ukuthi kukhona ukuvinjelwa kwe-bile duct, ezinye izivivinyo zingalawulwa ukucacisa imbangela. Kwezinye izimo, kuyodingeka isibindi se-foop, isibonelo uma izimo ezithile, kuhlanganise nesifo sofuba, noma uma odokotela behluleka ukuthola ukutholakala.
Uma sekukhona imbangela eyimbangela futhi sekutholakale ukuthi kutholakala yini ukuxilongwa, ukwelashwa kuzohloselwe ukubhekana nesifo noma isimo. Isibonelo, uma i-hepatitis ye-viral i-acute idala i-jaundice, ingase ixazulule kancane kancane ngaphandle kokwelashwa. Kodwa uma isifo sofuba esingelapheki siyisifo, ngisho noma i-jaundice iphela, ezinye izindlela zokwelashwa zingacatshangelwa. Uma imbangela ibanjelwe i-bile duct, inqubo yokuvula i-bile duct ingenziwa, ngokuvamile ngokujwayelekile, isebenzisa amasu amancane angenayo.
Into ebalulekile okufanele uyikhumbule ngezinga eliphezulu le-bilirubin ukuthi liyisifo sezifo hhayi isifo ngokwabo.
Ukuhlola okuqhubekayo cishe kuhlale kudingekile, futhi udokotela wakho kufanele agxile ekutholeni isimo esibucayi.