Hōʻike koko Bilirubin

ʻO ke ana o ka bilirubin koko e ana i ka pae o ka bilirubin i ke koko. ʻO Bilirubin kahi pigment melemele i loaʻa i ka bile, kahi wai i hana ʻia e ke ake.

Hiki ke ana ʻia ʻo Bilirubin me kahi hōʻike mimi.

Pono kahi laʻana koko.

ʻAʻole ʻoe e ʻai a inu paha ma kahi o 4 mau hola ma mua o ka hoʻāʻo. E kauoha paha kāu mea mālama ola iā ʻoe e haʻalele i ka lawe ʻana i nā lāʻau e hoʻopili i ka hōʻike.

Hiki ke hoʻololi i nā lāʻau he nui i ka pae bilirubin i kou koko. E ʻike pono ka ʻike o kāu mea lawelawe i nā lāʻau āu e lawe nei.

Ke hoʻokomo ʻia ke kui kele e huki i ke koko, manaʻo kekahi poʻe i ka ʻeha kaulike. ʻIke wale kekahi i kahi ʻōniʻu a i ʻole kui. Ma hope, loaʻa paha i kahi kūpikipiki a i ʻole ka ʻūlū iki. Hele koke kēia.

Hoʻololi ʻia kahi liʻiliʻi o nā hunaola ʻulaʻula e nā huna koko hou i kēlā me kēia lā. Waiho ʻia ʻo Bilirubin ma hope o ka hemo ʻana o kēia mau hunaola makua. Kōkua ke ake i ka haki ʻana i ka bilirubin i hiki ke hemo ʻia mai ke kino i ka pahu.

ʻO kahi pae o ka bilirubin i ke koko o 2.0 mg / dL hiki ke alakaʻi i ka jaundice. He melemele ʻo Jaundice i ka ʻili, nā membrane mucus, a i ʻole nā ​​maka.

ʻO Jaundice ke kumu maʻamau e nānā ai i ka pae bilirubin. E kauoha ʻia ana paha ka hōʻike i ka wā:

• Ke hopohopo nei ka mea hāʻawi e pili ana i ka jaundice o kahi keiki hānau hou (ʻo ka hapanui o nā keiki hānau hou he jaundice kekahi)
• Hoʻolālā ʻo Jaundice i nā pēpē makua, nā keiki, a me nā mākua

Kauoha pū ʻia kahi hōʻike bilirubin ke manaʻo ka mea hāʻawi i ka pilikia o ke ake a i ʻole ka gallbladder.

He mea maʻamau ka loaʻa ʻana o kekahi bilirubin i loko o ke koko. ʻO kahi pae maʻamau:

• Kuhikuhi (i kapa ʻia hoʻi conjugated) bilirubin: ma lalo o 0.3 mg / dL (ma lalo o 5.1 µmol / L)
• Huina bilirubin: 0.1 a 1.2 mg / dL (1.71 a 20.5 µmol / L)

Hiki ke loli iki nā pae waiwai maʻamau i waena o nā hale hana ʻokoʻa. Hoʻohana kekahi mau labs i nā ana like ʻole a i ʻole hoʻokolohua i nā laʻana like ʻole. E kamaʻilio i kāu mea hāʻawi e pili ana i ke ʻano o kāu mau hopena hōʻike.

I nā keiki hānau hou, ʻoi aku ka kiʻekiʻe o ka pae bilirubin no nā lā mua o ke ola. Pono e noʻonoʻo ka mea hāʻawi o kāu keiki i kēia mau mea ke hoʻoholo inā kiʻekiʻe loa ka nui o ka bilirubin o kāu pēpē.

• Pehea ka wikiwiki o ka piʻi ʻana o ka pae
• Ua hānau mua ʻia ka pēpē
• ʻO ka makahiki o ka pēpē

Hiki i ka Jaundice ke hana i ka wā e haki ʻia ai nā hunaola ʻulaʻula ma mua o ka maʻamau. Hiki ke kumu ʻia kēia e:

• ʻO kahi maʻi koko i kapa ʻia ʻo erythroblastosis fetalis
• ʻO kahi maʻi koko ʻulaʻula i kapa ʻia ʻo hemolytic anemia
• ʻO ka hopena transfusion kahi e hāʻawi ʻia ai nā hunaola ʻulaʻula i hāʻawi ʻia i kahi transfusion e ka ʻōnaehana pale o ke kanaka

Hiki i nā pilikia o ke akepaʻa ke kumu i ka jaundice a i ʻole kahi pae bilirubin kiʻekiʻe:

• Scarring o ke ake (cirrhosis)
• Pehu a me ka ake wela (hepatitis)
• Maʻi maʻi ʻē aʻe
• ʻO ka maʻi kahi e hana ʻole ʻia ai ka bilirubin e ke ake (maʻi Gilbert)

ʻO nā pilikia e hiki mai ana me ka gallbladder a i ʻole nā ​​kaha bile ke kumu o nā pae bilirubin kiʻekiʻe.

• ʻO ka hoʻopili liʻiliʻi ʻana o ke kaila o ka bile maʻamau (ka ikaika biliary)
• Ka maʻi ʻaʻai o ka pancreas a i ʻole ka gallbladder
• Nā Pohaku

ʻAʻohe pilikia iki i ka lawe ʻia ʻana o kou koko. Kūlike ka nui o nā uaua i kekahi a i kekahi a mai kekahi ʻaoʻao o ke kino i kekahi. ʻOi aku ka paʻakikī o ka loaʻa ʻana o kahi laʻana koko mai kekahi poʻe ma mua o nā poʻe ʻē aʻe.

ʻO nā pōpilikia e pili ana i ke kahe ʻana o ke koko he liʻiliʻi, akā hiki ke hoʻopili ʻia:

• Kahe nui ke koko
• Pāleʻale a ʻoluʻolu paha
• Nā punctures he nui e ʻimi i nā uaua
• Hematoma (hōʻiliʻili koko ma lalo o ka ʻili)
• Maʻiʻaʻai (i iki kamepiula i kēlā me kēia manawa ka ʻili i haki)

Huina bilirubin - koko; Bilirubin Unconjugated - ke koko; Bilirubin kuhikuhi - koko; Bilirubin Conjugated - koko; Bilirubin pololei - ke koko; Jaundice - hōʻoia bilirubin koko; Hyperbilirubinemia - hōʻoia bilirubin koko

• Jaundice hānau hou - hoʻokuʻu

• Hōʻaʻo koko

Chernecky CC, Berger BJ. Bilirubin (huina, pololei [conjugated] a kuhikuhi ʻole [unconjugated]) - serum. I: Chernecky CC, Berger BJ, hua. Nā Hoʻokolohua Laboratory a me nā kaʻina hana Diagnostic. ʻElua huaʻōlelo St Louis, MO: Elsevier Saunders; 2013: 196-198.

ʻO Pincus MR, Tierno PM, Gleeson E, Bowne WB, Bluth MH. Ka loiloi i ka hana ate. I: McPherson RA, Pincus MR, hua. ʻO kā Henry's Clinical Diagnosis a me Management e nā Laboratory Methods. 23rd Ed. St Louis, MO: Elsevier; 2017: chap 21.

ʻO Pratt DS. Nā kemika kemika a me nā hoʻokolohua hana. I: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi Liver: Pathophysiology / Diagnosis / Management. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2016: chap 73.