Bilirubin - mimi

ʻO Bilirubin kahi pigment melemele i loaʻa i ka bile, kahi wai i hana ʻia e ke ake.

ʻO kēia ʻatikala e pili ana i kahi hōʻike lab e ana i ka nui o bilirubin i ka mimi. Hiki i nā nui bilirubin i ke kino ke alakaʻi i ka jaundice.

E ana ʻia nō hoʻi ʻo Bilirubin me kahi hōʻike koko.

Hiki ke hana i kēia hōʻike ma nā hāpana mimi.

No kahi pēpē, holoi pono i kahi e puka ai ka mimi i ke kino.

• E wehe i kahi ʻeke hōʻiliʻili mimi (kahi ʻeke palekiko me kahi pepa lina ma kekahi wēlau).
• No nā kāne, kau i ka peni holoʻokoʻa i loko o ka ʻeke a hoʻopili i ka lina i ka ʻili.
• No nā wahine, kau i ka ʻeke ma luna o ka labia.
• Diaper e like me ka maʻa ma luna o ka ʻeke paʻa.

Lawe paha kēia kaʻina hana i kekahi mau hoʻāʻo. Hiki i kahi pēpē hana ke hoʻoneʻe i ka ʻeke e hele ai ka mimi i ka diaper.

E hōʻoia pinepine i ka pēpē a hoʻololi i ka ʻeke ma hope o ka mimiki ʻana o ka pēpē iā ia. E hoʻopau i ka mimi mai ka ʻeke i loko o ka ipu i hāʻawi ʻia e kāu mea mālama ola.

E hāʻawi i kahi laʻana i ke keʻena hoʻokolohua a i kāu mea lawelawe i ka hiki wawe.

Hiki i nā lāʻau he nui ke hoʻopilikia i nā hopena hōʻike mimi.

• E haʻi aku kāu mea lawelawe iā ʻoe inā pono ʻoe e haʻalele i ka lawe ʻana i nā lāʻau i mua o kou loaʻa ʻana o kēia hōʻike.
• Mai kū a hoʻololi paha i kāu mau lāʻau me ke kamaʻilio mua ʻole ʻana i kāu mea hāʻawi.

Pili ka hōʻike i ka urination maʻamau wale nō, a ʻaʻohe pilikia.

Hana ʻia kēia hoʻāʻo e kōkua ai i ke diagnose i nā pilikia o ke ake a i ʻole ka gallbladder.

ʻAʻole ʻike ʻia ʻo Bilirubin i ka mimi.

Mahuahua nā pae o ka bilirubin i ka mimi ma muli o:

• Maʻi maʻi Biliary
• Cirrhosis
• Nā pōhaku i loko o ka biliary tract
• Hepatitis
• Maʻi maʻi ate
• ʻO nā tumors o ke ake a i ʻole ke kōpena

Hiki iā Bilirubin ke haki i ka mālamalama. ʻO ia ke kumu e waiho ʻia ai nā pēpē me ka jaundice ma lalo o nā kukui uila polū.

Bilirubin Conjugated - mimi; Pili pono bilirubin - mimi

• ʻŌnaehana mimi kāne

Berk PD, Korenblat KM. E hoʻokokoke i ka mea maʻi me ka jaundice a i ʻole nā ​​hopena hoʻokolohua ate ʻole. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 147.

ʻO Dean AJ, ʻo Lee DC. ʻO nā keʻena hoʻokolohua moe a me nā kaʻina hana microbiologic. I: Roberts JR, Custalow CB, Thomsen TW, eds. ʻO Roberts a me Hedges 'Nā Kauka Lapaʻau i ka Medicine Emergency a me ka Care Acute. ʻEpekema 7 Piladelapia, PA: Elsevier; 2019: chap 67.

ʻO Riley RS, ʻo McPherson RA. Ninaninau maʻamau o ka mimi. 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 28.