Video: Hom bilirubin ua rau daj ntseg?
2024 Tus sau: Michael Samuels | [email protected]. Kawg hloov kho: 2023-12-16 01:44
Pre-hepatic (ua rau lub siab) daj ntseg yog ua los ntawm dab tsi uas ua nce tus nqi ntawm hemolysis (kev tawg ntawm cov qe ntshav liab). Unconjugated bilirubin los ntawm kev tawg ntawm heme pigment pom nyob rau hauv cov qe ntshav liab 'hemoglobin. Serum: nce unconjugated bilirubin.
Tsis tas li ntawd, qib bilirubin ua rau jaundice zoo li cas?
Classic txhais ntawm daj ntseg yog serum qib bilirubin ntau dua 2.5 mus rau 3 mg ib dL (42.8 mus rau 51.3 Μper L) ua ke nrog cov duab kho mob ntawm daim tawv nqaij daj thiab sclera. Bilirubin cov metabolism hauv tau tshwm sim hauv peb theem-prehepatic, intrahepatic, thiab posthepatic.
Tom qab ntawd, lo lus nug yog, 3 hom jaundice yog dab tsi? Muaj peb hom jaundice:
- hemolytic jaundice - tshwm sim los ntawm kev puas tsuaj ntawm cov qe ntshav liab.
- obstructive jaundice - tshwm sim los ntawm kev txhaws hauv txoj hauv kev uas bilirubin tsim nyob rau hauv daim siab hlwb thiab cov kua tsib nkag mus rau hauv duodenum.
- hepatocellular jaundice - tshwm sim los ntawm kev puas tsuaj rau daim siab hlwb.
Kuj Paub, puas yog jaundice los ntawm conjugated lossis uniljugated bilirubin?
Ib yam bilirubin uas tswj los ua sib txuas yuav raug excreted ib txwm, tsis tau nws yog unconjugated bilirubin uas tseem nyob hauv cov ntshav kom ua rau daj ntseg . Hauv hepatocellular (lossis intrahepatic) daj ntseg , muaj dysfunction ntawm lub hepatic cells.
Puas yog bilirubin nce hauv jaundice?
Bilirubin yog tsim los ntawm kev tawg ntawm cov qe ntshav liab hauv lub cev. Lub siab pab tso tawm nws. Siab qib ntawm bilirubin tuaj yeem ua rau daj ntseg . Siab bilirubin theem tuaj yeem tshwm sim hauv cov neeg laus, tab sis qhov teeb meem no tshwm sim ntau dua hauv cov me nyuam mos.
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