I ka wā o ka maʻi maʻi, ke alo nei ka mea maʻi i nā pilikia olakino. A inā ʻaʻole ʻoe e hoʻomaka i ka mālama ʻana i ka manawa e hoʻokaʻawale i ke kō o ke koko a ʻaʻole hoʻopau i nā hōʻailona o ka maʻi, e hoʻomohala paha ka maʻi diabetes i nā maʻi o ka ʻōnaehana cardiovascular, ʻeha a me nā ʻāʻī paha. ʻO kekahi o nā pilikia e hiki ai i ka maʻi diabetes ke piʻi i nā kiʻekiʻe bilirubin.
Hoʻokumu ʻia ka bilirubin Elevated i ke koko ma muli o ka wāwahi o nā ʻāpana koko ʻulaʻula. ʻO ka mea mua, hoʻokumu ʻia bilirubin i loko o ke kino - he mau mea huʻaleʻa ʻaʻole hiki ke hoʻoheheʻe ʻia i ka wai.
ʻO kēia ka mea i hoʻokaʻawale ʻole ʻia, ma muli o ia mea, me ka hui pū ʻana me ke koko, ua komo ia i ka palā a hoʻololi ʻia i loko o bilirubin
ʻO ka mea i hana ʻia, ma ka hope, e hiki maʻalahi ke hoʻokahe i ka wai a hoʻokaʻawale ʻia mai ke kino kanaka ma o ka urine a me nā feces, e hāʻawi ana iā lākou i kahi kolo.
No ka hoʻomaopopo ʻana i ka bilirubin piha i kahi pākeke, pono ʻoe e hana i kahi hōʻike koko kūikawā. ʻO ka pae maʻamau o ka waihona he 3.4 µmol / lita no ke kiko a me 17,1 1mol / lita no ka bilirubin kūlehu.
Hoʻohui ʻia ka nui bilirubin i loko o nā pākeke me nā helu heʻoi aku ma mua o 4.6 a me 15.4 mmol / liter, kēlā.
Nā hōʻailona o ka bilirubin i hoʻonui ʻia
Inā kū ka nui o ka nui o ka bilirubin i loko o ke koko, he maʻi melemele ke ʻano ʻula a me nā pōʻele. Ua hōʻike kēia, ua nui ka nui o ka bilirubin i loko o ke kaila o ke kanaka, e kau ana iā lākou i ka hina hina.
Eia nō naʻe, ʻo ka piʻi ʻana o ka pae bilirubin, hiki i kekahi kanaka ke ʻeha i loko o ka hypochondrium hema ma hope o ka hana ʻana i nā hoʻomaʻamaʻa kino, ma muli o ia mea e loaʻa ai i ka mea maʻi ka nāwaliwali, ka lethargy a me ke kuni.
Inā loaʻa iā ia kēlā mau hōʻailona, he mea e pono ai e mālama i nā ʻōpū kūloko. Pono e kūkā koke i ke kauka e mālama i kahi hōʻike koko e hoʻoholo i ka total bilirubin a kuhikuhi i ka mālama ʻana. Inā kiʻekiʻe loa ka pae nui o ka waihona, hōʻike kēia i kekahi mau kumu no ka hoʻomohala ʻia o nā maʻi e pono ai ka mālama ʻia.
I kekahi mau hihia, hiki ke piʻi ka pae koʻikoʻi o ka bilirubin i 300 mau kālā, he mea pōʻino no ke olakino a koi pono i ka mālama koke. Ma ke kānāwai, nā mākaʻi o 300 indicatorsmol / lita e hiki ke mālama ʻia i loko o nā kamaliʻi, kapa mai nā kauka i kēia hanana jaundice kamaliʻi, ua nalowale ma hope o kekahi mau lā.
Ke nānā nei i nā hōʻailona, e kau ke kauka i kahi hōʻike koko e hoʻoholo i ka pae o ka bilirubin. ʻO ka loiloi no ka bilirubin kiʻekiʻe kiʻekiʻe e hana pinepine ʻia i ke kakahiaka ma kahi ʻōpū ʻole.
Ma mua o ka hana ʻana i ka hoʻopili ʻana, ʻaʻole hiki iā ʻoe ke inu no nā hola ʻehā. Inā hahai ʻia nā lula āpau, e kiʻi ʻia nā hopena noiʻi pololei.
Nā kumu kumu o Bilirubin
Hiki ke kumu o ka hoʻonui ʻana o ka bilirubin i ke koko ma kahi maʻi o ka pūpū a me ka ʻōnaehana uila. Nui nā koho inā he hala i ke nānā ʻia ʻana o kahi mea i loko o ke kino.
- ʻOiai he hopena hopena o ka congenital i loaʻa i ka anenen congenital paha i loko o ke kino o ke kanaka, ʻo ka luku ʻia ʻana o nā cellula ʻulaʻula i loko o ke koko, e wikiwiki ana i ka piʻi nui o ka bilirubin. Hola ka pilikia ma muli o ka nui o ka hōʻemi o kēia mea. Eia kekahi, ma muli o ka anemia, kū aʻe ka bilirubin kūʻokoʻa.
- ʻO kekahi kumu ʻē aʻe e pili pū me ka hana kīnā ole o ka bilirubin pololei i loko o ka ate. ʻO nā maʻi i ʻike ʻia e like me ka hepatitis, cirrhosis, nā maʻi maʻi a me nā ʻano maʻi ʻē aʻe e hiki ke alakaʻi i kēia. Hiki i nā kumu no ka hoʻonui ʻana o nā pae bilirubin e hiki ke hoʻoilina. No ka mea laʻana, ʻo ka maʻi o ka hōʻike ʻana o ka maʻi Gilbert e alakaʻi i kahi hōʻino i ka hana o nā enzyme o ka ate.
- ʻO ke kumu ʻekolu ke pilikia pilikia gallbladder. Ma muli o ka halaʻole o ka kahe o ka huahe mai ka wahi hoʻopiʻi choleretic, hoʻonui pinepine ka nui o ka bilirubin i ke kino.
- Hoʻokomo ʻia nā kumu e pili pū me ka hoʻohana ʻana o nā lāʻau lapaʻau. ʻO kēia ka mea ma mua o ka hoʻomaka ʻana i ka mālama ʻana, pono pono ʻoe e familiarize iā ʻoe iho me ka contraindications i kuhikuhi ʻia i nā kauoha.
- ʻO ka pinepine, ʻo ke kumu no ka hoʻonui ʻana i ka bilirubin i ka maʻi o ke kino me ka helminths. Ke ʻike ʻia ka helminthiasis, pono ia e hoʻomaʻemaʻe i ka mālama ʻana i ka mea pono, a laila hele i kahi hōʻike koko a nānā hou i nā helu bilirubin.
- Me ka nele o ka huaora B12, hiki ke hoʻonui aʻe i nā pae bilirubin. ʻO kēia ka mea, ma mua o ka mālama ʻana i nā lāʻau lapaʻau, pono ʻoe e hoʻoponopono hou i ke kino me nā mea e loaʻa a maikaʻi ʻole.
Ke hoʻohaʻahaʻa nei i nā pae Bilirubin i ke koko
Ma mua o ka hoʻomaka ʻana i ka mālama ʻana, pono e ʻike i ke kumu o ka maʻi. ʻO nā ala i loaʻa i nā lāʻau lapaʻau hou e hiki iā ʻoe ke mālama i ka hōʻino ma luna o nā mea i hōʻike ʻia. No kēia kumu, hiki i ke kauka ke kuhikuhi wale i kahi hōʻemi i nā pae o bilirubin.
Me ke kōkua o ka infusion therapy, ʻike ʻia ka maʻi glucose a me ka detoxification i hoʻopaʻa ʻia intravenously.
Hiki i kēia hoʻomaʻemaʻe ke hoʻomaʻemaʻe i ke kino o ka nui o ka bilirubin. Hoʻohana ʻia kahi ʻano like inā he maʻi koʻikoʻi ka mea maʻi.
Hoʻohana ʻia ʻo Phototherapy e hoʻemi i nā pae bilirubin ʻaʻole wale i nā pākeke akā aia i nā pēpē nui. Aia ka hana i ka hana ʻāʻī ʻana i ka mea maʻi me ke kōkua o nā kukui kūikawā, ma lalo o ka mana o ka bilirubin kūwaho e hoʻohuli ʻia i ke ʻano pololei, ma hope hiki iā ia ke haʻalele iki i ka kino.
Inā ke kumu no ka hoʻonui ʻana i ka bilirubin e pili ana i ka hōʻino ʻana o ka hoʻopā ʻana o ka bile mai ke kino, kuhikuhi ke kauka i ka mālama kūpono me nā lāʻau lapaʻau kūikawā. ʻO ka mea mua, he mau choleretic mau lāʻau me ka stagnation o ka hua bile.
Hiki pū i kahi papa lapaʻau e hoʻohaʻahaʻa i ka ʻike o bilirubin i ke koko. Hoʻopili ʻia, hoʻohui ʻia ka mālama ʻana me ka hoʻohana ʻana i ke kō, a hoʻomaʻemaʻe i nā lāʻau lapaʻau a me nā mea hoʻihoʻi-hoʻokaʻawale i nā gels. Hoʻokomo ʻia i ka momona, ke kō, nā kīʻaha hulahula a me nā mea ʻawaʻawa o ka carbonated i waiho ʻia mai ka papaʻaina o ka mea maʻi.
Inā hōʻike ka mea maʻi i ka hepatitis, ʻo ka mea mua i kuhikuhi ʻia e ka mea maʻi e mālama ai i kēia maʻi, kahi e hoʻemi ai i ka bilirubin. Hoʻohui kekahi me ke kauka i nā mea lapaʻau e pale aku i ka ate.
Me ka maʻi o Gilbert a me kekahi mau maʻi o ka maʻa, ua kau ʻia ʻo Phenobarbital.
Ke pale nei i nā hoʻopiʻi ʻana, pono e hoʻokaʻawale ʻia nā lāʻau a me nā lāʻau lapaʻau ma hope o ke kauka a me ka nānā ʻana.
ʻO ka maʻi Bilirubin kiʻekiʻe
Hoʻonui nui ka bilirubin inā aia nā kumu:
- Hoʻonui ka bilirubin i ke koko;
- Hepatitis Aula, B, hepatitis me ka mononucleosis infectious;
- Hepatitis C maʻiʻo, hepatitis autoimmune;
- ʻO ka maʻi hepatitis bakule Brucellosis a me leptospirosis;
- ʻO ka ʻeha me nā meaʻona a me nā manu manu;
- ʻO ka hoʻohana ʻana i ka contraceptives hormonal, NSAIDs, lāʻau lapaʻau e kū'ē i ka maʻi pākuʻi a me nā tumors;
- Jaundice i ka wā hāpai;
- Tumor o ka ate;
- ʻO ka cirrhosis biliary;
- Hewa kaʻi Laʻi - Rotor syndrome, Dabin-Johnson.
Kūleʻa ka bilirubin i ke koko ma muli o nā mea:
- ʻO ka anemia hemolytic anemia, me ka spherocytic, non-spherocytic, maʻi ʻoki maʻi, thalassemia, maʻi ʻo Markyafa-Michele;
- Ka loaʻa i ka anemia hemolytic, e hoʻolālā ana i ka hōʻino o ka systemus lupus erythematosus, rheumatoid arthritis, lymphocytic leukemia, lymphagranulomatosis.
- Sepsis, typhoid fever, malaria a me nā maʻi ʻē aʻe;
- ʻO ka maʻi hemolytic anemia i kumu e lawe ai i ka insulin, cephalosporins, aspirin, NSAIDs, chloramphenicol, penicillin, levofloxacin;
- Toxic hemolytic anemia i lawe ʻia e nā mea make me kahi mea ʻona, ka ʻūhā, ka arsenic, ke keleawe keleawe, nā pana o nā mea ʻona.
- ʻO Syndromes o Gilbert, Krigler-Nayyar, Lucy-Driscola.
