Sau da yawa bayan sun karbi sakamakon bincike na jini jini, masu haƙuri sun koyi cewa ya kara yawan bilirubin - wanda ke nufin kawai don ƙayyade yawan adadi ba zai yiwu ba. Gaskiyar ita ce, jimlar yawan wannan alamar ta zama wata alama ce ta alamomi na bilirubin mai kai tsaye da kuma unbundun. Wadannan sakamakon ne wanda zai yiwu a gano yadda tsarin tsarin kwayar cutar ya faru, kuma mece dalilin dalili akan bincike daga al'ada.
Me yasa za a iya janar bilirubin a cikin gwajin jini?
Dukkanin dalilai da suke jawo wuce haddi na dabi'u na bilirubin an rarraba cikin kashi 4. Bambanci ya dogara ne akan matakan musayar abubuwa a cikin tambaya, da mahimman bayanai biyu:
- Sanin hanyar da ƙaddamar da pigmented yellow-kore pigment yana ƙaruwa (a hanta ko a waje da wannan gadon).
- Irin nau'i na bilirubin da yawa (kai tsaye ko kai tsaye).
Dangane da wannan tsarin rarraba, ɗayan dalilai masu zuwa don kara yawan adadin launin rawaya-koren suna bambanta:
- Hanyoyin bilirubin da aka haɗu a cikin hanta - a cikin hanta na hanta, ana haifar da bile ne, wanda sakamakonsa ya zubar da ciki a cikin ƙwayoyin bile cikin hanta.
- Har ila yau, yawan ƙwayar bilirubin - mai fita daga bile yana damuwa a cikin hanyoyi masu yawa.
- Hanyoyin hawan na bilirubin ne kawai - a cikin hanta Kwayoyin akwai juyin juya halin da ba daidai ba na pigmentar kyauta a cikin hanyar kai tsaye.
- Ƙara yawan karin bilirubin - a waje da hanta, yawancin sinadarin launin kore-kore ne aka samar.
Kowace waɗannan kungiyoyi suna da halayyar asibiti, saboda abin da zai yiwu a saka mahimmin ganewar asali.
Ya kamata a lura cewa koda kuwa yawan bilirubin ya kara ƙaruwa, ana bukatar karin bincike. Ba wai kawai alamar lambobi na adadi da alamar kyauta yana da mahimmanci ba, amma har yawancin kashi zuwa jimlar jigilar abu.
Mene ne yawan bilirubin da ya karu a cikin jini tare da karuwa a raguwa ta tsakiya?
Cututtuka tare da yanayin da aka kwatanta zasu iya kasancewa da ƙwayar cuta.
Ƙungiyar farko ta ƙunshi:
- hepatitis:
- babban hoto mai zagaya yanar gizo da sauri;
- na kwayan cuta;
- na kullum;
- magani;
- mai guba;
- Tagamin;
- hanta ciwace-ciwacen daji;
- cholestasis na intrahepatic;
- Firayi na farko na biliary;
- jaundice na mata masu ciki;
- Rotor ciwo;
- Dabin-Johnson ciwo.
Ƙungiyar ta biyu ta ƙunshi irin wannan cututtuka:
- mummunan ciwo da rashin ciwo;
- echinococcosis na hanta ;
- anerysm na maganin hepatic;
- diverticulitis na duodenum;
- wani ƙwayar cuta;
- na kullum, m da segmental cholangitis;
- cholelithiasis;
- kumburi na duodenum;
- neoplasm a cikin kogin bile.
Rabin yawan bilirubin tare da alamun karuwa a pigment indirect - me ake nufi?
Idan haɓakar 'bilirubin' '' '' '' 'ya karu ne tare da karuwa guda ɗaya a cikin adadin alade, za'a haifar dalili a cikin hanta da kuma waje.
A cikin farko yanayin, akwai irin wannan cututtuka:
- ƙungiyar Kriegler-Nayyar;
- samo jaundice ba na hemolytic;
- Gilbert ta ciwo;
- Lucy-Driscola ciwo.
Harkokin cututtuka dabam dabam sun hada da:
- samo asalin hemolytic, yawanci na asali;
- anemia mai yaduwa
- sepsis ;
- Hanyoyin da ake ciki na erythrocytes a jarirai;
- malaria;
- anemia mai haɗari mai guba;
- anemia hemolytic magani.