Kakawanda mushure mokunge mawana migumisiro yekuongororwa kweropa remhepo, murwere anodzidza kuti akawedzera bhalirubin yakazara - zvinoreva kuti kungoona chete kukosha kwese hakugoneki. Ichokwadi ndechokuti musanganiswa wose weiyo pigment ndeyero yezviratidzo zvezviri pachena uye zvisingaverengeki bilirubin. Ndiyo mhinduro idzi dzinoita kuti zvikwanise kutsvaga mune imwe nzira yehupenyu kukanganisa kwakaitika, uye chii icho chikonzero chekutsauka kwekutsvaga kubva pane zvisizvo.
Nei chigarire bilirubin inogona kukurudzirwa muropa test?
Zvose zvinokonzera kuwandisa kwezvinhu zvinokosha zvebilirubin zvinosanganiswa zvikamu zvina. Kusiyanisa kwakavakirwa pamatanho ekutsinhaniswa kwezvinhu zvakabvunzwa, uyewo 2 kujekesa zviyero:
- Kunzvimbo yechinokonzerwa nehutano hwejena-turu pigment inowedzera (muropa kana kunze kwechiganda ichi).
- Chimiro chekuwedzera bilirubin (zvakananga kana zvisingazivikanwi).
Maererano neyiyi nzira yekutsanangurira, mazvikwata anotevera ezvikonzero zvekuwedzera huwandu hwehutano-ruvara rweguruji hunosiyana:
- Hepatic elevation of bound bilirubin - mumasero echiropa, kubudiswa kwe bile kunovhiringidzika, semugumisiro wekubuda kwayo kwave kwakaderera zvakananga mubiki ducts mukati mechiropa.
- Kuwedzera kwekuwedzera kwezvisungo zvebilirubin - kubuda kwebiya kunovhiringidzika mune zvinyorwa zvinonzi extrahepatic ducts.
- Hepatic elevation ye free bilirubin - mumasero emuropa kune kusakarurama kwekutendeuka kwehurukuro yakasununguka kuva fomu yakananga.
- Kuwedzera kwekuwedzera mune bhara birimubin - kunze kwechiropa, zvakanyanya kusununguka yellow-green pigment inobudiswa.
Mumwe nomumwe wemapoka aya ane unhu hunoratidzirwa, izvo zvinokwanisika kuisa kuongororwa kutsvaga.
Zvakakosha kuziva kuti kunyange kana bilirubin yose yakawedzerwa zvishoma, kutsvakurudza kwakawanda kunodiwa. Kwete kungoita nhamba yehuwandu yehuwandu hwekusungwa uye kusununguka kwemavara inokosha, asiwo iyo inenge yepakati yehuwandu kune huwandu hwehuwandu hwezvinhu.
Chii chakawedzerwa bilirubin muropa neruzhinji rwechikamu chakananga?
Zvirwere zvinoperekedzwa nemamiriro ezvinhu zvinotsanangurwa zvinogona kuva intrahepatic uye extrahepatic.
Boka rokutanga rinosanganisira:
- hepatitis:
- acute viral;
- bhakitiriya;
- chronic;
- mishonga;
- toxic;
- autoimmune;
- chiropa chidiki;
- intrahepatic cholestasis;
- biliary primary cirrhosis;
- jaundice yevakadzi vane pamuviri;
- Rotor syndrome;
- Dabin-Johnson syndrome.
Boka rechipiri rine zvirwere zvakadaro:
- acute uye kusingaperi pancreatitis;
- echinococcosis yechiropa ;
- aneurysm yeropatic artery;
- diverticulitis ye duodenum;
- tumarara yepascreas;
- chronic, acute uye segmental cholangitis;
- cholelithiasis;
- kunyunyisa kwe duodenum;
- neoplasm mu bile duct.
Kuwedzerwa bilirubin yakazara nezviratidzo zvekuwedzera mumutauro usina kujeka - zvinorevei?
Kana huwandu hwehupachena hwebilirubin huwedzerwa nehuwandu hwakakonzerwa nehuwandu hwenyika, zvikonzero zvinogonawo kuvharwa zvose mukati memukati weropa uye kunze kwayo.
Muchiitiko chekutanga, kune zvirwere zvakadaro:
- the Kriegler-Nayyar syndrome;
- akawana kwete-hemolytic jaundice;
- Gilbert's syndrome;
- Lucy-Driscola chirwere.
Zvirwere zvakanyanya zvinosanganisira:
- akawana hemolytic anemia, kazhinji kechigadziro chokutanga;
- congenital hemolytic anemia
- sepsis ;
- hemolysis ye erythrocytes muzvitsva;
- malariya;
- toxic hemolytic anemia;
- mishonga inokonzera hemolytic anemia.