Bilirubin - umchamo

I-Bilirubin i-pigment ephuzi etholakala ku-bile, uketshezi olukhiqizwa isibindi.

Le ndatshana imayelana nokuhlolwa kwebhu ukukala inani le-bilirubin emchameni. Inani elikhulu le-bilirubin emzimbeni lingaholela ku-jaundice.

I-Bilirubin nayo ingalinganiswa nokuhlolwa kwegazi.

Lokhu kuhlolwa kungenziwa kunoma isiphi isampula yomchamo.

Enganeni, geza kahle indawo lapho umchamo uphuma khona emzimbeni.

• Vula isikhwama sokuqoqa umchamo (isikhwama sepulasitiki esinephepha lokunamathisela ekugcineni).
• Kwabesilisa, faka wonke umthondo esikhwameni bese unamathisela ukunamathela esikhunjeni.
• Kwabesifazane, beka isikhwama phezu kwama-labia.
• Inabukeni njengenjwayelo phezu kwesikhwama esivikelekile.

Le nqubo ingathatha imizamo embalwa. Ingane esebenzayo ingahambisa isikhwama esidala ukuthi umchamo ungene emanabukeni.

Hlola usana kaningi bese ushintsha isikhwama ngemuva kokuthi usana seluchamele kulo. Khipha umchamo esikhwameni ungene esitsheni esihlinzekwe ngumhlinzeki wakho wezokunakekelwa kwempilo.

Hambisa isampula elabhorethri noma kumhlinzeki wakho ngokushesha okukhulu.

Imithi eminingi ingaphazamisa imiphumela yokuhlolwa komchamo.

• Umhlinzeki wakho uzokutshela uma udinga ukuyeka ukuthatha noma yimiphi imithi ngaphambi kokwenza lokhu kuhlolwa.
• UNGAYIMISI noma ushintshe imithi yakho ngaphandle kokuqala ukhulume nomhlinzeki wakho.

Isivivinyo sihilela ukuchama okujwayelekile kuphela, futhi akukho ukungaphatheki kahle.

Lokhu kuhlolwa kungenziwa ukusiza ukuxilonga izinkinga zesibindi noma i-gallbladder.

I-Bilirubin ayitholakali ngokujwayelekile emchameni.

Amazinga akhuphukile e-bilirubin emchameni kungenzeka ngenxa:

• Isifo se-Biliary tract
• Isifo sokuqina kwesibindi
• Ama-gallstones asepheshaneni le-biliary
• Isibindi
• Isifo sesibindi
• Izimila zesibindi noma i-gallbladder

I-Bilirubin ingaphuka ekukhanyeni. Yingakho izingane ezine-jaundice kwesinye isikhathi zifakwa ngaphansi kwamalambu we-fluorescent aluhlaza okwesibhakabhaka.

I-bilirubin ehlanganisiwe - umchamo; I-bilirubin eqondile - umchamo

• Uhlelo lwesilisa lomchamo

IBerk PD, iKorenblat KM. Sondela esigulini nge-jaundice noma imiphumela yokuhlolwa kwesibindi engavamile. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-25. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 147.

UDean AJ, uLee DC. Izinqubo zelebhu yombhede kanye nezinqubo ze-microbiologic. Ku: Roberts JR, Custalow CB, Thomsen TW, ama-eds. Izinqubo Zomtholampilo zikaRoberts noHedges ku-Emergency Medicine kanye ne-Acute Care. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2019: isahluko 67.

URiley RS, uMcPherson RA. Ukuhlolwa okuyisisekelo komchamo. Ku: McPherson RA, Pincus MR, abahleli. UHenry’s Clinical Diagnosis and Management by Laboratory Methods. Umhla ka-23. ISt Louis, MO: Elsevier; 2017: isahluko 28.