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Kuyini ukuhlolwa kwegazi kwe-bilirubin?

Ukuhlolwa kwegazi kwe-bilirubin kukala amazinga we-bilirubin egazini lakho. I-Bilirubin yinto ephuzi eyenziwe ngesikhathi senqubo ejwayelekile yomzimba yokwephula amaseli abomvu egazi. IBilirubin itholakala enyongweni, uketshezi olusesibindini sakho okusiza ekugayeni ukudla. Uma isibindi sakho siphilile, sizosusa iningi le-bilirubin emzimbeni wakho. Uma isibindi sakho sonakele, i-bilirubin ingavuza esibindini sakho nasegazini lakho. Lapho i-bilirubin eningi kakhulu ingena egazini, ingadala i-jaundice, isimo esidala ukuthi isikhumba namehlo akho abe phuzi. Izimpawu ze-jaundice, kanye nokuhlolwa kwegazi nge-bilirubin, kungasiza umhlinzeki wakho wezokunakekelwa kwempilo ukuthi athole ukuthi unesifo sesibindi.

Amanye amagama: Ingqikithi yeserum bilirubin, TSB

Kusetshenziselwa ini?

Ukuhlolwa kwegazi kwe-bilirubin kusetshenziselwa ukuhlola impilo yesibindi sakho. Isivivinyo sisetshenziswa kaningi ukusiza ukuxilonga i-jaundice esanda kuzalwa. Izingane eziningi ezinempilo zithola i-jaundice ngoba izibindi zazo azivuthwanga ngokwanele ukuqeda i-bilirubin eyanele. I-jaundice esanda kuzalwa ngokuvamile ayinabungozi futhi iyaphela kungakapheli amasonto ambalwa. Kodwa kwezinye izimo, amazinga aphezulu e-bilirubin angaholela ekulimaleni kobuchopho, ngakho-ke izinsana zivame ukuhlolwa njengokuqapha.


Kungani ngidinga ukuhlolwa kwegazi le-bilirubin?

Umhlinzeki wakho wezokunakekelwa kwempilo anga-oda ukuhlolwa kwegazi nge-bilirubin:

  • Uma unezimpawu ezifana ne-jaundice, umchamo omnyama, noma ubuhlungu besisu. Lokhu kungakhombisa ukusha kwesibindi kohlobo, i-cirrhosis, noma ezinye izifo zesibindi
  • Ukuthola ukuthi ngabe kukhona yini ukuvimba ezakhiweni ezithwala inyongo esibindini sakho
  • Ukuqapha isifo esikhona sesibindi noma ukuphazamiseka
  • Ukuhlonza ukuphazamiseka okuhlobene nezinkinga ngokukhiqizwa kwamangqamuzana egazi abomvu. Izinga eliphezulu le-bilirubin egazini lingaba uphawu lwesifo se-gallbladder kanye nesimo esibizwa nge-hemolytic anemia

Kwenzekani ngesikhathi sokuhlolwa kwegazi nge-bilirubin?

Uchwepheshe wezempilo uzothatha isampula yegazi emthanjeni osengalweni yakho, esebenzisa inaliti encane. Ngemuva kokuthi kufakwe inaliti, kuzoqoqwa inani elincane legazi kufakwe ithubhu yokuhlola noma isitsha. Ungase uzizwe uluma kancane lapho inaliti ingena noma iphuma. Lokhu ngokuvamile kuthatha imizuzu engaphansi kwemihlanu.

Ngabe kukhona engizodinga ukukwenza ukulungiselela isivivinyo?

Awudingi noma yimaphi amalungiselelo akhethekile okuhlolwa kwegazi le-bilirubin. Uma umhlinzeki wakho wezokunakekelwa kwempilo naye eyalele okunye ukuhlolwa kwegazi, kungadingeka ukuthi uzile ukudla (ungadli noma uphuze) amahora ambalwa ngaphambi kokuhlolwa. Umhlinzeki wakho wezokunakekelwa kwempilo uzokwazisa uma ngabe kukhona imiyalelo ekhethekile ongayilandela.


Ingabe zikhona izingozi esivivinyweni?

Kunengozi encane kakhulu yokuhlolwa kwegazi. Ungaba nobuhlungu obuncane noma ukulimaza lapho kufakwe khona inaliti, kepha izimpawu eziningi ziyaphela ngokushesha.

Isho ukuthini imiphumela?

Imiphumela ejwayelekile ingahluka, kepha amazinga aphezulu e-bilirubin angasho ukuthi isibindi sakho asisebenzi kahle. Kodwa-ke, imiphumela engajwayelekile ayikhombisi ngaso sonke isikhathi isimo sezempilo esidinga ukwelashwa. Izinga eliphakeme kunelejwayelekile le-bilirubin lingabangelwa yimithi, ukudla okuthile, noma ukuvivinya umzimba kanzima. Ukuze ufunde ukuthi imiphumela yakho isho ukuthini, khuluma nomhlinzeki wakho wezokunakekelwa kwempilo.

Funda kabanzi mayelana nokuhlolwa kwelabhorethri, ububanzi bezinkomba, nemiphumela yokuqonda.

Ngabe kukhona okunye engidinga ukukwazi ngokuhlolwa kwegazi le-bilirubin?

Ukuhlolwa kwegazi nge-bilirubin kuyisilinganiso esisodwa kuphela sempilo yakho yesibindi. Uma umhlinzeki wakho wezokunakekelwa kwempilo ecabanga ukuthi ungaba nesifo sesibindi noma ukuphazamiseka kweseli elibomvu, ezinye izivivinyo zinganconywa. Lokhu kufaka ukuhlolwa kokusebenza kwesibindi, iqembu lezivivinyo ezilinganisa izinto ezahlukahlukene egazini lakho, nokuhlolwa kwamaprotheni athile enziwe esibindi. Ngaphezu kwalokho, umhlinzeki wakho wezokunakekelwa kwempilo angancoma ukuhlolwa komchamo, i-ultrasound, noma i-biopsy ukuthola isampula lezicubu esibindini sakho ukuze lihlole


Izinkomba

  1. I-American Liver Foundation. [Inthanethi]. ENew York: I-American Liver Foundation; c2017. Ukuhlolwa Komsebenzi Wesibindi; [kubuyekezwe 2016 Jan 25; kukhonjiwe ngo-2017 Jan 31]; [cishe izikrini ezi-4]. Kutholakala kusuka: http://www.liverfoundation.org/abouttheliver/info/liverfunctiontests/
  2. Izingane Eziphilile.org. [Inthanethi]. I-Elk Grove Village (IL): I-American Academy Yezingane; c2017. I-jaundice ku-Q & A Yezinsana; 2009 Jan 1 [icashunwe ngo-2017 Jan 31]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.healthychildren.org/English/ages-stages/baby/Pages/Jaundice.aspx
  3. Ukuhlolwa Kwelebhu Ku-inthanethi [i-Intanethi]. IWashington DC: I-American Association for Clinical Chemistry; c2001–2017. Bilirubin; [kubuyekezwe u-2015 Dec 16; kukhonjiwe ngo-2017 Jan 31]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://labtestsonline.org/understanding/analytes/bilirubin/tab/test
  4. IMayo Clinic [Inthanethi]. IMayo Foundation for Medical Education and Research; c1998-2017. Ukuhlolwa kweBilirubin: Incazelo; 2016 Jul 2 [icashunwe ngo-2017 Jan 31]; [cishe izikrini ezi-2]. Kutholakala kusuka: http://www.mayoclinic.org/tests-procedures/bilirubin/basics/definition/prc-20019986
  5. IMayo Clinic [Inthanethi]. IMayo Foundation for Medical Education and Research; c1998-2017. Ukuhlolwa kweBilirubin: Imiphumela; 2016 Jul 2 [icashunwe ngo-2017 Jan 31]; [cishe izikrini eziyi-6]. Kutholakala kusuka: http://www.mayoclinic.org/tests-procedures/bilirubin/basics/results/prc-20019986
  6. IMayo Clinic [Inthanethi]. IMayo Foundation for Medical Education and Research; c1998-2017. Ukuhlolwa kweBilirubin: Kungani kwenziwa; 2015 Oct 13 [icashunwe ngo-2017 Jan 31]; [cishe izikrini ezi-4]. Kutholakala kusuka: http://www.mayoclinic.org/tests-procedures/bilirubin/basics/why-its-done/prc-20019986
  7. I-National Heart, Lung, ne-Blood Institute [i-Intanethi]. I-Bethesda (MD): UMnyango Wezempilo kanye Nezinsizakalo Zabantu e-U.S. Ihlolwe Kanjani I-Hemolytic Anemia? [kubuyekezwe u-2014 Mar 21; kukhonjiwe ngo-2017 Jan 31]; [cishe izikrini ezi-5]. Kutholakala kusuka: https://www.nhlbi.nih.gov/health-topics/hemolytic-anemia#Diagnosis
  8. I-National Heart, Lung, ne-Blood Institute [i-Intanethi]. I-Bethesda (MD): UMnyango Wezempilo kanye Nezinsizakalo Zabantu e-U.S. Ziyini Izingozi Zokuhlolwa Kwegazi? [kubuyekezwe 2012 Jan 6; kukhonjiwe ngo-2017 Jan 31]; [cishe izikrini ezi-5]. Kutholakala kusuka: https://www.nhlbi.nih.gov/health-topics/blood-tests#Risk-Factors
  9. I-National Heart, Lung, ne-Blood Institute [i-Intanethi]. I-Bethesda (MD): UMnyango Wezempilo kanye Nezinsizakalo Zabantu e-U.S. Ongakulindela Nezivivinyo Zegazi; [kubuyekezwe 2012 Jan 6; kukhonjiwe ngo-2017 Jan 31]; [cishe izikrini ezi-5]. Kutholakala kusuka: https://www.nhlbi.nih.gov/health-topics/blood-tests
  10. I-National Heart, Lung, ne-Blood Institute [i-Intanethi]. I-Bethesda (MD): UMnyango Wezempilo kanye Nezinsizakalo Zabantu e-U.S. Ukuhlolwa Kwegazi Kukhombisani? [kubuyekezwe 2012 Jan 6; kukhonjiwe ngo-2017 Jan 31]; [cishe izikrini ezi-5]. Kutholakala kusuka: https://www.nhlbi.nih.gov/health-topics/blood-tests
  11. I-University of Rochester Medical Center [i-Inthanethi]. URochester (NY): Isikhungo Sezokwelapha sase-University of Rochester; c2017. I-Health Encyclopedia: Ingqikithi ye-Bilirubin (Igazi); [kucashunwe ngo-2017 Jan 31]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid;=total_bilirubin_blood

Imininingwane ekulesi siza akufanele isetshenziswe esikhundleni sezokunakekelwa kwezokwelapha noma iseluleko. Xhumana nomhlinzeki wezempilo uma unemibuzo ngempilo yakho.

-Conywayo

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