I-Bilirubin e-Urine

-Delile

• Yini i-bilirubin ekuhlolweni komchamo?
• Kusetshenziselwa ini?
• Kungani ngidinga i-bilirubin ekuhlolweni komchamo?
• Kwenzekani ngesikhathi se-bilirubin ekuhlolweni komchamo?
• Ngabe kukhona engizodinga ukukwenza ukulungiselela isivivinyo?
• Ingabe zikhona izingozi esivivinyweni?
• Isho ukuthini imiphumela?
• Izinkomba

Yini i-bilirubin ekuhlolweni komchamo?

I-bilirubin ekuhlolweni komchamo ilinganisa amazinga e-bilirubin emchameni wakho. 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 egazini nasemchameni. I-Bilirubin emchameni ingaba uphawu lwesifo sesibindi.

Amanye amagama: ukuhlolwa komchamo, ukuhlaziywa komchamo, i-UA, ukuvuthwa kwamakhemikhali, i-bilirubin eqondile

Kusetshenziselwa ini?

I-bilirubin ekuhlolweni komchamo imvamisa iyingxenye yokuhlolwa komchamo, isivivinyo esilinganisa amaseli ahlukene, amakhemikhali nezinye izinto emchameni wakho. I-urinalysis ivame ukufakwa njengengxenye yokuhlolwa okujwayelekile. Lokhu kuhlolwa kungasetshenziswa futhi ukuhlola izinkinga zesibindi.

Kungani ngidinga i-bilirubin ekuhlolweni komchamo?

Umhlinzeki wakho wezokunakekelwa kwempilo kungenzeka ukuthi u-ode i-bilirubin ekuhlolweni komchamo njengengxenye yokuhlolwa kwakho okuvamile, noma uma unezimpawu zesifo sesibindi. Lezi zimpawu zifaka:

• I-jaundice, isimo esidala ukuthi isikhumba namehlo akho abe phuzi
• Umchamo onombala omnyama
• Ubuhlungu besisu
• Isicanucanu nokuhlanza
• Ukukhathala

Ngoba i-bilirubin emchameni ingakhombisa ukulimala kwesibindi ngaphambi kokuvela kwezinye izimpawu, umhlinzeki wakho wezokunakekelwa kwempilo anga-oda i-bilirubin ekuhlolweni komchamo uma usengozini enkulu yokulimala kwesibindi. Izici eziyingozi zesifo sesibindi zifaka:

• Umlando womndeni wesifo sesibindi
• Ukuphuza ngokweqile
• Ukuvezwa noma ukuvezwa okungenzeka kwesifo se-hepatitis
• Ukukhuluphala ngokweqile
• Isifo sikashukela
• Ukuthatha imithi ethile engadala ukulimala kwesibindi

Kwenzekani ngesikhathi se-bilirubin ekuhlolweni komchamo?

Umhlinzeki wakho wokunakekelwa kwezempilo uzodinga ukuqoqa isampula yomchamo wakho. Ngesikhathi sokuvakasha kwakho ehhovisi, uzothola isitsha sokuqoqa umchamo kanye nemiyalelo ekhethekile yokuqinisekisa ukuthi isampuli ayinyumba. Le miyalo ivame ukubizwa ngokuthi "indlela yokubamba ehlanzekile." Indlela yokubamba ehlanzekile ifaka izinyathelo ezilandelayo:

1. Geza izandla zakho.
2. Hlanza isitho sakho sangasese ngephedi yokuhlanza oyinikezwe ngumhlinzeki wakho. Abesilisa kufanele basule ichopho lepipi labo. Abesifazane kufanele bavule amalebula abo futhi bahlanze kusuka ngaphambili kuya emuva.
3. Qala ukuchama ungene endlini encane.
4. Hambisa isitsha sokuqoqa ngaphansi kokusakaza kwakho komchamo.
5. Qoqa okungenani i-ounce noma amabili umchamo ungene esitsheni, okufanele ube nomaka okhombisa amanani.
6. Qeda ukuchama ungene endlini encane.
7. Buyisela isitsha sesampula kumhlinzeki wakho wezokunakekelwa kwempilo.

Ngabe kukhona engizodinga ukukwenza ukulungiselela isivivinyo?

Awudingi noma yimaphi amalungiselelo akhethekile wokuhlola i-bilirubin emchameni. Uma umhlinzeki wakho wezokunakekelwa kwempilo eyalele okunye ukuhlolwa komchamo noma 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?

Ayikho ingozi eyaziwayo yokuhlolwa komchamo noma i-bilirubin ekuhlolweni komchamo.

Isho ukuthini imiphumela?

Uma i-bilirubin itholakala emchameni wakho, ingakhombisa:

• Isifo sesibindi esifana ne-hepatitis
• Ukuvaleka ezakhiweni ezithwala inyongo esibindini sakho
• Inkinga yokusebenza kwesibindi

I-bilirubin ekuhlolweni komchamo isilinganiso esisodwa kuphela sokusebenza kwesibindi. Uma imiphumela yakho ingavamile, umhlinzeki wakho wezokunakekelwa kwempilo anga-oda ukuhlolwa okwengeziwe kwegazi nomchamo, kufaka phakathi iphaneli lesibindi. Iphaneli lesibindi luchungechunge lwezivivinyo zegazi ezilinganisa ama-enzyme ahlukahlukene, amaprotheni nezinto ezisesibindi. Kuvame ukusetshenziselwa ukuthola isifo sesibindi.

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

Izinkomba

1. I-American Liver Foundation [i-Inthanethi]. ENew York: I-American Liver Foundation; c2017. Ukuhlolwa Komsebenzi Wesibindi [kubuyekezwe 2016 Jan 25; kukhonjiwe ngo-2017 Mar 23]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.liverfoundation.org/for-patients/about-the-liver/the-progression-of-liver-disease/diagnosing-liver-disease/
2. UHinkle J, Cheever K. Brunner & Suddarth's Handbook of Laboratory and Diagnostic Test. 2^nd Ed, Kindle. IPhiladelphia: I-Wolters Kluwer Health, Lippincott Williams & Wilkins; c2014. Bilirubin (Umchamo); 86-87 k.
3. Ukuhlolwa Kwelebhu Ku-inthanethi [i-Intanethi]. I-American Association for Clinical Chemistry; c2001–2017. Iphaneli Yesibindi: Isivivinyo [sibuyekezwe 2016 Mar 10; kukhonjiwe ngo-2017 Mar 23]; [cishe izikrini ezi-4]. Kutholakala kusuka: https://labtestsonline.org/understanding/analytes/liver-panel/tab/test
4. Ukuhlolwa Kwelebhu Ku-inthanethi [i-Intanethi]. I-American Association for Clinical Chemistry; c2001–2017. I-Urinalysis: Isivivinyo [sibuyekezwe ngo-2016 Meyi 25; kukhonjiwe ngo-2017 Mar 23]; [cishe izikrini ezi-4]. Kutholakala kusuka: https://labtestsonline.org/understanding/analytes/urinalysis/tab/test
5. Ukuhlolwa Kwelebhu Ku-inthanethi [i-Intanethi]. I-American Association for Clinical Chemistry; c2001–2017. Ukuhlolwa komchamo: Izinhlobo ezintathu zezivivinyo [ezicashunwe ngo-2017 Mar 23]; [cishe izikrini ezi-5]. Kutholakala kwa: https://labtestsonline.org/understanding/analytes/urinalysis/ui-exams?start=1#bili
6. IMayo Clinic [Inthanethi]. IMayo Foundation for Medical Education and Research; c1998–2017. Ukuhlolwa komchamo: Uzilungiselela kanjani; 2016 Oct 19 [icashunwe ngo-2017 Mar 23]; [cishe izikrini ezi-4]. Kutholakala kusuka: http://www.mayoclinic.org/tests-procedures/urinalysis/details/how-you-prepare/ppc-20255388
7. IMayo Clinic [Inthanethi]. IMayo Foundation for Medical Education and Research; c1998–2017. Ukuhlolwa komchamo: Ongakulindela; 2016 Oct 19 [icashunwe ngo-2017 Mar 23]; [cishe izikrini ezi-5]. Kutholakala kusuka: http://www.mayoclinic.org/tests-procedures/urinalysis/details/what-you-can-expect/rec-20255393
8. Uhlobo Lokuthengwa Kwamakhasimende we-Merck [Internet]. IKenilworth (NJ): IMerck & Co, Inc .; c2017. Ukuhlolwa komchamo [kucashunwe ngo-2017 Mar 23]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://www.merckmanuals.com/home/kidney-and-urinary-tract-disorders/diagnosis-of-kidney-and-urinary-tract-disorders/urinalysis
9. Uhlelo lweSaint Francis Health [Internet]. I-Tulsa (KULUNGILE): Uhlelo lwezempilo lwe-Saint Francis; c2016. Imininingwane Yesineke: Ukuqoqa Isampula Ehlanzekile Yokubanjwa Komchamo; [kucashunwe ngo-2017 Jul 14]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.saintfrancis.com/lab/Documents/Collecting%20a%20Clean%20Catch%20Urine.pdf
10. Isikhungo iJohns Hopkins Lupus [Internet]. UJohn Hopkins Medicine; c2017. Ukuhlolwa komchamo [kucashunwe ngo-2017 Mar 23]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.hopkinslupus.org/lupus-tests/screening-laboratory-tests/urinalysis/
11. I-University of Rochester Medical Center [i-Inthanethi]. URochester (NY): Isikhungo Sezokwelapha sase-University of Rochester; c2017. I-Health Encyclopedia: Direct Bilirubin [icashunwe ngo-2017 Mar 23]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid;=bilirubin_direct

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