Apo metabolism mumuviri, hemoglobin inonamatira pachiropa, ichiumba bilirubin sechibereko chekuora. Inowanikwa mu-serum uye mu bile. Bilirubin yakanyanyiswa kubva mumuviri nemuviri uye mashanga, uye bile. Kana uwandu hwebilirubin huchiwedzera, hunoratidzika muhutano hweganda - jaundice .
Paunenge uchitarisa zviri mukati ma bilirubin mu plasma yeropa, tsanangura nzira dzakananga uye dzisinganzwisisi dzeiyo pigment. Mhando mbiri dzakakurumbira bilirubin. Dzorera - iyi ndiyo iyo iyo pigment inenge yakasungwa mumasero eropa uye yakagadzirira kubviswa, uye iyo isina kuratidza yakaumbwa munguva pfupi uye haisati yasisirwa. Zvinyorwa zvebilirubin muropa zvinoratidza kuti chiropa uye bile ducts zvinoshanda sei. Kuwedzerwa huwandu hwekuvepa hukuru kumakemikari akareba chinhu chinotyisa zvikuru uye chinoda chiito nokukurumidza.
Nzira yekuita sei kuongorora bhalirubin?
Pane mitemo yakawanda yekutora ropa rekuongorora ropa rinowanzoitwa bilirubin:
- Kuti uone huwandu hwebilirubin, sampuli yeropa inogadzirwa kubva mumhino mukati mukati mekona yenguo. Vana vacheche vanotora ropa kubva chitsitsinho kana mvere pamusoro.
- Usati watora muedzo kwemazuva matatu iwe haugone kutora kudya kwemafuta uye unoda kurega doro.
- Iko kuongorora kunongowanikwa chete musina chinhu chisina chinhu. Iwe unofanirwa kushaya nenzara kwemaawa masere. Sezvo mutemo, ropa rinotorwa mangwanani. Kune vana ipapo hapana mitezo.
Chigumisiro chekutsvaga chinogona kukanganiswa nezvimwe zvinotevera:
- kutora kofi uye mishonga yemakwenzi eine caffeine;
- achitora Warfarin, Aspirin, Heparin;
- kudya uye nzara;
- kutora zvimwe zvigadzirwa zvekugadzirisa kana kushandiswa kwemashizha, mishonga yechiropa;
- pamuviri.
Nzira dzebilirubin mukuongorora ropa
Izvo zvinowanzoitwa bilirubin kuvanhu vakuru zvinobva ku 3.4, (maererano nemamwe mabhuku kubva ku 5.1) kusvika ku17 micromolar per litita.
Chikamu chisina kujeka ndeche 70-75%, kuverengwa mum micromoles per litari kubva pa3 kusvika ku12. Chikamu chakajeka chinopararira kubva pa7 kusvika ku1,5 micromolar per litita. Mamwe magwaro anotaura kuti chimiro chinogona kutaridzirwa kubva ku3 kusvika ku 3.5 micromolar per litita.
Izvo zvinofanira kuonekwa kuti mumadzimai ane pamuviri bhakanyanyisa huwandu hwebilirubin inowanzoonekwa sechiripo. Kune vatsva, the
Bilirubin mukuongorora urine
Kana bilirubin inowanikwa mukuongorora urini, ichi ndicho chiratidzo chokutanga chekusashanda mukati meropa uye bile ducts. Kuongororwa kunopa kukurumidza kuona zvirwere zvakadai se:
- cirrhosis ;
- hepatitis;
- zvirwere zve gallbladder;
- kenza.