Bilirubin: Muzvarirwo vachangoberekwa. Table pamwedzi

Mamiriro ezvinhu apo bilirubin muropa kuti vachangoberekwa kukasapfuura waivako mitemo - havasi zvechienzi. Kakawanda, izvozvo kutanga kuitika tisingatungamirirwi. Zvisinei, kukwirira prices zvinoda rumwe kurapwa, nokuti zvinogona kutungamirira mikuru matambudziko. Naizvozvo, mukuru bilirubin anofanira kutorwa nokungwarira zvikuru.

Pfungwa bilirubin

Bilirubin - chigadzirwa kunokonzerwa kubva disintegration masero matsvuku eropa. Kana kutenderera chokuvapo kwavo haasisiri, vari dzikwanise chepfu Chizenga, umo mune paumbwe dhayi.

In okurapa kuti govera nezvemarudzi maviri (zvikamu zviduku) izvi zvinhu: zvakananga uye zvisina kunanga. Pakutanga kuumbwa kunanga bilirubin. Ndiye havaratidzi soluble uye zvakaoma yabudiswa kubva mumuviri. Saka tanga dzikwanise zvakananga bilirubin, izvo anopinda chiropa, zvadaro gallbladder uye yabudiswa kuburikidza muura.

Muviri womunhu ari kuita zvose zvaanogona kuti kubvisa nefuma. Zvisinei, pakutanga chiropa mucheche havagoni kurarama ine mutoro akadaro. Ndokusaka mumazuva okutanga oupenyu richikosha kuti arambe kana akaona mwero bilirubin neropa vachangoberekwa. Netafura, rine kuchikumbaridzo kukosha chinoratidza rakagadzirirwa kubatsira kuzviita.

The zvinokonzera yakakwirira bilirubin

Vangangokukuvadza utano mamiriro wemwana kana zvakasiyana ukoshi yakawanikwa iri kuongorora kwomuzvarirwo bilirubin vachangoberekwa masikati. Table kuti anobvumira kuti kuenzanisa nezviyero izvi zviviri yambokurukurwa mukufamba imwe kuongorora refu. Chinangwa chacho chaiva kuziva zvikonzero kuti anokonzera chiitiko ichi. The zvihombe ndiwo:

- abnormalities mu fetus nokukurumidza;

- Mabatirwo pamuviri zvinodhaka toxicity, uyewo avo kushandiswa pakusununguka;

- kwete breastfeed;

- uremu yakawandisa kurasikirwa nomwana pamazuva oupenyu okutanga.

In ngozi mapazi uye vawane vakaberekwa nevakadzi nevana kunaka kusapindirana kweropa chikonzero. Kazhinji padzakacherechedza zvakawandisa kana fananidzo rinoitwa: mugumisiro ongororo iri bilirubin - mwero achangoberekwa (ona tafura).

wokuyera

We achangobva kuberekwa mwana haisi nhengo dzose dziri kushanda panguva zvizere chinzvimbo. Naizvozvo zvichiguma akoromoke fetus Chizenga haana nguva kuwana achitaura sealbumin. Zvinoguma bilirubin azvipire kukura.

In nhamba iyi yokutanga zvinhu muropa kunowedzera, uye anotanga kuti kusviba. Under kwomuzvarirwo ezvinhu, pamusoro zuva rechina upenyu, vana vane mashoma bilirubin. Normal achangoberekwa (tafura, uko kunomiririrwa pazasi rine mutengo wayo) dzinosiyana zvakati nezera.

Norma zvachose bilirubin maererano Directory Ingerleĭb M.

Age of mwana	Average kukosha indekisi, mmol / L
zuva rokutanga	asingasviki 34
1-2 mazuva	24-149
3-5 mazuva	26-205
5 Mazuva-60 makore	5-21

Pane imwe tafura kuti ipfupiso chakaipa bilirubin pamwero ari kuparadzirwa zvikamu zviduku.

Age of mwana	Meaning bilirubin, mmol / L
	kwose	Related	vakasununguka
vachangoberekwa	23,09	8,72	14,37
The zuva repiri	54,22	8,72	45,50
The zuva rechina	90,14	7,87	82,27
zuva rechitanhatu	69,10	7.72	63,28
zuva repfumbamwe	53,02	8,72	44,30
mwedzi	11,12	2,57	8,55

Pakusununguka chikumbaridzozve fuma kugutsikana ungasvika 51 mol / l. Zvadaro, zvishoma nezvishoma izvozvo kunowedzera, uye dzimwe mazuva 3-4 upenyu maximized. In vana vakaberekwa nguva bilirubin pamwero hakufaniri kupfuura 256 pmol / L, preterm - 171.

physiologic jaundice

Kazhinji kune vasiri jaundice ari mucheche. Norma bilirubin (tafura inosimbisa izvi) kunowedzera mumazuva okutanga oupenyu, asi uwandu zvinhu pachavo vanofanira airarama masvondo maviri zera.

Doctors govera zvinoverengeka zviratidzo anoratidza kuvapo hwomwana vasiri jaundice:

- anozviratidza pazuva upenyu rechipiri;

- mwero ropa kwevari bilirubin vakapfuura zvishoma;

- chiso uye muviri kupfuura guvhu akacherekedza yellowing ganda.

Pasinei zvose, mwana wacho nemamiriro iri zvachose kuipa, uchichengeta muviri kushingaira. Bilirubin zvinofanira kuongororwa nguva dzose wevana kune vasiri jaundice hakuna ikava pathological. Kazhinji, nemakore vhiki imwe inofanira kutanga kuderedza zvinhu. About 3 vhiki vari vana vakanga vakaberekerwa izwi, uye kuti-mwedzi vakurumidze normalization kuti bilirubin pamuviri.

Pathological jaundice

nokukurumidza, kuti vasiri jaundice anogona mberi pathological. Zvakakomba siyana vari pamwe kuwedzera bilirubin pamwero: anenge 90 mol / L ose maawa 24. Uyezve, mune neonates anogona pakutanga nokukwirira kwazvo zvinokosha: vanopfuura 250 micromol / l.

Kureva, mumamiriro ezvinhu akadaro, huwandu fuma muropa kwakakwirira zvikuru kupfuura mwero bilirubin vachangoberekwa. Table ne mwedzi kunobatsira kuenzanisa zviratidzo izvi uye kuti rinotsanangura dambudziko iri nguva. Asi pane zvimwe zviratidzo pathologic jaundice:

- yellowing pamusoro pemvura muviri pazasi kweguvhu;

- Orange maoko namakumbo;

- rima weti uye mutsvina yadzo zvokuti yakajeka.

The chirwere Kazhinji kuramba tichishanda uye inoyerera mafungu. Mukuwedzera, mukuru mamiriro ezvinhu mwana anogona rokurwadzisa: pane nokumanikidza uye kunyanya excitation.

Types uye zvinokonzera pathological jaundice

Kunounza siyana pathologic jaundice. Vari dzinounzwa zvichienderana zvikonzero chitarisiko.

1. Hemolytic akaratidza mukurwisana kusapindirana kweropa chikonzero uye amai mwana, uyewo nemagene zvirwere.

2. Parenchymal jaundice kunoitika apo maronda chiropa vachiberekwa siyana hepatitis cytomegalovirus, muchetura.

3. conjugation mhando unoratidzwa zvakaitika atadze kushanda zvakanaka pamusoro enzayemu ezvinhu, uyewo nokusungwa bilirubin.

4. Mechanical jaundice kunoitika apo kwakakanganiswa bile water drainage panguva anomalies gallbladder uye chiropa ducts.

Kutsunga bilirubin

Kuongorora pachiyero staining mutumwa muropa, pakaitwa ongororo rinoshandiswa. Mharidzo Kazhinji vatora usina chawadya. Asi vana kudiwa anoitwa kashoma, muzviitiko, Zvinokurudzirwa kwete zvokudya mwana wako 4 maawa pamberi ropa zvakabudiswa. Vachangoberekwa, kuti ivhu akatorwa kubva zvitsitsinho duku chaiyo Vacuum chubhu.

Kuti vapedze kuongorora mamiriro ezvinhu kunotemwa muropa bilirubin zvikamu zviduku. Izvi zvinobatsira kuziva kwete chete mhando jaundice, asi zvikonzero zvayo kutendeuka munzvimbo pathological pachikuva.

Mushure mekugamuchira migumisiro kuongorora zviri akaenzanisa uye mwero ivo bilirubin vachangoberekwa. Table pamwedzi unotora nezvikumbaridzo. Kana yakawanda coloring mumiririri kwakakwirira zvikuru kupfuura avo ezvinhu hazvo zvinoda kurapwa.

pezvingazoitika

Mukuru wevasungwa muropa kwakakanganisa kunokanganisa utano mwana wako. Akanyanya kwazvinoita ezvinhu umo nhamba haina yakadzorerwa bilirubin mu neonates (2 months). The tafura rinonyatsojekesa kuti pazera iri kukosha anofanira anoenderana izvo zvinoitika akura utano munhu.

Chokutanga, mukuru bilirubin ndiyo ngozi uropi uye tsinga mwana. The ngozi ndechokuti colorant inogona akaunganidza pano. mamiriro ezvinhu akadaro kungaita kuti zvikuru kudhaka pamusoro Muviri, naizvozvo, kuparadzwa masero pfungwa uye tsinga harinzwi. Zvadaro, izvi zvinogona kukonzera zvinetso kunzwa uye chiono, zvinetso zvepfungwa, dementia uye mamwe matambudziko.

izvi zvose zvinotungamirira ndechokuti wevana iri kuramba vachiongorora kuti zvinobvira kuvapo zheltushki mwana. Kana nokufungirana ari bvunzo pahwaro izvo zvinova pachena kuti ukoshi maviri machisi ropa "dzakaonekwa bilirubin -. Wokuyera of achangoberekwa" Table vachibatsirwa vanachiremba kuti yemubvunzo.

Vabereki vanofanira kuziva kuti pane nezviratidzo zvinoverengeka, kuratidzwa iyo mwana jaundice kunofanira nechikonzero kurapwa pakarepo kuna chiremba. Idzi dzinosanganisira:

- lethargy uye hope;

- rutapudzo rwomwana dzepanguva;

- kurwadza kwacho, mba, mutizi maitiro;

- kuwedzera kukura chirwatata uye chiropa;

- yakaderera BP.

Nzira dzekufambisa kuderedza padanho bilirubin

Zvakakosha kunzwisisa kuti vasiri jaundice hakurevi kurapwa. Inofanira kupfuura ravo pachavo. Zvisinei, pasina kurapwa, haagoni kuita chiitiko kuti yekudyidzana vakapfuura nechiidzo akadai bilirubin (kuipa achangoberekwa). The tafura runoita kuti kwete chete kune unyanzvi, asi vabereki kunzwisisa kudiwa zvokurapa kupindira.

Tanga kurwa rurefu bilirubin kunofanira pachishandiswa chiedza chokupfeka. Voitakura kunze muchitokisi chaiyo pamwe fanira kushandiswa anodzivirira Eyewear. Nzira iyi anonzi kwazvo Hakuna Basa, asi zviri chaizvo uye kutsanya. Side kunoita nzira iyi inogona kuva manyoka uye ganda peeling. In zvinoitirwawo kugumiswa kurapwa nemigumisiro pauri chaizvo kurumidzai richarova.

Zvisinei, ziva kuti phototherapy unoshanda chete kana vasiri jaundice. Kana pamusoro nguva pachiyero pafuma kupfuura kukosha mumutsara "Hwakanaka bilirubin mu vacheche 1 mwedzi" (tafura kuratidzwa pamusoro apa) havazokwanisi kuita pasina mishonga.

Vakawanda havatendi jaundice vachangoberekwa chaizvo dambudziko rakakura. Asi zvinokosha kuziva uye kunzwisisa kuti ichi hachisi chokwadi nguva dzose. Pasina zvakakodzera kutarisirwa uye Mabatirwo dambudziko kunogona zvakakomba.