Yakakwirira bilirubin ari rusvava: Zvinokonzera

Zvichiguma nokuparadzwa ropa Chizenga nezvimwe mapuroteni zviri yeplasma uye bile ruvara ane yeyero-zvisvundu ruvara - ndiko bilirubin. zvazvingava Its ropa haisi chete: muvana pamusoro mwedzi mumwe zera uye vakuru wevasungwa pamusoro ruvara ndiyo 8,5-20,5 umol / L mu vacheche - kusvika 205 mmol / L kana kupfuura.

Saka yakakwirira bilirubin vachangoberekwa rakanyatsojeka zvinonzwisisika. Mwana haagoni kufema pachavo, apo ari mudumbu. Its zvinyama okisijeni yaipiwa pachishandiswa erythrocytes ane fetus hemoglobin. It anova kufanira pashure nechitarisiko mwana munyika, saka kuti raparadzwa. Naizvozvo, pane zvakawanda bilirubin ari mucheche. Zviri pachena, mune mamwe mazwi, kunanga ruvara kuva insoluble. Itsvo havagoni kutiza nayo, saka circulates muropa sokuvapo muviri hausi akakwana enzayemu enyika. Kana izvi zvikaitika, kunanga bilirubin iri kuva yakarurama mutsetse uye anoratidza.

Jaundice mu vacheche

Kwakakwidziridzwa bilirubin mu vacheche kunosanganisira panowanikwa jaundice. Nokuti vana vazhinji ndiwo vasiri, muonekwe vanenge 3-4 mazuva azvarwa uye pakupedzisira haarambi pasina zvikasawanirwa, pasina kukonzera zvakaipa kuti muviri. Jaundice rinowanzoberekera muzviitiko apo pane intrauterine fetus hypoxia, rwaamai cheshuga. Sezvineiwo yakakwirira bilirubin vachangoberekwa anogona kutsamwisa kukura pathological jaundice. Zvikonzero parinowanika zvinosanganisira kuparadzwa erythrocytes anokonzerwa mai majini kuchipesana uye mwana pa Rhesus kana mapoka ropa lesion kutapuriranwa hunhu chiropa, bowel mhingaidzo, hormone zvirwere, yepamutemo hepatic dysfunction, uye vamwe. Kuti uzive chii chakaita panowanikwa zvokurwara, dai chete nyanzvi, kunobva migumisiro nemiedzo ropa nezvimwe kuferefeta.

bilirubin encephalopathy

Kana paine kuwedzera kwakasimba bilirubin vachangoberekwa, pane ngozi ayo kupinda mukati tsinga uye basa nayo chepfu migumisiro. Zviri ngozi etsinga nzvimbo uye pfungwa ezvinhu inonzi bilirubin, kana zvenyukireya, encephalopathy. Zviratidzo varo mukuderedza achangoberekwa anomwa dzepanguva, BP, zvikuru hope, pfari. Pakazosvika makore mwedzi mitanhatu mwana angava kunzwa kurasikirwa, muviri, pfungwa retardation.

Inosimudzira bilirubin: kurapwa

Kana mwana ane vasiri jaundice, nzira inonyatsobudirira kurapwa ndiyo phototherapy. Uchishandisa chiedza kuona unconjugated bilirubin iri kutendeukira kuvasiri chepfu, iro zvino yabudiswa muna weti uye mutsvina yadzo mumaawa 12. Zvisinei, chiedza kurapwa kunogona kunetsa marwadzo akadai manyoka, ganda peeling. Pashure kumira phototherapy ivo zvakaitika. Uyezve, nokuti zvikuru nokukurumidza kubviswa pakati vasiri jaundice zvinowanzooneka varumbidzwa kudyisa wako mwana mukaka. Nokuda colostrum kubva muviri akaratidza mutsvina yadzo yepakutanga (meconium) pamwe bilirubin. In pathological jaundice, kunze kushandisa mishonga iyi vanofanira kubereka kurapa zvainanga Achabvisa zvinokonzera chirwere.