Bilirubin ka Urine

Litaba

• Bilirubin ke eng tekong ea moroto?
• E sebelisetsoa eng?
• Hobaneng ha ke hloka bilirubin tekong ea moroto?
• Ho etsahalang nakong ea teko ea bilirubin tekong ea moroto?
• Na ke tla hloka ho etsa eng kapa eng ho itokisetsa tlhahlobo?
• Na ho na le likotsi tsa tlhahlobo?
• Liphetho li bolelang?
• Litšupiso

Bilirubin ke eng tekong ea moroto?

Bilirubin tekong ea moroto e metha litekanyo tsa bilirubin ka morong oa hau. Bilirubin ke ntho e bosehla bo entsoeng nakong ea tšebetso e tloaelehileng ea 'mele ea ho senya lisele tse khubelu tsa mali. Bilirubin e fumanoa ka bile, mokelikeli sebeteng sa hau e u thusang ho cheka lijo. Haeba sebete sa hau se phetse hantle, se tla tlosa bilirubin e ngata 'meleng oa hau. Haeba sebete sa hau se senyehile, bilirubin e ka lutla maling le morong. Bilirubin morotong e kanna ea ba sesupo sa lefu la sebete.

Mabitso a mang: tlhahlobo ea moroto, tlhahlobo ea moroto, UA, tlhahlobo ea moroto oa lik'hemik'hale, bilirubin e otlolohileng

E sebelisetsoa eng?

Bilirubin tekong ea moroto hangata ke karolo ea tlhahlobo ea moroto, teko e lekanyang lisele tse fapaneng, lik'hemik'hale le lintho tse ling ka morong oa hau. Urinalysis hangata e kenyelelitsoe e le karolo ea tlhahlobo e tloaelehileng. Teko ena e kanna ea sebelisoa ho lekola mathata a sebete.

Hobaneng ha ke hloka bilirubin tekong ea moroto?

Mofani oa hao oa tlhokomelo ea bophelo a ka be a laetse bilirubin tlhahlobisong ea moroto e le karolo ea tlhahlobo ea hau ea kamehla, kapa haeba u na le matšoao a lefu la sebete. Matšoao ana a kenyelletsa:

• Jaundice, boemo bo etsang hore letlalo le mahlo a hao a be bosehla
• Moroto o mmala o lefifi
• Bohloko ba mpeng
• Ho nyekeloa le ho hlatsa
• Mokhathala

Hobane bilirubin morong e ka bonts'a tšenyo ea sebete pele matšoao a mang a hlaha, mofani oa hau oa tlhokomelo ea bophelo a ka odara bilirubin tlhahlobo ea moroto haeba o le kotsing e kholo ea tšenyo ea sebete. Lisosa tse kotsi tsa lefu la sebete li kenyelletsa:

• Pale ea lelapa ea lefu la sebete
• Ho noa haholo
• Ho pepesa kapa ho pepeseha ha vaerase ea hepatitis
• Botenya
• Lefu la tsoekere
• Ho nwa meriana e itseng e ka bakang tshenyo sebeteng

Ho etsahalang nakong ea teko ea bilirubin tekong ea moroto?

Mofani oa hao oa tlhokomelo ea bophelo o tla hloka ho bokella sampole ea moroto oa hau. Nakong ea ketelo ea hau ofising, o tla fumana setshelo ho bokella moroto le litaelo tse ikhethang ho netefatsa hore sampole ha e na nyopa. Litaelo tsena hangata li bitsoa "mokhoa o hloekileng oa ho ts'oasa." Mokhoa o hloekileng oa ho ts'oasa o kenyelletsa mehato e latelang:

1. Hlapa matsoho a hao.
2. Hloekisa sebaka sa hau sa botona le botšehali ka pampiri ea tlhoekiso eo u e filoeng ke mofani oa hau. Banna ba lokela ho hlakola ntlha ea botona ba bona. Basali ba lokela ho bula libia tsa bona le ho hloekisa ho tloha pele ho ea morao.
3. Qala ho ntša metsi ka ntloaneng.
4. Tsamaisa setshelo sa pokello tlasa molapo oa hau oa moroto.
5. Bokella bonyane hora e le 'ngoe kapa tse peli tsa moroto ka har'a setshelo, se lokelang ho ba le matšoao ho bonts'a chelete.
6. Qeta ho rota ka ntlwaneng.
7. Khutlisetsa setshelo sa mohlala ho mofani oa tlhokomelo ea bophelo.

Na ke tla hloka ho etsa eng kapa eng ho itokisetsa tlhahlobo?

Ha o hloke litokisetso tse khethehileng tsa ho etsa teko ea bilirubin morotong. Haeba mofani oa tlhokomelo ea bophelo a laetse liteko tse ling tsa moroto kapa tsa mali, o kanna oa hloka ho itima lijo (u se ke oa ja kapa oa noa) lihora tse 'maloa pele ho tlhahlobo. Mofani oa hao oa tlhokomelo ea bophelo o tla u tsebisa haeba ho na le litaelo tse khethehileng tseo u lokelang ho li latela.

Na ho na le likotsi tsa tlhahlobo?

Ha ho na kotsi e tsebahalang ea ho hlahlojoa moroto kapa bilirubin tekong ea moroto.

Liphetho li bolelang?

Haeba bilirubin e fumanoa ka morong oa hau, e kanna ea supa:

• Lefu la sebete le kang lefu la sebete
• Thibelo ea meaho e tsamaisang bile ho tsoa sebeteng sa hau
• Bothata ba ts'ebetso ea sebete

Bilirubin tekong ea moroto ke tekanyo e le 'ngoe feela ea ts'ebetso ea sebete. Haeba liphetho tsa hau li sa tloaeleha, mofani oa hao oa tlhokomelo ea bophelo a ka odara liteko tse eketsehileng tsa mali le moroto, ho kenyeletsoa le phanele ea sebete. Karolo ea sebete ke letoto la liteko tsa mali tse lekanyang li-enzyme tse fapaneng, liprotheine le lintho tse sebeteng. E sebelisoa khafetsa ho fumana lefu la sebete.

Ithute haholoanyane ka liteko tsa laboratori, libaka tsa litšupiso, le liphetho tsa kutloisiso.

Litšupiso

1. American Liver Foundation [Inthanete]. New York: American Liver Foundation; c2017. Liteko tsa Ts'ebetso ea Sebete [e ntlafalitsoeng 2016 Jan 25; e qotsitsoeng ka 2017 Mar 23]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.liverfoundation.org/for-patients/about-the-liver/the-progression-of-liver-disease/diagnosing-liver-disease/
2. Hinkle J, Cheever K. Brunner & Suddarth's Handbook ea Liteko tsa Laboraro le Tlhatlhobo. 2^ke Monghali, Kindle. Philadelphia: Wolters Kluwer Bophelo, Lippincott Williams & Wilkins; c2014. Bilirubin (Moroto); 86-87 leq.
3. Liteko tsa Lab Marang-rang [Inthaneteng]. Mokhatlo oa Amerika oa Clinical Chemistry; c2001–2017. Panel ea Sebete: Teko [e ntlafalitsoeng 2016 Mar 10; e qotsitsoeng ka 2017 Mar 23]; [hoo e ka bang li-skrini tse 4]. E fumaneha ho tsoa ho: https://labtestsonline.org/understanding/analytes/liver-panel/tab/test
4. Liteko tsa Lab Marang-rang [Inthaneteng]. Mokhatlo oa Amerika oa Clinical Chemistry; c2001–2017. Urinalysis: Teko [e ntlafalitsoeng 2016 Mots'eanong 25; e qotsitsoeng ka 2017 Mar 23]; [hoo e ka bang li-skrini tse 4]. E fumaneha ho tsoa ho: https://labtestsonline.org/understanding/analytes/urinalysis/tab/test
5. Liteko tsa Lab Marang-rang [Inthaneteng]. Mokhatlo oa Amerika oa Clinical Chemistry; c2001–2017. Urinalysis: Mefuta e Meraro ea Litlhahlobo [e qotsitsoeng ka 2017 Mar 23]; [li-skrini tse ka bang 5]. E fumaneha ho tsoa ho: https://labtestsonline.org/understanding/analytes/urinalysis/ui-exams?start=1#bili
6. Mayo Clinic [Inthaneteng]. Motheo oa Mayo oa Thuto ea Bongaka le Patlisiso; c1998–2017. Ho hlahloba urinaline: U itokisa joang? 2016 Oct 19 [e qotsitsoeng ka 2017 Mar 23]; [hoo e ka bang li-skrini tse 4]. E fumaneha ho tsoa ho: http://www.mayoclinic.org/tests-procedures/urinalysis/details/how-you-prepare/ppc-20255388
7. Mayo Clinic [Inthaneteng]. Motheo oa Mayo oa Thuto ea Bongaka le Patlisiso; c1998–2017. Ho hlahloba urinalysis: Seo u ka se lebellang; 2016 Oct 19 [e qotsitsoeng ka 2017 Mar 23]; [li-skrini tse ka bang 5]. E fumaneha ho tsoa ho: http://www.mayoclinic.org/tests-procedures/urinalysis/details/what-you-can-expect/rec-20255393
8. Phetolelo ea Merck Manual Consumer [Inthanete]. Kenilworth (NJ): Merck & Co., Inc .; c2017. Urinalysis [e qotsitsoeng ka 2017 Mar 23]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://www.merckmanuals.com/home/kidney-and-urinary-tract-disorders/diagnosis-of-kidney-and-urinary-tract-disorders/urinalysis
9. Sisteme ea Saint Francis Health [Internet]. Tulsa (OK): Sisteme ea Bophelo ea Saint Francis; c2016. Tlhahisoleseling ea Mokuli: Ho Bokella Mohlala o Hloekileng oa ho Tšoasa Catch; [e qotsitsoeng ka 2017 Phupu 14]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.saintfrancis.com/lab/Documents/Collecting%20a%20Clean%20Catch%20Urine.pdf
10. Setsi sa Johns Hopkins Lupus [Marang-rang]. Bongaka ba Johns Hopkins; c2017. Urinalysis [e qotsitsoeng ka 2017 Mar 23]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.hopkinslupus.org/lupus-tests/screening-laboratory-tests/urinalysis/
11. Setsi sa Bongaka sa Rochester [Internet]. Rochester (NY): Setsi sa Bongaka sa Univesithi ea Rochester; c2017. Health Encyclopedia: Direct Bilirubin [e qotsitsoeng ka 2017 Mar 23]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid;=bilirubin_direct

Tlhahisoleseling e fumanehang sebakeng sena sa marang-rang ha ea lokela ho sebelisoa ho nka sebaka sa tlhokomelo ea bongaka le likeletso. Ikopanye le mofani oa tlhokomelo ea bophelo haeba u na le lipotso ka bophelo ba hau.