Bilirubin gwajin jini
Gwajin jinin bilirubin yana auna matakin bilirubin a cikin jini. Bilirubin wani launin launin rawaya ne wanda ake samu a cikin bile, wani ruwa ne da hanta ke yi.
Hakanan ana iya auna Bilirubin tare da gwajin fitsari.
Ana bukatar samfurin jini.
Bai kamata ku ci ko sha ba aƙalla awanni 4 kafin gwajin. Mai ba ku kiwon lafiya na iya umurtarku da ku daina shan magungunan da suka shafi gwajin.
Yawancin kwayoyi na iya canza matakin bilirubin a cikin jininka. Tabbatar cewa mai ba ka sabis ya san irin magungunan da kake sha.
Lokacin da aka saka allurar don zana jini, wasu mutane suna jin matsakaicin ciwo. Wasu kuma suna jin ƙyalli ko harba. Bayan haka, ƙila za a sami wasu harbi ko ɗan rauni. Wannan da sannu zai tafi.
Ana maye gurbin amountan tsofaffin ƙwayoyin jan jini da sababbin ƙwayoyin jini kowace rana. Ana barin Bilirubin bayan an cire wadannan tsofaffin kwayoyin jinin. Hanta yana taimakawa wajen farfasa bilirubin domin a cire shi daga jiki a cikin tabon.
Matsayin bilirubin a cikin jinin 2.0 mg / dL na iya haifar da jaundice. Jaundice launi ne mai launin rawaya a cikin fata, memcus na gamsai, ko idanu.
Jaundice shine dalili mafi mahimmanci don bincika matakin bilirubin. Da alama za a ba da umarnin gwajin lokacin da:
- Mai ba da sabis yana damuwa game da jaundice na jariri (yawancin jarirai suna da jaundice)
- Jaundice yana tasowa cikin manyan yara, yara, da manya
Hakanan ana yin odar gwajin bilirubin lokacin da mai bayarwar ya yi zargin cewa mutum yana da matsalolin hanta ko gallbladder.
Yana da kyau a sami ɗan bilirubin a cikin jini. Matsayi na al'ada shine:
- Kai tsaye (wanda kuma ake kira conjugated) bilirubin: kasa da 0.3 mg / dL (kasa da 5.1 olmol / L)
- Jimlar bilirubin: 0.1 zuwa 1.2 mg / dL (1.71 zuwa 20.5 olmol / L)
Jeri na darajar yau da kullun na iya ɗan bambanta kaɗan tsakanin ɗakunan gwaje-gwaje daban-daban. Wasu ɗakunan gwaje-gwaje suna amfani da ma'aunai daban-daban ko na iya gwada samfuran daban. Yi magana da mai baka game da ma'anar takamaiman sakamakon gwajin ka.
A cikin jarirai, matakin bilirubin ya fi girma a cikin thean kwanakin farko na rayuwa. Dole ne mai ba da ɗanka ya yi la'akari da mai zuwa yayin yanke shawara ko matakin bilirubin na jaririnka ya yi yawa:
- Yaya saurin matakin ya tashi
- Ko an haihu da wuri
- Shekarun jariri
Jaundice na iya faruwa yayin da ƙarin jajayen ƙwayoyin jini fiye da al'ada suka lalace. Wannan na iya haifar da:
- Rashin lafiyar jini da ake kira erythroblastosis fetalis
- Cutar rashin jinin ja da ake kira hemolytic anemia
- Amincewa da karɓar jini wanda ƙwayoyin jan jini da aka bayar a cikin jini suka lalata ta garkuwar jikin mutum
Matsalolin hanta masu zuwa na iya haifar da jaundice ko babban matakin bilirubin:
- Raunin hanta (cirrhosis)
- Hanta mai kumburi da kumburi (hepatitis)
- Sauran cutar hanta
- Cutar da ba ta sarrafa bilirubin ta al'ada ta hanta (cutar Gilbert)
Matsaloli masu zuwa tare da gallbladder ko bile ducts na iya haifar da matakan bilirubin mafi girma:
- Narrowuntataccen yanayi na bututun bile na yau da kullun (tsananin biliary)
- Ciwon daji na mara ko mara
- Duwatsu masu tsakuwa
Akwai 'yar hatsarin da ke tattare da daukar jininka. Jijiyoyi sun banbanta a girma daga mutum ɗaya zuwa wani kuma daga gefe ɗaya na jiki zuwa wancan. Samun samfurin jini daga wasu mutane na iya zama mai wahala fiye da na wasu.
Hadarin da ke tattare da jan jini ba su da yawa, amma na iya haɗawa da:
- Zub da jini mai yawa
- Sumewa ko jin an sassauta kai
- Mahara huda don gano wuri jijiyoyinmu
- Hematoma (tara jini a ƙarƙashin fata)
- Kamuwa (ƙananan haɗari kowane lokaci fata ta karye)
Jimlar bilirubin - jini; Bilirubin da ba a daidaita shi ba - jini; Bilirubin kai tsaye - jini; Bilirubin mai hade - jini; Direct bilirubin - jini; Jaundice - gwajin jini na bilirubin; Hyperbilirubinemia - gwajin jini na bilirubin
- Sabon jaundice - fitarwa
- Gwajin jini
Chernecky CC, Berger BJ. Bilirubin (duka, kai tsaye [mai haɗa kai] da kaikaice [ba a daidaita ba]) - magani. A cikin: Chernecky CC, Berger BJ, eds. Gwajin Laboratory da hanyoyin bincike. Na 6 ed. St Louis, MO: Elsevier Saunders; 2013: 196-198.
Pincus MR, Tierno PM, Gleeson E, Bowne WB, Bluth MH. Kimantawa game da aikin hanta. A cikin: McPherson RA, Pincus MR, eds. Henry's Clinical Diagnosis and Management by Hanyoyin Laboratory. 23 ga ed. St Louis, MO: Elsevier; 2017: babi na 21.
Pratt DS. Harshen hanta da gwajin aiki. A cikin: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger da cutar Cutar hanta ta Fordtran: Pathophysiology / Diagnosis / Management. 10 ed. Philadelphia, PA: Elsevier Saunders; 2016: babi na 73.