Exchange bilirubin
Akụkụ okuku ume na ọrụ na-enye ihe niile ọbara anụ ahụ nke ahụ na ọ dị mkpa ego nke oxygen ebu site ukwuu pụrụ iche ebu - haemoglobin - na Ọdịdị nke mkpụrụ ndụ ọbara uhie. Otú ọ dị, ndị a na mkpụrụ ndụ nwere afọ ndụ dị mkpụmkpụ nkezi, 100-120 ụbọchị. Next ha na-abanye kroverazrusheniya akụkụ, ebe ha wepụtara haemoglobin. Ọ na-ejikọ haptoglobin ozugbo gaa na mkpụrụ ndụ nke reticuloendothelial usoro maka inwekwu akakabarede a ndị na-abụghị na-egbu egbu ink (kpọmkwem bilirubin) na-akpa iche na bile. Na macrophages na histiocytes haemoglobin ibido erekasịchaala ka biliverdin, nke bụ a anọ pyrrole yiri mgbaaka jikọrọ methane bridged. Na n'ihu, e nwere ya Mbelata aka free bilirubin, nke na-weghaara na-edozi conveyors ma gaa na imeju. Na ya parenchyma bụ ya mgbanwe n'ime kpọmkwem bilirubin, ntụgharị nkịtị glucuronate maka ya mkpofu.
The ọrụ nke bacteria
Oké Mkpa ọrụ ke n'ihu Jeremaya mere na oke nke bile pigments anamde nkịtị nsia microflora. Bilirubin na-aga site na imeju na ihe ndị mejupụtara nke bile na vesica fellea, na mgbe mmalite faterova tit abatakwa duodenum, na n'ihu, na obere eriri afọ, ebe tọhapụrụ glucuronic acid na converted n'ime sterkobilinogena outputting na faeces. Part nke ya mgbe agafe ikensi na-etinye obi gị dum n'ime hemorrhoidal veins abanye n'ọbara, na-eleghara nke imeju, na-anyụpụ site na akụrụ na mmamịrị. N'ihi ya, ọbara na-achọpụtara dị ka free, na kpọmkwem bilirubin. ikpeazụ ọnụego bụ banyere 5.1 mol / l, na ngụkọta - 15.
Diagnosis nke imeju ọrịa
Dị ka vibration na ruru nke ndị a na-egosi nwere ike ikpe na ịrụ ọrụ nke imeju. Ya mere, ọ bụrụ na ndị parenchyma nke ahụ nwere ọrịa na-efe ma ọ bụ na-egbu egbu mmebi, ọtụtụ ndị free ink na-anọgide unbound, na ịta n'ime ọbara ma forms nke ink na-abawanye n'ụzọ dị ịrịba ama. Direct bilirubin n'ime ọbara achọpụtara na otú a na-akpọ okpo jaundice, na nke e nwere ihe mgbochi nkịtị eruba nke bile, ya mere bile regurgitation emee ke n'ọbara. Ihe kpatara nke a nwere ike ịbụ mkpakọ bile duct etuto ahụ nke pancreas isi, nkume, wdg obliteration. E suprarenal na jaundice, kpatara nke a na-enwekwukwa ire ere haemoglobin ke n'ọbara. Nke a nwere ike imetụta hemolytic nsí na microbial toxins, ụfọdụ nke n'ahụ ọnọdụ. Otú ọ dị, na ihe nile ndị a na ụdị nke ịba ọcha n'anya bilirubin na-ewuli elu na arọ. Unbound otu n'ihi na nke lipophilicity, ọ na-adị mfe penetrates n'ime mkpụrụ ndụ, gụnyere site na ọbara-ụbụrụ mgbochi, na ekewapụ elektrọn iga agbụ ígwè na mitochondria, si otú inhibiting ume metabolism. Nchedo nke a, kpọmkwem bilirubin, onye norm bụ ndị na-abụghị na-egbu egbu, ebe ọ bụ unyi anaghị agbasa na molekul.