HEMOLYSIS. Hemolysis ua rau unconjugated hyperbilirubinemia. Tsis muaj bilirubinuria vim hais tias unconjugated bilirubin tsis yog hydrophilic thiab tsis tuaj yeem tawm hauv cov zis. Muaj ntau urobilinogen nyob rau hauv cov zis vim ntau bilrubin bilrubin Nyob rau hauv daim siab, bilirubin yog conjugated nrog glucuronic acid los ntawm enzyme glucuronyltransferase, ua ntej rau bilirubin glucuronide thiab tom qab ntawd mus rau bilirubin diglucuronide, ua rau nws soluble. dej: lub conjugated version yog daim ntawv tseem ceeb ntawm bilirubin tam sim no nyob rau hauv "direct" bilirubin feem. https://en.wikipedia.org › wiki › Bilirubin
Bilirubin - Wikipedia
mus txog txoj hnyuv thiab ntau urobilinogen tsim ib qho reabsorbed.
Yuav ua li cas hemolytic anemia cuam tshuam rau cov zis urobilinogen?
Nrog hemolysis, uas nce lub load ntawm bilirubin nkag mus rau hauv lub plab thiab yog li cov nyiaj urobilinogen tsim thiab rov ua dua, lossis nrog kab mob siab, uas txo qis nws cov kev tshem tawm hepatic, plasma urobilinogen. qib nce, thiab ntau urobilinogen tawm hauv cov zis.
Vim li cas urobilinogen tsis tuaj nyob rau hauv obstructive jaundice?
Y Urobilinogen yog cov xim tsis muaj xim uas tsim tawm hauv plab los ntawm cov metabolism hauv bilirubin. Ib txhia yog excreted nyob rau hauv quav, thiab tus so yog reabsorbed thiab excreted nyob rau hauv cov zis. Hauv obstructive jaundice,
bilirubin tsis ncav cuag lub plab, thiab tso zis ntawm urobilinogen txo qis.
Dab tsiua rau urobilinogen nce ntxiv?
Ob qhov xwm txheej tuaj yeem ua rau nce qib urobilinogen hauv cov zis: kab mob siab uas cuam tshuam qhov kev nkag mus ntawm urobilinogen los ntawm lub siab thiab lub gallbladder(tus kab mob siab, mob cirrhosis ntawm lub siab. daim siab, obstruction ntawm lub gallbladder los ntawm gallstones, thiab lwm yam), los yog urobilinogen overload tshwm sim los ntawm kev tso tawm ntawm …
Vim li cas cov zis bilirubin muaj nyob rau hauv hepatocellular jaundice?
Yog tias muaj hepatocellular dysfunction lossis biliary obstruction, qee qhov ncaj qha conjugated bilirubin khiav mus rau hauv cov hlab ntsha, tau lim los ntawm ob lub raum, thiab tawm hauv cov zis. Yog li, bilirubinuria yog ib qho tseem ceeb thaum ntxov ntawm cov txheej txheem pathological.
