He aha te whakamātautau Bilirubin? Te Whāinga, Ngā Taumata, Te Hātepe & Ngā Hua

He whakamātautau bilirubin e ine ana i te nui o te bilirubin i roto i ō toto. Ko te Bilirubin he matū kōwhai ka hangaia i te wā e pakaru ana ō pūtau toto whero. Ka tukatukahia tēnei bilirubin e tō ate, ā, ka āwhina i te tango atu i tō tinana mā te wai pāpaka. Ki te piki rawa ngā taumata bilirubin, ka tohu pea i ngā raruraru ki tō ate, pūpū wai pāpaka, rānei i ō pūtau toto whero.

He aha te bilirubin?

Ko te Bilirubin he hua para tūturu e hangaia ana e tō tinana ia rā. Ki te tae ō pūtau toto whero ki te mutunga o tō rātou huringa ora, ka pakaru rātou ka tuku i tētahi matū e kīia ana ko te hemoglobin. Ka huri tō tinana i tēnei hemoglobin ki te bilirubin.

E rua ngā momo bilirubin matua i roto i ō toto. Ka haere te bilirubin kāore i honoa (e kīia ana hoki ko te bilirubin hāngai kore) mai i ō toto ki tō ate. Kua tukatukahia te bilirubin honoa (e kīia ana hoki ko te bilirubin hāngai) e tō ate, ā, kua rite ki te wehe i tō tinana mā te wai pāpaka.

Ka mahi tō ate hei tipu tukatuka mō te bilirubin. Ka tango i te āhua kāore i honoa ka huri ki te āhua honoa, ka taea te whakakore mā ō whekau. Ka puta mārire tēnei tukanga i te wā e pai ana ngā mea katoa.

He aha te take e mahia ana te whakamātautau bilirubin?

Ka tono ngā tākuta i ngā whakamātautau bilirubin hei tirotiro i te pai o te mahi a tō ate me te tātari i ngā take ka puta te jaundice. Ko te Jaundice te kōwhai o tō kiri me ō kanohi ka puta i te wā e piki ana te bilirubin i roto i ō toto.

Ka tūtohu pea tō tākuta i tēnei whakamātautau ki te whai tohu koe pērā i te kiri kōwhai, kanohi rānei, te mimi pouri, te kūtai mārohirohi rānei. Ka tohu ēnei tohu i te kore e tukatukahia, e whakakorea rānei te bilirubin. Ka āwhina hoki te whakamātautau i te aroturuki i ngā mate ate me te whai i te pai o te mahi o ngā maimoatanga.

I ētahi wā, he wāhanga te whakamātautau bilirubin o te mahi toto i te wā o ngā whakamātautau tinana. Ka taea e ia te hopu i ngā raruraru ate i te wā wawe, i mua i tō kite i ngā tohu. Ka whakamahi pea tō tākuta i tēnei ki te tirotiro i te ngenge kāore i te whakamāramahia, te mamae puku, te whakapairuaki rānei.

He aha te tikanga mō te whakamātautau bilirubin?

He tango toto noa te whakamātautau bilirubin e rima meneti noa iho te roa. Ka horoi tētahi kaimahi hauora i tētahi wāhi iti i tō ringa, ka kuhu i tētahi ngira angiangi ki roto i tētahi uaua, te nuinga i tō tuke.

Ka pākia koe i te wā e kuhu ana te ngira, engari he maha ngā tāngata e whakaaro ana he pai te pānui. Ka kohia te tauira toto ki roto i tētahi ngongo iti, ā, ka tangohia te ngira. Ka whakatakotoria tētahi rāpaki iti ki runga i te wāhi i kuhu ai te ngira.

Ko te katoa o te tukanga e rima meneti te roa. Ka tukuna tō tauira toto ki tētahi taiwhanga e ine ai ngā tohunga i ngā momo bilirubin rerekē. Ko te tikanga ka wātea ngā hua i roto i te rā, e rua rānei.

Me pēhea te whakarite mō tō whakamātautau bilirubin?

Kāore te nuinga o ngā whakamātautau bilirubin e hiahia ana kia whakarite motuhake. Ka taea e koe te kai me te inu i te tikanga i mua i te whakamātautau ki te kore tō tākuta e kī atu ki a koe.

Heoi, me whakamōhio koe ki tō tākuta mō ngā rongoā e tango ana koe. Ka pā tētahi rongoā ki ngā taumata bilirubin, tae atu ki ngā paturopi, ngā pire whakawhānau, me ētahi rongoā mamae. Ka whakatau tō tākuta mēnā me whakamutu tētahi rongoā i mua i te whakamātautau.

Mēnā kei te mahi koe i ētahi atu whakamātautau toto i te wā kotahi, ka tono pea tō tākuta kia nohopuku koe mō te 8-12 hāora i mua. Me whai tonu i ngā tohutohu motuhake e hoatu ana e tō kaiwhakarato hauora ki a koe.

Me pēhea te pānui i ngā hua o tō whakamātautau bilirubin?

He iti rawa ngā taumata bilirubin noa i roto i ngā pakeke hauora. Ko te tikanga ko te katoa o ngā taumata bilirubin mai i te 0.2 ki te 1.2 milligrams ia deciliter (mg/dL) o te toto. Me iti iho te bilirubin tika i te 0.3 mg/dL.

Ka hoki mai ō hua, ka kite koe i ngā tau mō te tapeke bilirubin, te bilirubin tika, me te bilirubin kore tika. Ka tātai te bilirubin kore tika mā te tango i te bilirubin tika mai i te tapeke bilirubin. Ka whakamārama tō tākuta i te tikanga o ēnei tau mō tō āhuatanga motuhake.

Kia mōhio mai, he rerekē pea ngā awhe mō ngā uara noa e whakamahia ana e ngā taiwhanga rerekē. Ka whakamāori tō tākuta i ō hua i runga i ō tohumate, hītori hauora, me ētahi atu hua whakamātautau. Ko te mea nui ko te tauira whānui me te pēhea te whakataurite o ō taumata ki te mea noa mōu.

He aha ngā take e piki ai ngā taumata bilirubin?

Ka piki ngā taumata bilirubin mō ētahi take rerekē, ā, ka mahi tahi tō tākuta me koe ki te kimi i te take motuhake. Mā te wāhi o te raruraru e āwhina ai ki te whakatau he aha pea te mea e hē ana.

Koinei ngā kāwai matua o ngā āhuatanga ka piki ai ngā taumata bilirubin:

• Ngā raruraru ate: Te mumura o te ate, te cirrhosis, te mate ate momona, te mate pukupuku ate, rānei ngā mate ate tuku iho
• Ngā take pūpū me ngā ara pūpū: Ngā kōhatu pūpū, te aukati i ngā ara pūpū, rānei te mumura o ngā ara pūpū
• Ngā āhuatanga e pā ana ki te toto: Te anemia hemolytic, te mate pūtau kokopi, rānei te malaria
• Ngā āhuatanga tuku iho: Te mate a Gilbert, te mate a Crigler-Najjar, rānei te mate a Dubin-Johnson
• Ngā pānga rongoā: Ētahi paturopi, ngā steroid, rānei ngā rongoā chemotherapy

He nui ake te kino o ētahi take i ētahi atu, ā, he maha ngā mea e taea ana te rongoā. Ka whakaaro tō tākuta ki ō tohumate me ētahi atu hua whakamātautau ki te whakatau ko tēhea te mea tino pea i tō keehi.

He aha ngā tohumate o te bilirubin tiketike?

Ko te tohu tino kitea o te bilirubin tiketike ko te jaundice, e huri ai tō kiri me ngā ma o ō kanohi ki te kōwhai. Ka pā tēnei nā te mea ka kohikohi te bilirubin nui i roto i ō kiko.

Ka kite pea koe i ētahi atu tohu e haere tahi ana me ngā taumata bilirubin tiketike:

• Mimi kōwhai pouri, parauri rānei
• He parae, he kūmara rānei ngā tūtae
• Te mānukanuka o te kiri puta noa i tō tinana
• Te ngenge, te pōuri rānei
• Te whakapairuaki, te ngaro rānei o te hiahia
• Te mamae o te puku, ina koa i te wāhi o runga matau

Ka rerekē pea ēnei tohu i runga i te take i tiketike ai tō bilirubin. Ko ētahi tāngata he ngawari noa iho ngā tohu, ēngari ko ētahi e tino pōuri ana. He maha ngā wā ka whakawhirinaki te kaha ki te nui o te tiketike o ō taumata bilirubin me te tere o te pikinga.

He aha ngā raruraru o te bilirubin tiketike?

Ko te nuinga o ngā take o te bilirubin tiketike ka taea te whakahaere i te wā e kitea wawe ana, e tika ana te rongoā. Heoi, ko ngā taumata tino tiketike i ētahi wā ka puta he raruraru, ina koa ki ngā pēpi.

I roto i ngā pēpi, ko ngā taumata bilirubin tino tiketike ka puta pea he āhuatanga onge engari he nui te raruraru e kīia nei ko te kernicterus. Ka pēnei tēnei i te wā e kohikohi ana te bilirubin i roto i te roro, ā, ka puta pea te ngaro o te rongo, ngā raruraru o te tirohanga, te pōturi rānei o te whanaketanga. Koinei te take e āta titiro ana ngā tākuta ki ngā taumata bilirubin i roto i ngā pēpi.

I roto i ngā pakeke, he nui ake te tūponotanga o ngā raruraru mai i te āhuatanga e pūtake ana i te bilirubin tiketike, kaua mai i te bilirubin tonu. Hei tauira, ki te mea he mate ate te take i tiketike ai te bilirubin, ko ngā raruraru ate te nui ake o te mōrearea hauora.

Ko ngā taumata bilirubin tiketike tonu i ētahi wā ka puta te hanganga o ngā kōhatu pūpū. He putunga mārō ēnei ka taea te aukati i ngā ngongo pūpū, ka puta te mamae, ētahi atu raruraru rānei. Mā te āta titiro ka kite wawe i ēnei take.

Me pēhea te whakaheke i ngā taumata bilirubin tiketike?

Ko te rongoā i te bilirubin tiketike e arotahi ana ki te whakatika i te take e pūtake ana, kaua ki te whakaheke noa i te tau. Ka hangaia e tō tākuta tētahi mahere rongoā i runga i te take i piki ai ō taumata.

Mō ngā take e pā ana ki te ate, ko te rongoā pea ko ngā rongoā hei tiaki i te mahi ate, ngā huringa o te oranga pēnei i te karo i te waipiro, ngā rongoā rānei mō ngā āhuatanga ate motuhake. Ki te aukati ngā kōhatu pāpā i ngā ara pāpā, tērā pea ka hiahia koe ki ngā tikanga hei tango i a rātou.

Anei ētahi huarahi whānui ka āwhina pea ki te tautoko i ngā taumata bilirubin hauora:

• Te noho pai te wai mā te inu wai nui
• Te kai i te kai e pai ana ki te ate me te nui o ngā hua me ngā huawhenua
• Te karo i te waipiro me te whakaiti i ngā kai tukatuka
• Te whakakori tinana i ngā wā katoa e taea ana
• Te tango i ngā rongoā kua whakaritea kia rite tonu ki te tohutohu
• Te whai i te tākuta i ngā wā katoa mō te aroturuki

Ko ētahi tāngata he pikinga ngawari, ina koa ko te hunga e mate ana i te Gilbert's syndrome, tērā pea kāore he rongoā motuhake e hiahiatia. Mā tō tākuta koe e āwhina ki te mārama he aha te huarahi pai mō tō āhuatanga.

He aha mō ngā taumata bilirubin iti?

Ko ngā taumata bilirubin iti kāore i te nuinga o te wā he take mō te māharahara. Inaha, ko te whai i ngā taumata bilirubin i te pito iti o te noa he mea pai tonu, i te mea e whakaatu ana kei te tukatuka tō ate i te bilirubin i runga i te pai.

I te wā anō, ko ngā taumata bilirubin tino iti pea e tohu ana i ētahi āhuatanga pēnei i te mate uaua coronary, e pā ana rānei ki ngā rongoā e pā ana ki te pākia bilirubin. Heoi, kāore ngā tākuta e māharahara ana mō te bilirubin iti ki te kore e uru ana ki te tauira me ētahi atu hua whakamātautau rereke.

Ki te iti ō taumata bilirubin, tērā pea ka arotahi tō tākuta ki ētahi atu kitenga rereke i roto i tō mahi toto, kaua ki te bilirubin iti tonu. He rerekē rawa tēnei i te bilirubin tiketike, e hiahia ana i te nuinga o te wā ki te tirotiro me te rongoā.

Āhea ahau e kite ai i te tākuta mō ngā taumata bilirubin?

Me whakapā atu koe ki tō tākuta mēnā ka kite koe i te kōwhai o tō kiri, o ō kanohi rānei, nā te mea he tohu tēnei mō te nui o te bilirubin. He mea nui tēnei mēnā ka puta ohorere te kōwhai, ka haere tahi rānei me ētahi atu tohumate.

Ko ētahi atu tohu e tika ana kia whakapā atu ki te tākuta ko te mimi pouri e rite ana ki te tī, ki te cola rānei, ngā tūtae kākāriki, te mōhitihiti nui puta noa i tō tinana, te ngenge tonu me te whakapairuaki. Ko ēnei tohumate, i te nuinga o te wā, e tohu ana i ngā raruraru ki te tukatuka bilirubin.

Mēnā kua tāutuhia koe ki tētahi āhuatanga e pā ana ki ngā taumata bilirubin, whai i ngā tohutohu a tō tākuta mō te aroturuki i ngā wā katoa. Kei roto pea i tēnei ko ngā whakamātautau toto i ia wā ki te aroturuki i ō taumata me te whakarite kia whai hua ana tō rongoā.

Kaua e whakaroa ki te whakapā atu mēnā he pātai āu mō ō tohumate, mō ngā hua whakamātautau rānei. Kei reira tō rōpū hauora hei āwhina i a koe ki te mārama ki ngā mea e pā ana, me te whakawhanake i te mahere pai mō tō hauora.

Ngā pātai e pātai pinepine ana mō te whakamātautau bilirubin

P1. He pai te whakamātautau bilirubin mō te kite i ngā raruraru ate?

Āe, he taputapu pai ngā whakamātautau bilirubin mō te kite i ngā raruraru ate. I te mea e tukatukahia ana e tō ate te nuinga o te bilirubin i tō tinana, ko ngā taumata tiketike te tohu i te kore e pai te mahi a tō ate.

Heoi, he pai rawa atu ngā whakamātautau bilirubin ina honoa ki ētahi atu whakamātautau mahi ate. Ka tono pea tō tākuta i ngā whakamātautau mō ngā enzyme ate pēnei i te ALT me te AST kia whai whakaahua katoa mō tō hauora ate. I te tahi, ka āwhina ēnei whakamātautau ki te tautuhi i ngā momo raruraru ate me te ārahi i ngā whakatau rongoā.

P2. Ko te bilirubin tiketike te tikanga he mate ate tonu?

Kāore, ko te bilirubin tiketike kāore i te tohu i te mate ate tonu. Ahakoa he take noa ngā raruraru ate, he maha ētahi atu āhuatanga ka piki ake ngā taumata bilirubin.

Ko ngā mate toto e tere ai te pakaru o ngā pūtau toto whero ka piki ake te hanga bilirubin. Ko ngā kōhatu tai, ko ngā aukati rānei i ngā ara tai ka ārai i te bilirubin kia kore e puta tika i tō tinana. Ko ētahi tāngata he āhuatanga tūturu pēnei i te mate a Gilbert e piki ai te bilirubin māmā, kāore he pānga nui ki te hauora.

Q3. Ka pānga ngā rongoā ki ngā taumata bilirubin?

Āe, he maha ngā rongoā ka pānga ki ngā taumata bilirubin. Ko ētahi paturopi, ina koa ko ērā o te whānau sulfa, ka piki ake te bilirubin mā te pānga ki te mahi ate, ki te pakaru rānei o ngā pūtau toto whero.

Ka pānga hoki ngā pire whakawhānau, ētahi rongoā mamae, me ētahi rongoā rongoā mate pukupuku ki ngā taumata bilirubin. Me whakamōhio tonu ki tō tākuta mō ngā rongoā katoa me ngā tāpiringa e tango ana koe i mua i te whakamātautau bilirubin, nā te mea pea me whakatika e rātou te whakamaoritanga o āu hua.

Q4. He mea noa te rere kē o te bilirubin?

Āe, ka rere kē ngā taumata bilirubin i roto i ngā tāngata hauora. Ko ngā mea pēnei i te maroke, te nohopuku, te pēhanga tinana, te mate rānei ka pānga mō te wā poto ki ō taumata.

Ko ngā tāngata e mate ana i te mate a Gilbert ka kite pinepine i te pikinga o ngā taumata bilirubin i ngā wā o te pēhanga, te mate, te nohopuku rānei, ka hoki anō ki te tūāpapa ina ora ana rātou. Ki te nui ō rere kē, ka tūtohu pea tō tākuta kia whakamātautau anō kia whakatū he tauira, kia whakatau rānei mehemea e hiahiatia ana te rongoā.

Q5. Ka pānga te kai ki ngā taumata bilirubin?

Ka pānga te kai ki ngā taumata bilirubin, ahakoa kāore i te nuinga o te wā te mea nui. Ko te kai i te kai whai i ngā antioxidants me ngā matūkai e tautoko ana i te hauora ate ka āwhina pea ki te pupuri i te tukatuka bilirubin noa.

Ko te inu waipiro nui ka piki ake ngā taumata bilirubin mā te whakangaro i ngā pūtau ate. Ko te nohopuku, te whakaiti rānei i ngā kaarai ka piki ake hoki ngā taumata bilirubin mō te wā poto. Ko te pupuri i te kai taurite me te noho wai ka tautoko i te mahi ate whānui me te pākia bilirubin hauora.