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饮食养生:血清胆红素高怎么办

注意保健,因为血清胆红素高可能是肝病造成的,需要注意休息,有健康的饮食习惯,防止病情恶化。

Pay attention to health care, because high serum bilirubin may be caused by liver disease, need to pay attention to rest, have healthy eating habits, prevent the deterioration of the disease.

饮食问题,以维生素含量高、营养丰富、易消化为主。

Food problems, with high vitamin content, rich nutrition, easy to digest.

2、血清胆红素高的临床意义血清总胆红素的测定是肝、胆功能检查中的一项重要检测项目。

2. Clinical significance of high serum bilirubin determination of serum total bilirubin is an important test item in liver and bile function examination.

能准确地反映黄疸的程度,对临床诊断隐性黄疸有重要意义。

It can accurately reflect the degree of jaundice, which is of great significance for clinical diagnosis of recessive jaundice.

生理性增高:新生儿出现生理性黄疸,其他没有不适,经过一周左右会自行消退。

Physiological increase: neonatal physiological jaundice, other no discomfort, after a week or so will automatically subside.

长期饮酒、剧烈运动等也有可能引起总胆红素增高。

Long term drinking and strenuous exercise may also cause the increase of total bilirubin.

生理性原因引起的总胆红素偏高一般都会在调节后自行恢复。

The high total bilirubin caused by physiological reasons will generally recover after adjustment.

病理性增高:常见于肝炎、阻塞性黄疸、肝硬化、新生儿病理性黄疸、胆石症、胰头癌、溶血性黄疸等疾病。

Pathological increase: common in hepatitis, obstructive jaundice, liver cirrhosis, neonatal pathological jaundice, cholelithiasis, pancreatic head cancer, hemolytic jaundice and other diseases.

患者应引起高度的重视,及时到医院进行治疗,抓住治疗的最佳时机,掌握病情的发展态势,检测病情的发展变化,对自身的病情进行全面的了解。

Patients should attach great importance to timely treatment in the hospital, seize the best opportunity for treatment, master the development trend of the disease, detect the development and change of the disease, and have a comprehensive understanding of their own condition.

3、血清胆红素高的危害体内的胆红素大部分来自衰老红细胞裂解而释放出的血红蛋白,包括间接胆红素和直接胆红素。

3. High serum bilirubin is harmful. Most of the bilirubin in the body comes from hemoglobin released by the lysis of aging red blood cells, including indirect bilirubin and direct bilirubin.

间接胆红素通过血液运至肝脏,通过肝细胞的作用,生成直接胆红素。

Indirect bilirubin is transported to the liver through blood and generates direct bilirubin through the action of hepatocytes.

不管在血红素代谢的任何一个器官出现问题,都可以使总胆红素偏高,引起人体产生黄疸现象。

No matter in the heme metabolism of any organ problems, can make the total bilirubin on the high side, causing jaundice in the human body.

总胆红素高的危害:血清中总胆红素过高时,就说明肝脏损伤或者胆管堵塞。

The harm of high total bilirubin: when the total bilirubin in serum is too high, it indicates liver injury or bile duct blockage.

间接胆红素高的危害:如果红细胞破坏过多,产生的间接胆红素过多,超出肝脏代谢范围,肝脏不能完全把它转化为直接胆红素,就会发生溶血性黄疸。

The harm of high indirect bilirubin: if the red blood cell is destroyed too much, the indirect bilirubin produced is too much, beyond the scope of liver metabolism, the liver can not completely convert it into direct bilirubin, hemolytic jaundice will occur.

直接胆红素与间接胆红素高的危害:肝炎患者的黄疸一般为肝细胞性黄疸,也就是说直接胆红素与间接胆红素均升高,而淤胆型肝炎的患者以直接胆红素升高为主。

Direct bilirubin and indirect bilirubin high harm: hepatitis patients jaundice is hepatocyte jaundice, that is, direct bilirubin and indirect bilirubin are increased, and cholestatic hepatitis patients with direct bilirubin increase.

胆红素不能正常地转化成胆汁、肝细胞发生病变、肝细胞肿胀、肝内的胆管受压或排泄胆汁受阻都会使得血中的胆红素升高,进而发生肝细胞性黄疸;肝外的胆道系统发生肿瘤或结石,胆道阻塞,胆汁不能顺利排泄,进而发生阻塞性黄疸。

Bilirubin can not be converted into bile normally, hepatocyte lesions, hepatocyte swelling, intrahepatic bile duct compression or bile excretion obstruction will make the blood bilirubin increased, and then hepatocellular jaundice; extrahepatic biliary system tumor or stone, biliary obstruction, bile can not be smoothly excreted, and then obstructive jaundice occurs.

肝炎患者的黄疸主要为肝细胞性黄疸。

Jaundice in patients with hepatitis is mainly hepatocyte jaundice.

血清胆红素高的用药注意临床上,胆红素指标检测通常被用来判定是否有黄疸。

In clinical practice, bilirubin index detection is usually used to determine whether there is jaundice.

总胆红素偏高最明显的症状就是皮肤黄、巩膜黄以及尿黄,所以患者在用药时,可能会服用一些降黄的水杨酸类药物,这种药物可能短时间内会起到降黄的作用,但是并不能从根本上将问题解决。

The most obvious symptoms of high total bilirubin are skin yellow, sclera yellow and urine yellow. Therefore, patients may take some salicylic acid drugs that can reduce jaundice in a short time, but they can not fundamentally solve the problem.

出现总胆红素偏高时,患者不要盲目用药,擅自选择药物。

When the total bilirubin is on the high side, patients should not use drugs blindly and choose drugs without authorization.

因为引起总胆红素偏高的原因有很多,需要患者做出详细的检查,根据具体的病因,在医生的建议和指导下,选择适合病情的药物。

Because there are many reasons for high total bilirubin, patients need to make a detailed examination, according to the specific causes, under the advice and guidance of doctors, choose the drugs suitable for the disease.

当患者是由于肝脏疾病引起的胆红素偏高情况时,就需要患者检查肝功能以及hbv-dna,再来决定患者是否需要抗病毒治疗,进而实现降低总胆红素的目的。

When patients are due to liver disease caused by high bilirubin, it is necessary for patients to check liver function and HBV DNA, and then determine whether patients need antiviral treatment, so as to achieve the purpose of reducing total bilirubin.

血清胆红素的正常值血清胆红素是体内铁卟啉化合物的主要代谢产物,有毒性,可对大脑和神经系统引起不可逆的损害,但也有抗氧化剂功能,可以抑制亚油酸和磷脂的氧化。

The normal value of serum bilirubin serum bilirubin is the main metabolite of iron porphyrin compounds in the body, toxic, can cause irreversible damage to the brain and nervous system, but also has antioxidant function, can inhibit the oxidation of linoleic acid and phospholipid.

胆红素是临床上判定黄疸的重要依据,也是肝功能的重要指标。

Bilirubin is not only an important basis for judging jaundice in clinic, but also an important index of liver function.

胆红素正常值总胆红素的正常范围为1.71-17.1μmol/l(1-10mg/l)。

The normal range of total bilirubin was 1.71-17.1 μ mol/L (1-10mg/L).

直接胆红素的正常范围为0-3.4μmol/l(1-4mg/l)。

The normal range of direct bilirubin was 0-3.4 μ mol/L (1-4 mg/L).

间接胆红素的正常范围为1.7-13.7μmol/l。

The normal range of indirect bilirubin was 1.7-13.7 μ mol/L.

新生儿胆红素的正常值总胆红素的正常值3.4~17.1μmol/l,直接胆红素的正常值0~6.8μmol/l,间接胆红素的正常值1.7~10.2μmol/l。

The normal values of neonatal bilirubin, total bilirubin, direct bilirubin and indirect bilirubin were 3.4-17.1 μ mol/L, 0-6.8 μ mol/L and 1.7-10.2 μ mol/L, respectively.

(注:总胆红素就是间接胆红素与直接胆红素的和。

Note: total bilirubin is the sum of indirect bilirubin and direct bilirubin.

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