Exchange bilirubin
umsebenzi zokuphefumula osinikeza kwezicubu igazi emzimbeni lemali edingekile umoya-mpilo eyalo ezikhethekile kakhulu elihambayo --hemoglobin - ekwakhekeni kwamangqamuzana egazi abomvu. Nokho, la mangqamuzana abe ziphile isikhathi esilinganiselwe, alinganiselwa izinsuku 100-120. Okulandelayo zingena izitho kroverazrusheniya, lapho kukhishwa i-hemoglobin. It lubopha haptoglobin futhi ngokushesha uyiswa amaseli kohlelo reticuloendothelial ukuguqulwa eyengeziwe ukuze sombala-non-enobuthi (bilirubin ngqo) kanye ukuzihlalela le Bile. Ngo-macrophage kanye histiocytes-hemoglobin ekuqaleni ubola ukuba biliverdin, okuyinto amasongo amane pyrrole methane exhumene luvale. Futhi okunye, kukhona ukwehliswa yayo bilirubin khulula, ovaleleke amaprotheni zokuthutha futhi uyiswa isibindi. Ngo parenchyma yayo Ukuguqulwa yayo ku bilirubin oqondile, ie ngibopha glucuronate mayelana nokulahla yayo.
Iqhaza lama-bacterium awusizo
indima Esisemqoka eyingozi okwengeziwe mayelana nokunikezela Bile zombala yenza microflora evamile emathunjini. Bilirubin uyahamba ngokuqondile kusukela kwesibindi ukubunjwa Bile ku fellea vesica, futhi lapho uvula faterova embeleni engena duodenum, futhi okunye, emathunjini amancane, lapho ebugqilini glucuronic acid futhi iguqulwe ibe sterkobilinogena outputting indle. Ingxenye lapho edabula ingemuva is angena ngemithambo hemorrhoidal engena egazini, ngokudlula esibindi, excreted ngokusebenzisa izinso umchamo. Ngakho, igazi njalo Kutholwe njengabantu abakhululekile, oqondile bilirubin. izinga zokugcina imayelana 5.1 Mol / l, kanye Imininingwane - 15.
Ukuxilongwa izifo zesibindi
Ngokwe-vibration kanye isilinganiso ngalezi zinkomba kungenziwa bahlulelwe ukusebenza isibindi. Ngakho, uma parenchyma yomzimba ine umonakalo ezithathelwanayo noma anobuthi, iningi sombala mahhala futhi uhlala itho olukhululekile, futhi emakamu egazini zombili lezi zinhlobo ukwanda sombala kakhulu. bilirubin Direct egazini sibizwa zitholiwe kangaka okuthiwa i-jaundice obstructive, lapho kunezithiyo ukugeleza of Bile, futhi regurgitation ke Bile kwenzeka esegazini. Isizathu salokhu kungaba kokucindezelwa Bile imbobo izimila ikhanda amanyikwe, itshe, njll nokwaphakade. Kukhona suprarenal kanye jaundice, imbangela okuyinto sithuthukiswe ukubola elithwala umoya-mpilo egazini. Lokhu kungase kuthinte ubuthi hemolytic ubuthi microbial, abanye isimo bokuphila. Nokho, nabo bonke laba izinhlobo zokusha kwesibindi bilirubin luyakha emisipheni. Itho olukhululekile efanayo ngenxa lipophilicity yayo, lihlaba kalula amaseli, kuhlanganise ngokusebenzisa umgoqo gazi ebuchosheni, futhi ihlukanisa iketango electron zokuthutha kule mitochondria, kanjalo ezivimbela amandla umzimba. Kuphephe Kakhudlwana kulokhu, bilirubin oqondile, ogama kuyinsakavukela akunakudluliswa enobuthi, njengoba kuyintando-molecule zingaxazululeki.