What's the meaning that it will be the intersection of serum and clinic that bilirubin check in liver function check? 's prevention and health care

What's the meaning that it will be the intersection of serum and clinic that bilirubin check in liver function check? 's prevention and health care
(1) Serum bilirubin is a group of indexes which reflects jaundice. Bilirubin raise until bilirubin produce too much and hepatocyte damage deal with the intersection of bilirubin and ability, drop relevant to excreting factor of obstacle,etc..
(2) Determine that includes total bilirubin, direct bilirubin, indirect bilirubin with serum bilirubin. Quantity that the quantity of examining regular total bilirubin and deducting direct bilirubin is indirect bilirubin.
(3) The normal value is total bilirubin (TBIL) : 5.1~17.1umol/L, direct bilirubin (DBIL) : 0~6.0umol/L, indirect bilirubin (IBIL) : 5.1~13.7umol/L.
(4) The meaning in which the bilirubin index changes:
1. Total bilirubin: Can understand the weight with jaundice, jaundice and intensity that the hepatocyte damages from TBIL, the gall stone can't distinguish the type of jaundice. If it is obvious to rise, often reflect that there are serious hepatocytes that are damaged. If reduce, mainly see anaemia and regenerated obstacle anaemia caused at cancer or chronic nephritis.
2. Direct bilirubin: Direct bilirubin to determine bilirubin that develop the color in the 1 minute, call " the one minute bilirubin " also . It shows liver function is damaged certainly that direct bilirubin is raised, increase in liver cellulous jaundice and obstructive jaundice obviously, especially getting obstructive jaundice, pancreas the intersection of head and cancer, maos of detailed bile duct hepatitis and their bile silt more obvious when the stagnat syndrome,etc. inside and outside the liver.
3. Indirect bilirubin: Obviously rise, see dissolving courageous and upright jaundice. Because erythrocytes are destroyed in a large amount, bilirubin produced has exceeded the excretion ability of the liver, make indirect bilirubin increase in the blood.
Virus hepatitis, medicine hepatitis and jaundice that liver cirrhosis takes place, have hepatocyte damage esterification and the intersection of secretion and obstacle in bilirubin, have also because maos of detailed the intersection of bile duct and bilirubin pathological change cause excrete the obstacle, so jaundice appeared by it is that the hepatocyte damages mixing high gallbladder red disposition jaundice, direct and indirect bilirubin can obviously increase.
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