In life, some people find that their physical examination report shows that the total bilirubin is on the high side. How is total bilirubin on the high side to return a responsibility? How to do on the high side of total bilirubin? The following is the reason and treatment of high total bilirubin I sorted out for you. I hope it is useful to you!
1. Hepatocellular jaundice
It shows that both indirect bilirubin and direct bilirubin are on the high side, which is due to the damage of hepatocytes and the inability to process all indirect bilirubin into direct bilirubin, so that both indirect and direct bilirubin in blood are on the high side. The causes of high bilirubin at this time are liver diseases, especially hepatitis B and other viral hepatitis.
2. Obstructive jaundice
It is characterized by normal indirect bilirubin and high direct bilirubin. Most of the direct bilirubin cannot enter the intestine through the biliary tract due to the obstruction of extrahepatic biliary tract, but flows back into the blood, resulting in high direct bilirubin in the blood.
3. Hemolytic jaundice
It showed high indirect bilirubin and normal direct bilirubin. In this case, due to the destruction of red blood cells in the body, a large amount of indirect bilirubin is released. All indirect bilirubin cannot enter the liver and remain in the blood, resulting in high bilirubin in the blood.
4. Incorrect living habits
Incorrect living habits in daily life will also lead to the increase of bilirubin. For example, daily diet, rapid and heavy drinking can also lead to the occurrence of symptoms of high bilirubin.
1. Find out the cause of high bilirubin
In the face of high bilirubin, we first need to understand whether it is caused by liver disease. Therefore, a comprehensive liver examination is needed. If hepatitis examination is carried out, it is necessary to select a formal research institute focusing on the diagnosis and treatment of liver diseases such as Wuhan Jingjun Liver Disease Research Institute for examination.
2. Treat symptomatically according to the etiology
If the bilirubin is elevated in patients with hepatitis B, it may be because the liver cells are attacked by hepatitis B virus and cause liver damage, which can not transform indirect bilirubin, which results in the increase of direct bilirubin. This requires killing and removing the virus from the hepatitis B virus.
3. Reasonable diet to promote recovery
For patients with liver disease, the reason for high bilirubin is usually abnormal liver function. Therefore, the diet of patients with high bilirubin should be light, nutritious and easy to digest without increasing the burden on the liver. Eat more fresh vegetables and fruits to improve the immune capacity of the human body.
1. Fresh vegetables and fruits, such as apples, radishes, pears and spinach, cucumbers and tomatoes, contain vitamins needed by the human body, which can increase the vitality of the liver.
2. Dairy products and bean products have high protein content, which can repair damaged hepatocytes and promote the regeneration of hepatocytes.
3. Mushrooms and kelp are rich in trace elements, which contribute to the nutritional balance in the body and improve the function of the liver.
Most of the bilirubin in the body comes from hemoglobin released by aging red blood cells, including indirect bilirubin and direct bilirubin. Indirect bilirubin is transported to the liver through blood and generates direct bilirubin through the action of hepatocytes. No matter in any organ of heme metabolism, it can make the total bilirubin on the high side and cause jaundice in the human body.
Harm of high total bilirubin: when the total bilirubin in serum is too high, it indicates liver injury or bile duct blockage.
Harm of high indirect bilirubin: if there is too much destruction of red blood cells, too much indirect bilirubin is produced, which exceeds the metabolic range of the liver, and the liver cannot completely convert it into direct bilirubin, hemolytic jaundice will occur.
Harm of high direct bilirubin and indirect bilirubin: jaundice in patients with hepatitis is generally hepatocyte jaundice, that is, both direct bilirubin and indirect bilirubin are increased, while direct bilirubin is mainly increased in patients with cholestatic hepatitis.
Bilirubin can not be transformed into bile normally, hepatocyte disease, hepatocyte swelling, compression of bile duct in the liver or obstruction of bile excretion will increase bilirubin in the blood, and then hepatocyte jaundice will occur; Extrahepatic biliary system has tumors or stones, biliary obstruction, bile can not be excreted smoothly, and then obstructive jaundice occurs. Jaundice in patients with hepatitis is mainly hepatocellular jaundice.