{"id":110950,"date":"2018-09-08T16:58:02","date_gmt":"2018-09-08T13:58:02","guid":{"rendered":"https:\/\/www.tgrthaber.com\/mavikadin\/?p=110950"},"modified":"2024-12-27T14:51:13","modified_gmt":"2024-12-27T11:51:13","slug":"urobilinojen-pozitif-negatif-cikti-ne-demek-normal-degeri","status":"publish","type":"post","link":"https:\/\/www.tgrthaber.com\/mavikadin\/urobilinojen-pozitif-negatif-cikti-ne-demek-normal-degeri\/","title":{"rendered":"\u0130drarda \u00dcrobilinojen negatif \u00e7\u0131karsa ne olur? \u00dcrobilinojen pozitif \u00e7\u0131karsa ne olur?"},"content":{"rendered":"

\u00dcrobilinojen; idrarda bulunan bir bile\u015fiktir. \u0130drardaki \u00fcrobilinojen miktar\u0131 idrar tahlili ile \u00f6l\u00e7\u00fclebilir.\u00a0 \u00dcrobilinojen; bilirubinin y\u0131k\u0131lmas\u0131 sonucu olu\u015fmaktad\u0131r. Bilirubin ise karaci\u011ferlerde bulunan k\u0131rm\u0131z\u0131 kan h\u00fccrelerinin y\u0131k\u0131lmas\u0131na yard\u0131mc\u0131 olan sar\u0131ms\u0131 bir bile\u015fiktir. Normalde idrarda bir miktar \u00fcrobilinojen bulunmaktad\u0131r ancak bu miktar azd\u0131r. E\u011fer idrarda \u00e7ok az \u00fcrobilinojen olursa veya hi\u00e7 olmazsa, bu durum karaci\u011ferlerin d\u00fczg\u00fcn \u00e7al\u0131\u015fmad\u0131\u011f\u0131n\u0131 g\u00f6stermektedir. \u0130drardaki \u00fcrobilinojen miktar\u0131n\u0131n y\u00fcksek olmas\u0131 ise hepatit ve siroz gibi karaci\u011fer hastal\u0131klar\u0131n\u0131n bir g\u00f6stergesi olabilir.<\/p>\n

\u0130DRARDA \u00dcROB\u0130L\u0130NOJEN NEGAT\u0130F \u00c7IKARSA NE OLUR?<\/h3>\n

\u00dcrobilinojen testi, idrardaki farkl\u0131 h\u00fccreleri, kimyasallar\u0131 ve di\u011fer maddeleri \u00f6l\u00e7en bir test olan bir idrar tahlilinin bir par\u00e7as\u0131d\u0131r. \u0130drar tahlili genellikle rutin muayenenin bir par\u00e7as\u0131d\u0131r.<\/p>\n

Doktor; hastada karaci\u011fer hastal\u0131\u011f\u0131 belirtisi g\u00f6rd\u00fc\u011f\u00fcnde karaci\u011fer hastal\u0131\u011f\u0131n\u0131 izlemek i\u00e7in rutin testlerin bir par\u00e7as\u0131 olarak \u00fcrobilinojen testi yapabilir. Bu belirtiler ise \u015funlard\u0131r:<\/p>\n

Sar\u0131l\u0131k(cilt veya g\u00f6zde)
\nBulant\u0131 veya kusma
\nKoyu renkli idrar
\nKar\u0131n a\u011fr\u0131s\u0131 ve \u015fi\u015fli\u011fi
\nCiltte ka\u015f\u0131nt\u0131<\/p>\n

\"\"<\/p>\n

\n

\u0130DRARDA \u00dcROB\u0130L\u0130NOJEN SEV\u0130YES\u0130<\/h3>\n

\u0130drardaki normal \u00fcrobilinojen seviyesi 17 umol \/ L’den (<1mg \/ dl) azd\u0131r. Bununla birlikte, de\u011ferlerin 0 – 8 mg \/ dl aral\u0131\u011f\u0131nda olmas\u0131 normal olarak kabul edilmektedir. Bu aral\u0131\u011f\u0131n \u00fcst\u00fcnde veya alt\u0131nda bir \u00fcrobilinojen seviyesi klinik bir ortamda anormal kabul edilmektedir.<\/p>\n

\u00dcrobilinojen seviyesinin y\u00fckselmesi RBC (k\u0131rm\u0131z\u0131 kan h\u00fccresi) y\u0131k\u0131m\u0131n\u0131n fazla olmas\u0131, karaci\u011ferde a\u015f\u0131r\u0131 y\u00fck, hematom, zehirlenme ve hatta karaci\u011fer sirozu belirtisi olabilir.<\/p>\n

\u00dcrobilinojen seviyesinin d\u00fc\u015fmesi ise, safra kanal\u0131 sisteminde veya safra \u00fcretiminde bir t\u0131kan\u0131kl\u0131\u011fa i\u015faret edebilir.<\/p>\n

\"\"<\/p>\n

\n

\u0130DRARDA \u00dcROB\u0130L\u0130NOJEN SEBEPLER\u0130<\/h3>\n

Hemoliz<\/strong><\/p>\n

Hemoliz,\u00a0 k\u0131rm\u0131z\u0131 kan h\u00fccrelerinin normal ya\u015fam s\u00fcreleri dolmadan y\u0131k\u0131lmas\u0131d\u0131r. K\u0131rm\u0131z\u0131 kan h\u00fccreleri normalde 110 ila 120 g\u00fcn ya\u015famaktad\u0131r. Bu s\u00fcre sonras\u0131nda do\u011fal olarak par\u00e7alan\u0131rlar ve \u00e7o\u011funlukla dalak taraf\u0131ndan dola\u015f\u0131mdan \u00e7\u0131kar\u0131l\u0131rlar.<\/p>\n

Baz\u0131 hastal\u0131k veya s\u00fcre\u00e7ler k\u0131rm\u0131z\u0131 kan h\u00fccrelerinin erkenden y\u0131k\u0131lmas\u0131na sebep olabilir. Bu da kemik iliklerinin normalden fazla k\u0131rm\u0131z\u0131 kan h\u00fccresi \u00fcretmesini gerektirir. K\u0131rm\u0131z\u0131 kan h\u00fccresi y\u0131k\u0131m\u0131 ve \u00fcretimi aras\u0131ndaki denge de k\u0131rm\u0131z\u0131 kan h\u00fccresi seviyesinin ne kadar d\u00fc\u015f\u00fck olaca\u011f\u0131n\u0131 belirler.<\/p>\n

Hemolize sebep olan durumlar: ba\u011f\u0131\u015f\u0131kl\u0131k hastal\u0131klar\u0131, enfeksiyonlar, ila\u00e7 yan etkileri ve zehirlenmeler.<\/p>\n

\"\"<\/p>\n

\n

Pernisiy\u00f6z Anemi<\/strong><\/p>\n

Folik asit ve B12 vitaminleri k\u0131rm\u0131z\u0131 kan h\u00fccre \u00fcretimi i\u00e7in gereklidir. V\u00fccutta bu iki bile\u015fenden herhangi birinin yetersiz olmas\u0131; pernisiy\u00f6z anemiye neden olur (v\u00fccutta yeterince k\u0131rm\u0131z\u0131 kan h\u00fccresi olmad\u0131\u011f\u0131 bir durum) Yetersiz miktardaki B12, kemik ili\u011findeki k\u0131rm\u0131z\u0131 kan h\u00fccrelerinin tahribat\u0131na neden olur ve dolayl\u0131 olarak bilirubin \u00fcretimini art\u0131r\u0131r.<\/p>\n

Karaci\u011fer Hastal\u0131klar\u0131<\/strong><\/p>\n

Karaci\u011fer bilirubinin i\u015flenmesi dahil bir\u00e7ok metobolik i\u015flemde g\u00f6rev alan ba\u015fl\u0131ca organd\u0131r. Karaci\u011fer yeterince \u00e7al\u0131\u015fmad\u0131\u011f\u0131 durumlarda; bilirubin birikimi olur ve bunun sonucunda da \u00fcrobilinojen birikir. Karaci\u011feri etkileyen bir\u00e7ok hastal\u0131k vard\u0131r: hepatit, siroz ve akci\u011fer kanseri gibi.<\/p>\n

Dubin-Johnson Sendromu<\/strong><\/p>\n

Dubin-Johnson sendromu bilirubin miktar\u0131nda art\u0131\u015fa yol a\u00e7an nadir bir kal\u0131tsal hastal\u0131kt\u0131r. Bu bireylerin karaci\u011ferleri incelendi\u011finde, melanine benzer bir pigmentin birikmesi nedeniyle karaci\u011fer siyah g\u00f6r\u00fcn\u00fcr.<\/p>\n

Konjestif Kalp Yetmezli\u011fi<\/strong><\/p>\n

Kalbin yeterli perf\u00fczyon sa\u011flamak i\u00e7in ihtiya\u00e7 duydu\u011fu kadar kan pompalayamad\u0131\u011f\u0131 bir durumdur. Bu durumda idrarda \u00fcrobilinojen bulunur.<\/p>\n

\"\"<\/p>\n

\n

\u0130DRARDA \u00dcROB\u0130L\u0130NOJEN OLMA OLASILI\u011eI<\/h3>\n

Kur\u015fun zehirlenmesi
\nKolestaz ve safra kanal\u0131 t\u0131kan\u0131kl\u0131\u011f\u0131
\nCrigler-Najjar sendromu
\nBaz\u0131 ila\u00e7lar\u0131n yan etkileri
\nRotor sendromu<\/p>\n

\u0130DRARDA \u00dcROB\u0130L\u0130NOJEN TEST\u0130 SONU\u00c7LARI NE ANLAMA GEL\u0130R?<\/h3>\n

E\u011fer test sonu\u00e7lar\u0131 idrarda \u00fcrobilinojen seviyesinin \u00e7ok az olmas\u0131, hi\u00e7 olmamas\u0131 veya testin negatif \u00e7\u0131kmas\u0131 \u015funlara i\u015faret edebilir:<\/p>\n

Karaci\u011ferden safra ta\u015f\u0131yan yap\u0131larda bir t\u0131kan\u0131kl\u0131k
\nKaraci\u011ferin kan ak\u0131\u015f\u0131nda bir t\u0131kan\u0131kl\u0131k
\nKaraci\u011fer fonksiyonunda bir problem<\/p>\n

\n

Test sonu\u00e7lar\u0131n\u0131z \u00fcrobilinojenin pozitif (normalden y\u00fcksek)ise, bu durum \u015funlara i\u015faret edebilir:<\/p>\n

Hepatit
\nSiroz
\n\u0130laca ba\u011fl\u0131 karaci\u011fer hasar\u0131<\/p>\n

Hemolitik anemi, k\u0131rm\u0131z\u0131 kan h\u00fccreleri yenisi ile de\u011fi\u015ftirilmeden \u00f6nce yok edildi\u011fi bir durumdur. Bu durum v\u00fccutta yeterli oranda sa\u011fl\u0131kl\u0131 k\u0131rm\u0131z\u0131 kan h\u00fccresi olmamas\u0131na sebep olur.<\/p>\n

\u0130drarda Y\u00fcksek \u00dcrobilinojen Seviyesi Nas\u0131l D\u00fc\u015f\u00fcr\u00fcl\u00fcr?<\/p>\n

Bol bol meyve ve sebze t\u00fcketin: Meyve ve sebzelerin bulundu\u011fu sa\u011fl\u0131kl\u0131 bir beslenme d\u00fczeni; karaci\u011fer sa\u011fl\u0131\u011f\u0131 ve \u00fcrobilinojen seviyesinin dengelenmesi i\u00e7in faydal\u0131d\u0131r.\u00a0 K\u0131rm\u0131z\u0131 sebzeler ve meyveler, \u00fcrobilinojen seviyesini d\u00fc\u015f\u00fcrmeye yard\u0131mc\u0131 olacak bilirubin seviyelerini d\u00fc\u015f\u00fcren bile\u015fikler i\u00e7erir. Domates, bu konuda harika bir besindir.
\nDiyetinize lifli ve sa\u011fl\u0131kl\u0131 tah\u0131llar ekleyin: Lif; karaci\u011ferin sa\u011fl\u0131kl\u0131 olmas\u0131na yard\u0131mc\u0131 olabilir. Meyve ve sebzeye ek olarak lif; sa\u011fl\u0131kl\u0131 kepekli tah\u0131l, pirin\u00e7 ve kuruyemi\u015flerde bulunur. G\u00fcnl\u00fck al\u0131nmas\u0131 gereken lif miktar\u0131 erkeklerde 25 gram; kad\u0131nlarda ise 35 gram olmal\u0131d\u0131r.
\n\u0130\u015flenmi\u015f g\u0131dalardan ka\u00e7\u0131n\u0131n: Sa\u011fl\u0131ks\u0131z beslenme karaci\u011fer fonksiyonu bozabilir, bilirubin ve \u00fcrobilinojen seviyesinin y\u00fckselmesine neden olabilir. \u00c7o\u011fu taze, i\u015flenmemi\u015f ve do\u011fal g\u0131dalarla dolu bir beslenme d\u00fczeni takip edin. Rafine \u015feker, rafine edilmi\u015f karbonhidrat, fast food, k\u0131zarm\u0131\u015f yiyecekler, haz\u0131r ambalajl\u0131 ve i\u015flenmi\u015f yiyeceklerden ka\u00e7\u0131n\u0131n.
\nBol bol su i\u00e7in: \u00dcrobilinojen seviyesini normal seviyelerde tutmaya yard\u0131mc\u0131 olan tek kolay yol, v\u00fccuda bol bol s\u0131v\u0131 almaktad\u0131r. G\u00fcnl\u00fck en az 8 bardak su i\u00e7ilmelidir.<\/p>\n","protected":false},"excerpt":{"rendered":"

\u00dcrobilinojen; idrarda bulunan bir bile\u015fiktir. \u0130drardaki \u00fcrobilinojen miktar\u0131 idrar tahlili ile \u00f6l\u00e7\u00fclebilir.\u00a0 \u00dcrobilinojen; bilirubinin y\u0131k\u0131lmas\u0131 sonucu olu\u015fmaktad\u0131r.\u00a0<\/p>\n","protected":false},"author":30,"featured_media":113164,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"rank_math_lock_modified_date":false,"footnotes":""},"categories":[1991],"tags":[6154,6155,6153],"class_list":["post-110950","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik","tag-urobilinojen-belirtileri","tag-urobilinojen-idarda","tag-urobilinojen-nedir"],"_links":{"self":[{"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/posts\/110950"}],"collection":[{"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/users\/30"}],"replies":[{"embeddable":true,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/comments?post=110950"}],"version-history":[{"count":3,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/posts\/110950\/revisions"}],"predecessor-version":[{"id":113167,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/posts\/110950\/revisions\/113167"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/media\/113164"}],"wp:attachment":[{"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/media?parent=110950"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/categories?post=110950"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/tags?post=110950"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}