Total bilirubin 28

Total bilirubin is a very important technical indicator. Especially when jaundice occurs in children, it is necessary to test the total bilirubin to analyze the child's physical condition. Total bilirubin is divided into two types: direct bilirubin and indirect bilirubin. As an ordinary person, we definitely don’t know what total bilirubin 28 means. So, is total bilirubin 28 high? Let’s take a look below.

Bilirubin is mainly used to diagnose whether there is liver disease or bile duct abnormalities. The normal value of total bilirubin is between 3.4 and 17.1 μmol/L. 17.1-34.2 μmol/L can be regarded as latent jaundice; 34.2-170 μmol/L is mild jaundice; 170-340 μmol/L is moderate jaundice; and greater than 340 μmol/L is severe jaundice. Increased bilirubin is seen in:

(1) Liver diseases: acute icteric hepatitis, acute yellow liver necrosis, chronic active hepatitis, cirrhosis, etc.

(2) Extrahepatic diseases: hemolytic jaundice, incompatible blood transfusion reaction, neonatal jaundice, cholelithiasis, etc.

Clinical significance

The determination of serum total bilirubin is an important test item in liver and gallbladder function examination. It can accurately reflect the degree of jaundice and is of great significance for the clinical diagnosis of latent jaundice.

1. Physiological increase: Newborns will experience physiological jaundice without any other discomfort, and the jaundice will disappear on its own after about a week. Long-term drinking, strenuous exercise, etc. may also cause increased total bilirubin. High total bilirubin levels caused by physiological reasons will generally recover on their own after adjustment.

2. Pathological increase: common in diseases such as hepatitis, obstructive jaundice, cirrhosis, neonatal pathological jaundice, cholelithiasis, pancreatic head cancer, hemolytic jaundice, etc. Patients should pay great attention to it, go to the hospital for treatment in time, seize the best time for treatment, grasp the development trend of the disease, detect the development and changes of the disease, and have a comprehensive understanding of their own condition.

47 The dangers of high bilirubin_What diseases can high bilirubin cause_The consequences of high total bilirubin

Bilirubin is a very important indicator and is of great significance in the diagnosis of bilirubin and liver function in clinical practice. Generally, abnormalities in bilirubin are mainly caused by elevated levels. When such results are detected during the test, the most worrying thing is the danger. In addition to knowing the impact on the body, we also need to know the main treatment methods to restore bilirubin to normal as soon as possible. Let’s take a closer look below.

The dangers of high bilirubin

1. First of all, it will cause hemolytic jaundice. If the total bilirubin is high, it proves that the red blood cells in the body are being severely damaged. If the red blood cells are severely damaged, the liver will not be able to function normally, and hemolytic jaundice will occur.

2. Secondly, it will cause hepatocellular jaundice. High total bilirubin may lead to the inability to convert bilirubin into bile normally, causing disorders in the hepatobiliary system, which will lead to the recurrence of diseases such as bile duct cancer and bile duct stones.

3. Finally, it will cause liver disease. The biggest victim of high total bilirubin is the liver, which will damage the liver and lead to decreased liver function. The liver will not be able to complete the conversion of bilirubin well, and at this time it is particularly easy to cause jaundice-type hepatitis.

What to do if total bilirubin is high

1. Seek medical treatment as soon as possible. If the examination has concluded that the total bilirubin is high, you must go to the hospital for treatment regardless of the severity. The most common treatment method is blood transfusion. Infants and young children can be treated through blue light irradiation.

2. The patient himself should develop good work and rest habits. In addition to cooperating with the doctor's treatment, he must also ensure adequate sleep and regular work and rest time, strengthen physical exercise, and maintain a happy and optimistic mood.

3. Dietary adjustment. Pay attention to dietary adjustment. The diet should be light. Stay away from greasy and fried foods, and do not eat spicy and high-fat foods. At the same time, try to eat less or no homemade kimchi. Eat more fresh fruits and vegetables, and more liver-protecting foods, such as dates, sesame seeds and nuts.