High total bilirubin and indirect bilirubin in the gallbladder is sick? - health Ask
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High total bilirubin and indirect bilirubin in the gallbladder is sick?

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A month I have been feeling tired, feeling weak, lazy, and sometimes head Hun Hun, and sleep is not very good. Made a routine blood test, biochemical and blood lipids, and urine routine laboratory tests, would like to ask a doctor to help take a look at what the problems of high index? What should be done also check? I am a driver, who won chronic prostatitis.

 

1, blood:

Results of the project reference value unit

1, white blood cell count 7.26 4-10 10 ^ 9 / L

2, red blood cell count 5.47 3.5-5.5 10 ^ 12 / L

3, hemoglobin 164.00 ¡ü 110-160 g / L

4, hematocrit 49.20 36-50%

5, platelets 191.0 100-300 10 ^ 9 / L

6, mean platelet volume 10.7 9-13 fL

7, platelet hematocrit 0.2%

8, MCV 89.9 86-100 pg

9, the average hemoglobin eggs 30 26-31 g / L

10, the average hemoglobin concentration 333310-370%

11, the neutral fraction 55.4 45-77%

12, lymphocytes 20-40% ratio of 36.6

13, monocytes 3-8% rate of 5.1

14, eosinophil ratio of 2.8 0.5-5%

15, basophils 0-1% rate of 0.1

16, neutral cell count 4.02 2-7.7 10 ^ 9 / L

17, lymphocyte count 2.66 0.8-4 10 ^ 9 / L

18, single nucleated cells 0.37 0.12-0.8 10 ^ 9 / L

19, eosinophils 0.20 0.05-0.5 10 ^ 9 / L

20, basophils 0.01 0-0.1 10 ^ 9 / L

21, red blood cell distribution width 38.5 37-50 fL

22, RDW-CV 11.8%

23, platelet distribution width 12.8 9-17 fL

24, large-scale platelet ratio 30.4 13-43%

 

 

Second, biochemical and blood lipids:

Results of the project reference value unit

Total bilirubin 22.9 ¡ü 3.4-19.0 umol / L

Direct bilirubin 5.4 0-6.8 umol / L

Indirect bilirubin 17.5 ¡ü 3.4-13.6 umol / L

Total protein 68.9 60.0-80.0 g / L

Albumin 47.2 35.0-55.0 g / L

Globulin 21.7 20-35 g / L

Albumin / Globulin 2.2 1.1-2.5

ALT 35 5-40 U / L

AST 18 8-40 U / L

AST / ALT 0.51

Cr 68 40-97 umol / L

Blood urea nitrogen 4.47 3.2-7.1 mmol / L

Urea / creatinine 0.07 0.04-0.1

Uric acid 381 150-417 umol / L

Carbon dioxide 25.6 22-30 mmol / L

Glucose 5.56 3.0-6.1 mmol / L

Sodium 144 135-145 mmol / L

K 4.08 3.5-5.6 mmol / L

Chloride 105 95-109 mmol / L

Calcium 2.44 2.1-2.7 mmol / L

P 1.03 0.7-1.1 mmol / L

Magnesium 1.22 ¡ü 8-58 mmol / L

Glutamine-GT 27 0.48-1.88 U / L

Triglycerides 2.44 ¡ü 3.35-6.45 mmol / L

Total cholesterol 5.60 1.03-2.07 mmol / L

High-density lipoprotein 1.14 2.7-3.2 mmol / L

Low-density lipoprotein 3.35 ¡ü 1.00-1.60 mmol / L

Apolipoprotein A1 1.31 0.6-1.10 g / L

Containing finger protein B 1.36 ¡ü g / L

Hepatitis B surface antigen --

Hepatitis B surface antibody +

Hepatitis B e antigen --

Hepatitis B e antibody --

Hepatitis B core antibody --

HCV antibody --

 

 

3, urine routine:

Results of the project reference value unit

1, WBC count 5.1 0-25 ul

2, red blood cell count 16.50 0-25 ul

3, epithelial cell count 1.4 0-10 ul

4, tube count 0.00 0-2 ul

5, bacterial counts 5118.8 0-8000 ul

6, pathological tube - 0-0.5 LPF

7, crystal inspection - 0-10 ul

8, small round epithelial cells, 0.3 0-3 / HP

9, yeast 0.0 0-10 ul

10, white blood cell (high power field) 0.92 0-5 HPF

11, red blood cell (high power field) 2.97 0-5 HPF

12, epithelial cells (high power field) 0.25 0-10 HPF

13, tube type (low magnification) 0.00 0-6 LPF

14, bacteria (high power field) 921.38 0-1200 HPF

15, red blood cell information will have no

16, conductivity 26.6 ms / cm

17, the total particle number 2133

18, other 103.0 ul

19, PH value of 5.5 5.4-8.4

20, color yellow

21, transparency, transparency

22, urobilinogen Normal (3 3.3-16 umol

23, bilirubin --

24, ketone --

25, Occult Blood + - (Ca10)) -cells/ul

26, protein --

27, nitrite --

28, white blood cells --

29, glucose --

30, specific gravity 1.020 1.003-1.030

31, vitamin C 0.0

 

best answer

 

Specific clinical symptoms are not very clear. Bilirubin metabolism in the liver has an intake, integration, and excretory functions, if one or several of dysfunction, can cause jaundice. Check the bilirubin metabolism, liver function and jaundice in judging the identification of great significance.

Are many reasons for elevated bilirubin on its pathogenesis classification, can be divided into too much bilirubin generation (instant bloody jaundice), liver cell processing (intake, combined with) a reduced ability of bilirubin (ie, liver cell jaundice), and the hepatobiliary excretion of bilirubin barriers (ie, obstructive jaundice) and so on.

Bilirubin metabolism Bilirubin metabolism is divided into direct and indirect bilirubin metabolism, these two need to identify. To determine bilirubin metabolic disorders are caused cholecystitis or liver disease leading to, from the clinical point of view, in general, with skin itching, and feces showed a clay-like color caused by the gallbladder bile duct obstruction caused by the performance of the mainly increased indirect bilirubin; and liver disease caused by elevated bilirubin, you do not have two kinds of symptoms, expressed as direct bilirubin elevated.

But this is not the absolute separation of the two cases, many people are in both cases, interaction. I suggest you carry out the relevant checks to the hospital as soon as possible to determine the causes and treatment as soon as possible to develop

 


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