When the pain in the right upper quadrant, sudden darkening of the color of urine, jaundice occurs, other symptoms is an urgent need to donate blood for the determination of total bilirubin.

Expert opinion: The pain in the right upper quadrant and darkening of the urine is not the symptoms of jaundice as jaundice itself is a symptom.The above described symptoms are manifestations of a liver disease.

However, you need to know some things in order to properly deliver the analysis to determine this figure.

As a rule, you need to take blood from a vein, at the same time to evaluate other options.Before any biochemical analysis, during which determine the level of bilirubin in the blood, stick to simple rules, so as not to skew the results.

For a start it is worth noting that the blood of bilirubin, it is desirable to take on an empty stomach in the morning and in the previous night to try not to eat a lot of fatty foods, so as not to burden the liver.Sometimes you need 2 days to hand over the

repeated analysis, and before that a diet with a total energy value of about 500 kcal.

also about two days before the visit is not engaged in a laboratory exercise strenuously due to the fact that physical activity in large volumes significantly alter liver function.This can be seen as follows: after intensive jogging starts to ache in his side.

necessary to limit the intake of drugs, preferably a few weeks before sampling.This is due to the fact that the administration of drugs may alter the content of various substances, as well as a number of indicators, which leads to difficulties in determining the true causes of disease.

In determining the blood levels of the yellow pigment, first determine the concentration of total bilirubin, and then - forward, and only then calculate the difference between them, which is the content of indirect bilirubin.

Expert Opinion: Do not correct to talk about the yellow pigment in the blood, because it is not true.Blood from its location it does not get yellow.Bilirubni he is bilirubin.

for a speedy recovery of the body after such a procedure is not very pleasant to eat a piece of chocolate or a drink pomegranate juice.

Expert Opinion: The procedure is the same as taking blood from a vein.Actually this is the case and looks.The volume of blood that is taken from the patient is 5-6 ml, so the patient does not even feel this loss.

most important gemohromny blood pigment - total bilirubin, which is produced as a result of destruction of hemoglobin.It has a characteristic color - orange-yellow.What is hemoglobin?This is a complex iron-containing protein, which is sufficiently toxic to the human body if it is located outside the red blood cells, which leads to the need for its elimination.

live in red blood cells only 120 days, after which they are subjected to decay, in which the hemoglobin is destroyed also on iron and globin (a protein).Then globin oxidation occurs in the spleen, in its reticuloendothelial system, this reaction product by blood to the liver where it is a compound with glucuronic acid and directly converting into direct bilirubin, which is excreted in the bile into the lumen of the duodenum.

What is the rate of bilirubin in the blood?Of course, this figure is a constant, but it differs in infants.They have a marked increase in bilirubin.This is due to the fact that finally formed newborn biliary system can not cope with the processing of erythrocyte degradation products.Do not arrest this state, unless, of course, performance is normal for newborns.A month later all finally formed: the amount of bilirubin will meet the standards of the adult.

Expert Opinion: Normalization of bilirubin levels in newborns takes place in the majority of cases, however, occur episodes of disease when bilirubin levels remain high for a long time.For example, when the nuclear jaundice or hemolytic disease of the newborn.These diseases threaten the child's life, therefore, require urgent remedial measures.Thus, one can clearly and confidently say that a month bilirubin level back to normal.

Total bilirubin healthy person ranges 8,5-20,55 micromoles / liter, direct - 1,5-5,2 mmol / liter.

If disturbed functioning of this complex system, there is jaundice syndrome: first yellow mucous, especially noticeable in the whites of the eyes, then to the skin.This is due to excessive accumulation of the enzymes under the skin.The reasons may be very different, and the consequences - severe, so you should immediately seek specialized help.It should be noted that not any pathology that caused jaundice can be cured, but without identifying the true cause is not possible.

Jaundice depending on the caller reasons are of three types: hemolytic, parenchymal, mechanical.

hemolytic jaundice occurs when increased destruction of red blood cells, which leads to a relative lack of waste products formed system.Most often it occurs in patients with pathology of the blood system, with intoxication various toxic substances.Skin color with lemon yellow.In hemolytic jaundice feces intensely colored.

hepatocellular jaundice is caused by lesions of the liver parenchyma, which leads to a decrease in its detoxification function.Leather saffron (orange-red) color with hepatocellular jaundice.

case of violation of the outflow of bile, biliary obstruction caused by the flow, for example, stone, or compression of its lumen tumor develops obstructive or mechanical jaundice.The color in this type of jaundice olive.Characteristic itching, resulting from the accumulation under the skin of bile acids, which in turn irritate the receptors.Also characteristic colorless, so called aholichny, stool, urine-colored "dark beer".

It is recalled that the high content of bilirubin or blood or in urine does not mean the emergence of the disease that requires immediate treatment.For example, increased bilirubin in the blood occurs in hereditary disease - Gilbert's syndrome.For him the nature of the periodicity nature of the flow.This pathology is caused by heredity: if your close relatives is present, there is a high probability of developing and you.However, with pronounced symptoms of jaundice, liver damage does not occur in this syndrome.

Treatment is usually carried out for a long time.However, jaundice can be caused by severe and life-threatening diseases, such as hepatitis.And since the cause of bile pigments in excess can only install a specialist doctor, then at the first symptoms is required to ask for help and get tested to determine bilirubin.This would allow an accurate diagnosis and prescribe treatment etiopathogenetic.