Causes of high total bilirubin
summary
Two days ago to check liver function and hepatitis B two pairs and a half, two pairs and a half in the surface antibody positive, the doctor said there is antibody. But in liver function, the total bilirubin is 21, the reference value is 2-18, the direct bilirubin is 7, the reference value is 0-4. Everything else is normal. So, what are the reasons for the high total bilirubin?
Causes of high total bilirubin
One of the reasons: the total bilirubin is the sum of indirect bilirubin and direct bilirubin. If the total bilirubin, direct bilirubin and indirect bilirubin are on the high side, it indicates that the liver has certain damage.
The second reason: high bilirubin, high transaminase, positive hepatitis B antibody, high uric acid, high blood lipid. From the above situation, you don't have some substantive problems with the liver. Now these aspects are high, most likely due to the bad lifestyle.
The third reason: direct bilirubin increase: intrahepatic and extrahepatic obstructive jaundice, pancreatic head cancer. Bilirubin incompatibility, hemolytic anemia, indirect blood transfusion, etc.
The fourth reason: direct bilirubin and indirect bilirubin are increased: acute icteric hepatitis, chronic active hepatitis, cirrhosis, toxic hepatitis, etc. Capillary bile duct hepatitis and other bile stasis syndrome.
The fifth reason: the increase of total bilirubin can be seen in biliary obstruction, liver cell injury, hemolysis and other possibilities, but most of them are significantly increased, which has little clinical significance at present.
The sixth reason: the high level of total bilirubin is caused by the dysfunction of liver uptake and bile excretion. The common causes of high bilirubin are acute icteric hepatitis, acute yellow liver necrosis, chronic active hepatitis and cirrhosis.
matters needing attention
For patients with high total bilirubin, the diet should be light, and eat more fresh vegetables, such as green vegetables, celery, spinach, etc. to develop good living habits can effectively improve the disease.
