總膽紅素 Total-bilirubin
Total Bilirubin
*There are three bilirubin-related test indicators: total bilirubin, direct bilirubin, and indirect bilirubin. The bilirubin level in serum is referred to as total bilirubin. The portion that has been processed and detoxified by the liver is called direct bilirubin, while the unprocessed portion is indirect bilirubin. In testing, both total bilirubin and direct bilirubin levels are measured, and the difference between them is calculated as indirect bilirubin.
*Function:
Total bilirubin is a waste product generated when the liver absorbs bilirubin from the blood and chemically breaks it down. It is an indicator of liver function and reflects whether the liver is damaged. Abnormal bilirubin levels suggest that the liver is unable to properly break down waste or clear bilirubin from the blood. This test is primarily used to assess liver and bile duct function, as well as red blood cell metabolism.
*Normal Range:
0.1–1.2 mg/dL (may vary slightly depending on the laboratory).
*Abnormal Significance:
-Elevated levels: May be caused by conditions such as acute hepatitis, obstructive jaundice, liver cancer, gallstones, cholangitis, and hemolytic jaundice.
-Low levels: May be due to medication use (e.g., penicillin, nonsteroidal anti-inflammatory drugs - NSAIDs), caffeine intake, autoimmune diseases (such as rheumatoid arthritis, lupus, polymyositis, and Sjögren’s syndrome), or cardiovascular diseases.
*How to Lower Total Bilirubin?
-Drink plenty of water.
-Consume a variety of fruits and vegetables.
-Eat high-fiber foods (e.g., oatmeal, broccoli, chickpeas, berries, almonds, etc.).
-Avoid high-fat protein sources (opt for skinless chicken breast, fish, or eggs instead).
-Avoid alcohol consumption.
-Reduce sugar intake.
-Limit high-sodium foods to reduce sodium intake.
*Health Recommendations:
If total bilirubin levels are elevated, further analysis of the ratio between direct and indirect bilirubin is needed. Additional tests, such as GPT, GOT, ALKP, and rGT, should be considered for clinical evaluation. To maintain liver health, it is advisable to avoid alcohol, toxic medications, and high-fat diets. Seek professional medical advice when necessary. Abnormal levels suggest potential underlying issues ranging from liver disease to hemolytic disorders. Early detection, lifestyle adjustments, and prompt medical intervention are essential for managing bilirubin abnormalities and ensuring long-term health.
*There are three bilirubin-related test indicators: total bilirubin, direct bilirubin, and indirect bilirubin. The bilirubin level in serum is referred to as total bilirubin. The portion that has been processed and detoxified by the liver is called direct bilirubin, while the unprocessed portion is indirect bilirubin. In testing, both total bilirubin and direct bilirubin levels are measured, and the difference between them is calculated as indirect bilirubin.
*Function:
Total bilirubin is a waste product generated when the liver absorbs bilirubin from the blood and chemically breaks it down. It is an indicator of liver function and reflects whether the liver is damaged. Abnormal bilirubin levels suggest that the liver is unable to properly break down waste or clear bilirubin from the blood. This test is primarily used to assess liver and bile duct function, as well as red blood cell metabolism.
*Normal Range:
0.1–1.2 mg/dL (may vary slightly depending on the laboratory).
*Abnormal Significance:
-Elevated levels: May be caused by conditions such as acute hepatitis, obstructive jaundice, liver cancer, gallstones, cholangitis, and hemolytic jaundice.
-Low levels: May be due to medication use (e.g., penicillin, nonsteroidal anti-inflammatory drugs - NSAIDs), caffeine intake, autoimmune diseases (such as rheumatoid arthritis, lupus, polymyositis, and Sjögren’s syndrome), or cardiovascular diseases.
*How to Lower Total Bilirubin?
-Drink plenty of water.
-Consume a variety of fruits and vegetables.
-Eat high-fiber foods (e.g., oatmeal, broccoli, chickpeas, berries, almonds, etc.).
-Avoid high-fat protein sources (opt for skinless chicken breast, fish, or eggs instead).
-Avoid alcohol consumption.
-Reduce sugar intake.
-Limit high-sodium foods to reduce sodium intake.
*Health Recommendations:
If total bilirubin levels are elevated, further analysis of the ratio between direct and indirect bilirubin is needed. Additional tests, such as GPT, GOT, ALKP, and rGT, should be considered for clinical evaluation. To maintain liver health, it is advisable to avoid alcohol, toxic medications, and high-fat diets. Seek professional medical advice when necessary. Abnormal levels suggest potential underlying issues ranging from liver disease to hemolytic disorders. Early detection, lifestyle adjustments, and prompt medical intervention are essential for managing bilirubin abnormalities and ensuring long-term health.