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Total bilirubin (transcutaneous method for newborns)

180.00 MDL

Total Bilirubin (Transcutaneous Method For Newborns)

We remind you that independent interpretation of the results is unacceptable, the information provided below is for reference purposes only.

Bilirubin is a yellow-colored pigment that is produced during the normal breakdown of red blood cells (hemoglobin) in the body. It is essential for the body to remove bilirubin as it can be toxic at high levels. In newborns, elevated levels of bilirubin can lead to jaundice, a condition characterized by a yellowish discoloration of the skin and eyes.

The Role of Bilirubin and Transcutaneous Measurement

Bilirubin is formed when the heme portion of hemoglobin is broken down. It is transported to the liver, where it is metabolized and excreted from the body through bile. In newborns, especially premature infants, the immature liver may not be able to process bilirubin efficiently, leading to an accumulation in the bloodstream.

The transcutaneous method for measuring bilirubin levels in newborns is a non-invasive technique that uses a specialized device to measure the concentration of bilirubin in the skin. This method eliminates the need for taking blood samples, which can be stressful for both the infant and the parents.

The transcutaneous method provides a safe, convenient, and accurate way to monitor bilirubin levels in newborns, allowing healthcare professionals to identify and manage potential cases of jaundice promptly.

Role of Total Bilirubin in Diagnosis

Total bilirubin levels in the blood are an important diagnostic marker for various conditions, particularly those related to liver function and newborn jaundice. Elevated levels of total bilirubin can indicate problems with bilirubin metabolism or clearance, leading to conditions like jaundice, liver diseases, or other underlying issues.

Indications for Total Bilirubin Test

The total bilirubin test is ordered to assess liver function and detect potential problems in newborns and individuals of all ages. Indications for the test include:

  • Newborn screening: Total bilirubin levels are routinely checked in newborns to detect and monitor jaundice, which can be a sign of underlying conditions such as hemolytic disease or liver disorders.
  • Evaluation of jaundice: The test is used to investigate the cause of jaundice (yellowing of the skin and eyes) in individuals of any age, as elevated bilirubin levels can indicate liver or gallbladder problems, hemolytic anemia, or other conditions.
  • Monitoring liver function: Total bilirubin levels are often included in liver function tests to evaluate the overall health and functioning of the liver.
  • Follow-up after liver disease treatment: The test may be ordered to monitor the effectiveness of treatment for liver diseases or conditions affecting bilirubin metabolism.

Preparation for the Procedure

There are a few important steps to take before undergoing a transcutaneous bilirubin test for newborns:

  • Ensure the baby's skin is clean and free of any lotions, oils, or creams that could interfere with the measurement.
  • Remove any clothing or blankets covering the area where the measurement will be taken, typically the forehead or sternum.
  • Keep the baby calm and still during the procedure, as movement can affect the accuracy of the reading.
  • Inform the healthcare provider if the baby has any skin conditions or abnormalities in the area where the measurement will be taken.

The Procedure

The transcutaneous bilirubin measurement is a non-invasive procedure that involves placing a specialized device on the baby's skin. The device uses light to measure the level of bilirubin, a yellow pigment produced during the normal breakdown of red blood cells. The entire process is quick, painless, and typically takes only a few minutes.

Sources:

 

https://www.webmd.com/a-to-z-guides/bilirubin-test
https://www.mayoclinic.org/tests-procedures/bilirubin/about/pac-20393041
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6481485/
https://my.clevelandclinic.org/health/diagnostics/17845-bilirubin

 

IMPORTANT!

It is crucial to remember that the information provided in this section is not intended for self-diagnosis or self-treatment. If you experience any symptoms or worsening of a condition, it is essential to consult a healthcare professional for proper diagnostic testing. Only a qualified specialist can make an accurate diagnosis and determine appropriate treatment. To ensure the most accurate and consistent evaluation of test results, it is recommended to have them performed at the same laboratory. Different laboratories may use different methods and units of measurement for similar tests.

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