{"id":21974,"date":"2025-08-06T10:52:41","date_gmt":"2025-08-06T02:52:41","guid":{"rendered":"https:\/\/drzubaidi.com\/blog\/?p=21974"},"modified":"2025-10-02T10:45:16","modified_gmt":"2025-10-02T02:45:16","slug":"mengapa-bilirubin-saya-tinggi","status":"publish","type":"post","link":"https:\/\/drzubaidi.com\/blog\/mengapa-bilirubin-saya-tinggi\/","title":{"rendered":"MENGAPA BILIRUBIN SAYA TINGGI?"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"576\" height=\"272\" data-attachment-id=\"21975\" data-permalink=\"https:\/\/drzubaidi.com\/blog\/mengapa-bilirubin-saya-tinggi\/whatsapp-image-2025-08-05-at-22-10-50\/\" data-orig-file=\"https:\/\/i0.wp.com\/drzubaidi.com\/blog\/wp-content\/uploads\/2025\/08\/WhatsApp-Image-2025-08-05-at-22.10.50.jpeg?fit=576%2C272&amp;ssl=1\" data-orig-size=\"576,272\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"WhatsApp Image 2025-08-05 at 22.10.50\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/drzubaidi.com\/blog\/wp-content\/uploads\/2025\/08\/WhatsApp-Image-2025-08-05-at-22.10.50.jpeg?fit=576%2C272&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drzubaidi.com\/blog\/wp-content\/uploads\/2025\/08\/WhatsApp-Image-2025-08-05-at-22.10.50.jpeg?resize=576%2C272&#038;ssl=1\" alt=\"\" class=\"wp-image-21975\" srcset=\"https:\/\/i0.wp.com\/drzubaidi.com\/blog\/wp-content\/uploads\/2025\/08\/WhatsApp-Image-2025-08-05-at-22.10.50.jpeg?w=576&amp;ssl=1 576w, https:\/\/i0.wp.com\/drzubaidi.com\/blog\/wp-content\/uploads\/2025\/08\/WhatsApp-Image-2025-08-05-at-22.10.50.jpeg?resize=300%2C142&amp;ssl=1 300w\" sizes=\"auto, (max-width: 576px) 100vw, 576px\" \/><\/figure>\n<\/div>\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n<p><strong>MENGAPA BILIRUBIN SAYA TINGGI?<\/strong><\/p>\n<p>\u00a0<\/p>\n<p><em><strong>&#8220;Assalamualaikum Tuan,<\/strong><\/em><br \/><em><strong>Saya ingin bertanya, kenapa bacaan total bilirubin saya semakin meningkat?<\/strong><\/em><br \/><em><strong>Enam bulan yang lalu bacaan saya 18 \u00b5mol\/L, dan kini naik lagi.<\/strong><\/em><\/p>\n<p><em><strong>Saya pernah mengambil ubat Nexium (esomeprazole) selama 3 bulan, tetapi telah berhenti atas nasihat doktor.<\/strong><\/em><\/p>\n<p><em><strong>Saya juga mengambil suplemen probiotik Infinity.<\/strong><\/em><\/p>\n<p><em><strong>Selain itu, saya mengamalkan minyak zaitun organik dan minyak kelapa dara selama 3 bulan kebelakangan ini.<\/strong><\/em><\/p>\n<p><em><strong>Terima kasih.&#8221;<\/strong><\/em><\/p>\n<p>\u00a0<\/p>\n<p>Jom ikuti perkongsian bermanfaat berkaitan kesihatan, pemakanan dan ubat-ubatan di Dr Zubaidi Hj Ahmad<\/p>\n<p>\u00a0<\/p>\n<p>\u00a0<\/p>\n<p>Waalaikumussalam.<\/p>\n<p>\u00a0<\/p>\n<p>Berdasarkan info yang diberikan, terdapat peningkatan sedikit dalam bacaan Total Bilirubin iaitu 24 (bacaan normal antara 5 \u2013 17).<\/p>\n<p>\u00a0<\/p>\n<p><strong>PUNCA<\/strong><\/p>\n<p>Ia boleh berlaku secara fisiologi, terutamanya jika:<\/p>\n<p>1. Dehidrasi<\/p>\n<p>2. Puasa atau waktu tidak makan lama<\/p>\n<p>3. Hemolisis ringan (pecahan sel darah merah)<\/p>\n<p>4. Gilbert\u2019s Syndrome \u2013 gangguan genetik ringan &amp; tidak berbahaya<\/p>\n<p>5. Masalah penukaran bilirubin di hati (enzim UGT rendah)<\/p>\n<p>\u00a0<\/p>\n<p>Jika fungsi hati lain normal, dan tiada gejala (sakit perut, mata kuning, air kencing gelap), kenaikan ini biasanya tidak membimbangkan.<\/p>\n<p>\u00a0<\/p>\n<p><strong>KESIMPULAN<\/strong><\/p>\n<p>Kesimpulannya, fungsi hati adalah normal. Tahap bilirubin sedikit tinggi, tetapi tidak signifikan tanpa gejala.<\/p>\n<p>\u00a0<\/p>\n<p><strong>CADANGAN<\/strong><\/p>\n<p>1. Teruskan amalan minyak zaitun OLIVIE 30 PLUS dan minyak kelapa dara Olive House, tapi elakkan berlebihan (1 sudu besar sehari sudah cukup).<\/p>\n<p>2. Minum air secukupnya, untuk elakkan dehidrasi yang boleh ganggu bacaan bilirubin.<\/p>\n<p>3. Senaman berkala (brisk walk 30 minit, 4x seminggu) bantu naikkan memperbaiki perjalanan darah dan menyahkan bilirubin dari hati.<\/p>\n<p>4. Ambil makanan tinggi serat larut \u2013 chia seed, oat, sayuran hijau.<\/p>\n<p>5. Pantau semula bacaan bilirubin dan HDL dalam 3\u20136 bulan.<\/p>\n<p>6. Jika bacaan bilirubin kekal tinggi &gt;30, mungkin perlu siasatan fungsi hati lebih lanjut (GGT, conjugated bilirubin, ultrasound hati).<\/p>\n<p>7. Pengambilan vitamin E membantu meningkatkan fungsi sel hati dan melindungi sel perut.<\/p>\n<p>\u00a0<\/p>\n<p>Semoga bermanfaat.<\/p>\n<p>\u00a0<\/p>\n<p>Dr Zubaidi Hj Ahmad <br \/>Doktor. Motivator Islamik. Coach Wellness A&#8217;aFIYAT.<\/p>\n<p>\u00a0<\/p>\n<p>\u00a0<\/p>\n<p>Boleh dapatkan Minyak Zaitun OLIVIE PLUS 30X di sini :<\/p>\n<p><a href=\"https:\/\/www.needsvenue.com.my\/collections\/inspirasi-sunnah\/products\/olivie-plus30-extra-virgin-olive-oil\">https:\/\/www.needsvenue.com.my\/collections\/inspirasi-sunnah\/products\/olivie-plus30-extra-virgin-olive-oil<\/a><\/p>\n<p><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"14951\" data-permalink=\"https:\/\/drzubaidi.com\/blog\/sakit-lutut-di-kalangan-wargatua\/olivie-plus-30x\/\" data-orig-file=\"https:\/\/i0.wp.com\/drzubaidi.com\/blog\/wp-content\/uploads\/2022\/03\/Olivie-Plus-30x.png?fit=800%2C678&amp;ssl=1\" data-orig-size=\"800,678\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Olivie Plus 30x\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/drzubaidi.com\/blog\/wp-content\/uploads\/2022\/03\/Olivie-Plus-30x.png?fit=618%2C524&amp;ssl=1\" class=\"aligncenter size-medium wp-image-14951\" src=\"https:\/\/i0.wp.com\/drzubaidi.com\/blog\/wp-content\/uploads\/2022\/03\/Olivie-Plus-30x.png?resize=300%2C254&#038;ssl=1\" alt=\"\" width=\"300\" height=\"254\" srcset=\"https:\/\/i0.wp.com\/drzubaidi.com\/blog\/wp-content\/uploads\/2022\/03\/Olivie-Plus-30x.png?resize=300%2C254&amp;ssl=1 300w, https:\/\/i0.wp.com\/drzubaidi.com\/blog\/wp-content\/uploads\/2022\/03\/Olivie-Plus-30x.png?resize=768%2C651&amp;ssl=1 768w, https:\/\/i0.wp.com\/drzubaidi.com\/blog\/wp-content\/uploads\/2022\/03\/Olivie-Plus-30x.png?w=800&amp;ssl=1 800w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/p>\n\n\n\n","protected":false},"excerpt":{"rendered":"<p>MENGAPA BILIRUBIN SAYA TINGGI? \u00a0 &#8220;Assalamualaikum Tuan,Saya ingin bertanya, kenapa bacaan total bilirubin saya semakin meningkat?Enam bulan yang lalu bacaan saya 18 \u00b5mol\/L, dan kini naik lagi. Saya pernah mengambil ubat Nexium (esomeprazole) selama 3 bulan, tetapi telah berhenti atas nasihat doktor. Saya juga mengambil suplemen probiotik Infinity. Selain itu, saya mengamalkan minyak zaitun organik &hellip;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"jetpack_post_was_ever_published":false},"categories":[10],"tags":[],"class_list":["post-21974","post","type-post","status-publish","format-standard","","category-umum"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_shortlink":"https:\/\/wp.me\/p10sZy-5Iq","jetpack_sharing_enabled":true,"jetpack-related-posts":[{"id":1453,"url":"https:\/\/drzubaidi.com\/blog\/kekuningan-pada-bayi-normal-atau-bahaya\/","url_meta":{"origin":21974,"position":0},"title":"Kekuningan Pada Bayi: Normal atau Bahaya?","author":"drzubaidi","date":"04\/03\/2011","format":false,"excerpt":"Kekuningan pada bayi menjadi kebimbangan kepada ibubapa yang baru mendapat cahayamata. Mungkin disebabkan tiada pengetahuan dan pengalaman menyebabkan mereka segera membawa anak mereka ke klinik. \u00a0 Kadang-kala saya rasa kasihan melihat anak yang berusia beberapa hari telah diusung ke klinik. Selalunya saya akan beri keutamaan kepada bayi. \u00a0 Saya tidak\u2026","rel":"","context":"In &quot;Bayi\/Kanak-kanak&quot;","block_context":{"text":"Bayi\/Kanak-kanak","link":"https:\/\/drzubaidi.com\/blog\/category\/koleksi-artikel\/children\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":2470,"url":"https:\/\/drzubaidi.com\/blog\/bolehkan-susu-ibu-menyebabkan-kekuningan-pada-bayi\/","url_meta":{"origin":21974,"position":1},"title":"Bolehkah Susu Ibu Menyebabkan Kekuningan Pada Bayi?","author":"drzubaidi","date":"05\/01\/2012","format":false,"excerpt":"Isu Jaundice dan penyusuan Ketika saya mempromosikan penyusuan ibu kepada bakal ibu-ibu yang masih lagi sarat hamil, saya telah dikejutkan oleh satu soalan yang mendebarkan. \u201cDoktor, saya membaca di internet bahawa susu ibu boleh menyebabkan bayi kita mengalami kekuningan jaundice. Boleh doktor terangkan?\u201d Saya tergamam dan tidak bersedia memberikan jawapan.\u2026","rel":"","context":"In &quot;Bayi\/Kanak-kanak&quot;","block_context":{"text":"Bayi\/Kanak-kanak","link":"https:\/\/drzubaidi.com\/blog\/category\/koleksi-artikel\/children\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":22015,"url":"https:\/\/drzubaidi.com\/blog\/air-kencing-ada-protein-nanah-darah-dan-bakteria-fungsi-hati-pun-mula-terjejas\/","url_meta":{"origin":21974,"position":2},"title":"AIR KENCING ADA PROTEIN, NANAH, DARAH DAN BAKTERIA. FUNGSI HATI PUN MULA TERJEJAS","author":"admin","date":"14\/08\/2025","format":false,"excerpt":"\"Salam Dr Dr Zubaidi Hj Ahmad.Ujian air kencing saya menunjukkan ada protein, darah, nanah, dan bakteria. Bacaan ujian darah pula: Sodium: 136Potassium: 5.3Chloride: 103Urea: 3.38Creatinine: 79.6eGFR: 110 Ujian darah fungsi hati pula: Albumin: 18.9A\/G ratio: 0.8Total bilirubin: 2.8AST: 44.7Gamma GT: 63.6 Kaki saya bengkak. Mohon pendapat Dr. Ubat semasa: atorvastatin\u2026","rel":"","context":"In &quot;Umum&quot;","block_context":{"text":"Umum","link":"https:\/\/drzubaidi.com\/blog\/category\/koleksi-artikel\/umum\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":6937,"url":"https:\/\/drzubaidi.com\/blog\/anak-berusia-sebulan-masih-kekuningan-jaundice\/","url_meta":{"origin":21974,"position":3},"title":"ANAK BERUSIA SEBULAN MASIH KEKUNINGAN (JAUNDICE)","author":"drzubaidi","date":"11\/01\/2015","format":false,"excerpt":"\u00a0 \u00a0 \u201cSalam doctor, saya ingin bertanya adakah normal bagi bayi yg usianya sudah sebulan masih ade kuning di mata dan badannya, saya risau sebab kulit dan mata anak saya masih lagi nampak kuning, dan warna najisnya pun kuning, adakah itu normal, mohon penjelasan doktor secepat mungkin. 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Bilirubin dalam darah akan masuk ke dalam organ hati untuk diproses (proses ini conjugation) dan dibuang melalui najis (80%) dan\u2026","rel":"","context":"In &quot;Umum&quot;","block_context":{"text":"Umum","link":"https:\/\/drzubaidi.com\/blog\/category\/koleksi-artikel\/umum\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/drzubaidi.com\/blog\/wp-content\/uploads\/2024\/02\/bilirubin-300x176.png?resize=350%2C200&ssl=1","width":350,"height":200},"classes":[]},{"id":9638,"url":"https:\/\/drzubaidi.com\/blog\/bacaan-sel-darah-putih-tinggi\/","url_meta":{"origin":21974,"position":5},"title":"Bacaan Sel Darah Putih Tinggi","author":"drzubaidi","date":"27\/06\/2018","format":false,"excerpt":"BACAAN SEL DARAH MERAH TINGGI \u00a0 \u00a0 \u00a0 \u00a0 Assalamualaikum doc yang dihormati. Saya skrg ditahan di hospital kerana sel darah putih mencecah 100 yang asal normalnya 8-10. Skrg untuk langkah seterusnya saya dinasihati untuk menjalani mengambil sumsum tulang untuk pastikan adakah saya menghidap kanser darah. Perasaan Saya sekarang buntu\u2026","rel":"","context":"In &quot;Doktor Menjawab&quot;","block_context":{"text":"Doktor Menjawab","link":"https:\/\/drzubaidi.com\/blog\/category\/doktor-menjawab\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/drzubaidi.com\/blog\/wp-content\/uploads\/2014\/01\/IMG-20241118-WA0008.jpg?resize=350%2C200&ssl=1","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/drzubaidi.com\/blog\/wp-content\/uploads\/2014\/01\/IMG-20241118-WA0008.jpg?resize=350%2C200&ssl=1 1x, https:\/\/i0.wp.com\/drzubaidi.com\/blog\/wp-content\/uploads\/2014\/01\/IMG-20241118-WA0008.jpg?resize=525%2C300&ssl=1 1.5x, https:\/\/i0.wp.com\/drzubaidi.com\/blog\/wp-content\/uploads\/2014\/01\/IMG-20241118-WA0008.jpg?resize=700%2C400&ssl=1 2x"},"classes":[]}],"jetpack_likes_enabled":true,"_links":{"self":[{"href":"https:\/\/drzubaidi.com\/blog\/wp-json\/wp\/v2\/posts\/21974","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drzubaidi.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/drzubaidi.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/drzubaidi.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/drzubaidi.com\/blog\/wp-json\/wp\/v2\/comments?post=21974"}],"version-history":[{"count":2,"href":"https:\/\/drzubaidi.com\/blog\/wp-json\/wp\/v2\/posts\/21974\/revisions"}],"predecessor-version":[{"id":22239,"href":"https:\/\/drzubaidi.com\/blog\/wp-json\/wp\/v2\/posts\/21974\/revisions\/22239"}],"wp:attachment":[{"href":"https:\/\/drzubaidi.com\/blog\/wp-json\/wp\/v2\/media?parent=21974"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drzubaidi.com\/blog\/wp-json\/wp\/v2\/categories?post=21974"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drzubaidi.com\/blog\/wp-json\/wp\/v2\/tags?post=21974"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}