Chloride dodow a ɛwɔ wo mogya mu no te dɛn? Momma yɛnka eyi ho asɛm tiawa!

Woayɛ wo mogya mu nhwehwɛmu pɛn? Sɛ saa a, ebia woahu biribi a wɔfrɛ no "Chloride" a wɔakyerɛw wɔ w'amanneɛbɔ no so. Enti, ebia eyi bɛyɛ nea nnipa pii nnim kakra. "Dɛn ne chloride yi? Dɛn nti na wɔhwɛ mu wɔ yɛn mogya mu?" So woasusuw asɛm koro no ara ho pɛn? Enti, ɛnnɛ yɛbɛka saa chloride yi ne mogya mu nhwehwɛmu a ɛfa ho no ho asɛm wɔ ɔkwan a ɛyɛ mmerɛw yiye a wubetumi ate ase so. Te sɛ nea wo ne w’adamfo bi rekasa ara pɛ.

Dɛn ne chloride? Dɛn nti na ɛho hia yɛn?

Sɛ yɛbɛka no tiawa a, chloride yɛ ade a ɛho hia paa wɔ yɛn nipadua mu. Sɛ yɛbɛka no pɛpɛɛpɛ a, ɛyɛ electrolyte. Ebia woresusuw sɛ, "Wow, dɛn ne electrolyte?" Mma ɛnhaw wo, mɛma ayɛ mmerɛw.

Susuw ho hwɛ, mineral nketenkete bi wɔ yɛn nipadua mu a ɛboa yɛn ma yɛyɛ nnwuma ahorow yiye. Eyinom betumi de anyinam ahoɔden ketewaa bi akɔ bere a wɔapete nsu mu no. Ɛno ne nea yɛfrɛ no ``electrolytes''. Chloride yɛ emu biako. Ɛnyɛ chloride nko, na mmom ``electrolytes'' afoforo a ɛho hia wɔ yɛn nipadua mu ne ``Sodium'', ``Potassium'', ne ``Bicarbonate''.

Enti, ɛne saa chlorides ne ``electrolytes`` afoforo yi bom di nneɛma pii a ɛho hia wɔ yɛn nipadua mu so. Nhwɛsoɔ:

• Ɛboa ma yɛn ntini ne yɛn ntini ahorow no yɛ adwuma yiye. Susuw ho hwɛ, yehia eyinom ma nsa a yɛbɛkyere, kasa, saa nneɛma yi nyinaa.
• Nsu dodow a ɛwɔ yɛn nipadua mu, anaa nsu a ɛkari pɛ no boa ma nsu kari pɛ yiye.
• Eyinom nso ho hia yiye ma acid-base kari pɛ (anaasɛ pH kari pɛ) a ɛwɔ mogya no mu a wɔhwɛ so. Sɛ eyi wɔ hɔ a, nnuru a ɛwɔ yɛn nipadua mu no tumi yɛ adwuma yiye.

Enti wubetumi ahu sɛnea chloride ho hia yɛn nipadua no. Oduruyɛfo bɛhwɛ chloride dodow a ɛwɔ wo mogya mu ahwɛ sɛ saa nneɛma a ɛkari pɛ yi wɔ hɔ anaa. Saa sɔhwɛ yi nso betumi aboa ma wɔahu aduruyɛ mu tebea horow bi. Nhwɛsoɔ:

• Asaabo mu yare
• Koma mu nyarewa te sɛ komayare
• Mmɛn mu yare
• Mogya mmoroso

Chloride dodow betumi asesa wɔ tebea horow a ɛte sɛɛ mu, na ɛno nti na wɔhwɛ eyi mu no.

Bere bɛn na wɔyɛ chloride nhwehwɛmu no?

Ɛntaa mma sɛ oduruyɛfo bɛhyɛ sɛ wɔnyɛ nhwehwɛmu foforo de hwɛ sɛnea wo chloride dodow te kɛkɛ. Mpɛn pii no, chloride nhwehwɛmu yi yɛ nhwehwɛmu kɛse bi a ɛhwɛ nneɛma afoforo pii a ɛwɔ wo mogya mu prɛko pɛ no fã. Ebia woate eyinom ho asɛm:

• Comprehensive Metabolic Panel (CMP): Eyi hwɛ wo mogya mu asikre, calcium, protein, mmerɛbo dwumadi, ne asaabo dwumadi, ne nneɛma afoforo. Chloride yɛ eyinom mu biako.
• Basic Metabolic Panel (BMP): Eyi yɛ sɔhwɛ ketewaa bi sen CMP. Ɛhwɛ nneɛma te sɛ asikre, calcium, electrolytes (a chloride ka ho), ne asaabo dwumadi.
• Electrolyte Panel: Eyi hwɛ electrolyte dodow te sɛ chloride, sodium, potassium, ne bicarbonate titiriw.
• Renal Function Panel (RFP): Eyi hwɛ sɛnea asaabo no yɛ adwuma titiriw. Ɛsan nso hwɛ sɛnea electrolyte dodow te.

Enti, wuhu, chloride sɔhwɛ no yɛ nhwehwɛmu ahorow a wɔtaa yɛ de nya w’akwahosan nyinaa ho adwene no fã biako pɛ.

Dɛn nti na ɛsɛ sɛ meyɛ saa chloride nhwehwɛmu yi?

Nneɛma pii nti na oduruyɛfo betumi aka akyerɛ wo sɛ yɛ chloride nhwehwɛmu yi.

1. Sɛ́ akwahosan ho nhwehwɛmu a wɔyɛ daa no fã: Ebia wɔyɛ wo afe afe nhwehwɛmu a edi mũ. Afei ebia oduruyɛfo no bɛma wo nhwehwɛmu a ɛte sɛ eyi (te sɛ CMP, BMP a yɛaka ho asɛm wɔ atifi hɔ no) de ahwɛ sɛ ebia biribiara a ɛwɔ wo nipadua mu reyɛ adwuma yiye anaa.

2. Sɛ wowɔ sɛnkyerɛnne bi a: Wo duruyɛfo betumi ahyɛ nhwehwɛmu yi sɛ wosusuw sɛ biribi anyɛ yiye a, titiriw wɔ wo nsu a ɛkari pɛ anaa acid-base a ɛkari pɛ no ho. Dɛn ne sɛnkyerɛnne ahorow yi?

• Sɛ wotaa fe a: Sɛ wofe mpɛn pii da biara a, ebia wobɛhwere nsu ne anyinam ahoɔden pii afi wo nipadua mu.
• Sɛ wowɔ akisikuru a: Sɛ akisikuru no mu yɛ den, nanso ɛte saa ara.
• Ɔbrɛ: Ɔbrɛ a wobɛte nka bere nyinaa a ntease biara nnim.
• Sɛ wote nka sɛ woayɛ mmerɛw a: Wo ntini te nka sɛ ɛyɛ mmerɛw, na wote nka sɛ wuntumi nyɛ hwee araa ma wuntumi nyɛ hwee.
• Sɛ wote nka sɛ worennya nsu a ɛdɔɔso, kyerɛ sɛ, wo ho ayɛ wo hyew: w’ano ayow, woretow nsu pii, na wo honam ani ayow.
• Ɔhome a ɛyɛ den: Sɛ mpofirim ara ɛyɛ den ma wo sɛ wobɛhome a.

Kae sɛ oduruyɛfo bi rehyɛ sɛ wɔnyɛ nhwehwɛmu yi efisɛ wodwen w’akwahosan ho, enti nsuro a ɛho nhia.

Dɛn ankasa na yebetumi asua afi sɔhwɛ yi mu?

Oduruyɛfo no de nea efii chloride nhwehwɛmu no mu ba no bɛka electrolyte nhwehwɛmu afoforo ho de ahu yare no . Eyi bɛboa titiriw ma woahu sɛ ebia wo nipadua no acid-base a ɛkari pɛ anaa nsu a ɛkari pɛ no nkari pɛ anaa. Eyi kyerɛ sɛ wo nipadua no yɛ acid dodo, basic dodo, anaasɛ nsu nni mu sɛnea ɛsɛ.

So ɛsɛ sɛ meyɛ biribi titiriw bi ansa na mayɛ sɔhwɛ no?

Mpɛn pii no, sɛ wowɔ chloride sɔhwɛ biako pɛ anaa electrolyte panel biako pɛ a, woƐho nhia sɛ wɔyɛ ahosiesie titiriw biara.

Nanso, sɛnea madi kan aka no, wɔtaa yɛ saa chloride sɔhwɛ yi sɛ ``Basic Metabolic Panel - BMP'' anaa ``Comprehensive Metabolic Panel - CMP'' fã. Wɔ tebea horow a ɛtete saa mu no, sɛ woreyɛ wo mogya mu nhwehwɛmu nso ahwɛ nneɛma afoforo (te sɛ asikre dodow a ɛwɔ wo mogya mu) a, ebia wɔbɛka akyerɛ wo sɛ mmuada nnɔnhwerew kakraa bi. Sɛ nhwɛso no, sɛ worekɔma mogya anɔpa a, ebia wo duruyɛfo bɛka akyerɛ wo sɛ nnidi anaa nnom biribiara wɔ anadwo nnɔnwɔtwe akyi anadwo a edi ɛno anim no. Nanso, sɛ ɛho hia sɛ wudi akwankyerɛ titiriw biara akyi a, wo duruyɛfo bɛka akyerɛ wo pefee. Enti mma ɛnhaw wo wɔ ho. Yɛ nea wo duruyɛfo ka kɛkɛ.

Dɛn na ɛsɛ sɛ wohwɛ kwan bere a wɔretwe mogya no?

Ebia nnipa binom ho yeraw wɔn kakra wɔ mogya a wɔde bɛma ho. Nanso ɛyɛ adeyɛ a ɛyɛ mmerɛw yiye na ɛyɛ ntɛm. Nea ɛba ni:

1. Mpɛn pii no, ɔyarehwɛfo anaa oduruyɛfo a ɔhwɛ ntini mu yare a wɔatete no titiriw sɛ ɔntwe mogya bɛtwe wo mogya.

2. Nea edi kan no, ɔbɛpaw ntini a ɛnyɛ den a obetumi atwe mogya afi mu wɔ wo basa so (mpɛn pii no, wo nsateaa mu).

3. Afei tew beae no yiye na fa aduru a wɔde kum mmoawa popa.

4. Afei wɔde ade ketewaa bi bɛhyɛ ntini no mu. Saa bere yi de, wobɛte nka sɛ wo ho ayɛ wo yaw kakra anaasɛ wobɛte nka sɛ wo ho ayɛ wo yaw. Gye ahome denneennen na gye w’ahome.

5. Sɛ wode ade no hyɛ mu wie a, wɔbɛboaboa wo mogya no fã ketewaa bi ano wɔ afiri a wɔde sɔ hwɛ mu.

6. Sɛ wɔgye mogya a ɛdɔɔso ma nhwehwɛmu no wie a, wɔbɛyi ade no na wɔde kotokuo anaa gauze asinasin bi ahyɛ beaeɛ no so na wɔakura mu kakra. Mogya a ɛretu no begyae.

7. Afei fa aduru ketewaa bi bɔ baabi a ɛwɔ no. Ɛno ne no! W’adwuma no awie.

Wobetumi ayɛ eyi ntɛmntɛm na ayɛ mmerɛw asen sɛnea wususuw.

Dɛn na ɛba bere a wɔde mogya ama akyi?

Sɛ wɔfa wo mogya wie a, wɔde kɔ lab kɔhwɛ. Lab no bɛsusu wo mogya mu chloride dodoɔ (ne nneɛma foforɔ, te sɛ CMP, sɛ ɛwɔ hɔ a).

Sɛ nhwehwɛmu no aba wie a, wo duruyɛfo bɛka nsɛm no akyerɛ wo. Ebia oduruyɛfo no bɛfrɛ wo ma wabɛka akyerɛ wo, anaasɛ ɔbɛka akyerɛ wo sɛ san bra bɛkyerɛ wo amanneɛbɔ no na akyerɛkyerɛ mu.

Nsɛm bɛn na wɔde ka amanneɛbɔ no ho?

Amanneɛbɔ a ɛfa chloride nhwehwɛmu (ne mogya mu nhwehwɛmu dodow no ara) ho no taa kura nsɛm te sɛ eyi:

• Nhwehwɛmu no din: Ɛne sɛ, nea wɔhwɛɛ mu wɔ wo mogya mu (e.g. Serum Chloride).
• Nea efi mu ba: Ɛne sɛ, wɔkyerɛ chloride dodow a ɛwɔ wo mogya mu sɛ nɔma.
• Normal range: Eyi kyerɛ range a normal values ​​a ɛsɛ sɛ ɛwɔ hɔ ma saa sɔhwɛ no wɔ onipa a ɔwɔ apɔwmuden mu.
• Sɛ́ ebia nea efi mu ba no yɛ nea ɛfata anaasɛ ɛnyɛ nea ɛfata (ɛkɔ soro anaasɛ ɛba fam): Eyi ma ɛyɛ mmerɛw sɛ wubehu sɛ ebia wo bo a ɛsom no wɔ nea ɛfata mu anaasɛ ɛnyɛ nea ɛfata.

Nanso, nhwɛ akontaabu a ɛwɔ amanneɛbɔ no mu kɛkɛ na nhuruw nkɔ nsɛm a ɛba awiei. Ma oduruyɛfo nkyerɛkyerɛ mu nkyerɛ wo na ɔnkyerɛkyerɛ sɛnea ɛka w’akwahosan mu.

Chloride dodow a ɛfata yɛ dɛn?

Chloride dodow a wogye tom wɔ ɔpanyin mogya mu no yɛ milimole 96 kosi 106 wɔ lita biara mu (mEq/L), anaasɛ milimole 96 kosi 106 wɔ lita biara mu (mmol/L). Eyinom yɛ susudua ahorow, mEq/L anaa mmol/L.

Nanso ade titiriw bi a ɛsɛ sɛ yɛhyɛ no nsow ni. Saa kwan a ɛyɛ daa yi betumi ayɛ soronko kakra wɔ lab biara mu. Ɛne sɛ, sɛ lab biako kwan a ɛyɛ daa no yɛ 96-106 mEq/L a, ebia lab foforo de no benya kwan soronko kakra, te sɛ 98-107 mEq/L. Eyi fi nsonsonoe kakra a ɛwɔ nnwinnade ne akwan a wɔfa so yɛ no mu.

Enti, sɛ wunya w’amanneɛbɔ no a, akyinnye biara nni ho sɛ wɔbɛkyerɛw reference range ama saa lab no wɔ amanneɛbɔ no ankasa so. Ɛsɛ sɛ wode wo bo a ɛsom no toto saa range no ho. Sɛ wowɔ nsɛmmisa anaa adwenem naayɛ bi a, hwɛ hu sɛ wubebisa wo duruyɛfo.

Sɛ amanneɛbɔ no ka sɛ chloride sua a, dɛn na ebetumi de aba?

Sɛ w’amanneɛbɔ ka sɛ wo chloride dodow no nnu nea ɛfata (chloride a ɛba fam / hypochloremia) a, ebetumi afi akwahosan tebea horow bi mu. Nhwɛso kakraa bi ni:

• Koma a entumi nyɛ adwuma yiye: Sɛ koma no ntumi nyɛ adwuma yiye a, electrolyte a ɛnkari pɛ betumi aba esiane nneɛma te sɛ nsu a ɛkɔ nipadua no mu nti.
• Ahurututu mu nyarewa, te sɛ ahurututu mu nyarewa: Ahurututu mu nyarewa bi betumi asakra nipadua no acid ne base a ɛkari pɛ denam ɔhome kwan no so, na aka chloride dodow.
• Addison yare: Eyi yɛ hormone ho haw a ɛfa adrenal glands ho. Eyi nso ma nsakrae ba electrolyte mu.
• Metabolic alkalosis: Eyi yɛ tebea a ɛma nipadua no bicarbonate (alkalinity bi) kɔ soro, na ɛma mogya mu alkalinity kɔ soro. Eyi betumi de chloride a ɛso tew aka ho.

Nanso, biribi wɔ hɔ a ɛho hia paa sɛ yɛkae wɔ ha. Chloride dodow a ɛba fam no nkyerɛ ankasa sɛ wowɔ yare a emu yɛ den. Ɛtɔ da bi a, chloride dodow nso betumi akɔ fam esiane bere tiaa mu ntease ahorow te sɛ nnuru a yɛnom (e.g., nnuru bi a ɛma obi ho yɛ hyew), ɔfe a ɛboro so, anaa fifiri nti. Enti mma wo ho nnpopo na wo ne wo duruyɛfo nkasa.

Sɛ amanneɛbɔ no ka sɛ chloride dɔɔso dodo a, dɛn na ebetumi de aba?

Saa ara nso na sɛ w’amanneɛbɔ no ka sɛ wo chloride dodow boro nea ɛfata (chloride a ɛkɔ soro / hyperchloremia) a, ebetumi aba sɛ nneɛma pii nti na ɛte saa:

• Nsu a ɛho ntew: Sɛ nsu dodow a ɛwɔ nipadua no mu so tew dodo a, chloride dodow a ɛwɔ mogya no mu no betumi akɔ soro.
• Asaabo mu yare: Sɛ asaabo no ntumi yiyi chloride no mfi mu yiye a, ebetumi aboaboa ano wɔ mogya no mu.
• Cushing yare: Eyi nso yɛ tebea a ɛfa hormone ho (cortisol hormone a ɛkɔ soro).
• Metabolic acidosis: Eyi yɛ tebea a ɛma nipadua no yɛ acid dodo. Eyi nso betumi ama chloride dodow akɔ soro.
• Ɔhome mu alkalosis: Nneɛma te sɛ ahome a wɔhome ntɛmntɛm betumi ama carbon dioxide a ɛboro so afi mogya no mu, na chloride dodow betumi asesa de adi so.

Sɛnea yɛaka wɔ atifi hɔ no, ɛnyɛ nea ɛkyerɛ ankasa sɛ chloride dodow a ɛdɔɔso no kyerɛ sɛ obi wɔ aduruyɛ mu tebea a emu yɛ den. Chloride dodow nso betumi akɔ soro bere tiaa bi esiane nneɛma te sɛ nnuan a nkyene wom a wodi dodo, nnuru bi a wɔnom, anaa nkyene a wɔde ma dodo nti.

So ɛsɛ sɛ mehaw me ho wɔ chloride dodow a ɛba fam anaasɛ ɛdɔɔso ho?

Eyi ne asɛmmisa a nnipa pii wɔ. Ɛyɛ ade a ɛyɛ daa sɛ wobɛbɔ hu, "Oh, m'amanneɛbɔ ka sɛ me chloride no sua/ɛkɔ soro, so mewɔ biribi a anibere wom?"

Nanso, ma ɛntra w’adwenem sɛ esiane sɛ wo chloride nhwehwɛmu no mu aba no boro nea ɛfata so kakra nti, ɛnkyerɛ ankasa sɛ wowɔ yare a emu yɛ den biara.

Nneɛma afoforo pii wɔ hɔ a ɛka chloride dodow. Nhwɛsoɔ:

• Sɛ wonom nsu pii a: Ebetumi ama wo mogya no ayɛ mmerɛw kakra na ama ayɛ te sɛ nea chloride nni mu pii.
• Sɛ nsu pii yera fi nipadua no mu esiane ɔfe anaa akisikuru nti a: Eyi betumi ama chloride dodow so atew, na ɛtɔ mmere bi a ɛda adi sɛ ɛkɔ soro esiane nsu a ɛho nhia nti.
• Nnuru bi: Nnuru bi, titiriw nnuru a ekum asikre a wɔde sa komayare, nnuru a ɛma obi ho yɛ hyew, ne steroid betumi aka chloride dodow.
• Mfomso ketewaa bi a ebetumi aba bere a wɔrenom mogya: Ɛtɔ mmere bi a, nsakrae ketewaa bi mpo a ɛba ɔkwan a wɔfa so fa mogya mu no betumi anya nea efi mu ba no so nkɛntɛnso ketewaa bi (nanso eyi ntaa nsi).

Enti, wo duruyɛfo no bɛhwɛ wo chloride aba no na ɛnyɛ sɛ ɔbɛfa no sɛ nɔma kɛkɛ, na mmom ɔde bɛtoto wo nhwehwɛmu afoforo a efii mu bae, wo sɛnkyerɛnne ahorow, nnuru a wonom, ne w’akwahosan ho abakɔsɛm a edi mũ ho na ama watumi de asɛm bi aba awiei.

Ebia oduruyɛfo no bɛka sɛ, "Oh, ɛnyɛ aniberesɛm biara, momma yɛnsan nhwɛ bio wɔ nna kakraa bi akyi." Anaasɛ, ebia wɔbɛka sɛ, "Momma yɛnyɛ sɔhwɛ foforo bi mfa nhu nea ɛde eyi ba." Enti, wo ne wo duruyɛfo nka nsɛmmisa, ehu, anaa dadwen biara a wowɔ ho asɛm. Ɛyɛ wo hokwan.

Bere tenten ahe na ebegye ansa na amanneɛbɔ no aba?

Mpɛn pii no, wubenya wo chloride nhwehwɛmu no aba wɔ adwuma nna biako kosi abien mu bere a wode mogya ama akyi. Lab ahorow bi ma nea efi mu ba ntɛmntɛm, bere a afoforo nso gye bere tenten kakra. Eyi betumi ayɛ soronko wɔ lab biara mu.

Awiei koraa no, ɛyɛ ade a ɛfata sɛ wobɛte ehu ne ehu nka kakra bere a sɔhwɛ bi mu aba san ba a ɛnyɛ ne kwan so no. Nanso, kae sɛ esiane sɛ wo chloride dodow sua anaasɛ ɛdɔɔso nti, ɛnyɛ bere nyinaa na ɛkyerɛ sɛ wowɔ yare a emu yɛ den na ɛsɛ sɛ wɔsa wo yare ntɛm ara. Nneɛma afoforo pii betumi aka eyi. Wo duruyɛfo ne onipa a oye sen biara a ɔbɛkyerɛkyerɛ eyi mu akyerɛ wo na wakyerɛ wo nea ɛsɛ sɛ woyɛ akyi, sɛ ɛho hia a. Enti, nsuro anaasɛ ntwentwɛn wo nan ase sɛ wubebisa wo duruyɛfo nsɛm. Ɔwɔ hɔ sɛ ɔbɛboa wo.

Nneɛma a ɛho hia paa a ɛsɛ sɛ yɛkae fi saa asɛm yi mu ne

Okay, enti momma yɛnsan nsusuw nsɛm a ɛho hia sen biara a yɛkaa ho asɛm wɔ chloride sɔhwɛ no mu no ho asɛm:

• Chloride yɛ electrolyte a ɛho hia ma nsu, acid-base, ne ntini mu ntini dwumadi wɔ yɛn nipadua mu.
• Wɔtaa yɛ nhwehwɛmu yi sɛ mogya mu nhwehwɛmu afoforo a ɛhwɛ w’akwahosan nyinaa mu no fã.
• Ɛnyɛ bere nyinaa na chloride dodow a ɛba fam anaasɛ ɛkɔ soro no kyerɛ sɛ obi wɔ aduruyɛ mu tebea a emu yɛ den. Nneɛma afoforo pii (te sɛ aduan, nnuru, nsu a ɛho nhia) betumi aka eyi.
• Wo duruyɛfo bɛhwehwɛ nea efii wo nhwehwɛmu amanneɛbɔ no mu bae no mu pɛpɛɛpɛ denam nea obesusuw ho de aka w’akwahosan nyinaa ho no so.
• Sɛ wowɔ nsɛmmisa anaa w’adwene mu yɛ wo naa wɔ nea efii nhwehwɛmu no mu bae ho a, hwɛ hu sɛ wubebisa wo duruyɛfo no ma ɔmma wo nkyerɛkyerɛmu.

Enti, mewɔ anidaso sɛ saa asɛm yi abua mo nsɛmmisa pii a ɛfa chloride sɔhwɛ no ho. Kɔ so nya apɔwmuden!

` Chloride, mogya mu nhwehwɛmu, electrolytes, akwahosan, nhwehwɛmu, serum chloride, mogya mu nhwehwɛmu