So woayɛ mogya mu nhwehwɛmu pɛn na woahu nsɛmfua pii ne gyinapɛn ahorow pii wɔ amanneɛbɔ no so a ɛyɛ den sɛ wobɛte ase? Ebia wo duruyɛfo bɛkyerɛkyerɛ mu akyerɛ wo, nanso ɛtɔ mmere bi a yɛn ankasa adwene tu fra kakra wɔ nea saa nneɛma yi kyerɛ ho. Sɛ nhwɛso no, nsɛmfua a ebia wubehu wɔ mogya ho amanneɛbɔ ahorow bi mu no mu biako ne "Anion Gap". Ɛnnɛ yɛbɛka, tiawa koraa, deɛ saa Anion Gap yi yɛ ne deɛ enti a ɛho hia yɛn.
Sɛ yɛbɛka no tiawa a, dɛn ne Anion Gap yi?
Sɛ yɛbɛte eyi ase a, ɛsɛ sɛ yedi kan hu yɛn mogya ho asɛm kakra. Nnuru ahorow wɔ yɛn mogya mu. Eyinom bi wɔ anyinam ahoɔden a ɛyɛ papa (+), bere a afoforo nso wɔ anyinam ahoɔden a enye (-). Yɛfrɛ saa nneɛma nketenkete a ahoɔden wom yi electrolytes . Sodium, potassium, chloride, ne bicarbonate ne nneɛma atitiriw a ɛma anyinam ahoɔden yɛ adwuma.
Enti, Anion Gap no yɛ akontaabu a ɛyɛ mmerɛw yiye. Ɛyɛ nsonsonoe a ɛda ahoɔden titiriw a ɛyɛ papa (+) (te sɛ sodium) ne ahoɔden titiriw a enye (-) (te sɛ chloride ne bicarbonate) a ɛwɔ wo mogya mu no ntam . Sɛ yɛbɛka no pɛpɛɛpɛ a, ɛyɛ "nsonsonoe" a ɛda charges pa ne negative a wotumi susuw ntam.
Nea ɛho hia ne sɛ eyi nyɛ mogya mu nhwehwɛmu a ɛyɛ soronko. Wɔde sodium, chloride, ne bicarbonate bo a wohu wɔ mogya mu nhwehwɛmu a wɔyɛ no daa mu (te sɛ electrolyte panel, BMP, CMP) na ebu saa Anion Gap bo yi ho akontaa wɔ lab.
Dɛn nti na nnuruyɛfo dwen Anion Gap bo yi ho?
Saa gyinapɛn yi ma yehu biribi a ɛho hia paa wɔ yɛn nipadua mu. Ɛno ne acid ne base a ɛkari pɛ wɔ yɛn mogya mu . Sɛnea ehia sɛ kar engine nya ngo ne nsu dodow a ɛfata na ama atumi ayɛ adwuma yiye no, saa ara na ɛsɛ sɛ yɛn mogya mu acid no yɛ baabi pɔtee bi na ama nkwammoaa a ɛwɔ yɛn nipadua mu no atumi ayɛ adwuma yiye.
- Sɛ mogya no mu acid kɔ soro dodo a, wɔfrɛ no acidosis .
- Sɛ mogya no mu acid no so tew dodo na alkalin no kɔ soro a, wɔfrɛ no alkalosis .
Saa tebea abien yi nyinaa betumi ayɛ nea asiane wom efisɛ ɛkyerɛ sɛ biribi a ɛwɔ nipadua no mu ntumi nyɛ adwuma yiye. Enti, sɛ wɔsesa Anion Gap bo no a, ɛyɛ sɛnkyerɛnne a ɛho hia ma oduruyɛfo no sɛ obehu tebea bi te sɛ acidosis.
Bere bɛn na oduruyɛfo bi susuw sɛ nhwehwɛmu yi ho hia?
Mpɛn pii no, ebia wubehu eyi bere a wowɔ sɛnkyerɛnne ahorow a ɛnyɛ wo dɛ no. Nhwɛsoɔ:
- Ɔhome a ɛyɛ den
- Ɔfe ne akisikuru
- Koma a ɛbɔ denneennen
- Kesereneeyɛ
- Ɔbrɛ a wɔte nka wɔ ɔkwan soronko so
Nanso ɛtɔ mmere bi a, a sɛnkyerɛnne biara nni ho no, ebia saa Anion Gap bo yi bɛba w’amanneɛbɔ so sɛ mogya mu nhwehwɛmu a wɔyɛ no daa a wɔyɛ wɔ biribi te sɛ wo afe afe aduruyɛ mu nhwehwɛmu no fã.
Mɛyɛ dɛn asiesie me ho ama mogya mu nhwehwɛmu? Sɛ wɔtwe mogya a, dɛn na ɛba?
Eyi yɛ mogya mu nhwehwɛmu a wɔyɛ no daa, enti ɛho nhia sɛ wɔyɛ ahosiesie titiriw biara. Nanso, ɛtɔ mmere bi a wo duruyɛfo betumi aka akyerɛ wo sɛ di mmuada nnɔnhwerew kakraa bi ansa na wode mogya ama. Eyi kyerɛ sɛ ɛnsɛ sɛ wudi anaa wonom biribiara. Ɛho hia nso sɛ woka nnuru biara a worenom ho asɛm kyerɛ wo duruyɛfo , efisɛ nnuru bi betumi aka nea efi nhwehwɛmu yi mu ba no.
Wunim sɛnea wɔtwe mogya yiye.
1. Bere a wote akongua so no, ɔyarehwɛfo anaa oduruyɛfo a ɔhwɛ ntini mu yare no behu ntini bi wɔ wo basa mu.
2. Afei, wɔde rɔba (tourniquet) bi gu abasa no atifi na ama ntini no ayɛ fɛ.
3. Sɛ wohu ntini no wie a, wɔhohoro baabi a ɛwɔ no yiye, wɔde ade ketewaa bi hyɛ mu, na wɔtwe mogya kakraa bi gu afiri a wɔde sɔ hwɛ mu. Saa bere yi de, ebia ɛbɛyɛ te sɛ nea ntɛtea ketewaa bi rewe wo.
4. Sɛ wɔboaboa mogya dodow a wɔhwehwɛ ano wie a, woyi ade no na wɔde kotoku bi gu baabi a ɛwɔ hɔ no na wɔde mia so.
5. Sɛ mogya no gyae a, wɔde plaster ketewaa bi gu beae no na wɔyɛ adwuma no wie.
Saa adeyɛ yi nyinaa gye nea ennu simma anum.
Dɛn na nea efi mu ba no ka?
Sɛ wo mogya mu nhwehwɛmu amanneɛbɔ ba a, biribi foforo bi wɔ hɔ a ɛne Anion Gap bo no ba. Ɛno ne "normal range" no. Eyi betumi ayɛ soronko kakra wɔ lab biara mu. Enti, ɛsɛ sɛ wode wo bo toto nea ɛfata a wɔde ama wɔ amanneɛbɔ no ankasa mu no ho na woahu sɛ ɛyɛ nea ɛfata anaasɛ ɛnte saa.
Afei ma yɛnhwɛ nsɛnkyerɛnne a ebia saa bo yi bɛma yɛanya sɛ ɛkɔ soro anaasɛ ɛso tew a.
| Anion Gap Botae a Ɛwɔ Hɔ | Nea ebetumi akyerɛ (nhwɛso ahorow) . |
|---|---|
| Anion Gap a Ɛkorɔn | Eyi kyerɛ sɛ wo mogya mu asikre dodo. Wɔfrɛ eyi sɛ acidosis . Eyi betumi afi:
|
| Anion Gap a Ɛba Fam | Eyi ho yɛ na koraa . Enti, ebia wo duruyɛfo no bɛyɛ nhwehwɛmu no bio de ahwɛ ahu sɛ nea efi mu ba no teɛ. Sɛ bo a ɛba fam saa wɔ hɔ a, nneɛma atitiriw a ɛma ɛba saa no betumi ayɛ:
|
So ɛsɛ sɛ mehaw me ho sɛ me Anion Gap bo no yɛ nea ɛnteɛ a?
Ɛnyɛ saa koraa. Esiane sɛ wo Anion Gap bo no boro nea ɛfata so nti, ɛnkyerɛ sɛ wowɔ yare a emu yɛ den. Kae sɛ eyi yɛ ade a ɛkyerɛ ara kwa.
- Ebetumi afi mfomso ketewaa bi a esii bere a wɔregye mogya no, wɔde rekɔ, anaa wɔresɔ ahwɛ no.
- Ebetumi aba sɛ esiane nnuru a worenom nti.
- Ebia efi nsakrae a ɛba wo nipadua mu bere tiaa bi.
Sɛ wo duruyɛfo hwɛ nea afi mu aba yi a, obesusuw nneɛma pii ho, te sɛ wo yare no ho sɛnkyerɛnne, w’ayaresa ho abakɔsɛm, ne nnuru a worenom. Sɛ Anion Gap bo no nyɛ nea ɛfata na adwenem naayɛ bi wɔ ho a, ɔbɛkamfo akyerɛ sɛ wɔnyɛ nhwehwɛmu foforo na wɔahu nea ɛde ba ankasa.
Ade a ɛho hia sen biara ne sɛ worenhaw wo ho wɔ gyinapɛn ahorow a ɛwɔ w’amanneɛbɔ no mu no ho na wo ne wo duruyɛfo nka ho asɛm pefee. Ɔno na obetumi ama wo nkyerɛkyerɛmu a eye sen biara.
Yenim sɛ sɛ yehu sɔhwɛ bi a ɛnyɛ ne kwan so a, ebetumi ayɛ hu. Nanso kae sɛ, wɔyɛ sɔhwɛ ahorow yi nyinaa sɛnea ɛbɛyɛ a yebenya yɛn akwahosan ho ntease pa, na wɔahu ɔhaw biara ntɛm na wɔasa.
Nkrasɛm a Wɔde Kɔ Fie
- Anion Gap nyɛ sɔhwɛ a ɛyɛ soronko. Wɔde gyinapɛn ahorow a wohu wɔ mogya mu nhwehwɛmu a wɔyɛ no daa mu na ebu ho akontaa.
- Eyi hwɛ sɛnea wo mogya mu acid ne base kari pɛ titiriw .
- Anion Gap a ɛkɔ soro taa kyerɛ sɛ mogya no mu acid dodow kɔ soro (acidosis). Eyi betumi afi nneɛma ahorow mu aba, efi asikreyare so kosi asaabo mu yare so.
- Low Anion Gap yɛ nea ɛntaa nsi koraa. Ɛtaa bata albumin protein a ɛwɔ mogya no mu a ɛso tew ho.
- Sɛ nea efi mu ba no boro nea ɛfata so mpo a, n’ankasa nhuruw nkɔ nsɛm a ɛba awiei. Hwɛ hu sɛ wo ne wo duruyɛfo bɛkasa ma wama emu ada hɔ.
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