Anion Gap Blood Test, a ebetumi akyerɛ nyarewa pii

Ɛtɔ mmere bi a, wote nka kɛkɛ sɛ woabrɛ, wo ho yɛ wo yaw, anaasɛ wo home mu yɛ den kakra? Ɛnnɛ yɛreka mogya mu nhwehwɛmu a ɛnyɛ den a wo duruyɛfo betumi ayɛ de ahu nea ɛde saa sɛnkyerɛnne ahorow yi ba ho asɛm. Saa sɔhwɛ yi betumi ama yɛanya nyarewa a emu yɛ den pii a ɛwɔ yɛn nipadua mu ho nsɛnkyerɛnne.

Dɛn ne saa Anion Gap yi?

Sɛ yɛbɛka no tiawa a, Anion Gap sɔhwɛ no susuw acid dodow a ɛwɔ wo mogya mu, anaasɛ acid dodow a ɛwɔ wo mogya mu. Sɛ́ ebia acid a ɛwɔ yɛn mogya mu no dɔɔso anaasɛ ɛba fam sen sɛnea ɛte daa no, ebetumi ayɛ akwahosan ho haw ho sɛnkyerɛnne. Nea ebefi sɔhwɛ yi mu aba no bɛboa wo duruyɛfo ma wahu wo tebea no na wama wo ayaresa a ɛfata.

Fa no sɛ, yɛn mogya no wɔ anyinam ahoɔden a ɛyɛ papa (+) ne nea enye (-). Yɛfrɛ saa electrolytes yi . Eyinom ne nneɛma a ɛwɔ yɛn nipadua mu te sɛ sodium, potassium, chloride, bicarbonate. Sɛ́ wobɛkɔ so akari pɛ wɔ saa ahoɔden pa ne nea enye yi ntam no ho hia na ama nipadua no atumi ayɛ adwuma. Anion Gap yɛ nsonsonoe a ɛda saa electrolytes a ɛwɔ ahoɔden pa ne nea enye yi ntam. Sɛ saa nsonsonoe yi sesa a, ɛma wohu nsakrae a aba wɔ mogya no mu acid (pH) mu.

Dɛn nti na wɔreka akyerɛ wo sɛ yɛ sɔhwɛ yi?

Sɛ wowɔ sɛnkyerɛnne ahorow a edidi so yi a, wo duruyɛfo betumi ahyɛ sɛ wɔnyɛ Anion Gap nhwehwɛmu. Ebia mogya no mu acid a ɛkɔ soro (Acidosis) anaasɛ acid/alkalosis a ɛso tew (Alkalosis) na ɛde saa sɛnkyerɛnne ahorow yi ba .

Wobɛyɛ dɛn ayɛ sɔhwɛ no?

Eyi yɛ mmerɛw koraa sen sɛnea ebia wubesusuw. Wobetumi ayɛ wɔ wo duruyɛfo adwumayɛbea anaasɛ wɔ lab. Egye mogya ketewaa bi fi ntini bi a ɛwɔ wo basa mu mu ara kwa .

Wo duruyɛfo bɛkyerɛ wo sɛ ɛho hia sɛ wokwati sɛ wubedi anaa wonom biribiara ansa na woayɛ nhwehwɛmu no. Afei nso, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo sɛ worenom nnuru biara (titiriw nnuru a ekum ɔyare mmoawa), efisɛ nnuru bi betumi aka nea efi nhwehwɛmu no mu ba no.

Dɛn na sɔhwɛ ho amanneɛbɔ no ka?

Wo Anion Gap aba no betumi ayɛ Normal, High, anaa Low.

Anion Gap a Ɛyɛ Daa

Mpɛn pii no, Anion Gap bo no yɛ 4-12 mEq/L ntam. Eyi kyerɛ sɛ acid-base balance (pH balance) a ɛwɔ wo mogya mu no wɔ dodow a ɛfata mu. Ɛno kyerɛ sɛ biribiara nni hɔ a ɛsɛ sɛ ɛhaw yɛn ho.

Anion Gap a Ɛkorɔn

Sɛ wo duruyɛfo ka sɛ wo Anion Gap no dɔɔso a, ɛkyerɛ sɛ wo mogya mu acid dɔɔso sen sɛnea ɛte daa. Yɛfrɛ tebea yi acidosis . Nneɛma pii betumi ama eyi aba.

• Nsu a ɛtɔ: Nsu ne anyinam ahoɔden a ɛyera wɔ nipadua no mu esiane ɔfe, akisikuru (yafunu a ɛyɛ yaw), ne apɔw-mu-teɛteɛ a ɛboro so nti.
• Asaabo mu yare: Yɛn asaabo na ɛma acid a ɛboro so fi mogya no mu denam nsu mu. Sɛ asaabo no ntumi nyɛ adwuma yiye a, acid boaboa ano wɔ mogya no mu.
• Asikreyare: Asikreyare Ketoacidosis (DKA) yɛ tebea a emu yɛ den a ɛba nnipa a wɔwɔ asikreyare a wontumi nni so no mu titiriw. Wɔ tebea yi mu no, acid (ketones) a epira boaboa ano wɔ mogya no mu bere a nipadua no hyew srade de hwehwɛ ahoɔden no.
• Salicylate awuduru: Sɛ obi nom nnuru te sɛ aspirin dodo a, ebetumi ama mogya no mu acid ayɛ kɛse.
• Nsã a wɔnom boro so: Nsã a wɔnom boro so nso betumi ama acid dodow a ɛwɔ mogya no mu akɔ soro.
• Nnuru afoforo: Nnuru bi nso tumi ma mogya no mu acid yɛ kɛse.

Anion Gap a Ɛba Fam

Mpɛn pii no, eyi ho yɛ na. Sɛ acid dodow a ɛwɔ mogya no mu sua sen sɛnea ɛte daa a, yɛfrɛ no alkalosis .

Ɛtɔ da bi a, mfomso ketewaa bi a ɛba wɔ lab no mu betumi ama bo a ɛba fam aba. Enti, ebia wo duruyɛfo bɛka akyerɛ wo sɛ san nyɛ nhwehwɛmu no bio. Sɛ Anion Gap bo no sua ankasa a, ebia efi protein bi a wɔfrɛ no Albumin a ɛso tew wɔ mogya no mu. Albumin yɛ protein a ɛboa ma yɛde nneɛma a ɛho hia te sɛ vitamin ne hormone kɔ yɛn nipadua nyinaa mu. Saa so tew yi betumi ayɛ tebea horow a edidi so yi ho sɛnkyerɛnne:

• Asaabo mu haw ahorow
• Koma mu yare
• Mmɛn mu yare
• Kokoram ahorow bi

Oduruyɛfo no bɛba awiei a etwa to bere a wasusuw wo nhwehwɛmu amanneɛbɔ, yare no ho sɛnkyerɛnne, ne nhwehwɛmu foforo biara a ebia ɛho behia ho awie no. Enti, wubetumi anya w’amanneɛbɔ no ho nkyerɛkyerɛmu a eye sen biara afi wo duruyɛfo hɔ.