Bere a woyare kakra na wokɔɔ oduruyɛfo nkyɛn no, ɔmaa wo mogya mu nhwehwɛmu bi, ɛnte saa? Ebia woahu ɔfã bi a wɔfrɛ no ‘Electrolytes’ wɔ saa amanneɛbɔ no mu. Ɛwɔ Sodium, Potassium, ne Bicarbonate, anaa CO2 ho gyinapɛn ahorow. Nnipa pii hu eyi na wosusuw sɛ, "Dɛn ne bicarbonate yi?" Eyi yɛ sɔhwɛ ankasa a ɛma yehu yɛn nipadua akwahosan ho nsɛm a ɛho hia pii. Enti ɛnnɛ, yɛbɛka ho asɛm tiawa koraa.
Dɛn ne bicarbonate yi?
Sɛ yɛbɛka no tiawa a, bicarbonate yɛ mframa bi a wɔfrɛ no carbon dioxide (CO2) a wɔyɛ wɔ yɛn nipadua mu. Ɛyɛ ade a wɔsɛe no a ɛka bere a yɛdan aduan a yedi no ma ɛbɛyɛ ahoɔden no. Nanso ɛnyɛ nneɛma a wɔsɛe no biara kɛkɛ. Ɛka nneɛma bi a wɔfrɛ no electrolytes ho .
Seesei ebia woresusuw nea ɛyɛ saa electrolytes yi ho. Fa wɔn ho sɛ abɔfo nkumaa wɔ yɛn nipadua mu. Saa electrolytes yi boa ma yɛn nipadua no nya nsu, ɛma acid a ɛwɔ yɛn mogya mu no yɛ adwuma, na ɛboa ma yɛn ntini ne yɛn ntini yɛ adwuma yiye.
Enti, bicarbonate yɛ ade a ɛho hia yiye a ɛboa ma acid ne base kari pɛ wɔ yɛn mogya mu. Sɛ́ dodow yi dɔɔso anaasɛ ɛba fam no, ebetumi ayɛ sɛnkyerɛnne a ɛkyerɛ sɛ biribi asɛe yɛn nipadua no.
Bere bɛn na oduruyɛfo kamfo kyerɛ sɛ wɔnyɛ bicarbonate nhwehwɛmu yi?
Eyi ntaa nyɛ sɔhwɛ a egyina hɔ ma ne ho. Wo duruyɛfoɔ bɛtaa ahyɛ sɛ wɔnyɛ nhwehwɛmu a wɔfrɛ no ‘Electrolyte Panel’ anaa ‘Serum Electrolytes’. Eyi bɛma woahu sodium, potassium, ne chloride dodow a wowɔ, ne bicarbonate dodow nso.
Wobetumi ayɛ nhwehwɛmu yi sɛ afe afe aduruyɛ mu nhwehwɛmu a wɔyɛ no daa no fã. Anaasɛ, sɛ wowɔ sɛnkyerɛnne ahorow a edidi so yi a, nhwehwɛmu yi betumi aboa ma woahu nea ɛde ba:
- Ɔfe anaa akisikuru a ɛkɔ so daa.
- Ɔhome a ɛyɛ den.
- Ɔbrɛ ne mmerɛwyɛ kɛse a wɔte nka bere nyinaa.
Afei nso, sɛ worenya asaabo, mmerɛbo, ahurututu, anaa aduan mu yare bi ho ayaresa dedaw a, ebia wo duruyɛfo bɛka akyerɛ wo sɛ yɛ nhwehwɛmu yi mpɛn pii na ama woahu sɛ ayaresa no di yiye na aduru no reyɛ adwuma anaa.
Wobɛyɛ dɛn ayɛ sɔhwɛ yi na woate nea efi mu ba no ase?
Ɛyɛ mmerɛw yiye. Oduruyɛfo anaa ɔyarehwɛfo a wɔatete no gye mogya ketewaa bi fi ntini bi a ɛwɔ wo nsa mu no mu. Ɛno ne no.
Nanso kae sɛ akyinnye biara nni ho sɛ ɛsɛ sɛ woka nnuru, vitamin, anaa nnuru a wɔde ka aduan ho biara a wonom ho asɛm kyerɛ wo duruyɛfo.Efisɛ nnuru bi betumi aka nea efi sɔhwɛ yi mu ba no. Afei nso, ɛtɔ mmere bi a nnuaba a acid wom pii te sɛ borɔdɔma, tangerine, ne bobe aba a wodi no betumi anya nea efi mu ba no so nkɛntɛnso ketewaa bi.
Ɛsɛ sɛ bicarbonate dodow a ɛfata ma ɔpanyin no yɛ milimoles 23 kosi 29 wɔ mogya lita biara mu (23-29 mmol/L). Nanso, saa botae yi betumi ayɛ soronko kakra wɔ lab biara mu, enti ɛyɛ papa sɛ wode bɛtoto ‘normal range’ a ɛwɔ w’amanneɛbɔ no so no ho.
Ade a ɛho hia sen biara ne sɛ, mmɔ mmɔden sɛ w’ankasa wubegyina gyinapɛn ahorow a ɛwɔ amanneɛbɔ yi mu so ahu wo yare no. Ɛyɛ wo duruyɛfo no asɛyɛde sɛ ɔkyerɛkyerɛ nea eyi kyerɛ mu pɛpɛɛpɛ.
Dɛn na bicarbonate dodow a ɛba fam kyerɛ?
Sɛ bicarbonate (CO2) dodow a ɛwɔ wo mogya mu amanneɛbɔ mu no sua sen sɛnea ɛte daa a, ebetumi ayɛ tebea horow a edidi so yi mu biako ho sɛnkyerɛnne:
| Tebea a Ebetumi Aba | Nkyerɛkyerɛmu a Ɛnyɛ Den |
|---|---|
| Asaabo mu yare | Saa tebea yi ba bere a asaabo no ntumi nyi mogya mu yiye na eyi acid a ɛboaboa ano wɔ nipadua no mu no mfi hɔ no. |
| Asikreyare a ɛma obi nya Ketoacidosis | Eyi yɛ tebea a ebetumi de asikreyarefo nkwa ato asiane mu. Sɛ nipadua no nni insulin a ɛde asikre bedi dwuma a, mogya no mu acid kɔ soro kɛse wɔ ɔkwan a ɛyɛ hu so. |
| Nkwammoaa mu Acidosis | Sɛ yɛbɛka no tiawa a, nipadua no yɛ acid pii dodo anaasɛ asaabo no ntumi nyi mfi hɔ. |
| Addison yare no | Eyi yɛ yare a ɛntaa nsi a ɛfa hormone ho a ɛka adrenal glands no dwumadi. |
| Aspirin a wɔde di dwuma boro so | Nnuru pii te sɛ aspirin a wɔnom no betumi asakra mogya no mu acid. |
| Ethylene glycol a ɛyɛ awuduru | Antifreeze yɛ nnuru a ɛwɔ nnuru bi a wɔde hohoro nneɛma ho mu. Sɛ wowɔ adwenem naayɛ bi sɛ woahyia biribi a ɛte sɛɛ a, kɔ ayaresabea dan a wɔhwɛ wɔn a wɔwɔ ayaresa a egye ntɛmpɛ mu (ETU) ntɛm ara. Afei nso, kɔ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea hɔ no nkyɛn. |
Dɛn na bicarbonate dodow a ɛkɔ soro no kyerɛ?
Afei nso, bicarbonate dodow a ɛkɔ soro sen sɛnea ɛte daa no betumi ayɛ akwahosan ho haw ahorow bi ho sɛnkyerɛnne.
| Tebea a Ebetumi Aba | Nkyerɛkyerɛmu a Ɛnyɛ Den |
|---|---|
| Ahurututu mu nyarewa | Titiriw wɔ nyarewa te sɛ COPD (Chronic Obstructive Pulmonary Disease) mu no, nipadua no ntumi nyi carbon dioxide (CO2) mfi hɔ yiye, na ɛma bicarbonate dodow a ɛwɔ mogya no mu kɔ soro. |
| Nsu a ɛho ntew | Saa bo yi betumi akɔ soro esiane nsakrae a ɛba mogya no mu nnuru mu esiane nsu dodow a ɛwɔ nipadua no mu a ɛso tew nti. |
| Anorexia a ɛma obi nya aduan | Eyi yɛ adidi mu haw. Aduan pa a wonnya nni ma nipadua no mu nneɛma a ɛnkari pɛ. |
| Adrenal gland ho haw ahorow | Tebea horow te sɛ Cushing yare no betumi ama hormone ahorow a ɛnkari pɛ na ama saa bo yi akɔ soro. |
Nkrasɛm a Wɔde Kɔ Fie
- Bicarbonate (CO2) yɛ electrolyte a ɛho hia a ɛhwɛ acid ne nsu dodow a ɛwɔ wo mogya mu so.
- Wɔtaa yɛ sɔhwɛ yi bere a sɛnkyerɛnne ahorow te sɛ ɔfe/akisikuru a ɛkɔ so, ɔhome a ɛyɛ den, ne ɔbrɛ a ɛtra so wɔ hɔ.
- Eyi bo a ɛba fam anaa kɛse betumi ayɛ akwahosan ho haw ahorow te sɛ asaabo mu yare, asikreyare, ne ahurututu mu yare ho sɛnkyerɛnne.
- Mfa mogya mu nhwehwɛmu nnhu wo ho da. Bere nyinaa wo ne wo duruyɛfo nka ho asɛm na nya afotu a ɛfata fi ne hɔ.
- Ɛho hia yiye sɛ wobɛbɔ wo duruyɛfo amanneɛ wɔ nnuru ne nnuru a wɔde ka ho a worenom nyinaa ho.
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