So woafa mogya mu nhwehwɛmu amanneɛbɔ bi, ahwɛ nkyerɛwde ne nɔma ahorow a wɔaboaboa ano a ɛwɔ so no, na woasusuw sɛ, ‘Dɛn ne eyi?’ pɛn. Sodium ne Potassium ka ho no, ade titiriw bi wɔ ntam a yɛnka ho asɛm pii, a wɔfrɛ no Chloride. Ɛho hia ma yɛn nipadua no dwumadi a ɛfata. Enti ɛnnɛ, momma yɛnka nea enti a chloride yi ho hia yɛn nipadua saa, nea sɔhwɛ yi hu, ne sɛnea yɛbɛkyerɛ nea efi mu ba no ase bere a wɔasan aba no ho asɛm wɔ ɔkwan a ɛyɛ mmerɛw na ɛyɛ adamfofa su so.
Dɛn ankasa ne chloride?
Sɛ yɛbɛka no tiawa a, chloride yɛ anyinam ahoɔden a ɛwɔ yɛn nipadua mu. Fa yɛn nipadua sɛ mfiri a ɛyɛ den a wɔde batere na ɛyɛ adwuma. Saa mfiri yi hia anyinam ahoɔden na ama wɔatumi ayɛ adwuma yiye. Saa ara nso na electrolytes yɛ mineral nketenkete a anyinam ahoɔden wom a ɛboa yɛn ntini ahorow ma ɛde nkrasɛm mena, ntini ahorow no yɛ adwuma yiye, na ɛma nipadua no nsu ne acid-base kari pɛ (anaasɛ pH kari pɛ).
Electrolytes atitiriw a ɛwɔ yɛn mogya mu ne:
- Chloride a wɔde yɛ nneɛma
- Sodium a wɔde yɛ nneɛma
- Potassium a wɔde yɛ nneɛma
- Bicarbonate a wɔde yɛ nneɛma
Eyinom nyinaa bom yɛ adwuma sɛ kuw ma yɛn nipadua kɔ so nya apɔwmuden. Sɛ obi yɛ mmerɛw dodo anaasɛ ɔyɛ mmerɛw dodo a, nhyehyɛe no nyinaa betumi ayɛ nea ɛnkari pɛ.
Dɛn nti na oduruyɛfo bi bɛkamfo chloride nhwehwɛmu yi akyerɛ?
Ɛntaa mma sɛ oduruyɛfo bɛhyɛ sɛ wɔnyɛ "chloride-only" nhwehwɛmu. Nea enti a ɛte saa ne sɛ wɔsusuw chloride dodow ka electrolytes afoforo ho. Eyi kyerɛ sɛ wɔtaa yɛ sɛ mogya mu nhwehwɛmu afoforo kuw bi fã. Eyi boa wo duruyɛfo ma onya w’akwahosan ho mfonini a ɛtrɛw.
Sɛ nhwɛso no, wɔhwɛ chloride dodow mu de hu anaa wɔhwɛ tebea horow te sɛ:
- Asaabo mu yare
- Koma a entumi nyɛ adwuma yiye
- Mmɛn mu yare
- Mogya mmoroso
Mpɛn pii no, chloride nhwehwɛmu de mogya mu nhwehwɛmu a wɔyɛ daa te sɛ eyi ba:
| Panel Edin a Wɔde Di Dwuma | Sɛ yɛbɛka no tiawa a, dɛn na worehwɛ? |
|---|---|
| Nneɛma a Wɔde Yɛ Nneɛma a Ɛyɛ Fɛ (CMP) . | Sɔhwɛ a edi mũ a ɛhwɛ nneɛma pii prɛko pɛ, te sɛ mmerɛbo ne asaabo dwumadi, anyinam ahoɔden, ne asikre dodow. |
| Mfitiaseɛ Nkwammoaa mu Nneɛma Ho Panel (BMP) . | Sɔhwɛ a ɛhwɛ nneɛma atitiriw te sɛ asaabo dwumadi, asikre dodow, ne electrolytes. |
| Electrolyte Panel a Wɔde Yɛ Nneɛma | Sɔhwɛ titiriw a ɛhwɛ electrolyte dodow te sɛ chloride, sodium, ne potassium nkutoo. |
| Adwene mu Dwumadi Ho Dwumadibea (RFP) . | Sɔhwɛ nhyehyɛe a ɛtwe adwene si asaabo dwumadi so titiriw. |
Nsɛnkyerɛnne bɛn na ɛsɛ sɛ minya ma sɔhwɛ yi?
Wɔ nhwehwɛmu a wɔyɛ no daa akyi no, wo duruyɛfo betumi ahyɛ nhwehwɛmu yi sɛ wosusuw sɛ wowɔ ɔhaw bi wɔ wo nipadua mu nsu a ɛkari pɛ anaa acid-base a ɛkari pɛ ho a. Wɔ mmere a ɛtete saa mu no, wubetumi anya yare no ho sɛnkyerɛnne te sɛ:
- Sɛ ɔfe kɔ so a
- Sɛ wowɔ atiridiinini (ɔfe) a .
- Sɛ wote nka sɛ woabrɛ a wuntumi nsusuw ho a (ɔbrɛ) .
- Sɛ wote nka sɛ wunni nkwa anaasɛ woyɛ mmerɛw a
- Nsu a ɛho nhia, a ɛkyerɛ sɛ wobɛte nka sɛ nsu nni wo nipadua mu
- Sɛ ɛyɛ den ma wo sɛ wobɛhome a
Wobɛyɛ dɛn asiesie wo ho ama mogya mu nhwehwɛmu yi?
Asɛmpa a eye sen biara ne sɛ ɛho nhia sɛ wɔyɛ ahosiesie titiriw biara mma sɔhwɛ a ɛhwɛ chloride dodow anaa electrolyte panel nkutoo.
Nanso, sɛnea yɛadi kan aka ho asɛm no, sɛ wɔreyɛ nhwehwɛmu yi sɛ ade a wɔde ahyɛ mu te sɛ CMP anaa BMP fã a, wobetumi aka akyerɛ wo sɛ mmuada (i.e., kwati adidi anaa anonne) nnɔnhwerew kakraa bi ansa na wode mogya ama. Mma nnyɛ nsusuwii biara wɔ eyi ho. Wo duruyɛfo bɛkyerɛ wo nnɔnhwerew dodow a ɛsɛ sɛ wudi mmuada ansa na wode mogya ama, ne sɛ ebia wubetumi anom nsu anaa. Saa akwankyerɛ ahorow no akyi a wubedi ho hia yiye na ama woanya nea efi mu ba no pɛpɛɛpɛ.
Sɛ wonya mogya a, dɛn na ɛba? (Ebia wunim eyi!)
Eyi yɛ adeyɛ a ɛnyɛ den koraa, te sɛ mogya a wɔfa no ara pɛ.
1. Phlebotomist a ɔwɔ lab no behu ntini bi a ɛfata wɔ wo nsateaa mu a ɛbɛtwe mogya.
2. Sɛ wuhu baabi a ɛwɔ no wie a, tew ho yiye na fa aduru a ekum mmoawa gu so.
3. Afei, wɔde ade ketewaa bi hyɛ saa ntini no mu na wɔfa mogya. Saa bere yiEbia wobɛte nka sɛ woabɔ wo kakra, te sɛ nea ntɛtea aka wo .
4. Sɛ wɔboaboa mogya dodow a wɔhwehwɛ ma sɔhwɛ no ano gu afiri a wɔde sɔ hwɛ mu wie a, woyi ade no na wɔde kotoku anaa gauze bi gu mu na wɔde mia so na ama mogya no agyae.
5. Awiei koraa no, wɔde plaster ketewaa bi gu beae no na wowie adwuma no. Adeyɛ no nyinaa gye simma kakraa bi pɛ.
Wote amanneɛbɔ no ase dɛn?
Wo nsa bɛka w’amanneɛbɔ no wɔ da koro anaa nnanu mu. Mpɛn pii no, nsɛm te sɛ eyi na ɛwɔ amanneɛbɔ no mu:
- Sɔhwɛ din: s.e. "Serum Chloride a ɛwɔ mogya mu".
- Nea afi mu aba: wɔakyerɛ sɛ nɔma.
- Normal Range: Kyerɛ nea ɛsɛ sɛ gyinapɛn ahorow a ɛfata yɛ ma obi a ɔwɔ apɔwmuden.
- So nea efi mu ba no yɛ nea ɛteɛ anaasɛ ɛnte saa: Wɔakyerɛ wo bo a ɛsom no sɛ Normal, High, anaa Low.
Chloride dodow a ɛfata ma ɔpanyin no yɛ miliequivalents 96 kosi 106 wɔ lita biara mu (mEq/L) .
Nanso ma adeɛ baako ntra w’adwene mu, saa ‘Normal Range’ yi tumi sesa kakra wɔ lab biara mu. Ɛno nti na w’amanneɛbɔ no nso bɛka nea wɔn gyinapɛn ahorow a ɛfata yɛ ho asɛm. Mma nnhuruw nnyina akontaabu a ɛwɔ amanneɛbɔ no mu so nnwie. Gyae ma wo duruyɛfo ma ɔnkyerɛkyerɛ nea ɛkyerɛ ankasa mu.
Sɛ chloride dodow no sua anaasɛ ɛdɔɔso a, dɛn na ɛkyerɛ?
Ɛyɛ ade a ɛfata sɛ wobɛte ehu nka kakra bere a wuhu nea efi mu ba a ɛnyɛ ne kwan so no. Nanso sɛ wowɔ chloride dodow a ɛba fam anaasɛ ɛdɔɔso a, ɛnkyerɛ ankasa sɛ wowɔ yare a emu yɛ den. Momma yɛnhwɛ saa asɛm no.
Chloride dodow a ɛba fam (Hypochloremia) .
Sɛ nea efi mu ba no nnu nea ɛfata a, ebetumi ayɛ tebea bi te sɛ eyi ho sɛnkyerɛnne:
- Koma a entumi nyɛ adwuma yiye
- Sɛ nhwɛso no, ahurututu mu nyarewa, emphysema
- Addison yare no
- Metabolic alkalosis - Wei kyerε sε mogya no mu alkalinity bεkɔ soro.
Chloride dodow a ɛkɔ soro (Hyperchloremia) .
Sɛ nea efi mu ba no korɔn sen sɛnea ɛte daa a, ebetumi ayɛ tebea bi a ɛte sɛɛ ho sɛnkyerɛnne:
- Dehydration - nsuo a enni nipadua mu
- Asaabo mu yare
- Cushing yare a ɛma obi nya ɔyare no
- Metabolic acidosis - Wei kyerε sε acid a εwכ mogya mu no kɔ soro.
- Ɔhome mu alkalosis - tebea a ɛnam ahome a wɔhome ntɛmntɛm so ba.
Nanso, ade a ɛho hia sen biara ne eyi!
Ɛho nhia sɛ nsakrae a ɛba chloride dodow mu no fi yare bi. Ntease afoforo a ɛnyɛ den nso betumi aba.
| Nneɛma afoforo a ɛde ba a ɛnyɛ yare | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Nsu a wɔnom boro so | Sɛ wonom nsu pii a, electrolytes a ɛwɔ wo mogya mu no betumi ayɛ mmerɛw na ɛbɛyɛ te sɛ nea chloride dodow a ɛwɔ wo mu no sua. |
| Ɔfe anaa akisikuru | Sɛ nsu pii yera fi nipadua no mu wɔ saa kwan yi so a, electrolyte kari pɛ betumi asɛe na chloride dodow betumi asesa. |
| Nnuru bi | Sɛ nhwɛso no, nnuru a ekum asikre a wonom te sɛ nea wɔde sa yafunu mu akuru no bi betumi aka chloride dodow. |
| Mfomso a ɛbae wɔ mogya a wɔfaa mu | Ɛwom sɛ ɛntaa nsi koraa de, nanso mfomso ketewaa bi a wodi bere a wɔregye mogya no betumi ama nsonsonoe aba wɔ nea efi mu ba no mu. |
So ɛsɛ sɛ wusuro sɛ nea ebefi mu aba a ɛyɛ soronko?
Ɛnyɛ saa koraa. Wo duruyɛfo ne onipa a oye sen biara a ɔbɛka w’amanneɛbɔ, nhwehwɛmu afoforo, ne wo sɛnkyerɛnne ahorow abom na wasi gyinae sɛ ebia eyi yɛ biribi a ɛsɛ sɛ wohaw wo ho wɔ ho anaa. Ɔno nkutoo renhwɛ wo chloride aba no. Ɔne electrolytes afoforo (sodium, potassium) ne w’akwahosan nyinaa bɛbom ahwɛ.
Sɛ nea efi mu ba no nyɛ nea ɛfata a, ebia wo duruyɛfo bɛhyɛ sɛ wɔnyɛ nhwehwɛmu pii na ama wɔahu nea ɛde ba. Anaasɛ ebia wɔbɛkyerɛkyerɛ mu akyerɛ wo sɛ ɛnyɛ asɛm kɛse saa. Enti nkura wo nsɛmmisa no mu na bisa wo duruyɛfo.
Nkrasɛm a Wɔde Kɔ Fie
- Chloride yɛ electrolyte a ɛho hia na ama ntini, ntini, ne nsu a ɛkari pɛ wɔ yɛn nipadua mu.
- Mpɛn pii no, ɛnyɛ n’ankasa na wɔyɛ nhwehwɛmu yi, na mmom sɛ mogya mu nhwehwɛmu afoforo a wɔde ahyɛ mu no fã.
- Esiane sɛ wo chloride dodow boro nea ɛfata so nti, ɛnyɛ bere nyinaa na ɛkyerɛ sɛ wowɔ aduruyɛ mu tebea a emu yɛ den.
- Chloride dodow nso betumi asesa esiane nneɛma a ɛnyɛ den te sɛ nsu pii a wɔnom, ɔfe/akisikuru, ne nnuru bi nti.
- Nea ɛho hia sen biara: Mma nnhuruw nkɔ nsɛm a efii wo mogya mu nhwehwɛmu mu bae no so da. Bere nyinaa kɔ wo duruyɛfo nkyɛn na woanya nkyerɛkyerɛmu a edi mu sen biara.
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