So ɛtɔ mmere bi a wote nka sɛ woabrɛ na woayɛ mmerɛw kɛse? Ebia wo duruyɛfo kae sɛ wo mogya mu nhwehwɛmu kyerɛ sɛ chloride dodow sua? Nnipa pii suro kakra bere a wɔte asɛmfua ‘hypochloremia’ no. Nanso dɛn ne no ankasa? So ɛyɛ biribi a ɛsɛ sɛ yesuro? Okay, momma yɛnka eyi ho asɛm pefee na ɛnyɛ den nnɛ.
Nea edi kan no, ma yɛnhwɛ, dɛn ne chloride yi?
Sɛ yɛbɛka no tiawa a, chloride yɛ ade a ɛho hia wɔ yɛn nipadua mu. Sɛ yɛbɛka no pɛpɛɛpɛ a, ɛyɛ electrolyte bi . Electrolytes yɛ nneɛma a ɛwɔ yɛn mogya mu a ɛho hia na ama nipadua no ayɛ adwuma. Fa no sɛ kar batere hia nsu, na saa electrolytes yi ho hia na ama yɛn nipadua akwaa ahorow no ayɛ adwuma yiye.
Chloride yɛ nnwuma atitiriw pii wɔ yɛn nipadua mu:
- Ɛma ntini ahorow no yɛ adwuma yiye.
- Ɛboa ma wɔde nkrasɛm kɔ ntini ahorow no mu yiye.
- Wɔma yɛn mogya mu acid-base balance (pH balance) kɔ so yiye.
- Ɛboa ma nsu kari pɛ wɔ nipadua no mu.
Yenya chloride yi mu dodow no ara fi nkyene a yɛde yɛ aduan mu, kyerɛ sɛ, efi sodium chloride mu .
Dɛn ne Hypochloremia ho sɛnkyerɛnne ahorow?
Ade a ɛyɛ nwonwa wɔ ha ne sɛ wɔ nsɛm dodow no ara mu no, chloride dodow a ɛba fam no mfa sɛnkyerɛnne pɔtee biara mma . Nanso, ebia aduruyɛ mu tebea a ɛda adi a ɛde tebea no bae no na ɛde sɛnkyerɛnne ahorow no ba. Eyi kyerɛ sɛ chloride a ɛba fam no nyɛ yare ankasa, na mmom ɛyɛ yare foforo ho sɛnkyerɛnne.
Eyinom yɛ sɛnkyerɛnne ahorow a ɛtaa ba a ebetumi aba esiane electrolyte a ɛnkari pɛ nti:
- Huraeɛ
- Ɔhome a ɛyɛ den
- Kesereneeyɛ
- Nipadua a ɛho ahonhon
Nea ɛho hia no, wɔtaa hu tebea a chloride sua yi ne tebea bi a wɔfrɛ no hyponatremia , a ɛyɛ sodium a ɛso tew wɔ mogya mu no.
Dɛn nti na chloride a ɛwɔ yɛn nipadua mu no so tew? Dɛn ne nea enti a ɛte saa?
Esiane sɛ yenya chloride fi aduan a yedi mu nti, tebea yi ho yɛ na koraa esiane aduan a yenni a ɛdɔɔso nti. Wɔ obi a ɔwɔ apɔwmuden mu no, akwaa titiriw a ɛhwɛ chloride dodow so ne asaabo . Enti sɛ ɔhaw bi wɔ asaabo no mu a, ɛda adi kɛse sɛ chloride dodow yi bɛsakra.
Wɔakyerɛ nneɛma atitiriw a ɛma chloride dodow sua no bi wɔ pon a ɛwɔ ase ha no so.
| Sɛnti | Nkyerɛkyerɛmu a Ɛnyɛ Den |
|---|---|
| Ɔfe ne akisikuru a ɛkɔ so daa | Nsu ne nkyene a ɛyera dodo fi nipadua no mu. |
| Fifiri a ɛboro so | Nkyene a fifiri fi nipadua no mu ba. |
| Asaabo mu nyarewa | Asaabo, akwaa titiriw a ɛhwɛ chloride so no dwumadi a entumi nyɛ adwuma yiye. |
| Ayaresa mu tebea horow bi | Sɛ nhwɛso no: tebea horow te sɛ ɔhome mu acidosis a enni sabea, SIADH, ne metabolic alkalosis. |
| Nnuru bi | Titiriw nnuru te sɛ nnuru a ɛma obi ho popo, corticosteroids, nnuru a ɛma obi ho yɛ hyew , ne bicarbonates. |
| Kokoram ho ayaresa | Ayaresa te sɛ nnuru a wɔde sa yare betumi aka asaabo no na ama electrolyte a ɛnkari pɛ. |
Ɔkwan bɛn so na oduruyɛfo hu saa tebea yi?
Mpɛn pii no, wo duruyɛfo de mogya mu nhwehwɛmu a wɔfrɛ no ‘electrolyte panel’ bɛhu eyi . Eyi yɛ mogya mu nhwehwɛmu a ɛnyɛ den koraa. Ɛnyɛ chloride nko na ebetumi ahwɛ, na mmom electrolytes afoforo a ɛho hia te sɛ sodium, potassium, ne bicarbonate nso prɛko pɛ. Ɛno nti na eyi yɛ sɔhwɛ a ɛho hia yiye no. Ɛtɔ mmere bi a wo duruyɛfo nso betumi akamfo akyerɛ sɛ hwɛ chloride dodow a ɛwɔ wo nsu mu.
Ɛsɛ sɛ chloride dodow a ɛfata yɛ dɛn?
Chloride dodow a ɛfata no gu ahorow kakra a egyina mfe a obi adi so.
| Mfe a Mfe Kuw | Chloride dodow a ɛfata wɔ mogya mu (mEq/L) . |
|---|---|
| Mpanyimfo | 98 - 106 na ɛwɔ hɔ |
| Mmɔfra | 90 - 110 na ɛwɔ hɔ |
| Nkokoaa a wɔawo wɔn foforo | 96 - 106 na ɛwɔ hɔ |
| Nkokoaa a wɔawo wɔn ntɛm | 95 - 110 na ɛwɔ hɔ |
Kae sɛ, esiane sɛ w’amanneɛbɔ no yɛ nea ɛboro nea wobetumi anya so kakra nti, ɛnyɛ bere nyinaa na ɛkyerɛ sɛ ɛyɛ yare a emu yɛ den. Ɛtɔ mmere bi a, sɛ woafe na woahwere nsu kakra mpo a, saa bo yi betumi asesa. Enti, hwɛ hu sɛ wubegye amanneɛbɔ no na wo ne wo duruyɛfo akasa afa ho.
Ɔkwan bɛn so na wɔsa?
Eyi ho ayaresa gyina nea ɛde chloride dodow a ɛba fam ba no so koraa. Wo duruyɛfo bɛbɔ mmɔden sɛ ɔbɛma wo chloride dodow ayɛ nea ɛfata bere a ɔresa saa ade a ɛde ba no.
- Mpɛn pii no, wɔde nkyene aduru fa ntini (IV) mu ma na ama nipadua no mu nkyene asan aba ntɛmntɛm.
- Sɛ tebea no mu nyɛ den saa a, oduruyɛfo no bɛtu wo fo sɛ di nnuan a chloride pii wom.
- Nanso, kae eyi: Nnom vitamin anaa nnuru a wɔde ka aduan ho da a wonkɔ oduruyɛfo nkyɛn.
So eye sɛ wubedi nkyene pii?
Esiane sɛ chloride fi nkyene mu nti, ebia wubesusuw sɛ nkyene pii a wubedi no ye ma wo. NansoNkyene pii a wodi betumi de akwahosan ho haw afoforo pii aba.
- Asaabo mu yare
- Nnwodwoɔ
- Mogya mmoroso
- Koma mu yare
- Yafunu mu kokoram
- Nnompe mu yare
Enti, biribiara a yɛbɛkari pɛ no ne ade a ɛho hia sen biara.
Nkrasɛm a Wɔde Kɔ Fie
- Hypochloremia yɛ chloride a ɛba mogya mu a ɛba fam. Ɛtaa ba sɛ aduruyɛ mu tebea foforo ho sɛnkyerɛnne.
- Ɔfe, akisikuru, fifiri a ɛtra so, asaabo mu yare, ne nnuru bi betumi de eyi aba.
- Wɔde mogya mu nhwehwɛmu a ɛnyɛ den a wɔfrɛ no ‘electrolyte panel’ na ɛkyerɛ saa tebea yi.
- Sɛ wo mogya mu nhwehwɛmu kyerɛ sɛ chloride dodow sua a, mma wo ho nnyɛ wo hu na akyinnye biara nni ho sɛ wo ne wo duruyɛfo nkasa ho asɛm. Ɔno na obesi ayaresa no ho gyinae.
- Mfa vitamin anaa mineral biara nni dwuma a wunni oduruyɛfo afotu.
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