Ɣeaɖewoɣi la, wò ɖɔkta ate ŋu abia be woado ʋu kpɔ si woyɔna be ‘Electrolyte Panel’, eye àte ŋu akpɔe be yele ɖokuiwò biam be, ‘Nuka tututue nye esia?’ Mègatsi dzi o—enye dɔ si wowɔna edziedzi ŋutɔ. Egbea, míadzro nusi electrolyte panel nye, nusi wòdzidzena, kple nusita wònye wò lãmesẽmɔzɔzɔ kple Nirogi Lanka ƒe akpa vevi aɖe alea gbegbe me .
Nukae nye Elektrikŋusẽ ƒe Dɔwɔnu?
Kpuie ko la, elektrikŋusẽnamɔ̃ nye ʋudodokpɔ si me wodzidzea elektrikŋusẽnamɔ̃ vevi adre siwo le wò ʋukawo me ƒe agbɔsɔsɔ. Elektrolytes nye mineral vevi siwo kpena ɖe wò ŋutilã ŋu wòwɔa dɔ nyuie. Ɣeaɖewoɣi la, le atikewɔwɔ alo nu bubuwo ta la, agbɔsɔsɔ siawo ate ŋu asɔ gbɔ akpa alo aɖiɖi akpa, si ana nusi míeyɔna be ‘elektrolyte ƒe dadasɔmakpɔmakpɔ’ .
Nukatae wòhiã be woado elektrikŋusẽ kpɔ?
Àte ŋu awɔ dodokpɔ sia abe dodokpɔ si wowɔna edziedzi alo ƒe sia ƒe ƒe ŋutilãmedɔdada ƒe akpa aɖe ene. Zi geɖe la, ɖɔktawo wɔa esia kpe ɖe Comprehensive Metabolic Panel (CMP) alo Basic Metabolic Panel (BMP) ŋu.
Zi geɖe la, wò ɖɔkta aɖe gbe na dodokpɔ sia be:
- De dzesi atikewɔwɔ me nɔnɔme siwo le ete siwo ate ŋu ahe dadasɔ manɔmanɔ vɛ.
- Lé ŋku ɖe atikewɔwɔ siwo wowɔna na elektrikŋusẽ ƒe masɔmasɔ si li xoxo ŋu.
- Kpɔe ɖa be dzesiwo abe ɖeɖiteameŋu, taɖuame, alo dzi ƒe tsotso si mesɔ o ene tso nya aɖe si ku ɖe wò elektrikŋusẽ ƒe agbɔsɔsɔ ŋu gbɔ.
Nɔnɔme kawoe ate ŋu ana elektrikŋusẽnamɔ̃wo nada asɔ o?
Lãmesẽnya aɖewo ate ŋu ana wò elektrikŋusẽ ƒe agbɔsɔsɔ natrɔ:
- Dzobibi
- Tsikuɖiɖi
- Suklidɔ ( Suklidɔ ƒe kuxiwo) .
- Dzitodzito me dɔléle
- Ʋusɔgbɔdɔ
- Ayikudɔ ( Ureteral stones ) .
- Aklã ƒe nɔnɔmewo, abe aklãdɔ ene
- Tsi ƒe agbɔsɔsɔ fũ (tsi ƒe ahamumu) .
- Atike aɖewo, abe dɔlékuiwutikewo , aɖuɖɔtoemetikewo (tsitikewo), alo corticosteroids ene .
Nukae Electrolyte Panel dzidzena?
Dɔwɔha la léa ŋku ɖe mineral vovovo siwo le wò ʋu me ƒe agbɔsɔsɔ ŋu. Ate ŋu alɔ nusiwo gbɔna dometɔ aɖewo alo wo katã ɖe eme:
Sodium si woyɔna be Sodium
Esia nana tsi ƒe agbɔsɔsɔ le wò ŋutilã me nɔa ɖoɖo nu eye wòle vevie na lãmekawo kple lãmekawo ƒe dɔwɔwɔ.
Potassium si woyɔna be potassium
Ele vevie ŋutɔ na dzi, lãmeka, kple lãmekawo ƒe dɔwɔwɔ, kpakple lãmenugbagbeviwo ƒe dɔwɔwɔ. Potassium le vevie ŋutɔ be dzi ƒe tsotso nanɔ anyi ɖaa.
Chloride si woyɔna be chloride
Ekpena ɖe ame ŋu be ʋu ƒe sisi kple tsi ƒe dadasɔ le lãmesẽ me, eye wòwɔa dɔ kpe ɖe sodium ŋu.
Bicarbonate si woyɔna be bicarbonate
Ekpena ɖe ŋuwò be wò ŋutilã ƒe ‘acid-base balance’ (pH level) nanɔ anyi eye wòkpena ɖe ŋuwò nèɖea carbon dioxide ɖa le ʋua me.
Calcium si woyɔna be calcium
Ele vevie ŋutɔ na wò lãmekawo, lãmekawo, kple ʋu ƒe sisi ƒe dɔwɔwɔ. Calcium hiã vevie na ƒu kple aɖu sesẽwo.
Magnesium si woyɔna be magnesium
Doa alɔ lãmekawo kple lãmekawo ƒe dɔwɔwɔ, ƒuwo ƒe lãmesẽ, kple enzyme gbogbo aɖewo ƒe dɔwɔwɔ le ŋutilãa me.
Phosphate si woyɔna be phosphate
Vevietɔ na aɖu kple ƒu ƒe tsitsi le lãmesẽ me, lãmekawo ƒe dɔwɔwɔ, kple ŋusẽ wɔwɔ hena lãmenugbagbeviwo ɖɔɖɔɖo.
Ɣeaɖewoɣi la, ɖɔktawo ate ŋu abia be woado elektrikŋusẽ ɖeka aɖe kpɔ, abe wò potassium ƒe agbɔsɔsɔ ko ene.
Aleke wòle be nàdzra ɖo ɖe dodokpɔa ŋu?
Afɔɖeɖe siawo dzi wɔwɔ ate ŋu akpe ɖe ŋuwò nàkpɔ egbɔ be ʋu le dodom nyuie:
- Tsi Nɔnɔ: No tsi geɖe hafi nàdoe kpɔ. Tsi nyuie nana wò ʋukawo me yiyi nɔa bɔbɔe.
- Ƒo asa na Sigaretnono:Ƒo asa na atamanono alo vaping hafi adoe kpɔ, elabena nicotine nana wò ʋukawo xena, si wɔnɛ be wòsesẽna be nàkpɔ ʋuka.
- Ðo Anukware: Ne vɔvɔ̃ le ŋuwò na aŋe alo ʋu la, na wò ɖɔkta alo ʋuka me dɔdala nanya. Wona hehe wo be woana ɖoɖoa naɖe dzi ɖi na wò alesi nàte ŋui. Mègaɣla wò dzimaɖitsitsi o—nuƒoƒo kpena ɖe amesiame si kpɔ gome le eme ŋu.
Ðe wòhiã be nàtsi nu adɔ hafi Electrolyte Panel nawɔ dɔa?
Zi geɖe la, mehiã be nàtsi nu adɔ (aƒo asa na nuɖuɖu) hafi woate ŋu awɔ elektrikŋusẽnamɔ̃ o. Gake ne wò ɖɔkta le dzesi bubuwo abe ʋumemi alo sukli si le ʋu me ene me dzrom le ɣeyiɣi ɖeka me la, ate ŋu abia tso asiwò be nàtsi nu adɔ. Ðo kpe nudidi tɔxɛawo dzi kple wò ɖɔkta ɣesiaɣi.
Nukae dzɔna le dodokpɔa wɔɣi?
Ʋuɖeɖe nye dɔ si wowɔna kabakaba si xɔa miniti ʋɛ aɖewo ko:
- Phlebotomist (dɔnyala si xɔ hehe le ʋufɔfɔ me) ado wò abɔ kpɔ be yeakpɔ ʋuka si sɔ. Woate ŋu azã elastic band aƒo xlã wò abɔta be wòakpe ɖe ʋukaawo ŋu wòadze nyuie wu.
- Ne wonya ke ɖe ʋuka aɖe ŋu ko la, woatsɔ dɔlékuiwutike aɖe akɔ teƒea.
- Wotsɔa aŋe sue aɖe dea eme. Àte ŋu ase le ɖokuiwò me be yeƒe lãme gbã vie. Ne ègbɔ ya sesĩe la, ate ŋu akpe ɖe ŋuwò nàɖe dzi ɖi.
- Woƒoa ʋu sue aɖe nu ƒu ɖe dodokpɔmɔ̃ me.
- Ne wowu enu ko la, woɖea aŋea ɖa, eye womiaa gaze kakɛ aɖe ɖe teƒea be ʋu ɖesiaɖe nado le eme.
- Mlɔeba la, wotsɔa aŋe blanɛ.
Nusi woakpɔ mɔ na le dodokpɔa megbe
Àte ŋu akpɔ abi alo abi vie le teƒea, si nye nusi sɔ eye ele be wòadzo le ŋkeke ʋɛ aɖewo megbe.
Be woaɖe vevesese ɖesiaɖe dzi akpɔtɔ la:
- Tsɔ tsikpe si woxatsa ɖe avɔ me la de teƒea aɖabaƒoƒo ʋɛ aɖewo.
- Ne èse veve sue aɖe la, àte ŋu azã vevesesenutsitike si womeƒlena le atikedzraƒe o (OTC).
- Ƒo asa na nu kpekpewo kɔklɔ alo kamedede sesẽ kple abɔ ma gaƒoƒo 24 sɔŋ.
Ne èse veve vevie, èvuvu akpa, alo dɔléle ƒe dzesiwo le ŋuwò la, taflatse te ɖe wò lãmesẽdɔwɔla ŋu alo yi dɔwɔƒe si te ɖe ŋuwò si kpɔa nudzɔdzɔ kpatawo gbɔ enumake.
Afɔku kawoe le ʋudodokpɔ sia me?
Le nyateƒe me la, afɔku gã aɖeke mele ʋudodokpɔ me o; enye dɔdamɔnu si le dedie ŋutɔ eye wònye nusi wowɔna edziedzi. Gake le ʋuɖeɖe me la, àte ŋu akpɔ ʋu ƒe sisi vie ɣeaɖewoɣi. Ne edzɔ alea la, àte ŋu ase le ɖokuiwò me be yeƒe ta natsi alo yeƒe lãme agbã. Ne èse le ɖokuiwò me be yeƒe dzi me dze eme o alo yeƒe ta le bɔbɔe la, taflatse na amesi le ʋua ɖem nanya enumake. Wole afima be yewoado alɔ wò eye anɔ eme be woana nàmlɔ anyi akpɔ egbɔ be yeƒe lãme sẽ.
Ɣeyiɣi didi kae wòxɔna hafi wokpɔa emetsonuwo?
Zi geɖe la, exɔa ŋkeke ʋɛ aɖewo hafi wogbugbɔa wò dodokpɔa me tsonu tso dodokpɔxɔa me, togbɔ be dodokpɔxɔ aɖewo ate ŋu ana wo kabakaba wu hã. Aleke kee wòɖale o, wò ɖɔkta aƒo ka na wò ne nyatakakaa nya li ko be wòaɖe nusi emetsonuwo fia na wò la me.
Nukae nye elektrikŋusẽ ƒe agbɔsɔsɔ si sɔ? (Yi edzi Kple Ŋuɖɔɖɔɖo!)
Taflatse dzro akpa sia me nyuie. Nusiwo ŋu woate ŋu aƒo nu tsoe ate ŋu ato vovo le wò ƒexɔxɔ, ŋutsu alo nyɔnu nyenye, kple atikewɔwɔ ƒe nɔnɔme ɖesiaɖe si li nu. Gakpe ɖe eŋu la, nudokpɔƒe vovovowo ate ŋu azã dodokpɔmɔnu kple dɔwɔnu vovovowo. Esia fia be nusi dodokpɔxɔ aɖe buna be enye ‘nutome si sɔ’ ate ŋu ato vovo vie tso bubu gbɔ.
Nudokpɔƒewo dea dzesi elektrikŋusẽ ƒe agbɔsɔsɔ to nusi koŋ le ʋu me ƒe agbɔsɔsɔme dzidzedze me. Zi geɖe la, didime siwo sɔ na ame tsitsi lae nye esiawo:
- Sodium: 135 va ɖo 145 mmol/L (milimole le lita ɖeka me) .
- Potassium: 3.6 va ɖo 5.5 mmol/L
- Calcium: 8.8 va ɖo 10.7 mg/dL (miligram le desilita ɖeka me) na ame tsitsiwo
- Chloride: 97 va ɖo 105 mmol/L
- Magnesium: 1.5 va ɖo 2.6 mg/dL
- Phosphate: 3.4 va ɖo 4.5 mg/dL (De dzesii: dometsotso siwo le ɖeviwo ŋu ate ŋu ato vovo)
- Bicarbonate: 22 va ɖo 29 mmol/L
Ðo ŋku edzi be nufiame ƒe asixɔxɔ siwo wozãna le mɔ gbadza nu koe esiawo nye. Ele be nàdzro wò nyatakaka tɔxɛa me tsonu me kple wò ɖɔkta. Mègaƒo nya ta tso wò lãmesẽ ŋu alo akpɔ dɔlélea le ɖokuiwò ŋu to wò xexlẽmewo tsɔtsɔ sɔ kple dometsotso siawo ko me o.
Ke ne nyatakakaa ɖee fia be elektrikŋusẽ ƒe dadasɔmasɔ ya ɖe?
Ne elektrikŋusẽ ƒe agbɔsɔsɔ aɖe ɖiɖi wu alesi wòle be wòanɔ la, mefia kokoko be lãmesẽkuxi gã aɖe le ŋuwò si hiã be woawɔ atike nɛ kpata o. Ɣeaɖewoɣi la, vovototo siawo nɔa sue ŋutɔ. Wò ɖɔkta akpɔe ɖa be emetsonuwo ahiã be woalé ŋku ɖe wo ŋu alo akplɔ wo ɖo, eye wòabu wò dzesi tɔxɛwo, atikewɔwɔ ƒe nɔnɔme siwo li xoxo, kple atike ɖesiaɖe si zãm nèle ŋu.
Ðe wòahiã be woawɔ dodokpɔ geɖe wua?
Ẽ, ɣeaɖewoɣi la, wò ɖɔkta ate ŋu abia nyatakaka bubuwo eye ate ŋu aɖo aɖaŋu be nàwɔ dodokpɔ bubuwo, abe:
- Anion gap test: Esia dzidzea vovototo (‘vovototo’) si le electrolyte siwo me charge nyui kple vɔ̃ le dome le wò panel me. Ne dometsotso sia lolo akpa alo le sue la, ate ŋu afia nya siwo le wò lãkusi, ayiku, alo ŋutinu bubuwo ŋu, vevietɔ acid-base ƒe masɔmasɔ siwo ate ŋu adzɔ.
- Ʋu me gas dodokpɔ: Esia dzidzea oxygen, carbon dioxide, kple acidity (pH) ƒe agbɔsɔsɔ le wò ʋu me. Ekpena ɖe ame ŋu be nànya nusi gbɔ acid-base ƒe masɔmasɔ tso, abe alesi nànya ne ke ƒe nya la le wò lãkusi alo ayiku gbɔ ene.
Nya siwo wòle be nàbia wò ɖɔkta
Anyo ɣesiaɣi be nàbia nya siawo wò ɖɔkta be wòana wò susu nadze akɔ anyi:
- Nukatae wole dodokpɔ sia biam nam, eye nuka tututu dim nèle?
- Ðe wòhiã be matsi nu adɔ (menye be maɖu nu alo ano nu o), adzudzɔ atamanono, alo atɔ te atike aɖewo hafi adoe kpɔa?
- Ɣekaɣie mate ŋu akpɔ mɔ na nye dodokpɔa me tsonu, eye aleke woana manya?
- Ðe wòle be matsi dzi ɖe emetsonu siawo ŋua, alo ɖe aflaga dzĩ aɖewo li?
- Ðe wòahiã be woadoe kpɔ akea, eye ne ele nenema la, nukae esiawo abia?
- Zi nenie wòle be mana woalé ŋku ɖe nye elektrikŋusẽ ƒe agbɔsɔsɔ ŋu? (Esia le vevie ŋutɔ ne lãmesẽkuxi aɖe si nɔa anyi didi le ŋuwò).
Vovototo kae le Electrolyte Panel kple Metabolic Panel dome?
Nya siawo ate ŋu atɔtɔ ame ɣeaɖewoɣi, gake vovototo vovovowo le wo dome:
- Electrolyte panel: Eléa ŋku ɖe electrolyte ƒe agbɔsɔsɔ si ŋu míeƒo nu tsoe (abe sodium kple potassium ene) ŋu pɛpɛpɛ.
- Basic Metabolic Panel (BMP): Esia tsɔ kpe ɖe elektrikŋusẽnamɔ̃wo ŋu la, wodzidzea ayiku ƒe dɔwɔwɔ ƒe dzesiwo abe creatinine kple Blood Urea Nitrogen (BUN), kpakple ʋumesukli.
- Comprehensive Metabolic Panel (CMP): Dodokpɔ si keke ta wu BMP. Tsɔ kpe ɖe nusianu si le BMP me ŋu la, edzidzea protein ƒe agbɔsɔsɔ bliboa kple aklã me enzymewo hã, si naa nèsea wò aklã ƒe lãmesẽ gɔme.
Wò ɖɔkta anɔ te ɖe wò lãmesẽhiahiã tɔxɛwo dzi atso nya me le akpa siawo dometɔ si sɔ ŋu.
Ðe elektrikŋusẽdokpɔnu siwo wozãna le aƒeme li?
Ao, fifia la, tiatia aɖeke meli woawɔ le aƒeme o. Elektrikŋusẽ ƒe ʋudodokpɔ bia be lãmesẽdɔwɔla si xɔ hehe (abe ɖɔkta, dɔnɔdzikpɔla, alo ʋumenugbagbeviɣidɔdala ene) naɖe ʋu bibi eye ele be woadoe kpɔ le nudokpɔƒe si nye dɔnyala bibi aɖe. Aƒeme dɔwɔnu siwo ŋu kakaɖedzi le mele asi me na esia o.
Gbedasi si Wotsɔ Yi Aƒeme
Mlɔeba la, Electrolyte Panel naa nyatakaka veviwo tso wò ŋutilã ƒe tsi ƒe nɔnɔme kple acid-base ƒe dadasɔ le wò ʋu me ŋu. Ne dzesi siwo me mekɔ o—abe ɖeɖiteameŋu, gbɔdzɔgbɔdzɔ, dzi ƒe tsotso, alo lãmekawo ƒe veve ene—le fu ɖem na wò la, wò ɖɔkta ate ŋu aɖe gbe na dodokpɔ sia be wòatsɔ ade dzesi nusi gbɔ wòtso alo aɖo kpe wò lãmesẽ dzi. Enye dɔwɔnu vevi aɖe hã hena ŋkuléle ɖe amesiwo ŋu dɔléle siwo li xoxo abe ayiku alo dzidɔ ene le ŋu.
Nu vevitɔe nye be nàdzro wò nyatakakaa me kple wò ɖɔkta ɣesiaɣi eye nàwɔ ɖe woƒe eŋutinunyalawo ƒe mɔfiamewo dzi. Mègadze agbagba be ye ŋutɔ yeaɖe emetsonuwo gɔme be yeatsi dzimaɖi alo aɖe dzi ɖi o. Dzeɖoɖo si me kɔ kple wò lãmesẽdɔwɔlae nye afɔɖeɖe nyuitɔ kekeake si ana nànɔ lãmesẽ me le Nirogi Lanka.
Nya veviwo: elektrikŋusẽ, elektrikŋusẽ ƒe ƒuƒoƒo, ʋudodokpɔ, sodium, potassium, calcium, chloride, bicarbonate, magnesium, phosphate, lãmesẽ, dzesiwo, tsikuɖiɖi, ayiku
