Anion Gap Blood Test, si ate ŋu afia dɔléle geɖe

Ðe ɖeɖi tea ŋuwò ɣeaɖewoɣi, ɖeko nètsia dzimaɖi, alo gbɔgbɔtsixe tsia ƒowò viea? Egbea míele nu ƒom tso ʋudodokpɔ bɔbɔe aɖe si wò ɖɔkta ate ŋu awɔ be yeanya nusi gbɔ dzesi siawo tso ŋu. Dodokpɔ sia ate ŋu ana míanya nu tso dɔléle sesẽ geɖe siwo le míaƒe ŋutilã me ŋu.

Nukae nye Anion Gap sia?

Kpuie ko la, Anion Gap dodokpɔa dzidzea acid agbɔsɔsɔme si le wò ʋu me, alo acid ƒe agbɔsɔsɔ. Eɖanye míaƒe ʋu me acid sɔ gbɔ alo le sue wu alesi wòle dzɔdzɔmee o, ate ŋu anye lãmesẽkuxi aɖe ƒe dzesi. Dodokpɔ sia me tsonu akpe ɖe wò ɖɔkta ŋu wòanya wò dɔlélea eye wòana atike nyuitɔ wò.

Bu eŋu kpɔ, elektrikŋusẽ nyui (+) kple vɔ̃ (-) le míaƒe ʋu me. Míeyɔa elektrikŋusẽ siawo be . Esiawoe nye tomenu siwo le míaƒe ŋutilã me abe sodium, potassium, chloride, bicarbonate ene. Dadasɔ nyuie le dzoxɔxɔ nyui kple vɔ̃ siawo dome le vevie hafi ŋutilãa nate ŋu awɔ dɔ. Anion Gap nye dometsotso si le elektrikŋusẽnamɔ̃ siawo siwo me dzoxɔxɔ nyui kple vɔ̃ le dome. Ne dometsotso sia trɔ la, enaa dzesi be ʋua ƒe acid (pH) trɔ.

Nukatae wole biabiam tso asiwò be nàwɔ dodokpɔ sia?

Ne dzesi siwo gbɔna le ŋuwò la, wò ɖɔkta ate ŋu abia be woado Anion Gap kpɔ. Dzesi siawo ate ŋu atso ʋua me acid ƒe dzidziɖedzi (Acidosis) alo acid/alkalosis ƒe ɖiɖi (Alkalosis) gbɔ .

Aleke nèwɔa dodokpɔae?

Esia le bɔbɔe wu alesi nàsusui. Woate ŋu awɔe le wò ɖɔkta ƒe dɔwɔƒe alo le dodokpɔxɔ me. Ðeko wòxɔa ʋu sue aɖe tso ʋuka aɖe si le wò alɔnu me .

Wò ɖɔkta agblɔ na wò ne ehiã be nàƒo asa na nuɖuɖu alo nunono nane hafi adoe kpɔ. Azɔ hã, kpɔ egbɔ be yegblɔe na wò ɖɔkta ne èle atike aɖewo zãm (vevietɔ dɔlékuiwutikewo), elabena atike aɖewo ate ŋu akpɔ ŋusẽ ɖe dodokpɔa me tsonu dzi.

Nukae dodokpɔa ƒe nyatakakaa gblɔ?

Wò Anion Gap ƒe emetsonu ate ŋu anye Normal, High, alo Low.

Anion ƒe Dometsotso si sɔ

Zi geɖe la, Anion Gap ƒe asixɔxɔ nɔa 4-12 mEq/L dome. Esia fia be acid-base balance (pH balance) si le wò ʋu me la le lãmesẽ me. Ema fia be naneke meli si ŋu woatsi dzi ɖo o.

Anion ƒe Dometsotso Kɔkɔ

Ne wò ɖɔkta gblɔ be wò Anion Gap sɔ gbɔ la, efia be acid sɔ gbɔ ɖe wò ʋu me wu alesi wòle dzɔdzɔmee. Míeyɔa nɔnɔme sia be acidosis . Susu geɖewo ate ŋu anɔ esia ta.

• Tsikuɖiɖi: Tsi kple elektrikŋusẽ ƒe bu le ŋutilãa me le aɖuɖɔtoe, aɖuɖɔtoe (dɔgbo ƒe vevesese), kple kamedede fũ ta.
• Ayikudɔ: Míaƒe ayikuwoe ɖea acid si sɔ gbɔ ɖe ʋua me to aɖuɖɔ me. Ne ayikuawo mewɔ dɔ nyuie o la, acid ƒoa ƒu ɖe ʋua me.
• Suklidɔ: Suklidɔ ƒe Ketoacidosis (DKA) nye dɔléle sesẽ aɖe si dzɔna vevietɔ le amesiwo ŋu suklidɔ si dzi womate ŋu aɖu o le. Le nɔnɔme sia me la, aɖi siwo gblẽa nu le ame ŋu (ketones) ƒoa ƒu ɖe ʋua me ne ŋutilãa le ami fiãm hena ŋusẽkpɔkpɔ.
• Salicylate ƒe aɖi: Atikewo abe aspirin ene nono fũ ate ŋu ana ʋua ƒe acid nadzi ɖe edzi.
• Ahatsunono: Ahanono fũu akpa hã ate ŋu ana acid ƒe agbɔsɔsɔ si le ʋua me nadzi ɖe edzi.
• Atike bubuwo: Atike aɖewo hã ate ŋu ana aɖi si le ʋua me nadzi ɖe edzi.

Anion ƒe Dometsotso si le bɔbɔe

Zi geɖe la, esia mebɔ o. Ne acid ƒe agbɔsɔsɔ le ʋua me le ʋɛ wu alesi wòle be wòanɔ la, míeyɔnae be alkalosis .

Ɣeaɖewoɣi la, vodada sue aɖe le dodokpɔxɔa me ate ŋu ana asixɔxɔ si le sue. Eyata wò ɖɔkta ate ŋu abia tso asiwò be nàgawɔ dodokpɔa ake. Ne Anion Gap ƒe asixɔxɔ le sue ŋutɔŋutɔ la, ate ŋu atso protein ƒomevi aɖe si woyɔna be Albumin ƒe ɖiɖi le ʋua me gbɔ. Albumin nye protein si kpena ɖe mía ŋu míetsɔa nu veviwo abe vitaminwo kple lãmetsiwo ene yia míaƒe ŋutilã katã me. Ðeɖe sia ate ŋu anye nɔnɔme siwo gbɔna ƒe dzesi:

• Ayiku me kuxiwo
• Dzidɔ
• Aklãdɔléle
• Kansa ƒomevi aɖewo

Ðɔktaa aƒo nya ta mamlɛtɔ ne ebu wò dodokpɔ ŋuti nyatakaka, dzesiwo, kple dodokpɔ bubu ɖesiaɖe si ahiã ŋu vɔ. Eyata àte ŋu akpɔ numeɖeɖe nyuitɔ kekeake tso wò nyatakakaa ŋu tso wò ɖɔkta gbɔ.