Ðe ɖeɖi tea ŋuwò ŋutɔ eye kuviawɔwɔ le ŋuwò ɣeaɖewoɣia? Ðewohĩ wò ɖɔkta gblɔ be wò ʋudodokpɔ ɖee fia be chloride ƒe agbɔsɔsɔ dzi ɖe kpɔtɔa? Ame geɖe vɔ̃na vie ne wose nya ‘hypochloremia’. Gake nuka tututue wònye? Ðe wònye nusi wòle be woavɔ̃ na? Enyo, mina míaƒo nu tso esia ŋu eme nakɔ eye wòanɔ bɔbɔe egbea.
Gbã la, mina míakpɔe ɖa be, nukae nye chloride sia?
Kpuie ko la, chloride nye nu vevi aɖe le míaƒe ŋutilã me. Ne míagblɔe tututu la, enye elektrikŋusẽ ƒomevi aɖe . Electrolytes nye tomenu siwo le míaƒe ʋu me siwo hiã vevie be ŋutilãa nate ŋu awɔ dɔ. Bu eŋu abe ʋu ƒe batri hiã tsi ene, eye elektrikŋusẽ siawo hiã vevie hafi míaƒe ŋutilã ƒe ŋutinuwo nawɔ dɔ nyuie.
Chloride wɔa dɔ vevi geɖe le míaƒe ŋutilã me:
- Enaa lãmekawo wɔa dɔ nyuie.
- Ekpena ɖe ame ŋu wòɖoa gbedasiwo ɖe lãmekawo me nyuie.
- Míaƒe ʋu ƒe acid-base balance (pH balance) nɔa anyi nyuie.
- Ekpena ɖe ame ŋu be tsi nada asɔ le ŋutilãa me.
Míekpɔa chloride sia ƒe akpa gãtɔ tso dze si míezãna tsɔ wɔa nuɖuɖu me, si fia be tso sodium chloride me .
Nukae nye Hypochloremia ƒe dzesiwo?
Nusi wɔ nuku le afisiae nye be zi geɖe la, chloride ƒe agbɔsɔsɔ si bɔbɔ mehea dzesi aɖeke koŋ vɛ o . Gake ate ŋu atso atikewɔwɔ me nɔnɔme si gbɔ dɔlélea tso gbɔe dzesiawo tso. Esia fia be chloride si mesɔ gbɔ o menye dɔléle le eɖokui si o, ke boŋ enye dɔléle bubu ƒe dzesi.
Esiawo nye dzesi siwo bɔ siwo ate ŋu ado mo ɖa le elektrikŋusẽ ƒe masɔmasɔ ta:
- Asrã
- Yagbɔgbɔ sesẽ
- Tɔtɔ
- Ŋutilã ƒe vuvu
Vevietɔ la, zi geɖe la, wokpɔa nɔnɔme sia si me chloride mesɔ gbɔ ɖo o kpe ɖe nɔnɔme aɖe si woyɔna be hyponatremia , si nye sodium ƒe ɖiɖi le ʋu me ŋu.
Nukatae chloride si le míaƒe ŋutilã me dzi ɖena kpɔtɔna? Nukawoe nye susu siwo tae?
Esi wònye be míekpɔa chloride tso nuɖuɖu siwo míeɖuna me ta la, nɔnɔme sia mebɔ kura o le nuɖuɖu si míeɖuna nyuie o ta. Le ame si le lãmesẽ me gome la, ŋutinu vevitɔ si kpɔa chloride ƒe agbɔsɔsɔ dzie nye ayiku . Eyata ne kuxi aɖe le ayikuawo ŋu la, mɔnukpɔkpɔ gã aɖe li be chloride ƒe agbɔsɔsɔ siawo atrɔ.
Tabla si le ete la yɔ susu vevi aɖewo siwo tae chloride ƒe agbɔsɔsɔ dzi ɖena kpɔtɔna ɖo.
| Wᴐe be | Numeɖeɖe Blewu |
|---|---|
| Aɖuɖɔtoe kple aɖuɖɔtoe si nɔa anyi ɖaa | Lãmetsi kple dze ƒe gege le ŋutilãa me fũ akpa. |
| Fifia si gbɔ eme | Dze siwo dona le ŋutilãa me kple fifia. |
| Dɔléle siwo do ƒome kple ayiku | Ayiku, si nye ŋutinu vevitɔ si kpɔa chloride dzi ƒe dɔmawɔmawɔ nyuie. |
| Atikewɔwɔ ƒe nɔnɔme aɖewo | Le kpɔɖeŋu me: nɔnɔmewo abe gbɔgbɔtsixe ƒe acidosis si nɔa anyi didi, SIADH, kple metabolic alkalosis ene. |
| Atike aɖewo | Vevietɔ atikewo abe aɖuɖɔtoemetikewo, corticosteroids, aɖuɖɔtoemetikewo , kple bicarbonatewo ene. |
| Kansa dada | Atikewɔwɔ abe atikewɔmɔnu ene ate ŋu agblẽ nu le ayikuwo ŋu eye wòana elektrikŋusẽ ƒe dadasɔ nasɔ. |
Aleke ɖɔkta awɔ anya dɔléle siae?
Zi geɖe la, wò ɖɔkta atsɔ ʋudodokpɔ si woyɔna be ‘electrolyte panel’ akpɔ esia. Esia nye ʋudodokpɔ bɔbɔe ŋutɔ. Menye chloride koe ate ŋu alé ŋku ɖe eŋu o, ke ate ŋu alé ŋku ɖe elektrikŋusẽnamɔ̃ vevi bubuwo abe sodium, potassium, kple bicarbonate ene hã ŋu zi ɖeka. Esia tae esia nye dodokpɔ vevi aɖe ŋutɔ ɖo. Ɣeaɖewoɣi la, wò ɖɔkta ate ŋu aɖo aɖaŋu hã be nàlé ŋku ɖe chloride ƒe agbɔsɔsɔ si le wò aɖuɖɔ me ŋu.
Aleke wòle be chloride ƒe agbɔsɔsɔ si sɔ nanɔ?
Chloride ƒe didime si sɔ la toa vovo vie le ƒe si woxɔ nu.
| Ƒe ƒe Ƒuƒoƒo | Chloride ƒe agbɔsɔsɔ si sɔ le ʋu me (mEq/L) . |
|---|---|
| Ame tsitsiwo | 98 - 106 ƒe xexlẽme |
| Ɖeviwo | 90 - 110 ƒe xexlẽme |
| Vidzĩ yeyewo | 96 - 106 ƒe xexlẽme |
| Vidzĩ siwo wodzi do ŋgɔ na ɣeyiɣi si woɖo ɖi | 95 - 110 ƒe xexlẽme |
Ðo ŋku edzi be esi wò nyatakakaa to vovo vie ta la, mefia ɣesiaɣi be dɔléle sesẽ aɖee wònye o. Ɣeaɖewoɣi la, ne èle ʋu ɖum eye tsi vi aɖe bu na wò gɔ̃ hã la, asixɔxɔ sia ate ŋu atrɔ. Eyata, kpɔ egbɔ be yexɔ nyatakakaa eye nàƒo nu tso eŋu na wò ɖɔkta.
Aleke wowɔa atike nɛ?
Esia ƒe atikewɔwɔ nɔ te ɖe nusi gbɔ wò chloride ƒe agbɔsɔsɔ si bɔbɔ ɖe anyi tso dzi bliboe. Wò ɖɔkta adze agbagba be yeana wò chloride ƒe agbɔsɔsɔ nasɔ esime wòle atike ma si gbɔ wòtso la dam.
- Zi geɖe la, wotsɔa dzetsi toa vein (IV) dzi naa dzetsi si le ŋutilãa me kaba.
- Ne nɔnɔmea mesẽ nenema gbegbe o la, ɖɔktaa aɖo aɖaŋu na wò be nàɖu nuɖuɖu siwo me chloride sɔ gbɔ ɖo.
- Gake, ɖo ŋku esia dzi: Mègano vitamin alo kpeɖeŋutɔtikewo gbeɖe ne mèbia ɖɔkta o.
Ðe wònyo be woaɖu dze fũu akpaa?
Esi wònye dze mee chloride tsona ta la, ɖewohĩ àsusu be dze geɖe ɖuɖu nyo na ye. GakeDze ɖuɖu fũ ate ŋu ahe lãmesẽkuxi bubu geɖewo vɛ.
- Ayikudɔléle
- Gbagbãdᴐ
- Ʋusɔgbɔdɔ
- Dzidɔ
- Dɔgbo me kansa
- Ƒumeŋuɖui ƒe dɔléle
Eyata nusianu dadasɔ nye nu vevitɔ kekeake.
Gbedasi si Wotsɔ Yi Aƒeme
- Hypochloremia nye chloride ƒe agbɔsɔsɔ si mede ʋua me o. Zi geɖe la, edzɔna abe atikewɔwɔ me nɔnɔme bubu aɖe ƒe dzesi ene.
- Aɖuɖɔtoe, aɖuɖɔtoe, fifia fũ, ayikudɔ, kple atike aɖewo ate ŋu ahe esia vɛ.
- Wokpɔa nɔnɔme sia to ʋudodokpɔ bɔbɔe aɖe si woyɔna be ‘electrolyte panel’ me.
- Ne wò ʋudodokpɔ ɖee fia be chloride ƒe agbɔsɔsɔme mede o la, mègatsi dzodzodzoe o eye nàƒo nu tso eŋu na wò ɖɔkta godoo. Eyae atso nya me le atikewɔwɔa ŋu.
- Mègazã vitamin alo mineral aɖeke ɖɔkta ƒe aɖaŋuɖoɖo manɔmee o.
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