Ua loaʻa anei iā ʻoe kahi hoʻāʻo koko a ʻike i nā huaʻōlelo he nui a me nā waiwai like ʻole ma ka hōʻike i paʻakikī ke hoʻomaopopo? E wehewehe paha kāu kauka iā ʻoe, akā i kekahi manawa ua huikau iki mākou iho e pili ana i ke ʻano o kēia mau mea. No ka laʻana, ʻo kekahi o nā huaʻōlelo āu e ʻike ai ma kekahi mau hōʻike koko ʻo "Anion Gap". I kēia lā e kamaʻilio mākou, maʻalahi loa, e pili ana i ke ʻano o kēia Anion Gap a no ke aha he mea nui ia iā mākou.
I ka ʻōlelo maʻalahi, he aha kēia Anion Gap?
I mea e hoʻomaopopo ai i kēia, pono mua mākou e ʻike iki e pili ana i ko mākou koko. Aia nā kemika like ʻole i loko o ko mākou koko. Loaʻa i kekahi o kēia mau mea kahi uku uila maikaʻi (+), aʻo kekahi he uku uila maikaʻi ʻole (-). Kāhea mākou i kēia mau ʻāpana i hoʻopiʻi ʻia he electrolytes . ʻO ka sodium, potassium, chloride, a me ka bicarbonate nā ʻano nui o nā electrolytes.
No laila, he helu maʻalahi loa ka Anion Gap. ʻO ia ka ʻokoʻa ma waena o nā uku maikaʻi (+) nui (e like me ka sodium) a me nā uku maikaʻi ʻole (-) nui (e like me ka chloride a me ka bicarbonate) i loko o kou koko. I ka pololei, ʻo ia ka "ākea" ma waena o nā uku maikaʻi a me nā uku maikaʻi ʻole i hiki ke ana ʻia.
ʻO ka mea nui, ʻaʻole kēia he hoʻāʻo koko ʻokoʻa. Ua helu ʻia kēia waiwai Anion Gap ma ka lab me ka hoʻohana ʻana i nā waiwai sodium, chloride, a me bicarbonate i loaʻa i kahi hoʻāʻo koko maʻamau (e like me ka electrolyte panel, BMP, CMP).
No ke aha e hopohopo nei nā kauka e pili ana i kēia waiwai Anion Gap?
Hāʻawi kēia waiwai iā mākou i kahi hōʻailona e pili ana i kahi mea nui loa i loko o ko mākou kino. ʻO ia ke kaulike waikawa-kumu i loko o ko mākou koko . E like me ka pono o ka ʻenekini o ke kaʻa e loaʻa i nā pae kūpono o ka ʻaila a me ka wai no ka holo pono ʻana, pono ka waikawa o ko mākou koko i loko o kahi pae i hiki ai i nā ʻāpana o ko mākou kino ke hana pono.
- Inā piʻi nui ka ʻakika o ke koko, ua kapa ʻia ia he acidosis .
- Inā haʻahaʻa loa ka acidity o ke koko a piʻi ka alkalinity, ua kapa ʻia ia he alkalosis .
Hiki i kēia mau kūlana ʻelua ke lilo i mea weliweli no ka mea ke hōʻike nei lākou ʻaʻole hana pono kekahi mea i loko o ke kino. No laila, inā loli ka waiwai Anion Gap, he hōʻailona koʻikoʻi ia no ke kauka e ʻike i kahi kūlana e like me ka acidosis.
I ka manawa hea e manaʻo ai ke kauka he mea pono kēia hoʻokolohua?
ʻO ka maʻamau, ʻike paha ʻoe i kēia ke loaʻa iā ʻoe nā hōʻailona ʻoluʻolu ʻole. Eia kekahi laʻana:
- Paʻakikī ka hanu ʻana
- Ka luaʻi a me ka nausea
- Nā palpitations o ka puʻuwai
- Ka huikau
- Manaʻo luhi ʻē aʻe
Akā i kekahi manawa, me ka ʻole o kekahi mau hōʻailona, aia paha kēia waiwai Anion Gap ma kāu hōʻike ma ke ʻano he ʻāpana o kahi hoʻāʻo koko maʻamau i hana ʻia i ka wā e like me kāu nānā olakino makahiki.
Pehea e hoʻomākaukau ai no kahi hoʻāʻo koko? He aha ka mea e hana ʻia ke huki ʻia ke koko?
He hoʻāʻo koko maʻamau kēia, no laila ʻaʻohe hoʻomākaukau kūikawā e pono ai. Eia nō naʻe, i kekahi manawa e noi paha kāu kauka iā ʻoe e hoʻokē ʻai no kekahi mau hola ma mua o ka hāʻawi ʻana i ke koko. ʻO ia hoʻi, ʻaʻole ʻoe e ʻai a inu paha i kekahi mea. He mea nui hoʻi e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āu e lawe nei, no ka mea, hiki i kekahi mau lāʻau lapaʻau ke hoʻopilikia i nā hopena o kēia hoʻāʻo.
Ua ʻike maopopo ʻoe i ke ʻano o ke kaha ʻana i ke koko.
1. ʻOiai ʻoe e noho ana ma kahi noho, e ʻike kahi kahu maʻi a phlebotomist paha i kahi aa koko ma kou lima.
2. A laila, kau ʻia kahi kaula laholio (tourniquet) ma ka lima o luna e ʻoi aku ka maikaʻi o ke ʻano o ke aʻa.
3. Ke loaʻa ka aʻa koko, e hoʻomaʻemaʻe pono ʻia ka wahi, e hoʻokomo ʻia kahi nila liʻiliʻi, a huki ʻia kahi koko liʻiliʻi i loko o kahi ʻōmole hoʻāʻo. I kēia manawa, e like paha me he mea lā e nahu ana kahi ʻanuʻu liʻiliʻi iā ʻoe.
4. Ma hope o ka hōʻiliʻili ʻia ʻana o ke koko e pono ai, wehe ʻia ke kui a kau ʻia kahi ʻāpana pulupulu ma ia wahi a kaomi ʻia.
5. Ke pau ke kahe ʻana o ke koko, e hoʻopili ʻia kahi palaki liʻiliʻi ma ia wahi a ua pau ka hana.
ʻAʻole i ʻoi aku ma mua o ʻelima mau minuke kēia kaʻina hana holoʻokoʻa.
He aha ka ʻōlelo a nā hualoaʻa?
Ke hiki mai kāu hōʻike hoʻāʻo koko, aia kekahi mea ʻē aʻe e hele mai me ka waiwai Anion Gap. ʻO ia ka "maʻamau". Hiki ke ʻokoʻa iki kēia mai ka lab a i ka lab. No laila, pono ʻoe e hoʻohālikelike i kāu waiwai i ka laulā maʻamau i hāʻawi ʻia i loko o ka hōʻike ponoʻī e ʻike inā he maʻamau a ʻaʻole paha.
I kēia manawa, e nānā kākou i nā hōʻailona e hāʻawi mai ai kēia waiwai iā kākou inā piʻi a emi paha.
| Ka Waiwai o ka ʻApana Anion | He aha ke ʻano o ia mea (nā laʻana) |
|---|---|
| ʻO ke kaʻawale Anion kiʻekiʻe | ʻO ke ʻano kēia, ua ʻakika loa kou koko. Ua kapa ʻia kēia he acidosis . Hiki ke hana ʻia kēia e:
|
| Ka hakahaka Anion haʻahaʻa | He mea kākaʻikahi loa kēia. No laila, hiki i kāu kauka ke hana hou i ka hoʻāʻo e hōʻoia i ka pololei o ka hopena. Inā he haʻahaʻa loa ia waiwai, ʻo nā kumu nui no ia mea:
|
Pono anei au e hopohopo inā he ʻano ʻē kaʻu waiwai Anion Gap?
ʻAʻole loa. ʻOiai ʻaʻole i lawa ka nui o kou Anion Gap ma mua o ka pae maʻamau, ʻaʻole ia he manaʻo he maʻi koʻikoʻi kou. E hoʻomanaʻo, he hōʻailona wale nō kēia.
- Hiki paha ma muli o kahi hewa liʻiliʻi i hana ʻia i ka wā o ka hōʻiliʻili ʻana, ka lawe ʻana, a i ʻole ka hoʻāʻo ʻana i ka hāpana koko.
- Ma muli paha o ka lāʻau lapaʻau āu e lawe nei.
- Ma muli paha o kahi loli manawa pōkole i kou kino.
Ke nānā kāu kauka i kēia hopena, e noʻonoʻo ʻo ia i nā mea he nui, e like me kāu mau hōʻailona, kou mōʻaukala olakino, a me nā lāʻau lapaʻau āu e lawe nei. Inā he ʻano ʻē ka waiwai Anion Gap a he kānalua no ia mea, e paipai ʻo ia i ka hoʻāʻo hou ʻana e ʻike i ke kumu pololei.
ʻO ka mea nui loa, ʻaʻole ʻoe e hopohopo e pili ana i nā waiwai i loko o kāu hōʻike a kamaʻilio ākea e pili ana i ia mea me kāu kauka. ʻO ia ka mea hiki ke hāʻawi iā ʻoe i ka wehewehe maikaʻi loa.
Ua ʻike mākou he mea weliweli paha ka ʻike ʻana i kahi hopena hoʻāʻo kūpono ʻole. Akā e hoʻomanaʻo, ua hana ʻia kēia mau hoʻāʻo a pau no ka loaʻa ʻana o kahi ʻike maikaʻi aʻe i ko mākou olakino a no ka ʻike koke ʻana a me ka mālama ʻana i nā pilikia.
Leka Lawe-Home
- ʻAʻole he hoʻāʻo ʻokoʻa ʻo Anion Gap. Ua helu ʻia ia mai nā waiwai i loaʻa i kahi hoʻāʻo koko maʻamau.
- Nānā nui kēia i ke kaulike waikawa-kumu o kou koko .
- ʻO ka maʻamau, ʻo ka Anion Gap kiʻekiʻe e hōʻike ana i ka piʻi ʻana o ka acidity o ke koko (acidosis). Hiki ke hana ʻia kēia e nā kumu like ʻole, mai ka maʻi diabetes a i ka maʻi puʻupaʻa.
- He mea kākaʻikahi loa ka haʻahaʻa o ka Anion Gap . Hoʻopili pinepine ʻia me ka emi ʻana o ka protein albumin i loko o ke koko.
- ʻOiai inā ʻaʻole i kūpono kāu mau hopena, mai hoʻoholo koke ʻoe i kāu iho. E kamaʻilio me kāu kauka no ka wehewehe ʻana.
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