ʻO ka hoʻāʻo koko Anion Gap, hiki ke hōʻike i nā maʻi he nui

Ke luhi nei ʻoe i kekahi manawa, ka luaʻi, a i ʻole ka pilikia iki o ka hanu ʻana? I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi hoʻāʻo koko maʻalahi e hiki i kāu kauka ke hana e ʻike ai i ke kumu o kēia mau hōʻailona. Hiki i kēia hoʻāʻo ke hāʻawi i nā hōʻailona e pili ana i nā maʻi koʻikoʻi he nui i loko o ko mākou kino.

He aha kēia Anion Gap?

I ka ʻōlelo maʻalahi, ke ana nei ka hoʻāʻo Anion Gap i ka nui o ka waikawa i loko o kou koko, a i ʻole ka acidity. Inā ʻoi aku ke kiʻekiʻe a i ʻole ka haʻahaʻa o ka acidity o ko mākou koko ma mua o ka maʻamau, hiki iā ia ke lilo i hōʻailona o kahi pilikia olakino. E kōkua nā hopena o kēia hoʻāʻo i kāu kauka e ʻike i kou kūlana a hāʻawi i ka lāʻau kūpono.

E noʻonoʻo, he mau uku uila maikaʻi (+) a me maikaʻi ʻole (-) ko ko kākou koko. Kāhea mākou i kēia mau electrolytes . ʻO kēia nā minelala i loko o ko kākou kino e like me ka sodium, potassium, chloride, bicarbonate. He mea nui ka mālama ʻana i ke kaulike kūpono ma waena o kēia mau uku maikaʻi a maikaʻi ʻole no ka hana ʻana o ke kino. ʻO ka Anion Gap ka hakahaka ma waena o kēia mau electrolytes i hoʻopiʻi maikaʻi ʻia a maikaʻi ʻole. Ke loli kēia hakahaka, hāʻawi ia i kahi hōʻailona o kahi loli i ka acidity (pH) o ke koko.

No ke aha ʻoe e noi ʻia nei e hana i kēia hoʻokolohua?

Inā loaʻa iā ʻoe nā hōʻailona ma lalo nei, hiki i kāu kauka ke kauoha i kahi hoʻāʻo Anion Gap. Hiki ke hoʻokumu ʻia kēia mau hōʻailona e ka piʻi ʻana o ka acidity o ke koko (Acidosis) a i ʻole ka emi ʻana o ka acidity/alkalosis (Alkalosis) .

Pehea ʻoe e hana ai i ka hoʻāʻo?

He mea maʻalahi kēia ma mua o kou manaʻo. Hiki ke hana ʻia ma ke keʻena o kāu kauka a i ʻole ma kahi lab. Lawe wale ia i kahi hāpana liʻiliʻi o ke koko mai kahi aʻa koko ma kou lima .

E haʻi aku kāu kauka iā ʻoe inā pono ʻoe e pale i ka ʻai ʻana a i ʻole ka inu ʻana i kekahi mea ma mua o ka hoʻāʻo ʻana. Eia kekahi, e hōʻoia e haʻi aku i kāu kauka inā ʻoe e lawe ana i kekahi mau lāʻau lapaʻau (ʻoi aku ka lāʻau antibiotic), no ka mea, hiki i kekahi mau lāʻau lapaʻau ke hoʻopilikia i nā hopena o ka hoʻāʻo.

He aha ka ʻōlelo a ka hōʻike hoʻāʻo?

Hiki i kāu hopena Anion Gap ke Normal, High, a Low paha.

Ka hakahaka Anion maʻamau

ʻO ka maʻamau, ʻo ka waiwai Anion Gap ma waena o 4-12 mEq/L . ʻO ke ʻano kēia, aia ke kaulike acid-base (pH balance) o kou koko ma kahi pae olakino. ʻO ia hoʻi, ʻaʻohe mea e hopohopo ai.

ʻO ke kaʻawale Anion kiʻekiʻe

Inā ʻōlelo kāu kauka ua kiʻekiʻe kou Anion Gap, ʻo ia hoʻi, ʻoi aku ka nui o ka waikawa o kou koko ma mua o ka maʻamau. Kāhea mākou i kēia kūlana he acidosis . Hiki ke loaʻa kekahi mau kumu no kēia.

• Dehydration: Ka nalowale ʻana o ka wai a me nā electrolytes i loko o ke kino ma muli o ka luaʻi ʻana, ka maʻi diarrhea (ʻeha o ka ʻōpū), a me ka hoʻoikaika kino nui.
• Maʻi puʻupaʻa: ʻO ko kākou mau puʻupaʻa ke kuleana no ka wehe ʻana i ka waikawa keu mai ke koko ma o ka mimi. Ke hāʻule nā ​​puʻupaʻa, hōʻiliʻili ka waikawa i loko o ke koko.
• Maʻi diabetes: ʻO ka Diabetic Ketoacidosis (DKA) kahi maʻi koʻikoʻi e kū mai ana i nā poʻe me ka maʻi diabetes i kāohi ʻole ʻia. I kēia kūlana, hōʻiliʻili nā waikawa ʻino (ketones) i loko o ke koko i ka wā e puhi ai ke kino i ka momona no ka ikehu.
• Ka lāʻau make salicylate: ʻO ka lawe ʻana i nā lāʻau lapaʻau e like me ka aspirin hiki ke hoʻonui i ka acidity o ke koko.
• Ka hoʻohana pono ʻole ʻana i ka waiʻona: Hiki i ka hoʻohana nui ʻana i ka waiʻona ke hoʻonui i ka nui o ka waikawa i loko o ke koko.
• Nā lāʻau lapaʻau ʻē aʻe: Hiki i kekahi mau lāʻau lapaʻau ke hoʻonui i ka waikawa o ke koko.

Ka hakahaka Anion haʻahaʻa

He mea kākaʻikahi kēia. Ke haʻahaʻa ka nui o ka waikawa i loko o ke koko ma mua o ka maʻamau, kapa mākou ia he alkalosis .

I kekahi manawa, hiki i kahi hewa liʻiliʻi i loko o ka lab ke hana i kahi waiwai haʻahaʻa. No laila, e noi paha kāu kauka iā ʻoe e hana hou i ka hoʻāʻo. Inā haʻahaʻa maoli ka waiwai Anion Gap, ma muli paha ia o ka emi ʻana o kahi ʻano protein i kapa ʻia ʻo Albumin i loko o ke koko. ʻO Albumin kahi protein e kōkua i ka lawe ʻana i nā mea koʻikoʻi e like me nā huaora a me nā hormones ma o ko mākou kino. ʻO kēia emi ʻana he hōʻailona paha ia o nā kūlana penei:

• Nā pilikia puʻupaʻa
• Maʻi puʻuwai
• Maʻi akepaʻa
• Kekahi mau ʻano maʻi ʻaʻai

E hoʻoholo hope loa ke kauka ma hope o ka noʻonoʻo ʻana i kāu hōʻike hoʻāʻo, nā hōʻailona, ​​a me nā hoʻokolohua ʻē aʻe e pono ai. No laila, hiki ke loaʻa ka wehewehe maikaʻi loa no kāu hōʻike mai kāu kauka mai.