Ua lawe anei ʻoe i kahi hōʻike hoʻāʻo koko, nānā i kēlā me kēia inoa a me nā helu ma luna, a noʻonoʻo, "He aha ke ʻano o kēia?" I waena o lākou, ua ʻike paha ʻoe i ka huaʻōlelo 'Chloride'. ʻIke ka poʻe he nui i kēia, akā ʻaʻole maopopo i ke ʻano o ia mea. No laila i kēia lā, e kamaʻilio kākou e pili ana i ke ʻano o kēia Hoʻāʻo Koko Chloride, no ke aha he mea nui, a me nā mea a mākou e noʻonoʻo ai inā loli kona mau waiwai.
He aha ka Chloride? No ke aha he mea nui ia no ko kākou kino?
I ka ʻōlelo maʻalahi, he electrolyte koʻikoʻi loa ka chloride i loko o ko kākou kino. ʻOiai ke kani nei ka "electrolyte" me he huaʻōlelo nui lā, pili ia i nā minelala e lawe ana i kahi uku uila ke hui pū ʻia me nā wai i loko o ko kākou kino. Hana lākou e like me nā "pāka" liʻiliʻi i loko o ko kākou kino.
ʻAʻole wale ka chloride, akā ʻo nā electrolytes ʻē aʻe e like me ka sodium, potassium, a me ka bicarbonate ke kāohi i nā mea nui he nui i loko o ko kākou kino. E noʻonoʻo wale, eia kēia:
- Mālama ia i ka nui o ka wai i loko o ko mākou kino i ke kaulike .
- Mālama ʻia ka hana kūpono o nā aʻalolo a me nā ʻiʻo.
- Mālama ia i ke kaulike acid-base (pH balance) i loko o ke koko.
No laila, he mea nui loa ka mālama ʻana i kahi pae chloride olakino no ko kākou olakino holoʻokoʻa. Nānā nā kauka i kēia pae chloride, me nā pae electrolyte ʻē aʻe, e loaʻa ai kahi manaʻo o nā ʻano maʻi like ʻole. Eia kekahi laʻana:
- Maʻi puʻupaʻa
- Ka hāʻule ʻana o ka puʻuwai
- Maʻi akepaʻa
- Ke koko kiʻekiʻe
Kōkua kēia hoʻāʻo e ʻike a nānā paha i nā kūlana e like me:
I ka manawa hea e ʻōlelo ai ke kauka e hana i kēia hoʻāʻo chloride?
ʻO ka hapa nui o ka manawa, ʻaʻole e kauoha ke kauka i kahi hoʻāʻo ʻokoʻa e nānā i ka chloride. Hana pinepine ʻia ia ma ke ʻano he ʻāpana o kahi pūʻolo hoʻāʻo nui e nānā ana i kekahi mau mea ʻē aʻe i loko o ke koko i ka manawa hoʻokahi. Ua ʻike paha ʻoe i kekahi o kēia mau mea ma kāu hōʻike koko:
- Papa Hana Metabolic Holoʻokoʻa (CMP)
- Papa Hana Metabolic Kumu (BMP)
- Panel Electrolyte
- Papa Hana Renal (RFP)
Hoʻohana ʻia kēia mau hoʻokolohua no ke ana ʻana i nā pae chloride.
Eia kekahi, hiki i kāu kauka ke ʻōlelo aku i kēia hoʻāʻo inā loaʻa iā ʻoe nā hōʻailona e hōʻike ana he kaulike ʻole kou i nā pae wai a waikawa paha o kou kino. ʻO ia mau hōʻailona:
- Ka luaʻi mau ʻana .
- Ka maʻi pākī nui.
- Inā ʻoe e manaʻo i ka luhi hiki ʻole ke noʻonoʻo ʻia.
- Inā manaʻo ʻoe ua nāwaliwali ʻoe .
- Inā manaʻo ʻoe ua maloʻo kou kino (e like me ka waha maloʻo, nā maka i piholo).
- Inā pilikia ʻoe i ka hanu ʻana .
I nā manawa e like me kēia, hiki i ka nānā ʻana i ka chloride a me nā pae electrolyte ʻē aʻe ke kōkua nui i ke kuhikuhi ʻana i ka pilikia pololei.
He aha ka mea e hana ʻia ma mua a i ka wā o ka hoʻāʻo koko?
Pono ʻoe e hoʻomākaukau ma mua o ka hoʻokolohua?
ʻAʻole pono kahi hoʻokolohua e nānā wale ana i ka chloride i kahi hoʻomākaukau kūikawā. Eia nō naʻe, e like me kā mākou i ʻōlelo ai ma mua, inā hana ʻia kēia me kahi hoʻokolohua e like me `BMP` a i ʻole `CMP`, e noi paha kāu kauka iā ʻoe e hoʻokē ʻai no kekahi mau hola , ʻo ia hoʻi, ʻaʻole e ʻai a inu paha i kekahi mea. No laila, e nīnau i kāu kauka e pili ana i kēia ma mua o ka hāʻawi ʻana i ke koko a e hahai pololei i kāna mau kuhikuhi.
He aha ka mea e hana ʻia ke huki ʻia ke koko?
He mea maʻalahi loa kēia.
1. E ʻike kekahi kanaka ma ka lab (phlebotomist) i kahi aa koko maikaʻi ma loko o kou lima, ma lalo pono o kou kuʻekuʻe lima.
2. A laila e hoʻomaʻemaʻe i ka wahi me ka pulupulu a hoʻomaʻemaʻe iā ia.
3. A laila, hoʻohana ʻia kahi nila liʻiliʻi e huki i ke koko mai loko mai o ke aʻa. I kēia manawa, hiki iā ʻoe ke manaʻo i kahi ʻeha iki, e like me ke nahu ʻia ʻana e kahi ʻanuʻu .
4. Ma hope o ka hōʻiliʻili ʻana i ka nui o ke koko e pono ai i loko o kahi ʻōmole hoʻāʻo, wehe ʻia ke kui a kau ʻia kahi ʻāpana pulupulu a kaomi ʻia e hoʻōki i ke kahe ʻana o ke koko.
5. ʻO ka hope loa, ua hoʻopili ʻia kahi ʻāpana palaki liʻiliʻi ma ka wahi a ua pau ka hana. He mau minuke wale nō e pau ai.
Pehea e maopopo ai iaʻu nā hopena o ka hōʻike?
Ke loaʻa iā ʻoe kāu hōʻike hoʻāʻo koko, aia mau kekahi mau ʻike e like me kēia:
- Inoa o ka hoʻāʻo i hana ʻia (e.g. Chloride).
- ʻO ka waiwai i loko o kou koko (e.g. 102 mEq/L).
- ʻO ka pae maʻamau no kēlā hoʻāʻo.
- Inā he maʻamau, haʻahaʻa, a kiʻekiʻe paha kāu waiwai.
ʻO ka pae chloride maʻamau no kahi pākeke ma waena o 96 a me 106 mEq/L . Akā e hoʻomanaʻo e hiki ke ʻokoʻa iki ka pae kuhikuhi i hāʻawi ʻia e kēlā me kēia lab. No laila, ʻoi aku ka maikaʻi o ka hoʻohālikelike ʻana i kāu waiwai me ka pae maʻamau i ʻōlelo ʻia ma kāu hōʻike.
Inā ua loli ka waiwai chloride, pono anei iaʻu e hopohopo?
ʻO kēia ka mea nui loa: ʻOiai ʻaʻole i lawa ka pae o kou chloride ma mua o ka pae maʻamau, ʻaʻole ia he manaʻo he maʻi koʻikoʻi kou. Nui nā kumu ʻē aʻe e hiki ke kōkua i ia mea.
E nānā kākou i nā kumu e emi ai a piʻi ai paha nā pae chloride.
| Nā pae chloride haʻahaʻa (Hypochloremia) | Hoʻonui ʻia nā pae chloride (Hyperchloremia) |
|---|---|
| Nā kūlana olakino hiki ke loaʻa: - Maʻi puʻuwai (Ka hāʻule ʻana o ka puʻuwai) - Nā maʻi e pili ana i ka māmā (e.g. Emphysema) - Ka maʻi ʻo Addison - ʻO ka alkalosis metabolic | Nā kūlana olakino hiki ke loaʻa: - Ka maloʻo ʻana o ka wai - Maʻi puʻupaʻa - ʻO ka maʻi Cushing - ʻAsidosis metabolic - Alkalosis hanu |
| Nā kumu maʻamau ʻē aʻe no nā loli waiwai: - Inu nui i ka wai (e hōʻemi) - Ka nalowale ʻana o ka wai ma muli o ka luaʻi ʻana a i ʻole ka maʻi pākī (hiki ke emi a piʻi aʻe paha) - Kekahi mau lāʻau lapaʻau, ʻoi aku hoʻi nā antacids - Ua hana ʻia kahi hewa liʻiliʻi i ka wā e lawe ai i ke koko. | |
E like me kāu e ʻike ai, hiki ke loli nā pae chloride ma muli o nā kūlana olakino a me nā kumu maʻamau. No laila, inā ʻike ʻoe i kahi loli i kāu hōʻike, mai hopohopo a hōʻike i kāu kauka.
ʻAʻole e nānā wale kāu kauka i ka waiwai chloride i kāu hōʻike. E hoʻohālikelike ʻo ia iā ia me nā hopena hoʻāʻo ʻē aʻe, kāu mau hōʻailona, a me kou mōʻaukala olakino holoʻokoʻa e hiki ai i kahi hopena. Hiki iā ia ke kauoha i nā hoʻokolohua hou aʻe inā makemake ʻo ia i ka ʻike hou aku.
Leka Lawe-Home
- He electrolyte koʻikoʻi ka Chloride e kōkua ai i ka mālama ʻana i ke kaulike wai, ke aʻalolo, a me ka acid-base i loko o ko mākou kino.
- Hana pinepine ʻia kēia hoʻāʻo me nā ʻano hoʻokolohua ʻē aʻe he nui, ma ke ʻano he ʻāpana o ka nānā olakino laulā.
- ʻOiai ʻaʻole i lawa ka pae chloride o kou pae maʻamau, ʻaʻole ia he manaʻo he maʻi koʻikoʻi kou. Hiki ke loli kēia waiwai ma muli o nā kumu maʻalahi e like me ka inu nui ʻana i ka wai, ka maloʻo ʻana o ka wai, a me kekahi mau lāʻau lapaʻau.
- ʻO ka mea nui loa, ʻo ia ke kamaʻilio pono me kāu kauka e pili ana i nā hopena o kāu hoʻāʻo koko, ma mua o ka nānā wale ʻana iā lākou ma ka pūnaewele a lele i nā hopena. ʻO ia ka mea nāna e hāʻawi iā ʻoe i ka ʻōlelo aʻoaʻo maikaʻi loa no kou kūlana.
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