Ke manaʻo nei ʻoe i kekahi manawa ʻaʻole ʻoe e maikaʻi, luhi, a poniuniu paha? Ua lohe paha ʻoe i ke kauka e ʻōlelo ana, "E hana kākou i kahi hoʻāʻo koko." ʻO kahi hoʻāʻo koko koʻikoʻi loa i hana ʻia i nā manawa e like me kēia ua kapa ʻia ʻo Electrolyte Panel. ʻOiai ke kani nei ka inoa me he mea paʻakikī iki, he mea maʻalahi loa ia. E nānā kākou i kāna mea e nānā ai a me ke kumu e hana ʻia ai.
No laila he aha kēia Electrolyte Panel?
I ka ʻōlelo maʻalahi, he hoʻāʻo kēia e lawe i kahi hāpana o kou koko. Nānā nui ia i nā pae o kekahi mau minelala i kapa ʻia he electrolytes i loko o kou koko.
E noʻonoʻo i ko kākou kino e like me ka pila kaʻa. I mea e hana pono ai ka pila, pono iā ia ka nui kūpono o ka wai ʻakika i loko. Pēlā nō, no nā mea āpau i loko o ko kākou kino, e like me nā aʻalolo, nā ʻiʻo, ka puʻuwai, a me ka lolo, e hana pono ai, pono kēia mau electrolytes i ka nui kūpono. Inā kiʻekiʻe iki a haʻahaʻa paha kēia mau mea, kapa mākou ia he electrolyte imbalance . ʻO ia ka mea e nānā ʻia e kēia hoʻāʻo.
No ke aha e ʻōlelo ai ke kauka i kēia hoʻokolohua?
Aia paha kekahi mau kumu e paipai ai kāu kauka i kēia hoʻokolohua.
- Ma ke ʻano he ʻāpana o ka nānā olakino maʻamau: I kekahi manawa, me ka ʻole o nā hōʻailona, hiki ke hana ʻia kēia i kāu nānā olakino makahiki.
- E nānā i kahi maʻi: E nānā e ʻike inā ʻo kāu mau hōʻailona (e like me ka luhi, ka poniuniu, ka luaʻi ʻana, nā loli o ka puʻuwai) ma muli o kahi kaulike ʻole o ka electrolyte.
- E nānā i nā hopena o ka lāʻau lapaʻau: Inā ke mālama ʻia nei ʻoe no kahi hemahema electrolyte, hiki ke hana hou ʻia kēia hoʻāʻo e ʻike inā ua holomua ka lāʻau lapaʻau.
Nā kumu o nā loli electrolyte
Hiki ke hoʻonui a hoʻemi paha nā pae electrolyte, ʻoiai inā loaʻa iā ʻoe nā kūlana olakino penei:
- Dehydration: Ke nalowale nui ke kino i ka wai, e like me ka maʻi pākī, ka luaʻi ʻana, a i ʻole ka hou nui ʻana.
- Maʻi diabetes: ʻOi loa aku inā he maʻi diabetes i kāohi ʻole ʻia kou.
- Maʻi puʻupaʻa: Hoʻomalu nā puʻupaʻa i ka pae o ka paʻakai i loko o ke kino. Nalowale kēia kaulike i loko o ke kanaka me nā pilikia puʻupaʻa.
- Maʻi cardiovascular: Ma muli o kekahi mau maʻi puʻuwai a me ke koko kiʻekiʻe.
- Maʻi akepaʻa: I nā maʻi akepaʻa e like me ka cirrhosis.
- Nā kuni: ʻO nā kuni nui ke kumu o ka nalowale ʻana o ka nui o ka wai mai ke kino.
- Ka inu ʻana i ka wai ma luna o ka wai: Inu ʻana i ka wai ma mua o ka mea e pono ai.
- ʻO kekahi mau lāʻau lapaʻau:Ma muli o nā lāʻau lapaʻau e like me kekahi mau antibiotics, diuretics (nā lāʻau lapaʻau e hoʻonui ai i ka excretion o ka mimi mai ke kino), a me nā corticosteroids.
He aha nā electrolytes nui i hoʻāʻo ʻia ma kēia hoʻāʻo?
ʻO kēia nā ʻano nui o nā minelala a me kā lākou mau hana i nānā ʻia ma kahi Panel Electrolyte.
| ʻAno electrolyte | Ke kuleana o ke kino (ma nā huaʻōlelo maʻalahi) |
|---|---|
| Sodium | Hoʻomalu i nā pae wai i loko o ke kino. He mea nui no ka hana a ke aʻalolo a me nā ʻiʻo. |
| Potasiuma | He mea nui loa ia no ka hana ʻana o ka puʻuwai, nā aʻalolo, a me nā ʻiʻo. Kōkua nō hoʻi ia i ka hoʻololi ʻana i ka meaʻai a mākou e ʻai ai i ikehu. |
| Kolorida | Kōkua i ka mālama ʻana i ke koko koko olakino a me nā pae wai o ke kino. |
| Pāpaʻakai | Mālama ia i ke kaulike waikawa-kumu o ke koko a kōkua pū kekahi i ka wehe ʻana i ke kalapona ʻokikene mai ke kino. |
| Kalipuna | He mea pono e mālama i nā iwi a me nā ʻiʻo, ka ʻōnaehana nerve, a me ke ʻōnaehana kahe koko i ikaika. |
| Makenesium | Kōkua ia i ka hana aʻalolo a me nā ʻiʻo. Pono nō hoʻi ia no ka ulu ʻana o nā iwi a me nā niho. |
| ʻO ka posapahate | Kōkua i ka hoʻomohala ʻana i nā niho a me nā iwi olakino. He mea nui hoʻi no ka hana a ke aʻalolo a me nā ʻiʻo. |
Pehea e hoʻomākaukau ai ma mua o ka hoʻāʻo koko?
He mea maʻalahi loa kēia. ʻAʻole pono ia i kekahi hoʻomākaukau kūikawā.
- Inu wai nui: E inu i ka wai nui ma mua o ka hoʻāʻo ʻana i hiki ke huki maʻalahi ʻia ke koko mai nā aʻa koko.
- Mai puhi paka: Mai puhi paka (me ka vaping) ma mua o ka hāʻawi ʻana i ke koko. Hoʻopaʻa ka nikotine i nā kīʻaha koko, kahi e paʻakikī ai ka loaʻa ʻana o kahi aa koko.
- E haʻi aku i ke kanaka āu e makaʻu nei: Inā makaʻu ʻoe i nā nila a i ʻole ka ʻike ʻana i ke koko, e haʻi mua iā lākou. E kōkua lākou iā ʻoe e ʻoluʻolu.
ʻO ka maʻamau, ʻaʻole pono ʻoe e hoʻokē ʻai ma mua o kēia hoʻāʻo. Eia nō naʻe, inā e hoʻāʻo ʻia kāu hāpana koko no nā mea ʻē aʻe, e like me ka cholesterol a i ʻole ke kō koko, e noi paha kāu kauka iā ʻoe e hoʻokē ʻai. No laila e nīnau pono i kāu kauka e pili ana i kēia.
He aha ka mea e hana ʻia ke huki ʻia ke koko?
He hana maʻalahi kēia e hiki ke hoʻopau ʻia i loko o kekahi mau minuke.
1. E nānā ke kanaka nāna e huki i ke koko (phlebotomist) i kahi aa koko maʻalahi e hiki ai ke komo ma kou lima.
2. I kekahi manawa, kau ʻia kahi kaula laholio ma ka lima o luna a hoʻopaʻa ʻia e hoʻokaʻawale i nā aʻa koko.
3. Ke loaʻa ka aʻa koko, e hoʻomaʻemaʻe ʻia ka wahi me ka lāʻau antiseptic.
4. A laila hoʻokomo ʻia kahi nila liʻiliʻi i loko o ke aʻa. Hiki paha iā ʻoe ke manaʻo i kahi ʻeha iki i kēia manawa.
5. Hōʻiliʻili ʻia ka nui o ke koko e pono ai no ka hoʻāʻo ʻana i loko o kahi ʻōmole liʻiliʻi (ʻōmole hoʻāʻo).
6. Wehe i ke kaula ʻū a kau i kahi ʻāpana pulupulu ma luna o ka wahi e kahe ana ke koko a kaomi i lalo.
7. ʻO ka hope loa, ua hoʻopili ʻia kahi palaki liʻiliʻi ma kahi.
He aha ka mea e hana ma hope o ka hāʻawi ʻana i ke koko?
Hiki ke pehu iki a uliuli paha kahi i hou ʻia. E ho'ōla pono'ī kēia i loko o kekahi mau lā. Eia kekahi mau mea hiki iā ʻoe ke hana e kōkua i ka ho'ōla wikiwiki ʻana o ka ʻeha:
- E kau i kahi ʻeke hau i wahī ʻia i ka lole ma luna o ka plaster.
- Inā ʻoe e ʻeha ana, e noi i kāu kauka no kahi lāʻau hoʻopau ʻeha kūpono.
- Mai hāpai i nā mea kaumaha a i ʻole e hana i ka hoʻoikaika kino no 24 mau hola ma hope o ka hāʻawi ʻana i ke koko.
He hoʻāʻo palekana loa kēia. Eia nō naʻe, he mea kākaʻikahi loa, hiki i kekahi poʻe ke loaʻa i ke koko haʻahaʻa, ka poniuniu, a i ʻole ka luaʻi ke hāʻawi lākou i ke koko. Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e haʻi koke aku i ka mea nāna e lawe i ke koko.
Pehea ʻoe e maopopo ai i nā hopena o kēia hoʻāʻo?
Hiki ke hala kekahi mau lā ma mua o ka hoʻouna ʻia ʻana o ke koko i ka lab a hoʻi mai nā hopena. Ke loaʻa nā hopena, e wehewehe kāu kauka iā ʻoe.
Aia nā pae maʻamau no nā pae electrolyte. Eia nō naʻe, ʻokoʻa iki paha kēia mau pae ma muli o kou makahiki, ke kāne, nā kūlana olakino mua, a me ka lab e hana ana i ka hoʻāʻo.
| ʻAno electrolyte | Pae Maʻamau Laulā |
|---|---|
| Sodium | 135 - 145 mmol/L |
| Potasiuma | 3.6 - 5.5 mmol/L |
| Kalipuna | 8.8 - 10.7 mg/dL (no nā mākua) |
| Kolorida | 97 - 105 mmol/L |
| Makenesium | 1.5 - 2.6 mg/dL |
| ʻO ka posapahate | 3.4 - 4.5 mg/dL |
| Pāpaʻakai | 22 - 29 mmol/L |
ʻO ka mea nui loa: Mai lele i nā hopena ma muli o kēia mau waiwai. ʻO kāu kauka wale nō ke hiki ke wehewehe pono i kēia hōʻike a aʻo aku iā ʻoe e like me ia.
He aha ka mea e hiki mai ana inā he ʻano ʻē nā hopena?
ʻOiai ʻaʻole i kūlike ka nui o ka helu ma ka hōʻike me ka maʻamau, ʻaʻole ia he manaʻo he pilikia koʻikoʻi kou. Ma muli o kou mau hōʻailona a me kou mōʻaukala olakino, hiki i kāu kauka ke ʻōlelo aku i kekahi mau hoʻokolohua hou aʻe.
ʻo kahi laʻana:
- Hoʻāʻo ʻana i ka anion gap: Hoʻohana kēia i nā waiwai mai kāu hōʻike electrolyte e ana i ka ʻokoʻa ma waena o nā electrolytes i hoʻopiʻi maikaʻi ʻia a me nā electrolytes i hoʻopiʻi maikaʻi ʻole ʻia. Inā kiʻekiʻe loa a haʻahaʻa paha kēia ʻokoʻa (gap), he hōʻailona paha ia o kahi pilikia me kou mau māmā, nā puʻupaʻa, a i ʻole nā ʻōpū ʻē aʻe.
- Hoʻāʻo kinoea koko: Ana kēia i ka oxygen, ke kalapona ʻokikene, a me ka waikawa i loko o ke koko. Kōkua kēia i ka ʻike ʻana i ke kumu o ka hemahema o ka waikawa-kumu.
Panel Electrolyte, BMP, a me CMP... He aha ka ʻokoʻa?
Ua lohe paha ʻoe i kēia mau inoa ʻekolu. He mau hoʻāʻo koko kēia e pili ana, akā he ʻokoʻa iki.
- Panel Electrolyte: Nānā wale kēia i nā pae electrolyte a mākou i kamaʻilio ai.
- Papa Hana Metabolic Kumu (BMP): Nānā kēia i nā pae electrolyte, ka hana o nā puʻupaʻa (creatinine, blood urea nitrogen - BUN), a me nā pae glucose koko, a me nā mea ʻē aʻe.
- Panel Metabolic Comprehensive (CMP): ʻOi aku ka kikoʻī o kēia ma mua o ka BMP. Ma waho aʻe o nā mea i luna, nānā pū ia i nā mea e like me nā enzymes ate a me nā pae protein koko.
I ka ʻōlelo maʻalahi, ʻo BMP a me CMP ʻelua mau hoʻokolohua piha hou aʻe e komo pū ana me ka Electrolyte Panel. Na kāu kauka e hoʻoholo i ka hoʻokolohua āu e pono ai.
Leka Lawe-Home
- He hoʻāʻo koko koʻikoʻi ka Electrolyte Panel e nānā ai i nā pae o nā minelala koʻikoʻi i loko o ke kino.
- Kōkua kēia i ka ʻike a me ka nānā ʻana i nā lāʻau lapaʻau no nā kūlana e like me ka dehydration, ka maʻi diabetes, a me nā maʻi puʻupaʻa.
- He maʻalahi loa a palekana ke kaʻina hana o ka hāʻawi koko. Mai makaʻu nui i ia mea.
- Mai hopohopo a mai hoʻoholo paha iā ʻoe iho ma hope o ka ʻike ʻana i nā waiwai ma nā hopena hoʻāʻo.
- Inā he mau nīnau kāu e pili ana i kāu hōʻike, ʻo ke kanaka maikaʻi loa a hoʻokahi wale nō e kamaʻilio pū me ia, ʻo ia kāu kauka.Wale nō.











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