Ke hele ʻoe i ke kauka, hāʻawi lākou iā ʻoe i kahi hoʻāʻo koko, ʻeā? Ua ʻike paha ʻoe i kēlā hōʻike, me nā mea e like me ka sodium a me ka potassium, aia kekahi waiwai i kapa ʻia ʻo 'Chloride'. ʻOiai ʻaʻole nui ka poʻe e nānā nui i kēia, he mea nui kēia chloride no ke olakino o ko mākou kino. No laila, i kēia lā e kamaʻilio mākou e pili ana i kēia hoʻāʻo koko chloride, nā mea e nānā ai, a pehea kona koʻikoʻi i ko mākou olakino.
He aha maoli ka chloride?
I ka ʻōlelo maʻalahi, he
electrolyte ka chloride i loko o ko kākou kino. E noʻonoʻo iā ia e like me kahi hoʻouka uila liʻiliʻi i loko o ko kākou kino e hana pono ai. Kōkua kēia electrolyte i kēlā hana. ʻAʻole hana wale ʻo Chloride. Hana pū ia me nā electrolytes ʻē aʻe e like me ka sodium a me ka potassium e hana i kekahi mau hana koʻikoʻi:
- Hoʻokaulike i ka nui o ka wai i loko o ke kino : Kōkua kēia i ka kaohi ʻana i ka neʻe ʻana o ka wai i loko a i waho o kā mākou mau cell.
- Hoʻoponopono i ke kaulike waikawa-kumu (pH kaulike): He mea nui ka Chloride no ka mālama ʻana i nā pae kūpono o nā waikawa a me nā kumu i loko o ko mākou koko a me ke kino.
- Kōkua i ka ʻai ʻana: Hāʻawi pū ʻo Chloride i ka hana ʻana o ka waikawa gastric i loko o ka ʻōpū.
Inā hāʻule kēia pae, hiki iā ʻoe ke ʻike i nā kūlana e like me ka dehydration. A inā piʻi ka pae, hiki ke lilo i hōʻailona he pilikia me ko kākou mau puʻupaʻa. No ka mea,
ʻo nā puʻupaʻa ke kino nui e kaohi ana i ka pae chloride i loko o ko kākou koko. I nā hihia hea e ʻōlelo ai ke kauka i kēia hoʻokolohua?
ʻO ka hapa nui o ka manawa, ʻaʻole hana ʻia kēia hoʻāʻo chloride ma kāna iho. Hana ʻia ia ma ke ʻano he ʻāpana o kahi pūʻolo hoʻāʻo koko maʻamau (metabolic panel) e nānā ana i nā mea e like me kāu kō a me ka cholesterol. Eia nō naʻe, he mea nui loa kēia hoʻāʻo inā kānalua kāu kauka i kēia mau mea:
- Luhi pinepine a me ka palaualelo: Inā luhi mau ʻoe a luhi no ke kumu ʻole, hiki i kēia hoʻāʻo ke kōkua i ka hoʻoholo ʻana inā he electrolyte imbalance ke kumu.
- Ka luaʻi pinepine ʻana a i ʻole ka maʻi pākī : Inā ua luaʻi a loaʻa paha iā ʻoe ka maʻi pākī no kekahi mau lā, ke nalowale nei kou kino i ka nui o ka wai a me ka paʻakai. Hiki i kēia ke hoʻohaʻahaʻa i kāu pae chloride.
- Nā pilikia hanu : Inā he loli a paʻakikī paha i ka hanu ʻana, he mea nui e nānā i ke kaulike acid-base o ke koko.
- Ka maʻi puʻupaʻa a maʻi puʻuwai paha i manaʻo ʻia: Inā he mau hopohopo kou e pili ana i ka hana o kāu puʻupaʻa a i ʻole ke kūlana puʻuwai, he hōʻailona koʻikoʻi nā pae chloride.
- Maʻi diabetes : I kekahi manawa hiki i ka maʻi diabetes i kāohi ʻole ʻia ke hana i nā pae chloride kiʻekiʻe.
ʻO ka mea nui loa, ʻo ia ka hiki ʻana mai o ke kauka i kahi hopena ma ka hoʻohālikelike ʻana i nā hopena mai kēia hoʻokolohua me nā hopena mai nā hoʻokolohua koko ʻē aʻe a me kāu mau hōʻailona.
Pono anei iaʻu e hana i kekahi mea ma mua o ka hoʻokolohua?
ʻO ka maʻamau, inā he hoʻāʻo chloride wale nō kāu, ʻaʻole pono ʻoe i ka hoʻomākaukau nui. Eia nō naʻe, inā ua kauoha kāu kauka i kahi panela metabolic piha e nānā i nā mea e like me ke kō a me ka cholesterol,
hiki iā ia ke noi iā ʻoe e hoʻokē ʻai no kekahi mau hola. E nīnau i kāu kauka e pili ana i kēia e maopopo ai. Eia kekahi, e makaʻala i kēia mau mea:
- Nā lāʻau lapaʻau āu e lawe ai: E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai (me nā huaora, nā mea hoʻomaha ʻeha, nā pila hoʻomalu hānau, a me nā lāʻau lapaʻau lāʻau). Hiki i kekahi mau lāʻau lapaʻau ke hoʻopilikia i kāu pae chloride. Eia kekahi laʻana:
- ʻO kekahi mau ʻano hormones (Estrogen)
- ʻO nā steroid e like me ka cortisone
- Nā lāʻau hoʻopau ʻeha (NSAID) e like me ka ibuprofen
- Ka luaʻi ʻana a i ʻole ka maʻi palahēhē: Inā ua loaʻa iā ʻoe ka luaʻi ʻana a i ʻole ka maʻi palahēhē i nā lā ma mua o ka hoʻāʻo ʻana, e haʻi i kāu kauka . Hiki i kēia ke hana i kāu mau pae chloride e ʻike ʻia he haʻahaʻa.
He aha ka ʻōlelo a ka hōʻike?
Ke loaʻa iā ʻoe kāu hōʻike, ʻo kāu kauka ke kanaka maikaʻi loa e kōkua iā ʻoe e hoʻomaopopo i nā waiwai. Hiki ke ʻokoʻa iki ka 'Normal Range' mai kekahi lab a i kekahi. ʻO ka pae chloride o ke kanaka olakino maʻamau
ma waena o 96 a me 106 milliequivalents i ka lita (mEq/L) . ʻAʻole hana nā kauka i nā hoʻoholo nui ma muli o kahi hopena hoʻāʻo hoʻokahi. Nānā lākou i nā ʻano a me nā hopena hoʻāʻo ʻē aʻe i ka hala ʻana o ka manawa. Hāʻawi ka papa ma lalo nei iā ʻoe i kahi manaʻo maʻamau o ka mea e hana nei.
| Pae chloride | Nā kūlana hiki ke loaʻa |
|---|
| Pae kiʻekiʻe (Hyperchloremia) (ʻoi aku ma mua o 106 mEq/L) | - Nā pilikia puʻupaʻa (e.g. Renal Tubular Acidosis)
- Ka make wai nui
- nā pilikia hormonal e like me ka Cushing's syndrome
- ʻO ka acidosis metabolic (hoʻonui ʻia ka acidity i loko o ke koko)
- Nā hopena o kekahi mau lāʻau lapaʻau
|
| Pae haʻahaʻa (Hypochloremia) (emi ma mua o 96 mEq/L) | - Ka luaʻi nui a i ʻole ka maʻi pākī
- Ka hāʻule ʻana o ka puʻuwai paʻa
- nā pilikia hormonal e like me ka maʻi ʻo Addison
- ʻO ka alkalosis metabolic (hoʻonui ʻia ka alkalinity o ke koko)
- Maʻi māmā mau loa
- Nā kuni
|
He aha e hana ai inā ua loli ka pae chloride?
Inā ʻaʻole i lawa ka pae o kou chloride ma mua o ka pae maʻamau, mai hopohopo.
ʻO ka mea mua a koʻikoʻi loa e hana ai, ʻo ia ke kamaʻilio me kāu kauka. Ke loaʻa ke kumu, e kuhikuhi kāu kauka i ka lāʻau lapaʻau e pono ai. Eia kekahi laʻana:
- Inā kiʻekiʻe ke kiʻekiʻe: Hiki ke ʻōlelo ʻia iā ʻoe e inu i ka wai hou aku, e hōʻemi i kāu ʻai paʻakai, a hoʻololi paha i kahi lāʻau lapaʻau āu e lawe ai. Inā he maʻi kou, e like me ka maʻi diabetes a i ʻole ka maʻi puʻupaʻa, he mea nui e kaohi iā ia.
- Inā haʻahaʻa ka pae: Inā ʻo ke kumu ka luaʻi a i ʻole ka maʻi pākī, hiki ke hoʻomaʻū hou ʻia ke kino (malia paha me ka saline). Inā he maʻi ʻē aʻe, e hoʻomaka ʻia ka lāʻau kūpono.
Leka Lawe-Home
- ʻO ka Chloride kahi electrolyte pono no ka mālama ʻana i ke kaulike wai a me ka acid-base i loko o ko mākou kino.
- Hiki i kēia hoʻāʻo ke hoʻoholo inā haʻahaʻa, kiʻekiʻe, a maʻamau paha ka pae chloride.
- ʻO ka loli ʻana o nā pae chloride hiki ke lilo i hōʻailona o kahi maʻi olakino, no laila mai hoʻowahāwahā iā ia.
- E kūkākūkā mau me kāu kauka e hoʻohālikelike i kāu mau hōʻailona me nā hoʻokolohua ʻē aʻe a hiki i kahi hopena, ma mua o ka hilinaʻi wale ʻana i hoʻokahi hōʻike hoʻokolohua.
- He mea nui loa e hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau āpau (me nā huaora a me nā mea hoʻopihapiha) āu e lawe nei.
Hoʻāʻo koko chloride, electrolyte, nā hoʻāʻo koko, maʻi puʻupaʻa, dehydration
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