Ke luhi a palaualelo nei paha ʻoe i kekahi manawa? Ua ʻōlelo paha kāu kauka ua hōʻike kāu hoʻāʻo koko i nā pae chloride haʻahaʻa? Makaʻu iki ka poʻe he nui ke lohe lākou i ka huaʻōlelo 'hypochloremia'. Akā he aha ia mea maoli? He mea anei e makaʻu ai? ʻAe, e kamaʻilio kākou e pili ana i kēia me ka maopopo a me ka maʻalahi i kēia lā.
ʻO ka mea mua, e nānā kākou, he aha kēia chloride?
I ka ʻōlelo maʻalahi, he mea nui ka chloride i loko o ko kākou kino. I ka pololei, he ʻano electrolyte ia. ʻO nā electrolytes he mau minelala i loaʻa i loko o ko kākou koko e pono ai ke kino e hana. E noʻonoʻo e like me ka pono o ka pila kaʻa i ka wai, a he mea nui kēia mau electrolytes no ka hana pono ʻana o nā ʻōpū o ko kākou kino.
Hana ʻo Chloride i kekahi mau hana koʻikoʻi i loko o ko mākou kino:
- Hoʻoikaika i nā ʻiʻo e hana pono.
- Kōkua i ka hoʻouna pono ʻana i nā leka i loko o ka ʻōnaehana nerve.
- Mālama pono ʻia ke kaulike acid-base (pH balance) o ko kākou koko.
- Kōkua i ka mālama ʻana i ke kaulike wai i loko o ke kino.
Loaʻa iā mākou ka hapa nui o kēia chloride mai ka paʻakai a mākou e hoʻohana ai no ka meaʻai, ʻo ia hoʻi, mai ka sodium chloride .
He aha nā hōʻailona o ka Hypochloremia?
ʻO ka mea kupanaha ma ʻaneʻi, ʻo ia ka hapa nui o nā hihia, ʻaʻole i hoʻokumu nā pae chloride haʻahaʻa i kekahi mau hōʻailona kikoʻī . Eia nō naʻe, hiki ke hoʻokumu ʻia nā hōʻailona e ke kūlana olakino i hoʻokumu i ke kūlana. ʻO ke ʻano kēia, ʻaʻole he maʻi ka chloride haʻahaʻa, akā, he hōʻailona ia o kekahi maʻi ʻē aʻe.
ʻO kēia nā hōʻailona maʻamau e hiki ke kū mai ma muli o kahi hemahema electrolyte:
- kuni
- Paʻakikī ka hanu ʻana
- Ka huikau
- Pehu kino
ʻO ka mea nui, ʻike pinepine ʻia kēia kūlana o ka chloride haʻahaʻa me kahi kūlana i kapa ʻia ʻo hyponatremia , ʻo ia hoʻi ka emi ʻana o ka sodium i loko o ke koko.
No ke aha e emi ai ka chloride i loko o ko kākou kino? He aha nā kumu?
ʻOiai ua loaʻa iā kākou ka chloride mai ka meaʻai a kākou e ʻai ai, he mea kākaʻikahi loa kēia ʻano ma muli o ka lawa ʻole o ka ʻai ʻana. I ke kanaka olakino, ʻo ka ʻōkana nui e kaohi ana i nā pae chloride ʻo ia nā puʻupaʻa . No laila, inā he pilikia me nā puʻupaʻa, nui ka manawa e loli ai kēia mau pae chloride.
Aia ma ka papa ma lalo nei kekahi o nā kumu nui no ka haʻahaʻa o nā pae chloride.
| Kumu | He wehewehe maʻalahi |
|---|---|
| Ka luaʻi mau a me ka maʻi pākī | Ka nalowale nui o ka wai a me ka paʻakai mai ke kino. |
| Ka hou nui ʻana | ʻO ka hoʻokuʻu ʻia ʻana o nā paʻakai mai ke kino me ka hou. |
| Nā maʻi e pili ana i ka puʻupaʻa | Ka hana hemahema o nā puʻupaʻa, ke ʻano nui e kaohi ana i ka chloride. |
| Kekahi mau kūlana olakino | Eia kekahi laʻana: nā kūlana e like me ka acidosis hanu mau loa, SIADH, a me ka metabolic alkalosis. |
| Kekahi mau lāʻau lapaʻau | ʻOi aku ka lāʻau lapaʻau e like me diuretics, corticosteroids, laxatives , a me bicarbonates. |
| Lapaʻau no ka maʻi ʻaʻai | Hiki i nā lāʻau lapaʻau e like me ka chemotherapy ke hoʻopilikia i nā puʻupaʻa a hoʻoulu i nā hemahema electrolyte. |
Pehea e ʻike ai ke kauka i kēia maʻi?
ʻO ka maʻamau, e ʻike kāu kauka i kēia me kahi hoʻāʻo koko i kapa ʻia ʻo 'electrolyte panel' . He hoʻāʻo koko maʻalahi loa kēia. Hiki iā ia ke nānā ʻaʻole wale i ka chloride, akā, i nā electrolytes koʻikoʻi ʻē aʻe e like me ka sodium, potassium, a me ka bicarbonate i ka manawa hoʻokahi. ʻO ia ke kumu he hoʻāʻo koʻikoʻi loa kēia. I kekahi manawa, e paipai paha kāu kauka e nānā i kāu mau pae chloride mimi.
He aha ke ʻano o nā waiwai chloride maʻamau?
ʻOkoʻa iki nā pae maʻamau no ka chloride ma muli o ka makahiki.
| Pūʻulu Makahiki | ʻO ka pae maʻamau o ka chloride i loko o ke koko (mEq/L) |
|---|---|
| Nā mākua | 98 - 106 |
| Nā keiki | 90 - 110 |
| Nā keiki hānau hou | 96 - 106 |
| Nā pēpē hānau mua ʻole | 95 - 110 |
E hoʻomanaʻo, ʻoiai ʻaʻole i lawa ka nui o kāu hōʻike, ʻaʻole ia he manaʻo he maʻi koʻikoʻi ia. I kekahi manawa, inā paha ua luaʻi ʻoe a nalowale iki ka wai, hiki ke loli kēia waiwai. No laila, e hōʻoia e kiʻi i ka hōʻike a kamaʻilio me kāu kauka e pili ana i ia mea.
Pehea e mālama ʻia ai?
ʻO ke ʻano o ka mālama ʻana no kēia mea e hilinaʻi wale ʻia ma ke kumu nui o kou pae chloride haʻahaʻa. E hoʻāʻo kāu kauka e hoʻomaʻamaʻa i kāu mau pae chloride i ka wā e mālama ana i kēlā kumu.
- I ka manawa pinepine, hāʻawi ʻia ka wai saline ma o kahi aʻa (IV) e hoʻihoʻi koke i ka paʻakai o ke kino.
- Inā ʻaʻole koʻikoʻi loa ke ʻano, e aʻo aku ke kauka iā ʻoe e ʻai i nā meaʻai waiwai i ka chloride.
- Akā, e hoʻomanaʻo i kēia: Mai lawe i nā huaora a i ʻole nā mea hoʻohui me ka ʻole o ke kūkākūkā ʻana me ke kauka.
He mea maikaʻi anei ke ʻai nui i ka paʻakai?
ʻOiai ʻo ka chloride mai ka paʻakai, manaʻo paha ʻoe he mea maikaʻi ka ʻai ʻana i ka paʻakai hou aku nou. Akā,ʻO ka ʻai ʻana i ka paʻakai nui loa hiki ke hana i nā pilikia olakino ʻē aʻe he nui.
- Maʻi puʻupaʻa
- Hahau
- Ke koko kiʻekiʻe
- Maʻi hohola
- Ka maʻi ʻōpū
- ʻOsteoporosis
No laila, ʻo ka mea nui loa, ʻo ka mālama ʻana i nā mea āpau ma ke kaulike.
Leka Lawe-Home
- ʻO ka Hypochloremia kahi pae haʻahaʻa o ka chloride i loko o ke koko. ʻIke pinepine ʻia ia ma ke ʻano he hōʻailona o kahi maʻi ʻē aʻe.
- ʻO ka luaʻi ʻana, ka maʻi pākī, ka hou nui ʻana, ka maʻi puʻupaʻa, a me kekahi mau lāʻau lapaʻau e hiki ke hana i kēia.
- Hoʻomaopopo ʻia kēia maʻi me kahi hoʻāʻo koko maʻalahi i kapa ʻia ʻo 'electrolyte panel'.
- Inā hōʻike kāu hoʻāʻo koko i nā pae chloride haʻahaʻa, mai hopohopo a kamaʻilio pono me kāu kauka e pili ana i ia mea. Na ia e hoʻoholo i ka lāʻau lapaʻau.
- Mai hoʻohana i nā mea hoʻopihapiha huaora a mineral paha me ka ʻole o ke aʻo ʻana a ke kauka.
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