Puas muaj tej lub sij hawm koj tsuas xav tias koj nkees, xeev siab, lossis ua pa nyuaj me ntsis xwb? Hnub no peb tab tom tham txog kev kuaj ntshav yooj yim uas koj tus kws kho mob tuaj yeem ua kom paub seb muaj dab tsi ua rau muaj cov tsos mob no. Qhov kev kuaj no tuaj yeem muab cov lus qhia txog ntau yam kab mob loj hauv peb lub cev.
Qhov Anion Gap no yog dab tsi?
Hais yooj yim xwb, qhov kev xeem Anion Gap ntsuas qhov ntau ntawm cov kua qaub hauv koj cov ntshav, lossis acidity. Txawm hais tias qhov acidity ntawm peb cov ntshav siab dua lossis qis dua li qub, nws tuaj yeem yog ib qho cim ntawm teeb meem kev noj qab haus huv. Cov txiaj ntsig ntawm qhov kev xeem no yuav pab koj tus kws kho mob kuaj koj tus mob thiab muab kev kho mob zoo.
Xav txog seb, peb cov ntshav muaj cov nqi hluav taws xob zoo (+) thiab tsis zoo (-). Peb hu cov electrolytes no ua. Cov no yog cov minerals hauv peb lub cev xws li sodium, potassium, chloride, bicarbonate. Kev tswj kom muaj qhov sib npaug ntawm cov nqi zoo thiab tsis zoo no yog qhov tseem ceeb rau lub cev ua haujlwm. Qhov Anion Gap yog qhov sib txawv ntawm cov electrolytes zoo thiab tsis zoo no. Thaum qhov sib txawv no hloov pauv, nws qhia txog kev hloov pauv ntawm acidity (pH) ntawm cov ntshav.
Kev muaj kua qaub ntau ntxiv hauv cov ntshav tuaj yeem yog ib qho tsos mob ntawm txhua yam, txij li teeb meem luv luv xws li lub cev qhuav dej mus rau cov mob ntev xws li ntshav qab zib thiab kab mob raum. Ib yam li ntawd, cov kua qaub tsawg hauv cov ntshav tuaj yeem yog ib qho cim ntawm cov mob hnyav dua xws li kab mob plawv.
Vim li cas koj thiaj raug hais kom ua qhov kev xeem no?
Yog tias koj muaj cov tsos mob hauv qab no, koj tus kws kho mob yuav hais kom kuaj Anion Gap. Cov tsos mob no yuav tshwm sim los ntawm kev nce ntxiv ntawm cov kua qaub hauv cov ntshav (Acidosis) lossis txo qis ntawm cov kua qaub/alkalosis (Alkalosis) .
| Xwm txheej | Cov tsos mob uas yuav tsum nrhiav |
|---|---|
| Kev mob acidosis (Cov kua qaub ntau ntxiv hauv cov ntshav) |
|
| Alkalosis (qaug zog acidity ntawm cov ntshav) |
|
Koj ua qhov kev xeem li cas?
Qhov no yooj yim dua li koj xav. Koj ua tau ntawm koj tus kws kho mob lub chaw ua haujlwm lossis hauv chav kuaj ntshav. Nws tsuas yog siv cov ntshav me me los ntawm cov leeg ntshav hauv koj txhais caj npab xwb .
Koj tus kws kho mob yuav qhia rau koj yog tias koj yuav tsum tsis txhob noj lossis haus dab tsi ua ntej qhov kev kuaj mob. Tsis tas li ntawd, nco ntsoov qhia rau koj tus kws kho mob yog tias koj noj tshuaj (tshwj xeeb tshaj yog tshuaj tua kab mob), vim tias qee cov tshuaj tuaj yeem cuam tshuam rau cov txiaj ntsig ntawm qhov kev kuaj mob.
Daim ntawv qhia txog kev xeem hais li cas?
Koj qhov tshwm sim Anion Gap tuaj yeem yog Li Qub, Siab, lossis Qis.
Qhov sib txawv ntawm Anion ib txwm muaj
Feem ntau, tus nqi Anion Gap yog nyob nruab nrab ntawm 4-12 mEq/L . Qhov no txhais tau tias qhov sib npaug ntawm cov kua qaub-puag (pH sib npaug) ntawm koj cov ntshav yog nyob rau theem noj qab nyob zoo. Qhov ntawd txhais tau tias tsis muaj dab tsi yuav txhawj txog.
Qhov sib txawv ntawm Anion siab
Yog koj tus kws kho mob hais tias koj qhov Anion Gap siab, nws txhais tau tias koj cov ntshav muaj kua qaub ntau dua li qub. Peb hu qhov mob no ua acidosis . Muaj ntau yam ua rau qhov no.
- Kev Qhuav Dej: Kev poob dej thiab electrolytes hauv lub cev vim yog ntuav, raws plab (mob plab), thiab kev tawm dag zog ntau dhau.
- Kab mob raum: Peb lub raum muaj lub luag haujlwm tshem tawm cov kua qaub ntau dhau ntawm cov ntshav los ntawm cov zis. Thaum lub raum tsis ua haujlwm, cov kua qaub yuav sib sau ua ke hauv cov ntshav.
- Kab Mob Ntshav Qab Zib: Kab mob ketoacidosis (DKA) yog ib qho mob hnyav uas tshwm sim tshwj xeeb tshaj yog rau cov neeg uas tsis tswj tau kab mob ntshav qab zib. Hauv qhov mob no, cov kua qaub phem (ketones) sib sau ua ke hauv cov ntshav thaum lub cev hlawv cov rog kom muaj zog.
- Kev lom Salicylate: Kev noj tshuaj ntau dhau xws li aspirin tuaj yeem ua rau cov ntshav qaub ntau ntxiv.
- Kev haus dej cawv ntau dhau: Kev haus dej cawv ntau dhau kuj tseem tuaj yeem ua rau cov kua qaub ntau ntxiv hauv cov ntshav.
- Lwm cov tshuaj: Qee cov tshuaj kuj tseem tuaj yeem ua rau cov ntshav qaub ntau ntxiv.
Qhov sib txawv Anion qis
Qhov no feem ntau tsis tshua muaj. Thaum cov kua qaub hauv cov ntshav qis dua li qub, peb hu nws ua alkalosis .
Qee zaum, qhov yuam kev me me hauv chav kuaj mob yuav ua rau tus nqi qis. Yog li ntawd, koj tus kws kho mob yuav hais kom koj rov ua qhov kev kuaj dua. Yog tias tus nqi Anion Gap qis tiag tiag, nws yuav yog vim muaj kev txo qis ntawm ib hom protein hu ua Albumin hauv cov ntshav. Albumin yog ib qho protein uas pab nqa cov khoom tseem ceeb xws li cov vitamins thiab cov tshuaj hormones thoob plaws peb lub cev. Qhov kev txo qis no yuav yog ib qho cim ntawm cov xwm txheej hauv qab no:
- Teeb meem raum
- Kab mob plawv
- Kab mob siab
- Qee hom mob qog noj ntshav
Nco ntsoov tias, tus nqi Anion Gap siab lossis qis tsis tas yuav qhia tias muaj mob hnyav. Nws tsuas yog ib qho cim tseem ceeb rau tus kws kho mob thaum kuaj mob.
Tus kws kho mob yuav txiav txim siab zaum kawg tom qab xav txog koj daim ntawv qhia txog kev kuaj mob, cov tsos mob, thiab lwm yam kev kuaj mob uas yuav tsum tau ua. Yog li ntawd, koj tus kws kho mob yuav piav qhia koj daim ntawv qhia kom meej tshaj plaws.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Anion Gap yog kev kuaj ntshav yooj yim uas qhia koj txog qib acidity (pH) ntawm koj cov ntshav.
- Cov txiaj ntsig ntawm qhov kev kuaj no pab tus kws kho mob txheeb xyuas ntau yam teeb meem kev noj qab haus huv zais cia.
- Qhov tshwm sim siab lossis qis tuaj yeem yog vim muaj ntau yam. Nws tuaj yeem yog ib qho cim qhia txog ib yam mob xws li ntshav qab zib, kab mob raum, lossis lub cev qhuav dej.
- Tsis txhob txhawj tsuas yog vim tus nqi Anion Gap hloov pauv. Nws tsuas yog ib kauj ruam hauv kev kuaj mob xwb.
- Nco ntsoov tham nrog koj tus kws kho mob txog lub ntsiab lus tseeb ntawm koj daim ntawv kuaj mob thiab kev kho mob twg xav tau.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus