Thaum koj mob me ntsis thiab mus ntsib kws kho mob, nws tau kuaj ntshav rau koj, puas yog? Tej zaum koj yuav tau pom ib ntu hu ua 'Electrolytes' hauv daim ntawv qhia ntawd. Nws muaj cov nqi rau Sodium, Potassium, thiab Bicarbonate, lossis CO2. Muaj ntau tus neeg pom qhov no thiab xav tias, "Qhov bicarbonate no yog dab tsi?" Qhov no yog qhov kev kuaj uas qhia peb ntau cov ntaub ntawv tseem ceeb txog peb lub cev kev noj qab haus huv. Yog li hnub no, peb yuav tham txog nws yooj yim heev.
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Cov bicarbonate no yog dab tsi?
Hais yooj yim xwb, bicarbonate yog ib hom pa roj carbon dioxide (CO2) uas tsim tawm hauv peb lub cev. Nws yog cov khoom pov tseg uas tshuav thaum peb hloov cov khoom noj uas peb noj mus ua lub zog. Tab sis nws tsis yog cov khoom pov tseg xwb. Nws yog ib hom tshuaj hu ua electrolytes .
Tam sim no tej zaum koj yuav xav paub tias cov electrolytes no yog dab tsi. Xav txog lawv zoo li cov tub txib me me hauv peb lub cev. Cov electrolytes no pab kom peb lub cev muaj dej txaus, tswj cov kua qaub ntawm peb cov ntshav, thiab pab peb cov hlab ntsha thiab cov leeg ua haujlwm kom zoo.
Yog li ntawd, bicarbonate yog ib yam khoom tseem ceeb heev uas pab tswj kom muaj qhov sib npaug ntawm cov kua qaub thiab cov hauv paus hauv peb cov ntshav. Txawm tias qhov ntau no siab lossis qis, nws tuaj yeem yog lub cim qhia tias muaj qee yam tsis raug nrog peb lub cev.
Thaum twg tus kws kho mob thiaj li pom zoo kom ua qhov kev kuaj bicarbonate no?
Qhov no feem ntau tsis yog kev kuaj uas koj ua nws tus kheej xwb. Feem ntau koj tus kws kho mob yuav kom koj kuaj ib qho hu ua 'Electrolyte Panel' lossis 'Serum Electrolytes'. Qhov no yuav kuaj koj cov sodium, potassium, thiab chloride, thiab cov bicarbonate.
Qhov kev kuaj no ua tau ua ib feem ntawm kev kuaj mob txhua xyoo. Los yog, yog tias koj muaj cov tsos mob hauv qab no, qhov kev kuaj no tuaj yeem pab nrhiav qhov ua rau:
- Ntshai tas li los yog raws plab.
- Ua pa nyuaj.
- Kev xav tias qaug zog thiab tsis muaj zog tas li.
Tsis tas li ntawd xwb, yog tias koj twb tau txais kev kho mob rau lub raum, siab, ntsws, lossis mob plab zom mov, koj tus kws kho mob yuav hais kom koj ua qhov kev kuaj no ntau zaus dua kom pom tias kev kho mob puas ua tiav thiab cov tshuaj puas ua haujlwm.
Koj ua qhov kev xeem no li cas thiab nkag siab cov txiaj ntsig li cas?
Nws yooj yim heev. Ib tug kws kho mob lossis ib tug nais maum uas tau kawm tiav yuav muab ib qho ntshav me me los ntawm cov leeg ntshav hauv koj txhais caj npab. Yog li ntawd xwb.
Tiam sis nco ntsoov, koj yuav tsum qhia rau koj tus kws kho mob txog cov tshuaj, cov vitamins, lossis cov tshuaj ntxiv uas koj noj.Vim tias qee cov tshuaj tuaj yeem cuam tshuam rau cov txiaj ntsig ntawm qhov kev xeem no. Tsis tas li ntawd, kev noj ntau dhau ntawm cov txiv hmab txiv ntoo acidic xws li txiv kab ntxwv, txiv kab ntxwv qaub, thiab txiv kab ntxwv qaub qee zaum tuaj yeem muaj qhov cuam tshuam me ntsis rau cov txiaj ntsig.
Tus nqi bicarbonate noj qab haus huv rau ib tus neeg laus yuav tsum nyob nruab nrab ntawm 23 thiab 29 millimoles ib liter ntawm cov ntshav (23-29 mmol/L). Txawm li cas los xij, tus nqi no tuaj yeem txawv me ntsis ntawm chav kuaj mus rau chav kuaj, yog li nws yog qhov zoo tshaj plaws los piv rau 'qhov ntau thiab tsawg ib txwm' ntawm koj daim ntawv qhia.
Qhov tseem ceeb tshaj plaws yog, tsis txhob sim kuaj mob koj tus kheej raws li cov txiaj ntsig hauv daim ntawv qhia no. Nws yog koj tus kws kho mob lub luag haujlwm los piav qhia meej txog qhov no txhais li cas.
Qhov theem bicarbonate qis txhais li cas?
Yog tias cov bicarbonate (CO2) hauv koj cov ntshav qis dua li qub, nws yuav yog ib qho cim ntawm ib qho ntawm cov mob hauv qab no:
| Tej Yam Uas Yuav Muaj Tau | Piav Qhia Yooj Yim |
|---|---|
| Kab mob raum | Tus mob no tshwm sim thaum lub raum tsis tuaj yeem lim ntshav kom zoo thiab tshem tawm cov kua qaub uas sib sau ua ke hauv lub cev. |
| Kab mob ntshav qab zib ketoacidosis | Qhov no yog ib qho mob uas yuav ua rau tuag taus rau cov neeg mob ntshav qab zib. Thaum lub cev tsis muaj insulin los siv qab zib, cov kua qaub ntawm cov ntshav yuav nce siab heev. |
| Kev puas tsuaj ntawm cov metabolism acid | Hais yooj yim xwb, lub cev tsim cov kua qaub ntau dhau los yog lub raum tsis tuaj yeem tshem tawm nws. |
| Kab mob Addison | Qhov no yog ib qho kab mob tsis tshua muaj uas cuam tshuam nrog cov tshuaj hormones uas cuam tshuam rau kev ua haujlwm ntawm cov qog adrenal. |
| Kev siv tshuaj aspirin ntau dhau | Kev noj tshuaj ntau dhau xws li aspirin tuaj yeem hloov pauv qhov acidity ntawm cov ntshav. |
| Kev lom ntawm ethylene glycol | Cov tshuaj tua kab mob yog ib yam tshuaj uas pom muaj nyob rau hauv qee cov tshuaj ntxuav khaub ncaws. Yog tias koj muaj kev xav tias koj tau raug rau ib yam dab tsi zoo li no, mus rau chav kho mob ceev hauv tsev kho mob (ETU) tam sim ntawd. Tsis tas li ntawd, hu rau Lub Chaw Qhia Txog Tshuaj Lom Hauv Tebchaws ntawm Tsev Kho Mob Colombo National. |
Qhov nce ntxiv ntawm bicarbonate txhais li cas?
Tsis tas li ntawd xwb, cov bicarbonate siab dua li qub tuaj yeem yog ib qho cim qhia txog qee yam teeb meem kev noj qab haus huv.
| Tej Yam Uas Yuav Muaj Tau | Piav Qhia Yooj Yim |
|---|---|
| Cov kab mob ntsws | Tshwj xeeb tshaj yog nyob rau hauv cov kab mob zoo li COPD (Chronic Obstructive Pulmonary Disease), lub cev tsis muaj peev xwm tso cov pa roj carbon dioxide (CO2) tawm kom raug, uas ua rau cov bicarbonate hauv cov ntshav nce siab. |
| Kev qhuav dej | Tus nqi no tuaj yeem nce ntxiv vim muaj kev hloov pauv ntawm cov tshuaj lom neeg ntawm cov ntshav vim yog qhov txo qis ntawm cov dej hauv lub cev. |
| Kev tsis muaj zog noj mov | Qhov no yog ib qho kev noj zaub mov tsis zoo. Kev tsis noj zaub mov zoo ua rau lub cev tsis sib npaug. |
| Teeb meem ntawm cov qog adrenal | Cov mob zoo li Cushing's syndrome tuaj yeem ua rau muaj kev tsis sib npaug ntawm cov tshuaj hormones thiab ua rau tus nqi no nce ntxiv. |
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Bicarbonate (CO2) yog ib qho electrolyte tseem ceeb uas tswj cov acidity thiab cov kua dej hauv koj cov ntshav.
- Qhov kev kuaj no feem ntau yog ua thaum muaj cov tsos mob xws li ntuav/raws plab tas li, ua pa nyuaj, thiab qaug zog heev.
- Tus nqi qis lossis siab ntawm qhov no tuaj yeem yog lub cim ntawm ntau yam teeb meem kev noj qab haus huv, xws li kab mob raum, ntshav qab zib, thiab kab mob ntsws.
- Tsis txhob kuaj koj tus kheej los ntawm kev kuaj ntshav. Ib txwm nrog koj tus kws kho mob tham txog qhov ntawd thiab nrhiav cov lus qhia zoo los ntawm nws.
- Nws yog ib qho tseem ceeb heev uas yuav tsum qhia rau koj tus kws kho mob txog txhua yam tshuaj thiab cov tshuaj ntxiv uas koj noj.
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