Koj puas tau khaws daim ntawv qhia txog kev kuaj ntshav, saib cov ntawv thiab cov lej ntawm nws, thiab xav tias, 'Qhov no yog dab tsi?' Nrog rau Sodium thiab Potassium, muaj ib qho tseem ceeb nyob nruab nrab uas peb tsis tham txog ntau, hu ua Chloride. Nws yog qhov tseem ceeb rau kev ua haujlwm zoo ntawm peb lub cev. Yog li hnub no, cia peb tham hauv txoj kev yooj yim thiab tus phooj ywg txog vim li cas cov chloride no tseem ceeb rau peb lub cev, qhov kev kuaj no pom dab tsi, thiab yuav txhais cov txiaj ntsig li cas thaum lawv rov qab los.
Chloride yog dab tsi tiag?
Hais yooj yim xwb, chloride yog ib qho electrolyte hauv peb lub cev. Xav txog peb lub cev zoo li cov tshuab nyuaj uas siv roj teeb. Cov tshuab no xav tau hluav taws xob kom ua haujlwm tau zoo. Ib yam li ntawd, electrolytes yog cov khoom me me uas muaj hluav taws xob uas pab peb lub paj hlwb xa cov lus, cov leeg ua haujlwm tau zoo, thiab tswj lub cev cov dej thiab acid-base sib npaug (lossis pH sib npaug).
Cov electrolytes tseem ceeb hauv peb cov ntshav yog:
- Chloride
- Sodium
- Cov poov tshuaj
- Bicarbonate
Tag nrho cov no ua haujlwm ua ke ua ib pab pawg kom peb lub cev noj qab nyob zoo. Yog tias ib qho tsis muaj zog lossis qaug zog dhau, tag nrho lub cev yuav tsis sib npaug.
Vim li cas tus kws kho mob thiaj pom zoo kom kuaj chloride no?
Nws tsis tshua muaj kws kho mob kom ua qhov kev kuaj "chloride-only". Qhov no yog vim tias cov chloride raug ntsuas nrog rau lwm cov electrolytes. Qhov no txhais tau tias nws feem ntau ua raws li ib feem ntawm cov kev kuaj ntshav lwm yam. Qhov no pab koj tus kws kho mob kom tau txais daim duab dav dua ntawm koj txoj kev noj qab haus huv.
Piv txwv li, cov tshuaj chloride raug kuaj xyuas kom pom lossis saib xyuas cov xwm txheej xws li:
- Kab mob raum
- Lub plawv tsis ua haujlwm
- Kab mob siab
- Ntshav siab
Feem ntau, kev kuaj chloride los nrog kev kuaj ntshav ib txwm zoo li no:
| Lub Npe Vaj Huam Sib Luag | Hais yooj yim xwb, koj tab tom saib dab tsi? |
|---|---|
| Pawg Neeg Saib Xyuas Kev Hloov Pauv Txhua Yam (CMP) | Ib qho kev kuaj mob uas kuaj xyuas ntau yam tib lub sijhawm, xws li kev ua haujlwm ntawm lub siab thiab lub raum, electrolytes, thiab cov qib qab zib. |
| Vaj Huam Sib Luag Metabolic (BMP) | Ib qho kev kuaj uas kuaj xyuas tej yam yooj yim xws li kev ua haujlwm ntawm lub raum, cov qib qab zib, thiab electrolytes. |
| Vaj Huam Sib Luag Electrolyte | Ib qho kev kuaj tshwj xeeb uas tsuas yog saib cov electrolyte xws li chloride, sodium, thiab potassium. |
| Vaj Huam Sib Luag Ua Haujlwm ntawm Lub Raum (RFP) | Ib pob khoom kuaj uas tsom mus rau kev ua haujlwm ntawm lub raum. |
Kuv yuav tsum muaj cov tsos mob li cas rau qhov kev kuaj no?
Ntxiv rau kev kuaj xyuas ib txwm, koj tus kws kho mob yuav xaj kom kuaj qhov no yog tias lawv xav tias koj muaj teeb meem nrog koj lub cev qhov sib npaug ntawm cov dej lossis cov kua qaub-puag. Thaum lub sijhawm zoo li no, koj yuav muaj cov tsos mob xws li:
- Yog tias ntuav tseem txuas ntxiv mus
- Yog koj raws plab (ntuav)
- Yog koj xav tias koj nkees heev (qaug zog)
- Yog tias koj xav tias koj tsis muaj sia nyob lossis tsis muaj zog
- Lub cev qhuav dej, uas txhais tau tias koj xav tias koj tsis muaj dej hauv koj lub cev
- Yog tias koj ua pa nyuaj
Koj npaj li cas rau qhov kev kuaj ntshav no?
Qhov xov xwm zoo tshaj plaws yog tias tsis tas yuav npaj tshwj xeeb rau kev kuaj uas tsuas yog saib cov chloride lossis lub vaj huam sib luag electrolyte xwb.
Txawm li cas los xij, raws li peb tau tham ua ntej lawm, yog tias qhov kev kuaj no tau ua ib feem ntawm pob khoom zoo li CMP lossis BMP, koj yuav raug hais kom yoo mov (piv txwv li, tsis txhob noj lossis haus dej) ob peb teev ua ntej pub ntshav. Tsis txhob xav txog qhov no. Koj tus kws kho mob yuav qhia koj tias koj yuav tsum yoo mov pes tsawg teev ua ntej pub ntshav, thiab seb koj puas haus tau dej. Kev ua raws li cov lus qhia no yog qhov tseem ceeb heev kom tau txais cov txiaj ntsig tseeb.
Thaum koj tau ntshav lawm, yuav muaj li cas? (Tej zaum koj paub qhov no!)
Qhov no yog ib qho txheej txheem yooj yim heev, ib yam li kev noj ntshav.
1. Tus kws kho mob ntshav hauv chav kuaj yuav nrhiav tau ib txoj hlab ntshav yooj yim rau sab hauv ntawm koj lub luj tshib los kos ntshav.
2. Thaum koj pom qhov chaw ntawd lawm, ces ntxuav kom huv si thiab siv tshuaj tua kab mob.
3. Tom qab ntawd, muab ib rab koob me me ntxig rau hauv cov leeg ntshav ntawd thiab coj cov ntshav mus kuaj. Lub sijhawm noTej zaum koj yuav hnov qhov mob me ntsis, zoo li raug ntsaum tom .
4. Tom qab sau cov ntshav uas xav tau rau hauv lub raj kuaj, ces muab rab koob tshem tawm thiab muab ib daim paj rwb lossis daim ntaub qhwv tso rau thiab nias kom tsis txhob los ntshav.
5. Thaum kawg, muab ib daim plaster me me lo rau thaj chaw ntawd thiab ua tiav txoj haujlwm. Tag nrho cov txheej txheem tsuas yog siv ob peb feeb xwb.
Koj nkag siab daim ntawv qhia li cas?
Koj yuav tau txais koj daim ntawv qhia hauv ib lossis ob hnub. Feem ntau daim ntawv qhia muaj cov ntaub ntawv zoo li no:
- Lub npe kuaj: piv txwv li "Serum Chloride"
- Koj qhov tshwm sim: qhia ua tus lej.
- Qhov Ntau Npaum Li Cas: Qhia txog cov nqi ib txwm yuav tsum yog dab tsi rau tus neeg noj qab haus huv.
- Puas yog qhov tshwm sim zoo li qub lossis tsis yog: Koj tus nqi yog qhia tias Li Qub, Siab, lossis Qis.
Tus nqi chloride ib txwm muaj rau ib tus neeg laus yog nruab nrab ntawm 96 thiab 106 milliequivalents ib liter (mEq/L) .
Tab sis nco ntsoov ib yam, qhov 'Normal Range' no tuaj yeem txawv me ntsis ntawm ib lub chaw kuaj mob mus rau lwm qhov. Yog vim li cas koj daim ntawv qhia kuj tseem yuav hais txog lawv cov nqi ib txwm muaj. Tsis txhob dhia mus rau qhov xaus raws li cov lej hauv daim ntawv qhia. Cia nws rau koj tus kws kho mob piav qhia txog nws txhais li cas.
Yog tias cov tshuaj chloride qis los yog siab, nws txhais li cas?
Nws yog ib qho ib txwm muaj kev ntshai me ntsis thaum koj pom qhov tshwm sim tsis zoo. Tab sis muaj cov tshuaj chloride qis lossis siab tsis tas txhais tau tias koj muaj mob hnyav. Cia peb saib qhov ntawd.
Cov tshuaj chloride qis (Hypochloremia)
Yog tias koj qhov tshwm sim qis dua li qub, nws yuav yog ib qho cim qhia txog tus mob zoo li no:
- Lub plawv tsis ua haujlwm
- Cov kab mob ntsws, piv txwv li, emphysema
- Kab mob Addison
- Metabolic alkalosis - Qhov no txhais tau tias kev nce ntxiv ntawm cov alkalinity ntawm cov ntshav.
Cov tshuaj chloride ntau ntxiv (Hyperchloremia)
Yog tias koj cov txiaj ntsig siab dua li qub, nws yuav yog ib qho cim qhia txog tus mob zoo li no:
- Kev qhuav dej - tsis muaj dej hauv lub cev
- Kab mob raum
- Cushing's syndrome
- Metabolic acidosis - Qhov no txhais tau tias muaj acidity ntau ntxiv hauv cov ntshav.
- Alkalosis ua pa - ib qho mob uas tshwm sim los ntawm kev ua pa sai.
Tab sis, qhov tseem ceeb tshaj plaws yog qhov no!
Kev hloov pauv ntawm cov tshuaj chloride tsis tas yuav yog los ntawm kev mob nkeeg. Kuj tseem muaj lwm yam laj thawj yooj yim thiab.
| Lwm yam ua rau tsis yog kab mob | Ib qho lus piav qhia yooj yim |
|---|---|
| Haus dej ntau dhau | Yog koj haus dej ntau dhau, cov electrolytes hauv koj cov ntshav yuav yaj thiab koj cov chloride yuav zoo li qis. |
| Ntuav los yog raws plab | Thaum cov kua dej ntau dhau ntawm lub cev ua li no, qhov sib npaug ntawm electrolyte tuaj yeem raug cuam tshuam thiab cov chloride theem tuaj yeem hloov pauv. |
| Qee cov tshuaj | Piv txwv li, qee cov tshuaj antacids uas koj noj, xws li cov uas siv los kho cov mob plab, tuaj yeem cuam tshuam rau cov tshuaj chloride. |
| Muaj qhov yuam kev thaum kuaj ntshav | Txawm hais tias tsis tshua muaj los xij, qhov yuam kev me me thaum lub sijhawm sau ntshav tuaj yeem ua rau muaj qhov sib txawv ntawm cov txiaj ntsig. |
Koj puas yuav tsum ntshai qhov tshwm sim txawv txawv?
Yeej tsis yog li ntawd. Koj tus kws kho mob yog tus neeg zoo tshaj plaws los coj koj daim ntawv qhia, lwm yam kev kuaj mob, thiab koj cov tsos mob ua ke thiab txiav txim siab seb qhov no puas yog ib yam dab tsi uas yuav tsum txhawj xeeb txog. Nws yuav tsis saib koj cov txiaj ntsig chloride ib leeg xwb. Nws yuav saib nws ua ke nrog lwm cov electrolytes (sodium, potassium) thiab koj txoj kev noj qab haus huv tag nrho.
Yog tias qhov tshwm sim tsis zoo li qub, koj tus kws kho mob yuav xaj kom kuaj ntxiv kom paub seb yog dab tsi ua rau nws. Los yog lawv yuav piav qhia rau koj tias nws tsis yog qhov teeb meem loj. Yog li ntawd, tsis txhob zais koj cov lus nug thiab nug koj tus kws kho mob.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Chloride yog ib qho electrolyte tseem ceeb rau kev tswj cov hlab ntsha, cov leeg, thiab cov kua dej hauv peb lub cev.
- Feem ntau qhov kev kuaj no tsis yog ua nws tus kheej xwb, tab sis yog ib feem ntawm lwm cov kev kuaj ntshav.
- Tsuas yog vim koj cov tshuaj chloride nyob sab nraum qhov ib txwm tsis tau txhais hais tias koj muaj mob hnyav.
- Cov tshuaj chloride kuj tseem tuaj yeem hloov pauv vim yog cov laj thawj yooj yim xws li haus dej ntau dhau, ntuav/raws plab, thiab qee cov tshuaj.
- Qhov tseem ceeb tshaj plaws: Tsis txhob maj txiav txim siab txog koj cov txiaj ntsig ntawm kev kuaj ntshav. Ib txwm sab laj nrog koj tus kws kho mob kom tau txais cov lus piav qhia tseeb tshaj plaws.
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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