Thaum koj mus ntsib kws kho mob, lawv yuav muab kev kuaj ntshav rau koj, puas yog? Tej zaum koj twb tau pom daim ntawv tshaj tawm ntawd lawm, nrog rau tej yam xws li sodium thiab potassium, kuj muaj tus nqi hu ua 'Chloride'. Txawm hais tias ntau tus neeg tsis quav ntsej txog qhov no, cov chloride no yog ib yam tseem ceeb rau peb lub cev txoj kev noj qab haus huv. Yog li, hnub no peb yuav tham txog qhov kev kuaj ntshav chloride no, nws nrhiav dab tsi, thiab nws tseem ceeb npaum li cas rau peb txoj kev noj qab haus huv.
Chloride yog dab tsi tiag?
Hais yooj yim xwb, chloride yog ib qho
electrolyte hauv peb lub cev. Xav txog nws zoo li ib qho hluav taws xob me me hauv peb lub cev kom ua haujlwm tau zoo. Cov electrolyte no pab nrog txoj haujlwm ntawd. Chloride tsis ua haujlwm ib leeg. Nws ua haujlwm nrog lwm cov electrolytes xws li sodium thiab potassium los ua ntau yam haujlwm tseem ceeb:
- Sib npaug ntawm cov kua dej hauv lub cev : Qhov no pab tswj kev txav mus los ntawm cov kua dej hauv thiab tawm ntawm peb cov hlwb.
- Tswj cov kua qaub-puag sib npaug (pH sib npaug): Chloride yog qhov tseem ceeb rau kev tswj cov qib acids thiab cov hauv paus hauv peb cov ntshav thiab lub cev.
- Pab nrog kev zom zaub mov: Chloride kuj tseem pab txhawb rau kev tsim cov kua qaub hauv plab.
Yog tias qib no poob qis, koj yuav muaj cov mob xws li lub cev qhuav dej. Thiab yog tias qib nce siab, nws tuaj yeem yog ib qho cim qhia tias muaj teeb meem nrog peb lub raum. Vim tias
lub raum yog lub cev tseem ceeb uas tswj cov chloride hauv peb cov ntshav. Muaj tej lub sijhawm twg uas tus kws kho mob yuav pom zoo kom kuaj qhov no?
Feem ntau, qhov kev kuaj chloride no tsis yog ua nws tus kheej xwb. Nws yog ua ib feem ntawm cov pob kuaj ntshav dav dav (metabolic panel) uas kuaj xyuas tej yam xws li koj cov piam thaj thiab cov roj cholesterol. Txawm li cas los xij, qhov kev kuaj no tseem ceeb heev yog tias koj tus kws kho mob xav tias muaj cov hauv qab no:
- Qaug zog thiab qaug zog ntau zaus: Yog tias koj qaug zog tas li thiab xav tias qaug zog yam tsis muaj laj thawj, qhov kev kuaj no tuaj yeem pab txiav txim siab seb qhov ua rau yog qhov tsis sib npaug ntawm cov electrolyte.
- Ntws lossis raws plab ntau zaus: Yog tias koj ntuav lossis raws plab tau ob peb hnub, koj lub cev poob dej thiab ntsev ntau heev. Qhov no tuaj yeem ua rau koj cov tshuaj chloride poob qis.
- Ua pa nyuaj : Yog tias muaj kev hloov pauv lossis ua pa nyuaj, nws yog ib qho tseem ceeb uas yuav tsum xyuas seb cov ntshav puas muaj kua qaub-puag sib npaug.
- Xav tias muaj kab mob raum lossis kab mob plawv : Yog tias koj muaj kev txhawj xeeb txog koj txoj kev ua haujlwm ntawm lub raum lossis mob plawv, cov tshuaj chloride yog ib qho cim qhia tseem ceeb.
- Kab mob ntshav qab zib : Qee zaum kab mob ntshav qab zib uas tsis tswj tau kuj tuaj yeem ua rau cov tshuaj chloride ntau ntxiv.
Qhov tseem ceeb tshaj plaws yog tus kws kho mob yuav tsum xaus lus los ntawm kev muab cov txiaj ntsig los ntawm qhov kev kuaj no piv rau cov txiaj ntsig los ntawm lwm cov kev kuaj ntshav thiab koj cov tsos mob.
Kuv puas yuav tsum tau ua dab tsi ua ntej qhov kev xeem?
Feem ntau, yog tias koj tsuas yog kuaj chloride xwb, koj tsis tas yuav npaj ntau. Txawm li cas los xij, yog tias koj tus kws kho mob tau hais kom muaj ib pawg neeg kuaj xyuas tag nrho cov khoom noj xws li qab zib thiab roj cholesterol, nws
yuav hais kom koj yoo mov ob peb teev. Nug koj tus kws kho mob txog qhov no kom paub tseeb. Tsis tas li ntawd, nco ntsoov txog cov no:
- Cov Tshuaj Koj Noj: Qhia rau koj tus kws kho mob txog txhua yam tshuaj uas koj noj (xws li cov vitamins, tshuaj tua kab mob, tshuaj tiv thaiv kev yug me nyuam, thiab tshuaj ntsuab). Qee cov tshuaj tuaj yeem cuam tshuam rau koj cov chloride. Piv txwv li:
- Qee hom tshuaj hormones (Estrogen)
- Cov tshuaj steroid xws li cortisone
- Cov tshuaj tua mob (NSAIDs) xws li ibuprofen
- Ntuav los yog raws plab: Yog tias koj tau ntuav los yog raws plab ob peb hnub ua ntej qhov kev kuaj mob, qhia rau koj tus kws kho mob . Qhov no tuaj yeem ua rau koj cov tshuaj chloride zoo li qis.
Daim ntawv qhia hais li cas?
Thaum koj tau txais koj daim ntawv qhia, koj tus kws kho mob yog tus neeg zoo tshaj plaws los pab koj nkag siab txog cov nqi. 'Normal Range' tuaj yeem txawv me ntsis ntawm ib lub chaw kuaj mob mus rau lwm qhov. Tus neeg noj qab haus huv cov chloride theem feem ntau yog
ntawm 96 thiab 106 milliequivalents ib liter (mEq / L) . Cov kws kho mob tsis txiav txim siab loj raws li ib qho txiaj ntsig ntawm kev xeem. Lawv saib cov qauv thiab lwm yam txiaj ntsig ntawm kev xeem dhau sijhawm. Lub rooj hauv qab no muab rau koj lub tswv yim ntxhib ntawm qhov xwm txheej.
| Qib Chloride | Tej yam uas yuav tshwm sim tau |
|---|
| Qib siab (Hyperchloremia) (ntau dua 106 mEq/L) | - Teeb meem raum (piv txwv li Renal Tubular Acidosis)
- Lub cev qhuav dej heev
- Cov teeb meem hormone xws li Cushing's syndrome
- Metabolic acidosis (acidity ntau ntxiv hauv cov ntshav)
- Cov teebmeem ntawm qee cov tshuaj
|
| Qib qis (Hypochloremia) (tsawg dua 96 mEq/L) | - ntuav hnyav los yog raws plab
- Kev mob plawv tsis ua haujlwm
- Cov teeb meem hormone xws li Addison's kab mob
- Metabolic alkalosis (kev nce ntxiv ntawm cov ntshav alkalinity)
- Kab mob ntsws ntev
- Kub hnyiab
|
Yuav ua li cas yog tias qib chloride tau hloov pauv?
Yog tias koj cov chloride nyob sab nraum qhov ib txwm muaj, tsis txhob ntshai.
Qhov tseem ceeb tshaj plaws thiab tseem ceeb tshaj plaws uas yuav tsum ua yog tham nrog koj tus kws kho mob. Thaum pom qhov ua rau muaj teeb meem, koj tus kws kho mob yuav sau ntawv kho mob uas tsim nyog. Piv txwv li:
- Yog tias qib siab: Koj yuav raug qhia kom haus dej ntau dua, txo koj cov ntsev noj, lossis hloov cov tshuaj uas koj noj. Yog tias koj muaj ib yam mob hauv qab, xws li ntshav qab zib lossis kab mob raum, nws yog ib qho tseem ceeb kom tswj nws.
- Yog tias qib qis: Yog tias qhov ua rau yog ntuav lossis raws plab, lub cev tuaj yeem rov ua kom dej rov qab (tej zaum nrog saline). Yog tias muaj lwm yam mob hauv qab no, kev kho mob tsim nyog yuav pib.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Chloride yog ib qho electrolyte uas tseem ceeb rau kev tswj cov kua dej thiab acid-base sib npaug hauv peb lub cev.
- Qhov kev kuaj no tuaj yeem txiav txim siab seb cov tshuaj chloride puas qis, siab, lossis ib txwm muaj.
- Kev hloov pauv ntawm cov tshuaj chloride tuaj yeem yog ib qho cim qhia txog ib qho mob nkeeg, yog li ntawd tsis txhob tsis quav ntsej nws.
- Nco ntsoov sab laj nrog koj tus kws kho mob kom muab koj cov tsos mob piv rau lwm yam kev kuaj thiab xaus lus, es tsis txhob cia siab rau ib daim ntawv qhia txog kev kuaj xwb.
- Nws yog ib qho tseem ceeb heev uas yuav tsum qhia rau koj tus kws kho mob txog txhua yam tshuaj (xws li cov vitamins thiab cov tshuaj ntxiv) uas koj noj.
Kev kuaj ntshav chloride, electrolyte, kev kuaj ntshav, kab mob raum, lub cev qhuav dej
💬 Comments (0)
Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus