Koj puas muaj tej lub sij hawm koj xav tias koj nkees thiab qaug zog heev? Tej zaum koj tus kws kho mob hais tias koj cov ntshav kuaj pom tias muaj cov tshuaj chloride tsawg? Muaj ntau tus neeg ntshai me ntsis thaum lawv hnov lo lus 'hypochloremia'. Tab sis nws yog dab tsi tiag? Puas yog ib yam dab tsi uas yuav tsum ntshai? Zoo, cia peb tham txog qhov no kom meej thiab yooj yim hnub no.
Ua ntej, cia peb saib, cov chloride no yog dab tsi?
Hais yooj yim xwb, chloride yog ib yam khoom tseem ceeb hauv peb lub cev. Yog hais kom meej, nws yog ib hom electrolyte . Electrolytes yog cov minerals uas pom muaj nyob hauv peb cov ntshav uas tseem ceeb rau lub cev ua haujlwm. Xav txog nws zoo li lub roj teeb tsheb xav tau dej, thiab cov electrolytes no tseem ceeb rau peb lub cev cov kabmob kom ua haujlwm tau zoo.
Chloride ua ntau yam haujlwm tseem ceeb hauv peb lub cev:
- Ua rau cov leeg nqaij ua haujlwm zoo.
- Pab xa cov lus hauv lub paj hlwb kom raug.
- Qhov sib npaug ntawm cov kua qaub-puag (pH sib npaug) ntawm peb cov ntshav raug tswj kom zoo.
- Pab tswj kom cov kua dej hauv lub cev sib npaug.
Peb tau txais feem ntau ntawm cov chloride no los ntawm cov ntsev uas peb siv rau zaub mov, uas yog, los ntawm sodium chloride .
Cov tsos mob ntawm Hypochloremia yog dab tsi?
Qhov xav tsis thoob ntawm no yog tias feem ntau, cov tshuaj chloride qis tsis ua rau muaj cov tsos mob tshwj xeeb . Txawm li cas los xij, cov tsos mob yuav yog los ntawm qhov mob uas ua rau muaj qhov mob. Qhov no txhais tau tias cov tshuaj chloride qis tsis yog kab mob hauv nws tus kheej, tab sis yog cov tsos mob ntawm lwm yam kab mob.
Cov no yog cov tsos mob uas tshwm sim ntau zaus vim yog qhov tsis sib npaug ntawm cov electrolyte:
- Ua npaws
- Ua pa nyuaj
- Kev tsis meej pem
- Lub cev o
Qhov tseem ceeb, qhov xwm txheej ntawm cov chloride qis no feem ntau pom ua ke nrog ib qho mob hu ua hyponatremia , uas yog kev txo qis ntawm sodium hauv cov ntshav.
Vim li cas cov chloride hauv peb lub cev thiaj txo qis? Yog vim li cas?
Vim peb tau txais chloride los ntawm cov khoom noj uas peb noj, qhov mob no tsis tshua muaj vim yog tsis noj zaub mov txaus. Hauv ib tus neeg noj qab nyob zoo, lub cev tseem ceeb uas tswj cov chloride yog lub raum . Yog li ntawd, yog tias muaj teeb meem nrog lub raum, muaj feem ntau uas cov chloride no yuav hloov pauv.
Lub rooj hauv qab no teev qee qhov laj thawj tseem ceeb rau cov tshuaj chloride qis.
| Ua rau | Piav Qhia Yooj Yim |
|---|---|
| ntuav thiab raws plab tas li | Kev poob dej thiab ntsev ntau dhau ntawm lub cev. |
| Tawm hws ntau dhau | Kev tso cov ntsev tawm ntawm lub cev nrog hws. |
| Cov kab mob ntsig txog lub raum | Kev ua haujlwm tsis zoo ntawm lub raum, lub cev tseem ceeb uas tswj cov chloride. |
| Qee yam mob | Piv txwv li: tej yam mob xws li mob ua pa nyuaj ntev, SIADH, thiab metabolic alkalosis. |
| Qee cov tshuaj | Tshwj xeeb tshaj yog cov tshuaj xws li diuretics, corticosteroids, laxatives , thiab bicarbonates. |
| Kev kho mob qog noj ntshav | Cov kev kho mob xws li chemotherapy tuaj yeem cuam tshuam rau lub raum thiab ua rau muaj kev tsis sib npaug ntawm electrolyte. |
Tus kws kho mob kuaj mob li cas?
Feem ntau koj tus kws kho mob yuav kuaj qhov no los ntawm kev kuaj ntshav hu ua 'electrolyte panel' . Qhov no yog kev kuaj ntshav yooj yim heev. Nws tsis yog tsuas yog kuaj chloride xwb, tab sis kuj kuaj lwm yam electrolytes tseem ceeb xws li sodium, potassium, thiab bicarbonate ib zaug. Yog vim li cas qhov no thiaj yog kev kuaj tseem ceeb heev. Qee zaum koj tus kws kho mob kuj tseem yuav pom zoo kom kuaj koj cov zis chloride.
Cov nqi chloride ib txwm yuav tsum zoo li cas?
Cov qib ib txwm muaj rau chloride sib txawv me ntsis nyob ntawm hnub nyoog.
| Pawg Hnub Nyoog | Qhov ntau ntawm cov chloride hauv cov ntshav (mEq/L) |
|---|---|
| Cov neeg laus | 98 - 106 |
| Cov menyuam yaus | 90 - 110 |
| Cov menyuam yug tshiab | 96 - 106 |
| Cov menyuam mos uas yug tsis tau sijhawm | 95 - 110 |
Nco ntsoov tias, tsuas yog vim koj daim ntawv qhia me ntsis tsis tau txhais hais tias nws yog ib qho mob hnyav. Qee zaum, txawm tias koj tau ntuav thiab poob me ntsis dej, qhov nqi no tuaj yeem hloov pauv. Yog li, nco ntsoov kom tau txais daim ntawv qhia thiab tham nrog koj tus kws kho mob txog nws.
Yuav kho li cas?
Kev kho rau qhov no nyob ntawm seb qhov ua rau koj cov chloride qis npaum li cas . Koj tus kws kho mob yuav sim ua kom koj cov chloride nyob li qub thaum kho qhov ua rau ntawd.
- Feem ntau, cov tshuaj saline raug muab los ntawm cov leeg ntshav (IV) kom rov qab kho cov ntsev hauv lub cev sai sai.
- Yog tias qhov mob tsis loj heev, tus kws kho mob yuav qhia koj kom noj cov khoom noj uas muaj chloride ntau.
- Tiam sis, nco ntsoov qhov no: Tsis txhob noj cov vitamins lossis cov tshuaj ntxiv yam tsis tau sab laj nrog kws kho mob.
Puas zoo noj ntsev ntau dhau?
Vim tias chloride los ntawm ntsev, tej zaum koj yuav xav tias kev noj ntsev ntau dua yog qhov zoo rau koj. Tab sisKev noj ntsev ntau dhau tuaj yeem ua rau muaj ntau yam teeb meem kev noj qab haus huv.
- Kab mob raum
- Mob stroke
- Ntshav siab
- Mob plawv nres
- Mob qog noj ntshav hauv plab
- Kab mob pob txha
Yog li ntawd, kev ua kom txhua yam sib npaug yog qhov tseem ceeb tshaj plaws.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Hypochloremia yog ib qho mob uas cov chloride hauv cov ntshav tsawg heev. Feem ntau nws tshwm sim ua ib qho tsos mob ntawm lwm yam mob.
- Ntuav, raws plab, tawm hws ntau dhau, kab mob raum, thiab qee cov tshuaj tuaj yeem ua rau qhov no.
- Tus mob no raug kuaj pom los ntawm kev kuaj ntshav yooj yim hu ua 'electrolyte panel'.
- Yog koj cov ntshav kuaj pom tias muaj cov tshuaj chloride tsawg, tsis txhob ntshai thiab nrog koj tus kws kho mob tham txog qhov ntawd. Nws yuav txiav txim siab txog kev kho mob.
- Tsis txhob siv cov tshuaj vitamin lossis cov tshuaj minerals yam tsis tau kev qhia los ntawm kws kho mob.
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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