Lɛ wi lan mɔ bɔt di Aniɔn Gap tɛst, we de mɛzhɔ di asid ɛn bays balans na yu blɔd.

Yu go mɔs dɔn yɛri bɔt blɔd tɛst we yu go si dɔktɔ. Blɔd tɛst kin tɛl yu bɔku tin bɔt difrɛn tin dɛn na wi bɔdi. Dɔn bak, wan impɔtant tin fɔ no di balans we di asid ɛn bays dɛn gɛt na wi blɔd, dat na di balans we di asid ɛn bays gɛt, dɛn kɔl am di Aniɔn Gap . Natin nɔr de fɔ frayd wae yu yɛri dis, e de gi clues bɔt sɔm wɛl bɔdi kɔndishɔn dɛm na wi bɔdi. Lɛ wi tɔk bɔt dis simpul wan, dɔn i go klia to yusɛf.

Wetin na dis Aniɔn Gap, Dɔktɔ?

Fɔ tɔk am simpul wan, di Aniɔn Gap na fɔ mɛzhɔ di difrɛns bitwin di tin dɛn we gɛt ilɛktrik chaj (ilɛktrolayt) na yu blɔd. Yu go mɛmba se yu bin lan bɔt pɔzitiv (+) chaj ayɔn ɛn nɛgitiv (-) chaj ayɔn na skul. Na so i bi. Wi blɔd gɛt dɛn kayn pɔsitiv ɛn nɛgitiv ilɛktrɔlayt ya bak.

so, wetin dis Aniכn Gap de du na fכ mכsu di difrεns, כ "gap," bitwin di mεjכr positifu chaj εlektrolayt dεm (lεk potashכm εn sכdiכm) εn di mεjכr nεgεtiv chaj εlektrolayt dεm (lεk klorayd εn baykabכnet) na di bכdi. Dis nɔto sɔntin we dɛn kin yuz mashin fɔ mɛzhɔ dairekt wan. Dɛn kin kɔl di Aniɔn Gap bay we dɛn de yuz di rizɔlt fɔ ɔda blɔd tɛst dɛn we yu dɔktɔ dɔn ɔda fɔ yu. Bɔku tɛm, dɛn kin put dɛn tɛst ya insay di blɔd tɛst paket dɛn we wi kin gɛt we wi go to dɔktɔ fɔ sik. Fɔ ɛgzampul:

• Komprεhεnsiv Mεtabolik Panεl (CMP) .
• Besik Mεtabolik Panεl (BMP) .
• Ilɛktrolayt Panɛl

Test lεk dis de gi di data we nid fכ no di anion gap.

Wetin mek dɛn kin du dis aniɔn gap tɛst? Wetin i de chɛk?

dis Anion Gap de mεnli chεk if εlektrolayt imbalans de na yu bכdi, כ if yu b כdi tu asid (`(Acidosis)`) כ tu bεsik (`(Alkalosis)`) .

Tink bɔt dis we: wi bɔdi tan lɛk mashin we dɛn dɔn tyun fayn fayn wan. Ɔltin we de insay dis mashin nid fɔ balans fayn fayn wan. di asid-bεys bεlε na di bכdi na di sem. If imbalans de pan dis, dat min se sɔntin na di bɔdi nɔ de wok fayn. Asid ɔ alkalosis, dɛn ɔl tu kin denja. So, dכkta dεm de yuz dis anion gap risכlt fכ tray fכ no wetin de mek dis imbalans.

Ustɛm a nid fɔ du Aniɔn Gap tɛst?

Yu dɔktɔ kin ɔda fɔ mek dɛn du blɔd tɛst we gɛt di aniɔn gap, mɔ if yu de sho sɔm sayn dɛn we de sho se yu nɔ balans di asid we de na yu blɔd. Dat min se, di simptom dεm we de kכz fכ εither asidכsis (inkrεs asid) כ alkalosis (inkrεs alkalinity). Dɛn tin ya kin bi:

• I nɔ kin izi fɔ yu fɔ blo
• Vɔmit ɛn nɔs
• Kɔnfyus
• Di at we de blo
• Fɔ fil se yu taya bad bad wan

Sɔntɛnde, we yu dɔn du rutin blɔd wok fɔ ɔda rizin, dɛn kin put di Aniɔn Gap insay di tɛst pakej. Insay dɛn kayn tin ya, yu nɔ go gɛt ɛni patikyula sayn, bɔt dɛn go tɔk bɔt dis valyu na di ripɔt. Fɔ ɛgzampul, insay dɛn kayn tɛst ya, dɛn kin si di Aniɔn Gap rizɔlt lɛk:

• Besik Mεtabolik Panεl (BMP) .
• Komprεhεnsiv Mεtabolik Panεl (CMP) .
• Ilɛktrolayt Panɛl
• Panεl fכ fכnshכn di rεnal (RFP) .

Aw dɛn kin du dis tɛst? Yu tink se a fɔ fred fɔ mek dɛn pul mi blɔd?

Infakt, di Aniɔn Gap na mɔ dairekt tɛst pas lab tɛst, usay sayɛnsman dɛn kin mɛzhɔ tin dɛn lɛk sɔdiɔm, klorayd, ɛn CO2 (kabɔn dayɔgzayd) na yu blɔd sɛmpul ɛn yuz dɛn valyu dɛn de fɔ kɔl di valyu. dis rizulεt dεm kin εp fכ no if yu simptom dεm de bi fכ di inkrεs pan di asid כ di dכn pan di alkalinity (i.e., di inkrεs pan di alkalinity). I kin ɛp bak fɔ no if yu gɛt wan sik we de mek yu sik.

Ɛnitin de we spɛshal we a nid fɔ du bifo a gi blɔd?

Yu dɔktɔ go tɛl yu if yu nid fɔ du ɛni spɛshal tin bifo yu du di blɔd tɛst. Dɛn kin aks yu fɔ fast fɔ sɔm awa bifo dɛn du di blɔd tɛst. Yu fɔ tɛl yu dɔktɔ bak if yu de tek ɛni mɛrɛsin, bikɔs sɔm mɛrɛsin kin afɛkt di tɛst rizɔlt.

Wetin kin apin we yu gi blɔd?

Fɔ gi blɔd rili nɔ de mek pɔsin fred lɛk aw yu go tink. Na dis na wetin kin apin:

• Yu go sidɔm na chia. Dɔn di pɔsin we de mɛn di blɔd go pik wan izi vein na yu an fɔ pul blɔd frɔm. Dɛn kin put rɔba band rawnd di ɔp an fɔ mek di vein si. Bɔku tɛm, dɛn kin pul di blɔd frɔm di insay pat na di ɛlb.
• We dɛn dɔn fɛn di vein, dɛn kin klin di say fayn fayn wan ɛn disinfɛkt am.
• Dɔn, dɛn kin put smɔl nidul insay di vein ɛn tek blɔd sɛmpul. Dis tɛm ya, yu kin fil smɔl sting, lɛk se ant bit yu . Dis kin las bak fɔ sɔm sɛkɔn dɛn.
• Afta dɛn dɔn put di nidul, dɛn kin gɛda smɔl blɔd insay wan tɛst tyub.
• Afta dɛn dɔn tek inof blɔd fɔ di tɛst, dɛn kin pul di nidul ɛn put wan kɔtɔn ɔ goz na di sayt ɛn pres am fɔ mek di blɔd nɔ kɔmɔt.
• Dɔn dɛn kin put smɔl plasta na di say we dɛn de. Na dat, di wok dɔn dɔn!

Dis ɔltin we dɛn kin du kin tek lɛk fayv minit so .

Wetin kin apin afta di tɛst? Aw lɔng i kin tek fɔ gɛt di ripɔt?

Dɛn kin sɛn yu blɔd sɛmpul to lab fɔ mek dɛn tɛst yu. Na de, wan sayɛnsman we de na di mɛdikal lɛbɔraytri kin pripia di sɛmpul ɛn du di tɛst bay we i de yuz spɛshal mashin dɛn (blɔd analayza).

We di tɛst rizɔlt dɔn, yu dɔktɔ go tɛl yu di rizɔlt, ɔ dɛn kin rayt dɛn na yu ilɛktronik mɛdikal rɛkɔd. If yu gɛt sɔm sayn dɛn lɛk fɔ blo shɔt ɔ fɔ vɔmit, ɛn yu gɛt aniɔn gap tɛst, yu kin gɛt rizɔlt insay sɔm awa . Bɔt if dɛn du dis tɛst as pat pan wan rutin blɔd tɛst pakej (lɛk wan besik mɛtabolik panɛl), i kin tek wan to tu biznɛs dez fɔ mek di rizɔlt kam bak.

Ɛni prɔblɛm de wit dis blɔd tɛst?

Blɔd tɛst na tin we rili kɔmɔn ɛn we nid fɔ du na mɛrɛsin. Fɔ tru, no big prɔblɛm nɔ de we pɔsin kin gɛt we i gi blɔd. Yu kin gɛt sɔm smɔl smɔl brus ɔ swel usay dɛn pul di blɔd. Bɔt dis go stɔp insay wan ɔ tu dez. So nɔ wɔri bɔt am.

Okay, naw wetin dis Anion Gap ripɔt de tɛl wi?

Wan blɔd tɛst ripɔt, inklud di Aniɔn Gap blɔd tɛst rizɔlt, kin gɛt dɛn tin ya:

• Di nem fɔ di blɔd tɛst, ɔ wetin dɛn bin mɛzhɔ na yu blɔd.
• Di nɔmba ɔ di mɛzhɔmɛnt fɔ yu blɔd tɛst rizɔlt.
• Di lab in nɔmal mɛzhɔmɛnt rɛnj fɔ da tɛst de.
• Yu rizɔlt nɔmal, abnɔmal, ay ɔ smɔl?

Wetin na nɔmal aniɔn gap?

fכ tru, nכ wan valyu de fכ Aniכn Gap we se "dis na di nכmal valyu fכ כlman." We yu gɛt yu blɔd tɛst rizɔlt, di ripɔt go tɔk bak bɔt wetin na di nɔmal Aniɔn Gap rɛnj fɔ da lab de.

כlso, dis "nכmal" Aniכn Gap rεnj kin difrεn dipכnt pan difrεn tin dεm. Fɔ ɛgzampul, pipul dɛm wae de tek di drɔg Lithium Carbonate fɔ bipola disɔda kin gɛt smɔl smɔl Aniɔn Gap bikɔs ɔf di drɔg.

Wetin i min if di aniɔn gap go ɔp? Yu tink se i denja?

If yu blɔd tɛst rizɔlt sho se yu gɛt ay Aniɔn Gap, yu kin gɛt asid . Dis min se yu blɔd gɛt mɔ asid pas aw i fɔ bi (di pH na yu blɔd smɔl pas aw i fɔ bi).

Asid kin kam bikɔs ɔf sɔm tin dɛn:

• Di wata we nɔ de na di bɔdi: Nɔ gɛt inof wata fɔ di bɔdi.
• Daya : Daya de mek bɔku bɔku wata ɛn ilɛktrɔlayt dɛn we de na di bɔdi lɔs.
• If yu du ɛksɛsayz pasmak : If yu du ɛksɛsayz pasmak, dat kin mek tin dɛn lɛk laktik asid bɔku na yu bɔdi.

Apat frɔm dɛn tin ya, asid kin bi bak wan sayn fɔ sɔm ɔda siriɔs mɛrɛsin dɛn :

• Kidni sik : di kidni dεm we gεt hεlth de kכl di εksyכs asid na di bכdi tru di urine. Bɔt pan pipul dɛn we gɛt sik na dɛn kidni, di kidni nɔ kin ebul fɔ du dis wok fayn fayn wan. Asid kin bɔku na di bɔdi, we kin mek pɔsin gɛt wan sik we dɛn kɔl mɛtabolik asid.
• Dayabitis : Asid kin apin, mɔ if yu gɛt tayp 1 dayabitis we dɛn nɔ no. we di pankrias nכ de prodyuz inof insulin, di sεl dεm nכ kin tek shuga (glukose), εn di bכdi kin bi asid.
• Dayabitik Ketoacidosis (DKA) : Dis na siriɔs prɔblɛm we kin mek pɔsin in layf de pan denja we pɔsin nɔ gɛt insulin pan dayabitis we dɛn nɔ no.
• Salicylate Poisoning (`(Salicylate Poisoning / Salicylate Toxicity)`) : Salicylate na kemikal we de insay bɔku ɔva-di-kɔnta ɛn prɛskrishɔn mɛrɛsin dɛn. Aspirin na wan kɔmɔn mɛrɛsin we gɛt dis salicylate. If yu tek dɛn tin ya tumɔs ɔ yu tek am pasmak, dat kin mek yu gɛt salicylate pɔyzin, we kin mek yu layf de pan denja bak.

Impɔtant: If yu gɛt ay aniɔn gap nɔ kin min ɔltɛm se yu gɛt siriɔs sik. Bɔt, di dɔktɔ go luk fɔ di tin we mek i apin.

Wetin fɔ du if di aniɔn gap go dɔŋ? Dat nɔ kin apin so ɔltɛm, nɔto so?

Yes, i nɔ kin izi fɔ mek di Aniɔn Gap sho se i gɛt smɔl valyu . So, i go mɔs bi se yu dɔktɔ go ripit di tɛst fɔ mek shɔ se di rizɔlt kɔrɛkt.

If yu blɔd tɛst rizɔlt sho se di aniɔn gap smɔl, i kin min se yu gɛt wan prɔtin we dɛn kɔl albumin na yu blɔd we smɔl pas di nɔmal wan (hypoalbuminemia). Albumin na wan impɔtant prɔtin we de insay wi blɔd. di lכw albumin lεvεl kin kכz fכ kכndishכn dεm lεk:

• Kidni prɔblɛm dɛn
• At sik
• Liva sik
• Sɔm kayn kansa dɛn

Agen, low anion gap rizulyt nɔ kin bɔku. Mek shɔ se yu tɔk to yu dɔktɔ if yu want fɔ no mɔ bɔt yu tɛst rizɔlt.

So, wi fɔ wɔri we dis aniɔn gap de go ɔp ɔ dɔŋ?

Ilɛksɛf yu blɔd tɛst rizɔlt sho se yu gɛt ay ɔ smɔl Aniɔn Gap, i nɔ min se yu gɛt siriɔs sik . Bɔku tin dɛn de we kin afɛkt yu ilɛktrɔlayt lɛvɛl, we kin afɛkt di Aniɔn Gap mɛzhɔmɛnt bak. I pɔsibul se sɔntin bin rɔng we dɛn de gɛda di blɔd sɛmpul, kɛr am go na di lɛb, ɔ we dɛn de du di tɛst.

We yu dɔktɔ de chɛk yu blɔd tɛst rizɔlt, dɛn go tink bɔt bɔku tin dɛn, lɛk yu kɔmplit mɛdikal istri ɛn di mɛrɛsin dɛn we yu de tek . If yu Aniɔn Gap rizɔlt nɔrmal, dɛn kin ɔda fɔ du ɔda tɛst fɔ mek dɛn no di sik. Nɔbɔdi nɔ lɛk fɔ du blɔd tɛst, mɔ if dɛn fɔ du am bɔku tɛm insay wan row. Bɔt na di bɛst we fɔ mek shɔ se yu ilɛktrɔlayt lɛvɛl dɛn de fayn.

If yu gɛt ɛni kwɛstyɔn bɔt di rizɔlt, nɔ fred fɔ aks yu dɔktɔ. Dɛn de de fɔ ɛp yu.

Fɔ dɔn, di impɔtant tin dɛn we wi nid fɔ mɛmba (Take-Home Message) .

Okay, so wi don tok plenti boht di Anion Gap tehst. Na sɔm pan di impɔtant tin dɛn we yu fɔ mɛmba:

• Aniɔn Gap na impɔtant kɔlkyulɛshɔn: i de gi valyu infɔmeshɔn bɔt di asid-bɛs balans na yu blɔd.
• Nɔto ɔltɛm we yu gɛt ay ɔ lɔw valyu kin denja: Nɔ fred we di valyu we de na yu ripɔt chenj wantɛm wantɛm. Ɔda rizin dɛn kin de fɔ dat.
• Yu dɔktɔ na di bɛst jɔj: Na yu dɔktɔ nɔmɔ go ebul fɔ tink bɔt yu kɔmplit wɛlbɔdi, du ɔda tɛst dɛn if nid de, ɛn ɛksplen di rizɔlt.
• Aks kwɛstyɔn: If sɔntin de we yu nɔ ɔndastand, nɔ kip am to yusɛf, bɔt aks yu dɔktɔ.

Mɛmba se: Yu nɔ go ebul fɔ no if yu gɛt sik jɔs bay we yu luk wan nɔmba na ripɔt. So, abop pan yu dɔktɔ ɛn fala in advays. Dɔn yu go ebul fɔ gɛt wɛlbɔdi!

` Aniɔn Gap, Blɔd Tɛst, Asid, Alkalosis, Ilɛktrɔlayt, Asid na Blɔd