Mek wi no bɔt yu amonia lɛvɛl. Yu tink se dis kin mek pɔsin denja?

Bɔku tin dɛn de apin insay wi bɔdi, nɔto so? Di tin dɛn we wi de it ɛn drink kin digest, ɛnaji kin kɔmɔt, ɛn west bak kin kɔmɔt. So, dis amonia na wan pan dɛn kayn dɔti ya we dɛn kin mek na wi bɔdi. Bɔt if dis nɔ kɔmɔt fayn, i kin mek sɔm prɔblɛm dɛn. Tide, lɛ wi tɔk bɔt dis amonia, wetin mek i kin denja, ɛn aw fɔ kɔntrol am.

Wetin na amonia? Fɔ tɔk am simpul wan...

Fɔ tɔk am simpul wan, amonia ɔ (NH3), na dɔti tin we baktri dɛn we de na wi intestinal kin mek we wi dayjɛst di prɔtin dɛn we wi de it. Tink bɔt am lɛk sɔntin we lɛf we yu dayjɛst it. So, yu no wetin kin apin ɔltɛm? Dis amonia de go na wi liva . Di liva tan lɛk wan fayn fayn faktri na wi bɔdi. Na de dɛn kin prosɛs dis amonia ɛn chenj am to ɔda dɔti tin we dɛn kɔl yuria . Dɔn, dis yuria kin go na wi kidni , usay i kin kɔmɔt na di urine. dis ol prכsεs dεn kכl am di yuria saykl .

Bɔt, imajin if prɔblɛm de na ɛni pat pan dis yuria saykl, ilɛksɛf na di liva, di kidni, ɔ ɔda tin we de ɛp dis prɔses, den di amonia nɔ de prosɛs fayn fayn wan ɛn pul am kɔmɔt. We dat apin, di amonia kin bigin fɔ gɛda na di blɔd. We i dɔn gɛda, i kin kɔmɔt na di blɔd bak ɛn go na di bren. Di amɔnia we fɔ de na wi blɔd rili smɔl . if i inkrεs ivin sכmtεm, dat min se if wan kכndyushכn we dεn kכl haypaammonemia apin, i kin bכku tכxik to wi sεntri nεv sεstem (CNS). Dat min se, i denja.

Aw bɔku amonia fɔ de na di bɔdi?

Naw, di amɔnia we fɔ de na pɔsin we gɛt wɛlbɔdi in blɔd kin difrɛn wit di ej. Nyu bɔn pikin dɛn gɛt smɔl mɔ pas big pipul dɛn. Dɔn bak, if dɛn bɔn di pikin di tɛm we dɛn bɔn am ɔ ali, dat kin afɛkt am bak.

• hεlty tεm bεlε pikin dεm : lεk 45±9 maykromol pan wan lita / maykromol/L. כltu, di כp limit de bitwin 80 εn 90 maykromol/L.
• di pikin dεm we dεn bכn bifo tεm : bכt 71±26 maykromol/L. Dis kin dכn to nכmal lεvεl afta lεk sεvin dez.
• Pikin dεm we pas wan mכnt : Lεs dan 50 maykromol/L.
• Big pipul : I nɔ rich 30 maykromol/L.

Bɔt wan tin we wi fɔ mɛmba. Dɛn valyu ya kin difrɛn smɔl frɔm wan lab to ɔda lab. So, i bɛtɛ fɔ kɔmpia dɛn wit di valyu dɛn we de na yu lab ripɔt. If ɛni prɔblɛm de, .Mek shɔ se yu aks yu dɔktɔ ɔ nɔs.

Aw ay amonia lɛvɛl denja?

Amonia na sɔntin we rili gɛt pɔyzin . nכmal wan, di lεvεl fכ amonia na di bכdi fכ big man we gεt hεlth de sכmtεm lεs dan 50 maykromol pan wan lita (maykromol/L). כltu, ivin if dis inkrεs to jכs 100 maykromol pan wan lita (100 maykromol/L), chenj dεm na di kכnsεns kin bigin fכ apin. Dis min se i kin at fɔ pe atɛnshɔn, ɛn yu kin kɔnfyus smɔl. If di amonia lɛvɛl na di blɔd go rich 200 maykromol/L, yu kin go na kɔma ɛn yu kin gɛt kɔnvulshɔn. Dis kin rili denja ɛn i kin mek pɔsin in layf de pan denja.

Aw fɔ chɛk di amonia lɛvɛl na di bɔdi?

Yu dɔktɔ kin mɛzhɔ yu amonia lɛvɛl wit blɔd tɛst . Fɔ big pipul dɛn, dɛn kin du dis bay we dɛn tek smɔl blɔd frɔm wan vein na yu an. Fɔ pikin dɛn we dɛn jɔs bɔn, dɔktɔ go klin di pikin in il, chuk am wit smɔl nidul, ɛn tek sɔm drop blɔd. Dɔn, dɛn kin put smɔl bandej oba di say. Dis jɔs tan lɛk we dɛn kin du blɔd tɛst ɔltɛm.

Wetin na di sayn dɛm wae de sho se yu gɛt bɔku amonia?

If yu blɔd amonia lɛvɛl go ɔp, yu kin gɛt sɔm sayn dɛn lɛk:

• Kɔnfyushɔn ɛn disorienteshɔn
• Slip pasmak, i nɔ kin izi fɔ wek
• Chenj na di kɔnshɛns, sɔm tɛm dɛn kin ivin lɔs kɔnshɛns
• Di we aw pɔsin de fil, di we aw i de vɛks, ɛn di we aw i de fil
• An de shek shek, mɔ we yu de es di an fɔ go bifo
• Kɔma - Na stet we pɔsin nɔ de no natin ɛn we i nɔ de ansa

Dis rili impɔtant: if yu ɔ pɔsin we de nia yu gɛt dɛn sik ya, nɔ west tɛm ɛn kɔl di ambulans savis 1990, ɔ go na di imejensi dipatmɛnt na di ɔspitul we de nia yu kwik kwik wan. If di amonia bɔku kin mek pɔsin in layf de pan denja, so i nid fɔ go to dɔktɔ wantɛm wantɛm.

Di sayn dɛn we de sho se pikin we dɛn jɔs bɔn

If pikin we dɛn jɔs bɔn sho ɛni wan pan dɛn sik ya insay di fɔs dez afta dɛn bɔn am, dɔktɔ kin tɛst fɔ no if i gɛt amonia:

• Nɔr kin rɛst ɔltɛm, kin kray ɔltɛm, ɛn nɔr kin want fɔ drink milk (Irritability) .
• Fɔ vɔmit
• Drowsiness, lethargy, prɔblɛm fɔ wek
• Di sik dɛn we kin mek pɔsin sik

If pikin gɛt dɛn sik ya, nɔ ignore dɛn. Go to dɔktɔ wantɛm wantɛm.

Wetin mek di amonia lɛvɛl na di bɔdi kin go ɔp so?

Bɔku rizin dɛn de we mek di amonia we de na di blɔd kin go ɔp. Lɛ wi tek wan luk pan wetin dɛn bi:

• Liva sik:Dis na di men rizin . If yu liva dɔn pwɛl, lɛk wit sirosis, di liva nɔ kin ebul fɔ klia amonia fayn fayn wan. Bɔrku tɛm dis kin bi wae pɔrsin gɛt siriɔs liva sik. Bɔt sɔntɛnde, ivin if di liva sik nɔ de chenj, if sɔntin apin na di bɛlɛ ɔ di intestinal, lɛk we di bɛlɛ de kɔmɔt na di bɛlɛ, ɔ we di ilɛktrɔlayt nɔ balans, di amonia lɛvɛl kin go ɔp wantɛm wantɛm.

• Di blɔd we de flɔ na di liva nɔ de bɔku: If di liva nɔ gɛt inof blɔd, amonia nɔ gɛt we fɔ go na di liva ɛn klin am. Dɔn, amonia kin gɛda na di blɔd.

• Hepatic encephalopathy: Dis kin kɔmplikt smɔl. Fɔ tɔk am simpul wan, we di liva sik ɔ pwɛl ɛn i nɔ ebul fɔ klin di amonia fayn fayn wan, amonia kin gɛda na di blɔd ɛn travul go na di bren. Dis kin mek pɔsin nɔ ebul fɔ no wetin fɔ du, kɔnfyus, ɛn kɔma. Sɔntɛnde, i kin kil pɔsin.

• Reye’s syndrome: Dis na wan sik wae nɔr kin bɔrku bɔt wae kin rili siriɔs wae kin afɛkt di blɔd, bren, ɛn liva. I kin mek di amonia we de na di blɔd go ɔp ɛn di glukɔs we de na di blɔd go dɔŋ. Bɔrku tɛm i kin apin pan pikin ɛn yɔŋ pipul dɛm wae dɔn tek aspirin fɔ simptom dɛm wae dɛn de wɛl frɔm wan vayral sik lɛk chickenpox ɔ influenza (flu). Wi nɔ no di rayt tin we kin mek pɔsin gɛt di sik we dɛn kɔl Reye’s syndrome. Bɔt bikɔs ɔf dis risk, pikin ɛn yɔŋ pipul dɛn nɔ fɔ tek aspirin pas dɔktɔ tɛl dɛn klia wan.

• Kidni / rεnal fεil: If yu kidni dεm nכ de wok fayn, we min se dεn de fεl, dεn nכ kin pul yuria fayn fayn wan. Dis kin mek amonia bɔku na di blɔd.

• Jεnεtik sik dεm na di yuria saykl: Jεnεtik sik dεm de we rili rεs. dis dεm de kכz fכ wan inborn dεfisit fכ wan pan di εnzym dεm we nid fכ di yuria saykl. Bɔku tɛm, dɛn kin no dis we dɛn bɔn am.

• Ɛmolaytik sik we di pikin we dɛn jɔs bɔn gɛt: Dis kin apin we mama we gɛt bɛlɛ de mek antibodi dɛn agens in pikin in blɔd sɛl dɛn. Dɛn kin ebul fɔ avɔyd dis kɔndishɔn. If yu na Rh-nεgεtiv εn yu nכ bin sεnsit bifo, yu kin tek mεdisin we de stכp yu antibodi dεm fכ riak wit yu pikin in Rh-positiv sεl dεm.

Wetin na di tritmɛnt fɔ di amonia lɛvɛl we go ɔp?

Di tritmɛnt fɔ di amonia lɛvɛl we dɔn go ɔp de dipen pan di tin we mek i apin. Fɔ ɛgzampul, pan big pɔsin, i kin bi bikɔs ɔf di liva sik ɔ di epatik ɛnsefalopathy, we pan pikin we dɛn jɔs bɔn, i kin bi bikɔs ɔf wan kɔndishɔn we dɛn bɔn wit we de ambɔg di yuria saykl.

We dɛn de trit akyu haypaammonemia, di men tin we dɛn kin pe atɛnshɔn pan na fɔ ridyus di amonia lɛvɛl ɛn fɔ kɔntrol kɔmplikeshɔn dɛn lɛk sɛribra ɛdima ɛn intrakranial haypatɛnshɔn.

if di nyu bכbi in amonia lεvεl go כp, dכkta dεn kin stכp fכ gi dεm protin (biכs amonia de kכmכt we dεn digεst di protin). Bifo dat, dɛn kin gi dɛn glukɔs sɔlvushɔn fɔ gi dɛn ɛnaji. Dɛn kin yuz wan tritmɛnt bak we dɛn kɔl ɛmodayalis fɔ pul amonia na di pikin in blɔd. Dis min se dɛn fɔ klin di blɔd wit wan spɛshal mashin we dɛn kɔl dayalaysis mashin ɛn filta, lɛk atifishal kidni.

We dɛn de trit di epatik ɛnsefalopathy, di gol na fɔ ridyus di prodakshɔn fɔ amonia na di intestinal. Di fɔs tritmɛnt na di mɛrɛsin dɛn we dɛn kin tek bay mɔt we dɛn kɔl laktulose ɛn lactitol . dis shuga dεm de ridyus di prodakshכn εn absכpshכn fכ amonia na di intestinal dεm.

Ustɛm a fɔ go to dɔktɔ bɔt mi amonia lɛvɛl?

Dis rili klia. If yu ɔ pɔsin we de nia yu de gɛt sɔm sayn dɛn we de sho se yu gɛt bɔku amonia na yu blɔd, lɛk di we aw yu nɔ de fil fayn we wi bin dɔn tɔk bɔt, we yu de slip ɔltɛm, ɛn we yu de chenj yu maynd, kɔl 911 wantɛm wantɛm, ɔ go na di ɔspitul imejensi rum we de nia yu kwik kwik wan. Dis nɔto sɔntin we wi fɔ delay.

If yu gɛt liva sik, yu fɔ go to yu dɔktɔ ɔltɛm fɔ mek shɔ se yu liva de klia amonia fayn fayn wan. Dis go ɛp yu fɔ no ɛni prɔblɛm kwik kwik wan.

So, wetin na di impɔtant tin dɛn we wi nid fɔ mɛmba frɔm dis stori?

Pan ɔl we i nɔmal fɔ mek wi bɔdi mek amonia as dɔti tin, i kin rili denja if i gɛda pasmak na di blɔd.

If yu ɔ pɔsin we de nia yu gɛt sayn dɛn we de sho se yu gɛt bɔku amonia (fɔ ɛgzampul, yu kɔnfyus, yu de slip pasmak, yu de chenj yu bihayvya), go na di ɔspitul we de nia yu kwik kwik wan ɛn nɔ de te. Dis kin bi tin we kin mek pɔsin day ɔ day.

I impɔtant mɔ fɔ no bɔt dɛn sik ya if yu gɛt liva sik, bikɔs dis kin mek yu gɛt mɔ amonia.

If yu gɛt ɛni kwɛstyɔn bɔt di risk fɔ mek yu gɛt bɔku amonia, ɔ ɛni ɔda tin we yu go lɛk fɔ no, nɔ shek fɔ tɔk to yu dɔktɔ. Dɛn de fɔ ɛp yu ɛn ansa yu kwɛstyɔn dɛn. Fɔ gɛt wɛlbɔdi na di tin we impɔtant pas ɔl!

` Amonia, Amonia Lɛvɛl, Liva, Kidni, Yuria Saykl, Ɛpatik Ɛnsɛfalopati, Reye’s Syndrome, Blɔd Tɛst, Hyperammonemia