Yu dɔn ɛva du blɔd tɛst ɛn si bɔku wɔd dɛn ɛn difrɛn valyu dɛn na di ripɔt we at fɔ ɔndastand? Yu dɔktɔ go mɔs ɛksplen am to yu, bɔt sɔntɛnde wisɛf kin kɔnfyus smɔl bɔt wetin dɛn tin ya min. Fɔ ɛgzampul, wan pan di wɔd dɛm we yu kin si pan sɔm blɔd ripɔt na "Anion Gap". Tide wi go tɔk, rili simpul, bɔt wetin dis Aniɔn Gap bi ɛn wetin mek i impɔtant to wi.
Fɔ tɔk am simpul wan, wetin na dis Aniɔn Gap?
Fɔ ɔndastand dis, wi fɔ no smɔl bɔt wi blɔd fɔs. Difrɛn kemikal dɛn de na wi blɔd. Sɔm pan dɛn gɛt pɔzitiv (+) ilɛktrik chaj, ɛn ɔda wan dɛn gɛt nɛgitiv (-) ilɛktrik chaj. Wi kin kɔl dɛn chaj patikyula dɛn ya ilɛktrɔlayt . Sɔdiɔm, potashɔm, klorayd, ɛn baykabɔnɛt na di men kayn ilɛktrɔlayt dɛn.
So, di Aniɔn Gap na wan rili simpul kɔlkyulɛshɔn. na di difrεns bitwin di men positifu (+) chaj dεm (lεk sכdiכm) εn di men nεgεtiv (-) chaj dεm (lεk klorayd εn baykabכnet) na yu bכdi. fכ bi prεsis, na di "gap" bitwin di mכsuable positifu εn nεgεtiv chaj dεm.
Di impɔtant tin na dat dis nɔto sɛpret blɔd tɛst. dis Aniכn Gap valyu dεn kכl am na di lab yuz di sכdiכm, klorayd, εn baykabכnayt valyu dεm we dεn fכnshכn na rεgulεr bכdi tεst (lεk εlektrolayt panεl, BMP, CMP).
Wetin mek dɔktɔ dɛn de wɔri bɔt dis Aniɔn Gap valyu?
Dis valyu de gi wi wan clue bɔt sɔntin we rili impɔtant na wi bɔdi. Dat na di asid ɛn bays balans we de na wi blɔd . Jɔs lɛk aw motoka in injin nid fɔ gɛt di rayt ɔyl ɛn wata fɔ mek i go wok fayn, na so di asid we de na wi blɔd nid fɔ de insay wan patikyula say fɔ mek di sɛl dɛn na wi bɔdi wok fayn.
- If di asid we de na di blɔd bɔku, dɛn kin kɔl am asid .
- If di asid na di blɔd tu smɔl ɛn di alkalinity go ɔp, dɛn kin kɔl am alkalosis .
Dɛn tu tin ya kin denja bikɔs dɛn kin sho se sɔntin na di bɔdi nɔ de wok fayn. So, if dεn chenj di Anion Gap valyu, na imכtant klyu fכ di dכkta fכ no wan kכndyushכn lεk asidכsis.
Us tɛm dɔktɔ tink se dis tɛst nid fɔ de?
Bɔrku tɛm, yu kin si dis wae yu gɛt sɔm kayn sik wae yu nɔr kin fil fayn. Fɔ ɛgzampul:
- I nɔ kin izi fɔ yu fɔ blo
- Vɔmit ɛn nɔs
- Di at we de blo
- Kɔnfyus
- Fɔ fil taya we nɔ kɔmɔn
Bɔt sɔm tɛm, we yu nɔ gɛt ɛni sayn, dis Aniɔn Gap valyu kin de na yu ripɔt as pat pan wan rutin blɔd tɛst we dɛn kin du we dɛn de du sɔntin lɛk yu ɛni ia mɛdikal chɛk-ap.
Aw a go rɛdi fɔ mek dɛn du mi blɔd tɛst? Wetin kin apin we dɛn pul blɔd?
Dis na blɔd tɛst we dɛn kin du ɔltɛm, so dɛn nɔ nid spɛshal prɛparashɔn. Bɔt sɔntɛnde, yu dɔktɔ kin tɛl yu fɔ fast fɔ sɔm awa bifo yu gi yu blɔd. Dis min se yu nɔ fɔ it ɔ drink ɛnitin. I impɔtant bak fɔ tɛl yu dɔktɔ bɔt ɛni mɛrɛsin we yu de tek, bikɔs sɔm mɛrɛsin kin afɛkt di rizɔlt fɔ dis tɛst.
Yu sabi gud gud wan aw fɔ pul blɔd.
1. We yu sidɔm na chia, nɔs ɔ phlebotomist go fɛn vein na yu an.
2. afta dat, dεn kin put rכba bכnd (tכnik) pan di כp an fכ mek di vein luk bεtε.
3. We dɛn dɔn fɛn di vein, dɛn kin klin di say fayn fayn wan, dɛn kin put smɔl nidul insay, ɛn pul smɔl blɔd insay wan tɛst tyub. Dis tɛm ya, i kin tan lɛk se smɔl ant de bit yu.
4. Afta dɛn dɔn gɛda di blɔd we dɛn nid, dɛn kin pul di nidul ɛn put wan kɔtɔn na di say ɛn prɛs am.
5. We di blɔd dɔn stɔp, dɛn kin put smɔl plasta na di say ɛn dɛn kin dɔn di wok.
Dis ɔltin we dɛn kin du nɔ kin tek fayv minit.
Wetin di rizɔlt dɛn se?
We yu blɔd tɛst ripɔt kam insay, ɔda tin de we kin kam wit di Aniɔn Gap valyu. Dat na di "nɔmal rɛnj". Dis kin difrɛn smɔl frɔm wan lab to ɔda lab. So, yu nid fɔ kɔmpia yu valyu to di nɔmal rɛnj we dɛn gi na di ripɔt sɛf fɔ si if i nɔmal ɔ nɔto nɔmal.
Naw lɛ wi si us tin dɛn we dis valyu go gi wi if i go ɔp ɔ i go dɔŋ.
| Aniɔn Gap Valyu | Wetin i kin min (ɛgzampul dɛn) . |
|---|---|
| Ay Aniɔn Gap we gɛt ay ay | Dis min se yu blɔd tu asid. Dɛn kɔl dis asid . Dis kin bi bikɔs ɔf:
|
| Low Anion Gap we nɔ gɛt bɛtɛ tin fɔ it | Dis nɔ kin apin so ɔltɛm . So, yu dɔktɔ kin ripit di tɛst fɔ mek shɔ se di rizɔlt kɔrɛkt. If da kayn lɔw valyu de, di men rizin dɛn fɔ am kin bi:
|
A fɔ wɔri if mi Aniɔn Gap valyu nɔ nɔmal?
Nɔto so i bi atɔl. Jɔs bikɔs yu Anion Gap valyu de ausayd di nɔmal rɛnj nɔ min se yu gɛt siriɔs sik. Mɛmba se dis na jɔs wan tin we de sho se wi de du sɔntin.
- I kin bi bikɔs ɔf smɔl mistek we apin we dɛn bin de gɛda, transpɔt, ɔ tɛst di blɔd sɛmpul.
- I kin bi bikɔs ɔf di mɛrɛsin we yu de tek.
- I kin bi bikɔs yu bɔdi chenj fɔ sɔm tɛm.
We yu dɔktɔ luk dis rizɔlt, i go tink bɔt bɔku tin dɛn lɛk di sayn dɛn we yu gɛt, yu mɛrɛsin istri, ɛn di mɛrɛsin dɛn we yu de tek. If di Aniɔn Gap valyu nɔ nɔmal ɛn ɛni dawt de bɔt am, i go rikɔmɛnd fɔ mek dɛn du mɔ tɛst fɔ no di rayt tin we mek i apin.
Di tin we impɔtant pas ɔl na fɔ nɔ wɔri bɔt di valyu dɛn we de na yu ripɔt ɛn tɔk opin wan bɔt am wit yu dɔktɔ. Na in go ebul fɔ ɛksplen to yu di bɛst we.
Wi no se fɔ si wan tɛst rizɔlt we nɔmal, kin mek yu fred. Bɔt mɛmba se dɛn kin du ɔl dɛn tɛst ya fɔ mek wi ɔndastand wi wɛlbɔdi biznɛs ɛn fɔ no ɛn trit ɛni prɔblɛm kwik kwik wan.
Mɛsej we dɛn kin kɛr go na os
- Aniɔn Gap nɔto wan sɛpret tɛst. Dɛn kin kɔl am frɔm di valyu dɛn we dɛn kin fɛn we dɛn de du blɔd tɛst we dɛn kin du ɔltɛm.
- Dis kin luk mɔ pan di asid ɛn bays balans na yu blɔd .
- if di Anion Gap ay, i kin sho se di asid na di bכdi de inkrεs (acidosis). Dis kin kam bikɔs ɔf difrɛn tin dɛn, frɔm dayabitis to sik na di kidni.
- Low Anion Gap na tin we rili rare. Bɔku tɛm i kin gɛt fɔ du wit we di albumin protin we de na di blɔd de dɔŋ.
- Ivin if yu rizulyt nɔ de na di nɔmal rɛnj, nɔ jomp to kɔnklushɔn fɔ yusɛf. Mek shɔ se yu tɔk to yu dɔktɔ fɔ mek i no klia wan.
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