Yu dɔn ɛva pik wan blɔd tɛst ripɔt, luk ɛni wan pan di nem ɛn nɔmba dɛn we de pan am, ɛn wɔnda se, "Wetin dis min?" Na dɛn wan ya, yu go dɔn kam fɔ si di wɔd `Klɔrayd`. Bɔku pipul dɛn kin si dis, bɔt dɛn nɔ kin no gud gud wan wetin i min. So tide, lɛ wi tɔk bɔt wetin na dis Klɔrayd Blɔd Tɛst, wetin mek i impɔtant, ɛn wetin wi fɔ tink bɔt if in valyu dɛn chenj.
Wetin na Klɔrayd? Wetin mek i impɔtant fɔ wi bɔdi?
Fɔ tɔk am simpul wan, klorayd na wan impɔtant ilɛktrɔlayt na wi bɔdi. pan ɔl we "ilɛktrɔlayt" kin tan lɛk big wɔd, i de tɔk bɔt minral dɛm we de kɛr ilɛktrik chaj we dɛn kam togɛda wit di wata we de na wi bɔdi. Dɛn kin akt lɛk smɔl "batri" dɛn na wi bɔdi.
Nɔto klorayd nɔmɔ, bɔt ɔda ilɛktrɔlayt dɛn lɛk sɔdiɔm, potashɔm, ɛn baykabɔnɛt de kɔntrol bɔku impɔtant tin dɛn na wi bɔdi. Jɔs tink bɔt dis na:
- I de mek di wata we de na wi bɔdi balans .
- Di nerv ɛn mɔsul dɛn de wok fayn fayn wan .
- i de mεnten di asid-bεys bεlε (pH bεlε) na di bכdi.
So, fɔ mek wi gɛt wɛlbɔdi klorayd lɛvɛl rili impɔtant fɔ wi ɔl wɛlbɔdi. Dɔktɔ dɛn kin chɛk dis klorayd lɛvɛl, wit ɔda ilɛktrɔlayt lɛvɛl dɛn, fɔ gɛt aidia bɔt difrɛn mɛrɛsin dɛn. Fɔ ɛgzampul:
- Kidni sik
- At we nɔ de wok fayn
- Liva sik
- Di ay blɔd prɛshɔn
Dis tɛst de ɛp fɔ no ɔ wach di kɔndishɔn dɛn lɛk:
Us tɛm dɔktɔ kin se yu fɔ du dis klorayd tɛst?
Bɔku tɛm, dɔktɔ nɔ go ɔda fɔ mek dɛn du sɛpret tɛst fɔ chɛk klorayd. Dɛn kin du am as pat pan wan big tɛst paket we de luk sɔm ɔda tin dɛn na di blɔd wan tɛm. Sɔntɛm yu dɔn si wan pan dɛn tin ya na yu blɔd ripɔt:
- Komprεhεnsiv Mεtabolik Panεl (CMP) .
- Besik Mεtabolik Panεl (BMP) .
- Ilɛktrolayt Panɛl
- Panεl fכ fכnshכn di rεnal (RFP) .
Dɛn kin mɛzhɔ di klorayd lɛvɛl bak wit dɛn tɛst ya.
Apat frɔm dat, yu dɔktɔ kin tɛl yu fɔ du dis tɛst if yu gɛt sɔm sayn dɛn we de sho se yu nɔ balans di wata ɔ asid we de na yu bɔdi. Dɛn kayn sayn ya na:
- Kɔntinyu fɔ vɔmit .
- Sivɛri dayarɛa .
- If yu fil se yu taya we yu nɔ go ebul fɔ imajin .
- If yu fil se yu wik .
- If yu fil se yu nɔ gɛt wata na yu bɔdi (lɛk yu mɔt we dɔn dray, yu yay we dɔn sink).
- If i nɔ izi fɔ yu fɔ blo .
Sɔntɛnde lɛk dis, fɔ chɛk di klorayd ɛn ɔda ilɛktrɔlayt lɛvɛl dɛn kin rili ɛp fɔ no di rayt prɔblɛm.
Wetin kin apin bifo ɛn we dɛn de du di blɔd tɛst?
Yu nid fɔ rɛdi bifo di tɛst?
Test we de luk klorayd nɔmɔ nɔ nid ɛni spɛshal prɛparashɔn. Bɔt lɛk aw wi bin dɔn tɔk, if dɛn du dis wit tɛst lɛk `BMP` ɔ `CMP`, yu dɔktɔ kin aks yu fɔ fast fɔ sɔm awa , we min se yu nɔ fɔ it ɔ drink ɛnitin. So, aks yu dɔktɔ bɔt dis bifo yu gi yu blɔd ɛn fala in instrɔkshɔn dɛn gud gud wan.
Wetin kin apin we dɛn pul blɔd?
Dis na tin we rili simpul.
1. Pɔsin we de na di lab (fhlebotomist) go fɛn gud vein na di insay pat pan yu an, jɔs dɔŋ yu ɛlb.
2. Dɔn, klin di say wit kɔtɔn swab ɛn disinfɛkt am.
3. Dɔn, dɛn kin yuz smɔl nidul fɔ pul sɔm blɔd na di vein. Dis tɛm ya, yu kin fil smɔl sting, lɛk se ant bit yu .
4. Afta dɛn dɔn gɛda di blɔd we dɛn nid insay wan tɛst tyub, dɛn kin pul di nidul ɛn put wan kɔtɔn ɛn pres am fɔ mek di blɔd nɔ kɔmɔt.
5. Fɔ dɔn, dɛn kin put smɔl plasta na di say ɛn dɛn kin dɔn di wok. I go jɔs tek sɔm minit fɔ dɔn.
Aw a go ɔndastand di tin dɛn we di ripɔt dɔn sho?
We yu gɛt yu blɔd tɛst ripɔt, i kin gɛt sɔm tin dɛn lɛk dis:
- Nem fɔ di tɛst we dɛn du (e.g. Klɔrayd).
- di valyu na yu bכdi (e.g. 102 mEq/L).
- Di nɔmal rɛnj fɔ da tɛst de.
- Ilɛksɛf yu valyu nɔmal, smɔl, ɔ ay.
di nכmal klorayd lεvεl fכ big man de bitwin 96 εn 106 mEq/L . Bɔt mɛmba se di rɛfrɛns rɛnj we ɛni lab de gi kin difrɛn smɔl. So, i bɛtɛ fɔ kɔmpia yu valyu wit di nɔmal rɛnj we dɛn tɔk bɔt na yu ripɔt.
If di valyu we di klorayd gɛt dɔn chenj, a fɔ wɔri?
Dis na di tin wae impɔtant pas ɔl: Jɔs bikɔs yu klorayd lɛvɛl nɔr de smɔl nɔr min se yu gɛt siriɔs sik. Bɔku ɔda tin dɛn kin de we kin mek i apin.
Lɛ wi luk di rizin dɛn we mek di klorayd lɛvɛl de go dɔŋ ɔ go ɔp.
| Lɔw klorayd lɛvɛl (Hypochloremia) . | Di klorayd lɛvɛl we de go ɔp (Hyperchloremia) . |
|---|---|
| Di sik dɛn we pɔsin kin gɛt we i sik: - At sik (At we nɔ de wok fayn) . - Sik dεm we de kכmכt frכm di lכng (e.g. Emphysema) . - Di sik we Addison gɛt - Mεtabolik alkalosis | Di sik dɛn we pɔsin kin gɛt we i sik: - Di wata we de kɔmɔt na di bɔdi - Kidni sik - Di sik we dɛn kɔl Cushing in sindrom - Mεtabolik asidכsis - Alkalosis we de mek pɔsin de blo |
| Ɔda rizin dɛn we kin mek di valyu chenj: - Fɔ drink tumɔs wata (fɔ ridyus) . - Fluid we de lɔs bikɔs ɔf vɔmit ɔ dayarɛa (i kin go dɔŋ ɔ bɔku) . - Sɔm mɛrɛsin dɛn, mɔ di wan dɛn we de fɛt di asid - Smɔl mistek apin we dɛn de tek blɔd. | |
As yu si, di klorayd lɛvɛl kin chenj bikɔs ɔf di mɛrɛsin kɔndishɔn ɛn bak rizin dɛn we rili kɔmɔn. So, if yu notis chenj na yu ripɔt, nɔ panik ɛn sho am to yu dɔktɔ.
Yu dɔktɔ nɔ go jɔs luk di valyu we di klorayd gɛt na yu ripɔt. I go kɔmpia am to ɔda tɛst rizɔlt, yu sayn dɛm, ɛn yu ɔl yu wɛlbɔdi istri fɔ rich wan kɔnklushɔn. I kin ɔda ɔda tɛst dɛn bak if i nid mɔ infɔmeshɔn.
Mɛsej we dɛn kin kɛr go na os
- Klorayd na impɔtant ilɛktrɔlayt we de ɛp fɔ mek di wata, di nerve, ɛn asid-base balans na wi bɔdi.
- Bɔku tɛm dɛn kin du dis tɛst togɛda wit bɔku ɔda tɛst dɛn, as pat pan di jenɛral wɛlbɔdi chɛk-ap.
- Jɔs bikɔs yu klorayd lɛvɛl de ausayd di nɔmal rɛnj nɔ min se yu gɛt siriɔs sik. Dis valyu kin chenj bak bikɔs ɔf simpul rizin dɛn lɛk fɔ drink tumɔs wata, fɔ gɛt wata we nɔ gɛt wata, ɛn sɔm mɛrɛsin dɛn.
- Di tin we impɔtant pas ɔl na fɔ rili tɔk to yu dɔktɔ bɔt yu blɔd tɛst rizɔlt, pas fɔ jɔs luk dɛn na di Intanɛt ɛn jomp to kɔnklushɔn. Na in go gi yu di bɛst advays fɔ yu sityueshɔn.
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