Yu dɔn ɛva pik wan blɔd tɛst ripɔt, luk di bɔku bɔku lɛta ɛn nɔmba dɛn we de pan am, ɛn tink se, ‘Wetin na dis?’ Along wit Sodium en Potassium, wan impotant element de bitwin we wi no de tok plenti, we dem kol Chloride. I impɔtant fɔ mek wi bɔdi wok fayn fayn wan. So tide, lɛ wi tɔk insay wan rili simpul ɛn padi we bɔt wetin mek dis klorayd impɔtant so to wi bɔdi, wetin dis tɛst de fɛn, ɛn aw fɔ ɛksplen di rizɔlt we dɛn kam bak.
Wetin rili na klorayd?
Fɔ tɔk am simpul wan, klorayd na ilɛktrɔlayt na wi bɔdi. Tink bɔt wi bɔdi lɛk kɔmpleks mashin dɛn we batri de yuz. Dɛn mashin dɛn ya nid kɔrɛnt fɔ mek dɛn wok fayn. Semweso, ilɛktrɔlayt na smɔl smɔl minral patikyula dɛn we gɛt ilɛktrik chaj we de ɛp wi nervɔs sistɛm fɔ sɛn mɛsej, di mɔsul dɛn fɔ wok fayn fayn wan, ɛn fɔ mek di bɔdi in wata ɛn asid-bɛs balans (ɔ pH balans).
Di men ilɛktrɔlayt dɛn we de na wi blɔd na:
- Klɔrayd
- Sɔdiɔm we dɛn kɔl
- Potashɔm we gɛt di sik
- Baykabɔnɛt we dɛn kɔl
Ɔl dɛn tin ya kin wok togɛda as tim fɔ mek wi bɔdi gɛt wɛlbɔdi. If wan tu wik ɔ tu wik, di wan ol sistɛm kin nɔ balans.
Wetin mek dɔktɔ go tɛl yu fɔ du dis klorayd tɛst?
I nɔ kin izi fɔ mek dɔktɔ ɔda fɔ mek dɛn du "chloride-only" tɛst. dis na biכs dεn de mכsu di klorayd lεvεl wit כda εlektrolayt dεm. Dis min se dɛn kin du am as pat pan wan panɛl fɔ ɔda blɔd tɛst. Dis kin ɛp yu dɔktɔ fɔ no bɔt yu wɛlbɔdi biznɛs.
fכ egzampl, dεn de chεk di klorayd lεvεl fכ no כ monitar kכndishכn dεm lεk:
- Kidni sik
- At we nɔ de wok fayn
- Liva sik
- Di ay blɔd prɛshɔn
Bɔku tɛm, klorayd tɛst kin kam wit wan rutin blɔd tɛst lɛk dis:
| Panɛl Nem | Fɔ tɔk am simpul wan, wetin yu de luk? |
|---|---|
| Komprεhεnsiv Mεtabolik Panεl (CMP) . | Wan kɔmprɛhnsiv tɛst we de chɛk bɔku tin dɛn wan tɛm, lɛk aw di liva ɛn kidni de wok, di ilɛktrɔlayt dɛn, ɛn di shuga lɛvɛl. |
| Besik Mεtabolik Panεl (BMP) . | Test we de chɛk di bɛsis tin dɛm lɛk aw di kidni de wok, di shuga lɛvɛl, ɛn di ilɛktrɔlayt dɛm. |
| Ilɛktrolayt Panɛl | Wan spɛshal tɛst we de jɔs luk pan ilɛktrɔlayt lɛvɛl lɛk klorayd, sɔdiɔm, ɛn potashɔm. |
| Panεl fכ fכnshכn di rεnal (RFP) . | Wan tɛst pakej we de pe atɛnshɔn mɔ pan di wok we di kidni de du. |
Us simptom dɛn a fɔ gɛt fɔ dis tɛst?
Apat frɔm we yu de chɛk yu ɔltɛm, yu dɔktɔ kin ɔda dis tɛst if dɛn tink se yu gɛt prɔblɛm wit yu bɔdi in wata balans ɔ asid-base balans. Dɛn kayn tɛm ya, yu kin gɛt sɔm sayn dɛn lɛk:
- If yu kɔntinyu fɔ vɔmit
- If yu gɛt dayarɛa (vomit) .
- If yu fil taya we yu nɔ go ebul fɔ imajin (fatigue) .
- If yu fil se yu nɔ gɛt layf ɔ yu wik
- Dehydration, wae min se yu de fil lɛk yu nɔr gɛt wata na yu bɔdi
- If yu gɛt prɔblɛm fɔ blo
Aw yu kin rɛdi fɔ dis blɔd tɛst?
Di bɛst nyus na dat dɛn nɔ nid spɛshal prɛparashɔn fɔ tɛst we de jɔs luk pan klorayd lɛvɛl ɔ ilɛktrɔlayt panɛl.
Bɔt as wi bin dɔn tɔk, if dɛn de du dis tɛst as pat pan wan paket lɛk CMP ɔ BMP, dɛn kin aks yu fɔ fast (i.e., nɔ it ɔ drink) fɔ sɔm awa bifo yu gi yu blɔd. Nɔ mek ɛni asɔmpshɔn bɔt dis. Yu dɔktɔ go tɛl yu ɔmɔs awa yu nid fɔ fast bifo yu gi yu blɔd, ɛn if yu kin drink wata. Fɔ fala dɛn instrɔkshɔn dɛn de rili impɔtant fɔ mek yu gɛt kɔrɛkt rizɔlt.
Wetin kin apin we yu gɛt blɔd? (Yu go mɔs dɔn no dis!)
Dis na tin we rili simpul, jɔs lɛk fɔ tek blɔd.
1. Phlebotomist na di lab go fɛn wan fayn vein na di insay pat na yu ɛlbo fɔ pul blɔd.
2. We yu dɔn fɛn di ples, klin am fayn fayn wan ɛn put disinfɛktant.
3. Dɔn, dɛn kin put smɔl nidul insay da vein de ɛn tek blɔd sɛmpul. Na dis tɛm yaYu kin fil se yu de sting smɔl, lɛk se ant bit yu .
4. Afta dɛn dɔn gɛda di blɔd we dɛn nid fɔ di tɛst insay wan tɛst tyub, dɛn kin pul di nidul ɛn put wan kɔtɔn ɔ goz 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. Di wan ol tin we dɛn kin du kin tek sɔm minit nɔmɔ.
Aw yu ɔndastand di ripɔt?
Yu go gɛt yu ripɔt insay wan ɔ tu dez. Bɔku tɛm, di ripɔt kin gɛt tin dɛn lɛk dis:
- Test nem: e.g. "Sɛrum Klɔrayd".
- Yu rizɔlt: dɛn sho am as nɔmba.
- Nɔmal Rɛnj: De sho wetin di nɔmal valyu dɛn fɔ bi fɔ pɔsin we gɛt wɛlbɔdi.
- Di rizɔlt nɔmal ɔ nɔto nɔmal: Dɛn sho yu valyu as Nɔmal, Ay, ɔ Lɔ.
di nכmal klorayd lεvεl fכ big man de bitwin 96 εn 106 miliεkwivalεnt pan wan lita (mEq/L) .
Bɔt kip wan tin na yu maynd, dis ‘Nɔmal Rɛnj’ kin difrɛn smɔl frɔm wan lab to ɔda wan. Na dat mek yu ripɔt go tɔk bak bɔt wetin na dɛn nɔmal valyu. Nɔ jomp to kɔnklushɔn bay di nɔmba dɛn we de na di ripɔt. Lɛf am to yu dɔktɔ fɔ ɛksplen wetin i min di rayt we.
If di klorayd lɛvɛl smɔl ɔ ay, wetin i min?
Na nɔmal tin fɔ fil smɔl frayd we yu si wan abnɔmal rizɔlt. Bɔt fɔ gɛt lɔw ɔ ay klorayd lɛvɛl nɔ min se yu gɛt siriɔs sik. Mek wi luk dat.
Lɔw klorayd lɛvɛl (Hypochloremia) .
If yu rizulyt de dɔŋ nɔrmal, e kin bi sayn fɔ wan kɔndishɔn lɛk dis:
- At we nɔ de wok fayn
- Fɔ ɛgzampul, sik dɛn we kin apin na di lɔng, ɛmfisɛma
- Di sik we Addison bin gɛt
- mεtabolik alkalosis - dis min se di alkaliniti na di bכdi de inkrεs.
Di klorayd lɛvɛl we de go ɔp (Hyperchloremia) .
If yu rizɔlt pas aw yu kin gɛt, e kin bi sayn fɔ wan sik lɛk dis:
- Dihaydreshɔn - wata we nɔ de na di bɔdi
- Kidni sik
- Di sik we dɛn kɔl Cushing in syndrome
- mεtabolik asidכsis - Dis min se di asid de bכku na di bכdi.
- Respiratory alkalosis - na wan kכndyushכn we de kכz fכ brith kwik kwik wan.
Bɔt, di tin we impɔtant pas ɔl na dis!
Di chenj na di klorayd lɛvɛl nɔr min fɔ bi bikɔs ɔf sik. Ɔda simpul rizin dɛn kin de bak.
| Ɔda tin dɛn we kin mek pɔsin sik pas sik | Wan simpul ɛksplen |
|---|---|
| Fɔ drink pasmak wata | If yu drink bɔku wata, di ilɛktrɔlayt dɛn we de na yu blɔd kin dil ɛn i kin tan lɛk se yu klorayd lɛvɛl smɔl. |
| Vɔmit ɔ dayarɛa | we bכku wata lכs frכm di bכdi dis we ya, di εlektrolayt bεlε kin ambɔg εn di klorayd lεvεl kin chenj. |
| Sɔm mɛrɛsin dɛn | Fɔ ɛgzampul, sɔm pan di antiasid dɛm we yu kin tek, lɛk di wan dɛm we yu kin yuz fɔ mɛn ɔlsa na yu bɛlɛ, kin afɛkt di klorayd lɛvɛl. |
| Wan mistek we dɛn mek we dɛn tek blɔd sɛmpul | Pan ɔl we i nɔ kin apin so ɔltɛm, if yu mek smɔl mistek we yu de gɛda blɔd, dat kin mek di tin dɛn we kin apin kin difrɛn. |
Yu fɔ fred se sɔntin go apin we nɔ kɔmɔn?
Nɔto so i bi atɔl. Yu dɔktɔ na di bɛst pɔsin fɔ tek yu ripɔt, ɔda tɛst, ɛn yu sik dɛn togɛda ɛn disayd if dis na sɔntin fɔ wɔri bɔt. I nɔ go luk yu klorayd rizɔlt nɔmɔ. I go luk am togɛda wit ɔda ilɛktrɔlayt dɛn (sɔdiɔm, potashɔm) ɛn yu ɔl wɛlbɔdi.
If di rizɔlt nɔrmal, yu dɔktɔ kin ɔda fɔ mek dɛn du mɔ tɛst fɔ no wetin de mek yu gɛt am. Ɔ dɛn kin ɛksplen to yu se i nɔto so big tin. So nɔ ol yu kwɛstyɔn dɛn ɛn aks yu dɔktɔ.
Mɛsej we dɛn kin kɛr go na os
- Klorayd na wan ilɛktrɔlayt we impɔtant fɔ mek di nerv dɛn, mɔsul dɛn, ɛn wata balans na wi bɔdi.
- Bɔku tɛm, dɛn nɔ kin du dis tɛst fɔ insɛf, bɔt na pat pan wan paket fɔ ɔda blɔd tɛst dɛn.
- Jɔs bikɔs yu klorayd lɛvɛl de ausayd di nɔmal rɛnj nɔr kin min ɔltɛm se yu gɛt siriɔs mɛdikal kɔndishɔn.
- Di klorayd lɛvɛl kin chenj bak bikɔs ɔf simpul rizin lɛk fɔ drink bɔku wata, fɔ vɔmit/dayarɛa, ɛn sɔm mɛrɛsin dɛn.
- Di tin we impɔtant pas ɔl: Nɔ ɛva jomp fɔ tɔk bɔt yu blɔd tɛst rizɔlt. Ɔltɛm, go to yu dɔktɔ fɔ ɛksplen di kɔrɛkt tin.
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