Wi bɔdi tan lɛk smɔl lɛbɔtri. Bɔku tin dɛn de na di blɔd, lɛk ɔksijɛn , prɔtin, ɔmon , ɛn minral . Nɔmal wan, di bɔdi kin balans ɔl dɛn tin ya di rayt we. Bɔt sɔntɛnde dis balans kin lɔs. Sɔm tin kin tu bɔku, ɛn sɔm tin kin tu smɔl. Na wan spɛshal tɛst we dɛn kin du fɔ si if dis kayn kemikal imbalans de na yu blɔd we dɛn kɔl Sɛrum Osmolality Test.
Wetin na Sɛrum Osmolality?
Okay, mek wi ɔndastand dis wɔd simpul wan. "Sεrum" de tכk bכt di yכlכsh likwid pat we de rεst afta dεn dכn pul di bכdi sεl dεm na wi bכdi. Ɛnitɛm we yu du sɛrum tɛst, ɔl wetin yu de du na fɔ tek smɔl blɔd frɔm yu.
di wod "osmolality" min fכ mכsu aw kכnsantreyt, כ 'tik', di kεmikכ l dεm εn minral dεm (lεk sכ diכm ) we dεn sכlv insay di likwid pat we dεn kכl sεrum de.
- hכy osmolaliti min se mכr sכlv matta de insay di likwid.
- Low osmolality min se dεn tin dεm de diluted, dat min se dεn de wata.
Fɔ tɔk am simpul wan, dis tɛst de chɛk if di rayt balans de bitwin di wata we de na yu bɔdi ɛn di minral dɛn we dɔn sɔlv insay.
Us sityueshɔn dɛn fɔ du dis tɛst?
Bɔku rizin dɛn de we mek dɔktɔ go aks yu fɔ mek dɛn du dis tɛst. Lɛ wi tek wan luk pan wetin dɛn bi.
- Wae yu nɔr gɛt wata na yu bɔdi : If yu gɛt sayn dɛm wae de sho se yu bɔdi nɔ gɛt bɛtɛ wata, we min se yu nɔ gɛt wata na yu bɔdi , yu dɔktɔ kin ɔda dis tɛst.
- Sɔdiɔm lɛvɛl prɔblɛm: Dis tɛst impɔtant if di sodium lɛvɛl na di bɔdi nɔrmal ( Hyponatremia ) , we kin mek wata nɔ de na di bɔdi.
- Ɔmon prɔblɛm: Wan impɔtant ɔmon de we de kɔntrol di wata we de na wi bɔdi. Dɛn kɔl am Antidiuretic Hormone , ɔ ADH fɔ shɔt tɛm.Dis ɔmon de kɔntrol di wata we wi de pul na wi bɔdi we wi de pis. If yu dɔktɔ sɔprayz se prɔblɛm de wit dis ADH ɔmon, dɛn kin du dis tɛst.
- Seizure: Imajin if sɔmbɔdi gɛt seizure wantɛm wantɛm. Dis kin apin we di sodium na di bɔdi tu smɔl. If na so i bi, dis tɛst kin ɛp fɔ no di tin we mek i apin.
So, if yu de pis bɔku tɛm, if di amount of urine we yu de pas dɔn chenj, ɔ if yu de gɛt wan kɔndishɔn lɛk fɔ sik, yu dɔktɔ kin aks yu fɔ du dis Serum Osmolality Test.
Yu nid fɔ rɛdi bifo di tɛst?
No nid nɔ de fɔ ɛni spɛshal pripia, bɔt tu tin dɛn de we yu fɔ rili tɔk bɔt we yu de tɔk to di dɔktɔ.
- Tɛl wi bɔt ɔl di mɛrɛsin dɛn we yu de yuz, ɛn ɛni sɔpɔtmɛnt we yu de tek.
- Tel mi bak if yu don drink plenti wata dis biɛn tɛm.
I rili impɔtant fɔ tɛl di dɔktɔ bɔt dɛn tin ya, bikɔs dɛn kin afɛkt di rizɔlt fɔ di tɛst.
Aw yu kin du di tɛst?
Dis na wan rili simpul blɔd tɛst. Dɔktɔ ɔ nɔs go tek smɔl blɔd frɔm wan vein we de na yu an. Nɔ pen nɔ de pas fɔ swɛt smɔl we dɛn put di nidul. I kin dɔn insay sɔm minit dɛn. Dɔn dɛn kin put wan smɔl band-ɛd oba di say we dɛn pul di blɔd.
Na smɔl tɛm nɔmɔ, i kin gɛt smɔl brus ɔ infɛkshɔn na di say we dɛn pul di blɔd. Sɔm pipul dɛn kin fil smɔl diziz we dɛn gi blɔd, bɔt dis go stɔp afta sɔm tɛm. So natin nɔ de fɔ wɔri bɔt.
Aw a go ɔndastand di tin dɛn we di ripɔt dɔn sho?
Yu kin gɛt yu tɛst ripɔt insay wan awa ɔ 24 awa. di valyu dεm we de na yu ripot dεn mכsu insay miliosmol pan wan kilogram (mOsm/kg) . Bɔt wetin impɔtant to yu na di nɔmba dɛn.
| Grup we dɛn ol | Nɔmal Rɛnj na mOsm/kg |
|---|---|
| Big pipul dɛn | Bitwin 285 ɛn 295 |
| Pikin dɛn | Bitwin 275 ɛn 290 |
Di tin we impɔtant pas ɔl: Nɔ disayd fɔ du dɛn tin ya fɔ yusɛf. Na yu dɔktɔ nɔmɔ go ebul fɔ ɛksplen yu di bɛst.
Lɛ wi luk di tebul we de dɔŋ fɔ si wetin dɛn valyu ya go min if dɛn go ɔp ɔ dɔŋ.
| Di Kɔndishɔn we pɔsin kin gɛt | Simpul Minin |
|---|---|
| If di rizɔlt ay pas di avɛrej valyu (High Result) . | |
| Hypernatremia we pɔsin kin gɛt | di sodium (sכlt) lεvεl dεm na di bכdi de inkrεs. |
| Dayabitis we nɔ gɛt wan sik | di kidni dεm we de mek yu urine pasmak. |
| Di wata we nɔ de na di bɔdi | di wata we de kכmכt na di bכdi de dכn (dεhaydreshכn). |
| Yuremia we gɛt di sik | di west prodakt dεm lεk yuria we de kכmכt pasmak na di bכdi (na sayn fכ di kidni dεm we de wok fayn). |
| Aypa glycemia | Di shuga na di blɔd we de go ɔp. |
| Dayabitik Ketoacidosis we pɔsin kin gɛt | Wan siriɔs sik we gɛt fɔ du wit dayabitis. |
| Pɔyzin we pɔsin kin it | We pɔsin it rɔm ɔ ɔda pɔyzin lɛk ɛtɛnol. If na so i bi, pɔsin fɔ go wantɛm wantɛm na di ETU (Emergency Treatment Unit) na ɔspitul. I impɔtant bak fɔ tɛl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital. |
| If di rizɔlt smɔl pas di avɛrej valyu (Lɔw Rizɔlt) . | |
| Hyponatremia we nɔ gɛt bɛtɛ bɔdi | di sodium lεvεl dεm na di bכdi de dכn. |
| We yu gɛt wata pasmak | Fluid we de rεtεn di bכdi pasmak. |
Yu kin du ɛni ɔda tɛst apat frɔm dis wan?
Yɛs. Fɔ no di rayt tin we mek yu sik, yu dɔktɔ kin tɛl yu fɔ du sɔm ɔda tɛst dɛn.
- Urine Osmolality Test: Dis de mכsu di kכnsantreshכn fכ di kεmikכl dεm we dεn sכlv na yu urine. We yu jɔyn di rizɔlt fɔ ɔl tu di blɔd tɛst ɛn di urine tɛst, i go izi fɔ yu dɔktɔ fɔ no wetin mek di kemikal nɔ balans.
- ADH Blɔd Tɛst: Dis de chɛk di lɛvɛl we di ADH ɔmon de na yu blɔd dairekt wan.
Afta ɔl dɛn tɛst ya, di dɔktɔ go no yu ɛksaktɔl kɔndishɔn ɛn gi yu tritmɛnt plan fɔ ribalans yu bɔdi in kemikal dɛm, ilɛktrɔlayt dɛm, minral dɛm, ɛn ɔda tin dɛm.
Mɛsej we dɛn kin kɛr go na os
- Serum Osmolality Test na simpul blɔd tɛst we de chɛk di balans bitwin di kemikal ɛn wata we de na yu blɔd.
- Dɛn kin advays fɔ du dis tɛst if yu gɛt wata we nɔ gɛt wata, yu nɔ gɛt bɛtɛ sodium (hyponatremia), yu gɛt sik we de mek yu sik, ɔ yu gɛt prɔblɛm wit di ADH ɔmon.
- Di tɛst rizɔlt we ay ɔ smɔl pas aw i fɔ bi, kin sho se yu gɛt difrɛn kayn mɛrɛsin, lɛk dayabitis, prɔblɛm wit yu kidni, ɛn di ɔmon dɛn we nɔ balans.
- Nɔ wɔri bɔt di valyu dɛn we de na di tɛst ripɔt. Jɔs tɔk to yu dɔktɔ bɔt am fɔ ɛksplen am ɛn di nɛks tin dɛn we yu fɔ du.
- Dis tɛst nɔmɔ nɔ de mek pɔsin no di sik. If nid de, di dɔktɔ go ɔda fɔ mek dɛn du ɔda tɛst dɛn ɛn bigin fɔ trit am afta i dɔn fɛn di tin we mek dɛn du am.
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