We yu go to dɔktɔ, dɛn kin mek yu blɔd tɛst, nɔto so? Yu go mɔs dɔn si da ripɔt de, wit tin dɛn lɛk sɔdiɔm ɛn potashɔm, wan valyu de bak we dɛn kɔl ‘Klɔrayd’. Pan ɔl we bɔku pipul dɛn nɔ kin pe atɛnshɔn to dis, dis klorayd na sɔntin we impɔtant fɔ wi bɔdi in wɛlbɔdi. So, tide wi go tɔk bɔt dis klorayd blɔd tɛst, wetin i de luk fɔ, ɛn aw i impɔtant to wi wɛlbɔdi.
Wetin rili na klorayd?
Fɔ tɔk am simpul wan, klorayd na
ilɛktrɔlayt na wi bɔdi. Tink bɔt am lɛk smɔl ilɛktrik chaj na wi bɔdi fɔ mek i wok fayn. Dis ilɛktrɔlayt de ɛp fɔ du da wok de. Klɔrayd nɔ de wok in wan. i de wok wit כda ilektrolayt dεm lεk sכdiכm εn potashכm fכ du sεvεra imכtant wok dεm:
- bεlεns di כmכ nt fכ wata na di bכdi : Dis de εp fכ kכntrכl di muvmεnt fכ di wata we de insay εn kכmכt na wi sεl dεm.
- i de rεgεl di asid-bεys bεlε (pH bεlε): Klorayd impɔtant fכ mek di asid εn bays dεm we de na wi bכdi εn bכdi de.
- i de εp fכ digεst: Klorayd de kכntribyut bak fכ mek di gεstrik asid na di bεlε.
If dis lɛvɛl go dɔŋ, yu kin gɛt tin dɛn lɛk we yu nɔ gɛt wata na yu bɔdi. Ɛn if di lɛvɛl go ɔp, i kin bi sayn fɔ se prɔblɛm de wit wi kidni. Bikɔs
di kidni na di men ɔgan we de kɔntrol di klorayd lɛvɛl na wi blɔd. Us kes dɛn dɔktɔ go tɛl yu fɔ du dis tɛst?
Bɔku tɛm, dɛn nɔ kin du dis klorayd tɛst fɔ insɛf. Dɛn kin du am as pat pan wan jenɛral blɔd tɛst pakej (mɛtabolik panɛl) we de chɛk tin dɛn lɛk yu shuga ɛn kɔlɔstrel. Bɔt dis tɛst impɔtant mɔ if yu dɔktɔ tink se dɛn tin ya:
- Taya ɔltɛm ɛn taya: If yu taya ɔltɛm ɛn fil lɛk se yu taya fɔ natin, dis tɛst kin ɛp fɔ no if di tin we kin mek yu taya na bikɔs di ilɛktrɔlayt nɔ balans.
- Fɔ vɔmit ɔ dayarɛa ɔltɛm : If yu dɔn de vɔmit ɔ gɛt dayarɛa fɔ sɔm dez, yu bɔdi de lɔs bɔku wata ɛn sɔl. Dis kin mek yu klorayd lɛvɛl go dɔŋ.
- I nɔ izi fɔ blo : If ɛni chenj ɔ i at fɔ blo, i impɔtant fɔ chɛk di asid-base balans na di blɔd.
- Yu tink se yu gɛt kidni ɔ at sik : If yu gɛt ɛnitin fɔ wɔri bɔt aw yu kidni de wok ɔ aw yu at de wok, di klorayd lɛvɛl na impɔtant tin fɔ sho.
- Dayabitis : Sɔntɛnde, if yu nɔr de kɔntrol yu sik, dat kin mek yu gɛt klorayd lɛvɛl bak.
Di tin we impɔtant pas ɔl na fɔ mek di dɔktɔ kam to wan kɔnklushɔn bay we i kɔmpia di rizɔlt frɔm dis tɛst wit di rizɔlt frɔm ɔda blɔd tɛst ɛn di sayn dɛn we yu gɛt.
A nid fɔ du ɛnitin bifo di tɛst?
Bɔku tɛm, if yu jɔs gɛt klorayd tɛst, yu nɔ nid fɔ pripia bɔku. Bɔt if yu dɔktɔ dɔn ɔda wan kɔmplit mɛtabolik panɛl we de chɛk tin dɛn lɛk shuga ɛn kɔlɔstrel, i
kin aks yu fɔ fast fɔ sɔm awa. Aks yu dɔktɔ bɔt dis fɔ mek shɔ. Dɔn bak, no bɔt dɛn tin ya:
- Di mɛrɛsin dɛn we yu de tek: Tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (inklud vaytamɛn dɛn, mɛrɛsin dɛn we de mek yu fil pen, pils fɔ kɔntrol bɔn pikin, ɛn ɛbul mɛrɛsin dɛn). Sɔm mɛrɛsin kin afɛkt yu klorayd lɛvɛl. Fɔ ɛgzampul:
- Sɔm kayn ɔmon dɛn (Estrogen) .
- Stɛroyd dɛn lɛk kɔtizɔn
- Di mɛrɛsin dɛn we de mek pɔsin fil pen (NSAID) lɛk ibuprofen
- Vɔmit ɔ dayarɛa: If yu dɔn gɛt vɔmit ɔ dayarɛa insay di de dɛn bifo di tɛst, tɛl yu dɔktɔ . Dis kin mek yu klorayd lɛvɛl tan lɛk se i smɔl.
Wetin di ripɔt se?
Wae yu dɔn gɛt yu ripɔt, yu dɔktɔ na di bɛst pɔrsin fɔ ɛp yu fɔ ɔndastand di valyu dɛm. Di ‘Nɔmal Rɛnj’ kin difrɛn smɔl frɔm wan lab to ɔda wan. di klorayd lεvεl we hεlty pכsin gεt kin bi
bitwin 96 εn 106 miliεkwivalεnt pan wan lita (mEq/L) . Dɔktɔ dɛn nɔ kin disayd fɔ du big tin bay wan tɛst rizɔlt. Dɛn kin luk pan di tin dɛn we de apin ɛn ɔda tɛst rizɔlt dɛn as tɛm de go. Di tebul we de dɔŋ ya de gi yu wan rough aidia bɔt wetin de apin.
| Klorayd lɛvɛl | Di tin dɛn we kin apin |
|---|
| Ay levul (Hyperchloremia) (we big pas 106 mEq/L) . | - di prכblεm dεm na di kidni (e.g. Renal Tubular Acidosis) .
- Di wata we de kɔmɔt na di bɔdi bad bad wan
- Prɔblɛm dɛn we gɛt fɔ du wit ɔmon lɛk di sik we dɛn kɔl Cushing’s syndrome
- mεtabolik asidכsis (di asid we de bכku na di bכdi) .
- Di tin dɛn we sɔm mɛrɛsin dɛn kin du
|
| Lɔw lɛvɛl (Hypochloremia) (lɛs dan 96 mEq/L) . | - Fɔ vɔmit bad bad wan ɔ fɔ gɛt dayarɛa
- Kɔnjɛstiv at we nɔ de wok fayn
- Prɔblɛm dɛn we gɛt fɔ du wit di ɔmon dɛn lɛk di sik we dɛn kɔl Addison
- mεtabolik alkalosis (di alkaliniti na di bכdi de inkrεs) .
- Di sik we nɔ de mɛn na di lɔng
- Bɔn dɛn
|
Wetin fɔ du if di klorayd lɛvɛl dɔn chenj?
If yu klorayd lɛvɛl de ausayd di nɔmal rɛnj, nɔ panik.
Di fɔs ɛn impɔtant tin fɔ du na fɔ tɔk to yu dɔktɔ. We dɛn dɔn no di rizin, yu dɔktɔ go gi yu di tritmɛnt we yu nid. Fɔ ɛgzampul:
- If di lɛvɛl ay: Dɛn kin tɛl yu fɔ drink mɔ wata, ridyus di sɔl we yu de it, ɔ chenj wan mɛrɛsin we yu de tek. If yu gɛt wan sik we de ɔnda yu, lɛk dayabitis ɔ kidni sik, i impɔtant fɔ kɔntrol am.
- If di lɛvɛl smɔl: If di kɔz na fɔ vɔmit ɔ dayarɛa, di bɔdi kin gɛt wata bak (sɔntɛm wit salin). If ɔda sik de we de ɔnda di sik, dɛn go bigin fɔ gi di rayt tritmɛnt.
Mɛsej we dɛn kin kɛr go na os
- Klɔrayd na ilɛktrɔlayt we impɔtant fɔ mek di wata ɛn asid-bɛs balans na wi bɔdi.
- Dis tɛst kin no if di klorayd lɛvɛl smɔl, ay, ɔ nɔmal.
- If yu chenj di klorayd lɛvɛl kin bi sayn fɔ wan ɔndalayn mɛdikal kɔndishɔn, so nɔ ignore am.
- Ɔltɛm, go to yu dɔktɔ fɔ kɔmpia yu sik dɛn wit ɔda tɛst dɛn ɛn rich wan kɔnklushɔn, pas fɔ abop pan wan tɛst ripɔt nɔmɔ.
- I rili impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn (inklud vaytamɛn ɛn sɔpɔtmɛnt) we yu de tek.
Klorayd blɔd tɛst, ilɛktrɔlayt, blɔd tɛst, kidni sik, dɛhydration
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