I thisen acid-base balance tehna Anion Gap test chungchang hi i zir belh ang u.

Doctor hmu tura i kal hian thisen test tih i hre tawh ngei ang. Thisen test hian kan taksaa thil chi hrang hrang tam tak a hrilh thei che a ni. Tin, kan thisena acid leh base inthlauhna tehfung pawimawh tak, chu chu acid-base inthlauhna tehfung pawimawh tak chu Anion Gap . He thu i hriat hian hlauh tur a awm lo, kan taksaa hriselna dinhmun thenkhat chungchangah clues a pe a ni. Hemi chungchang hi awlsam takin sawi ila, chutah chuan nang pawhin a chiang tawh ang.

He Anion Gap hi eng nge ni, Doctor?

A awlsam zawngin, Anion Gap hi i thisena electric charged particle (electrolytes) te inthlauhna tehna a ni. Sikul-a positive (+) charged ion leh negative (-) charged ion chungchang i zir kha i hre reng mai thei. Chutiang chu a ni. Kan thisenah hian heng positive leh negative electrolyte chi hrang hrang hi a awm bawk.

Chuvangin, he Anion Gap hian a tih chu thisena positive charged electrolyte lian ber ber (potassium leh sodium ang chi) leh negative charged electrolyte lian ber ber (chloride leh bicarbonate ang chi) inkara danglamna, a nih loh leh "gap" tehna a ni. Hei hi machine hmanga direct-a teh theih thil a ni lo. Anion Gap hi i doctor-in thisen test dang a tihsak che result hmanga chhut a ni. Heng test te hi natna avanga doctor kan pan huna kan thisen test package-ah te hian a tel tlangpui. Entir nan:

• A rilru a buai em em a, a rilru a hah em em bawk a. .
• Basic Metabolic Panel (BMP) hmanga siam chhuah a ni.
• Electrolyte Panel hmanga siam a ni

Hetiang test hian anion gap hriat theihna tur data mamawh a pe a ni.

Engvangin nge he anion gap test hi tih a nih? Eng nge a check thin?

He Anion Gap hian i thisenah electrolyte imbalance a awm em tih a enfiah ber a, i thisen chu acidic lutuk (`(Acidosis)`) emaw, basic lutuk (`(Alkalosis)`) emaw a nih leh nih loh a enfiah thin.

Hetiang hian han ngaihtuah teh: kan taksa hi machine tha taka siam ang mai a ni. He machine chhunga thil awm zawng zawng hi a balance tha tawk a ngai a ni. Thisen a acid-base balance hi a inang vek a ni. Hemiah hian inthlauhna a awm a nih chuan taksa chhunga thil pakhatin hna a thawk tha lo tihna a ni. Acidosis emaw alkalosis emaw, a pahnih hian hlauhawm tak a ni thei. Chuvangin, doctor te chuan he anion gap result hi hmangin he imbalance hi eng nge ni tih hriat tumin an bei thin.

Engtikah nge Anion Gap test hi ka mamawh ang?

I doctor chuan anion gap te pawh telna thisen test turin a ti thei a, a bik takin i thisena acid level inthlauhna i neih thu hriat theihna symptom i neih chuan. Chu chu acidosis (acidity tihpun) emaw alkalosis (alkalinity tihpun) emaw avanga symptoms awm tihna a ni. Chûng zîngah chuan:

• Thâwk harsa
• Luak chhuak leh luak chhuak
• Rilru tibuai
• Lung na tak tak
• Chau lutuk nia inhria

A châng chuan chhan dang vanga thisen hnathawh dan pangngai (routine bloodwork) tih i neih chuan Anion Gap hi test package-ah hian a tel ve thei bawk. Chutiang hunah chuan symptom bik i nei lo mai thei a, mahse he value hi report-ah hian tarlan a ni ang. Entirnan, chutiang test-ah chuan Anion Gap result chu hetiang hian kan hmu thei ang:

• Basic Metabolic Panel (BMP) hmanga siam chhuah a ni.
• A rilru a buai em em a, a rilru a hah em em bawk a. .
• Electrolyte Panel hmanga siam a ni
• Renal Function Panel (RFP) hmanga enkawl theih a ni.

Engtin nge he test hi tih a nih? Thisen laksak ka hlau tur em ni?

Dik tak chuan Anion Gap hi lab test aiin direct test a ni zawk a, scientist te chuan i thisen sample-a sodium, chloride, leh CO2 (carbon dioxide) ang chi thil te chu an teh a, chu value te chu hmangin value an chhut thin. Heng results te hian i symptoms te hi acidity tihpun vang nge alkalinity tlahniam (i.e., alkalinity tihpun) vang tih hriat nan a pui thei a ni. Tin, damdawi lam dinhmun hnuaia awm i neih leh neih loh hriat theih nan a pui thei bawk.

Thisen pek hmaa ka tih tur bik a awm em?

Thisen test hmaa thil danglam bik tih a ngai a nih chuan i doctor chuan a hrilh ang che. Thisen test hma darkar engemaw zat chaw nghei tura tih i ni mai thei. Damdawi eng emaw i ei a nih chuan doctor hnenah pawh i hrilh tur a ni a, damdawi thenkhat chuan test result a nghawng thei a ni.

Thisen i pek hian eng nge thleng thin?

Thisen pek hi a takah chuan i ngaihtuah angin a hlauhawm lo. Hetah hian thil thleng tlangpui chu a awm:

• Chair-ah i thu ang. Tichuan phlebotomist chuan i kut ah thisen lakna tur vein awlsam tak a thlang ang. An kut chunglam vel chu rubber band an dah thei a, chu chuan vein chu a lang thei ang. A tam zawkah chuan thisen hi elbow chhung lam atanga lak chhuah a ni.
• Vein an hmuh veleh chu hmun chu uluk takin an tifai a, disinfect an ti bawk.
• Tichuan, zungbun te tak te chu vein chhungah dahin thisen sample lak a ni. Hetih lai hian, rulhut-in a seh ang maiin, hliam tlemte i nei thei a ni . Hei pawh hi second tlemte chhung a daih bawk.
• Nadele an thun hnuah test tube-ah thisen tlemte an la khawm a.
• Test atana thisen tling an lak hnuah needle chu la chhuakin cotton emaw gauze emaw chu a hmunah dahin thisen chhuah tihtawp nan press a ni.
• Tichuan a hmunah chuan plaster tlem te te an hnawih a. Chu chu a ni, hna chu a zo ta!

Hetiang zawng zawng hi minute nga aia rei lo a ni tlangpui .

Test zawhah eng nge thleng? Report dawng tur hian eng chen nge hun a duh?

I thisen sample chu lab-ah test turin an thawn thin. Chutah chuan medical laboratory scientist pakhatin sample chu a buatsaih a, special machine (blood analyser) hmangin test chu a ti thin.

Test result a luh hnuah i doctor chuan result a hrilh ang che, a nih loh leh i electronic medical record-ah a awm thei bawk. Thâwk harsa emaw, luak chhuak emaw ang chi symptoms i neih a, anion gap test i neih chuan darkar tlemte chhungin result i hmu thei . Mahse, he test hi thisen test package pangngai (basic metabolic panel ang chi)-a tel anga tih a nih chuan result a lo chhuah leh theih nan ni khat atanga ni hnih vel a ngai thei a ni.

He thisen test hian hlauhawmna a nei em?

Damdawi lamah thisen test hi thil awmze nei tak leh tul tak a ni. Thisen peknaah hian hlauhawmna lian tham a awm lo tak zet a ni . Thisen lakna hmunah hian hliam na lo emaw, hliam emaw i nei thei. Mahse hei hi ni khat emaw ni hnih emaw chhungin a reh mai ang. Chuvangin ngaihtuah buai suh.

Okay, tunah chuan he Anion Gap report hian eng nge min hrilh?

Thisen test report, Anion Gap thisen test result telin, a tlangpuiin a hnuaia thute hi a awm thin:

• Thisen test hming, a nih loh leh i thisena tehna kha.
• I thisen test result number emaw a tehna emaw.
• Chu test atan chuan lab-a tehna pangngai range chu .
• I result chu a normal em, a normal em, a sang em, a hniam em?

Anion gap pangngai chu eng nge ni?

Dik tak chuan Anion Gap tan hian "hei hi mi zawng zawng tan chuan value pangngai a ni" tih value pakhat mah a awm lo. I thisen test result i hmuh hunah chuan report-ah chuan chu lab tan chuan Anion Gap range pangngai chu eng nge ni tih pawh a tarlang bawk ang.

Tin, he "normal" Anion Gap range hi thil chi hrang hrang a zirin a danglam thei bawk. Entirnan, bipolar disorder atana damdawi Lithium Carbonate ei thinte chuan damdawi avang hian Anion Gap a tlahniam deuh thei a ni.

Anion gap a san chuan eng nge a awmzia? A hlauhawm em?

I thisen test result-ah Anion Gap a sang a nih chuan acidosis i nei thei . Chumi awmzia chu i thisen chu a pangngai aia acidic (i thisen pH chu a pangngai aia hniam) a ni tihna a ni.

Acidosis hi thil engemaw zat avanga lo awm thei a ni:

• Tui tlakchhamna (dehydration).: Taksa tan tui tling lo.
• Diarrhea : Diarrhea hian taksa atanga tui leh electrolyte tam tak a bo tir thin.
• Exercise tam lutuk : Exercise tam lutuk hian taksaah lactic acid ang chi thil a tipung thei a ni.

Heng bakah hian acidosis hi damdawi lam harsatna dang engemaw zat chhinchhiahna a ni thei bawk :

• Kidney Disease : Kal hrisel tak takte hian taksaah acid tam lutuk chu zun hmangin an paih chhuak thin. Amaherawhchu kal natna vei teah chuan kal (kidney) hian he hna hi a thawk tha thei lo a ni. Acid hi taksaah a pungkhawm a, chu chuan metabolic acidosis an tih natna a thlen thin.
• Diabetes : Acidosis hi a awm thei a, a bik takin type 1 diabetes hriat loh i neih chuan a awm thei. Pancreas hian insulin a siam tlem chuan cell te hian sugar (glucose) an la thei lo va, thisen chu acidic a lo ni thei bawk.
• Diabetic Ketoacidosis (DKA) : Hei hi zunthlum hmuhchhuah loha insulin tlakchhamna avanga harsatna lian tak, nunna atana hlauhawm tak a ni.
• Salicylate Poisoning (`(Salicylate Poisoning / Salicylate Toxicity)`) : Salicylate hi damdawi tam tak, over-the-counter leh prescription damdawi tam takah a awm a. Aspirin hi damdawi hman tlanglawn tak a ni a, he salicylate hi a awm a ni. Hengte hi ei tam lutuk emaw, ei tam lutuk emaw hian salicylate poisoning a thlen thei a, chu chu nunna atana hlauhawm tak a ni bawk.

Pawimawh: Anion gap sang chuan natna khirh tak a kawk ngai lo. Mahse, Doctor chuan a chhan a zawng ang.

Anion gap a tlahniam chuan engtin nge ni ang? Chutiang chu a thleng tlem hle a ni lawm ni?

Ni e, Anion Gap hian value hniam tak a lantir hi a tlem hle . Chuvangin, i doctor chuan result dik tak a nih leh nih loh enfiah turin test chu a ti leh mai thei.

I thisen test result-ah anion gap a hniam tih a hriat chuan i thisenah albumin an tih protein level pangngai aia hniam (hypoalbuminemia) i nei tihna a ni thei. Albumin hi kan thisena protein pawimawh tak a ni. Albumin level hniam hi hetiang dinhmun avang hian a awm thei a:

• Kidney chungchangah harsatna a awm
• Lung natna
• Liver natna
• Cancer chi hrang hrang

Hetah pawh hian anion gap hniam result hi a tlem hle. I test result hriat belh i duh chuan i doctor nen inbia ngei ang che.

Chuvangin, he anion gap hi a san emaw, a tlahniam emaw hian kan buai tur em ni?

I thisen test result-ah Anion Gap sang emaw hniam emaw a awm emaw, natna khirh tak i nei tihna a ni hauh lo . I electrolyte level tichhe thei thil tam tak a awm a, chu chuan Anion Gap tehna pawh a nghawng thei bawk. Thisen sample laknaah emaw, lab-a an hruai lai emaw, test an tih lai emaw khan thil a dik lo a ni thei.

I doctor-in i thisen test result a zirchian hunah thil tam tak a ngaihtuah ang a, chu chu i medical history kimchang leh i damdawi ei turte te hi a ni . I Anion Gap result a dik lo a nih chuan diagnosis siam nan test dang an order thei bawk. Thisen test hi tumahin an duh lo a, a bik takin vawi tam tak a zawna tih a ngai a nih chuan. Mahse, i electrolyte level a inrem theih nan a tha ber.

Results chungchanga zawhna i neih chuan doctor zawh hreh suh. I tanpui turin an awm reng a ni.

A tawp berah chuan kan hriat reng tur pawimawh ber berte (Take-Home Message) .

Okay, chuvang chuan Anion Gap test chungchang hi kan sawi nasa hle. Hriat reng tur pawimawh tak tak thenkhat chu hetiang hi a ni:

• Anion Gap hi chhut dan pawimawh tak a ni: i thisen acid-base balance chungchangah thu hlu tak a pe a ni.
• Value sang emaw hniam emaw hi a hlauhawm reng reng lo: I report-a value inthlak nghal chuan hlauthawng suh. A chhan dang pawh a awm thei bawk.
• I doctor chu roreltu tha ber a ni: I doctor chauhvin i hriselna dinhmun kimchang a ngaihtuah thei a, a tul chuan test dang a ti leh thei a, a result pawh a sawifiah thei bawk.
• Zawhna zawt rawh: I hriatthiam loh thil a awm a nih chuan i rilruah dah reng suh, i doctor hnenah zawt zawk rawh.

Hriat reng tur: Report-a number en mai mai hian natna i hriat theih loh. Chuvangin, i doctor ring la, a thurawn zawm rawh. Tichuan hrisel takin i awm thei tawh ang!

` Anion Gap, Thisen Test, Acidosis, Alkalosis, Electrolytes, Thisen Acidity tih te