Thisen test i nei tawh a, report-ah hian thu tam tak leh hlutna hrang hrang hriatthiam harsa tak tak i hmu tawh em? I doctor-in a hrilhfiah ngei ang che, mahse a chang chuan keimahni ngei pawh hian heng thil awmzia hi tlem kan buai deuh thin. Entirnan, thisen report thenkhata i hmuh theih thumal pakhat chu "Anion Gap" tih hi a ni. Vawiin hian kan sawi dawn a, awlsam takin, he Anion Gap hi eng nge a nih leh engvangin nge kan tan a pawimawh tih hi.
A awlsam zawngin, he Anion Gap hi eng nge ni?
Hei hi hrethiam tur chuan kan thisen chungchang tlem kan hriat hmasak a ngai a ni. Kan thisenah hian chemical chi hrang hrang a awm a. Chung zinga ṭhenkhat chuan electrical charge positive (+) an nei a, ṭhenkhat erawh chuan negative (-) electrical charge an nei thung. Heng charged particle te hi electrolytes kan ti a . Sodium, potassium, chloride, leh bicarbonate te hi electrolyte chi hrang hrang an ni.
Chuvangin, Anion Gap hi chhut dan awlsam tak a ni. I thisen a positive (+) charge lian ber (sodium ang chi) leh negative (-) charge lian ber (chloride leh bicarbonate ang chi) te inthlauhna a ni. A dik zawka sawi chuan, teh theih positive leh negative charge inkar "gap" a ni.
A pawimawh ber chu hei hi thisen test hran a ni lo. He Anion Gap value hi lab-ah thisen test pangngai (electrolyte panel, BMP, CMP ang chi)-a hmuh sodium, chloride, leh bicarbonate value hmanga chhut a ni.
Engvangin nge doctor-te hian he Anion Gap value hi an ngaihtuah?
He hlutna hian kan taksaa thil pawimawh tak tak chungchangah clue min pe a ni. Chu chu kan thisena acid-base balance chu a ni . Car engine-in a kal ṭhat theih nân oil leh tui level dik tak a neih a ngai ang bawkin, kan taksaa cell-te’n an hnathawh ṭhat theih nân kan thisen acidity pawh hi range engemaw zât chhûnga awm a ngai a ni.
- Thisen acidity a san lutuk chuan acidosis an ti a ni.
- Thisen acidity a hniam lutuk a, alkalinity a san chuan alkalosis an ti a ni.
Heng dinhmun pahnihte hian taksa chhunga thil pakhatin hna a thawk tha lo tih a lantir avangin hlauhawm tak a ni thei. Chuvangin, Anion Gap value hi tihdanglam a nih chuan doctor tan acidosis ang chi natna a hriat theih nan clue pawimawh tak a ni.
Engtik laiin nge doctor chuan he test hi a tul anga a ngaih?
A tlangpuiin, symptoms nuam lo tak tak i neih hian hei hi i hmu mai thei. Entir nan:
- Thâwk harsa
- Luak chhuak leh luak chhuak
- Lung na tak tak
- Rilru tibuai
- Thil danglam tak a chau tih hriatna
Mahse, a châng chuan, engmah chhinchhiahna awm lovin, he Anion Gap value hi i report-ah a awm thei a, chu chu kum tin i medical checkup ang chi thil pakhata thisen test pangngai tih ṭhin zinga mi a ni.
Thisen test turin engtin nge ka inbuatsaih ang? Thisen an lak hian eng nge thleng thin?
Hei hi thisen test dan pangngai a nih avangin inbuatsaihna bik a ngai lo. Mahse, a chang chuan i doctor chuan thisen i pek hmain darkar engemaw zat chaw nghei turin a ti thei che a ni. Hei hian engmah ei leh in loh tur tihna a ni. Damdawi i ei tur eng pawh doctor hnenah hrilh a pawimawh bawk a , damdawi thenkhat chuan he test result hi a nghawng thei a ni.
Thisen lak dan i hre chiang hle.
1. Chair-a i thut lai hian nurse emaw phlebotomist emaw chuan i kut ah vein a hmu ang.
2. Tichuan, a kut chunglam ah rubber band (tourniquet) dahin a vein a lang tha zawk thin.
3. Vein an hmuh veleh a hmun chu uluk takin an tifai a, needle te tak te an thun a, thisen tlem te te chu test tube-ah an la lut thin. Hetih lai hian rulhut te tak te hian a seh che ang maiin a lang thei.
4. Thisen mamawh zat an lak khawm hnuah a zung (needle) chu la chhuakin cotton phek khat chu a hmunah dahin press a ni.
5. Thisen chhuah a reh chuan plaster te tak te chu a hmunah hnawih a, hna thawh zawh a ni.
Hetiang zawng zawng hi minute nga aia rei lo a ni.
Results hian eng nge a sawi?
I thisen test report a lo luh chuan Anion Gap value nen hian thil dang a lo thleng a ni. Chu chu "normal range" a ni. Hei hi lab hrang hrangah a danglam deuh thei. Chuvangin, report-a normal range pek nen khan i value chu i khaikhin a ngai a, a normal em tih i en a ngai a ni.
Tunah chuan he value hian a pung emaw a tlahniam emaw a nih chuan eng clues nge min pek theih ang tih hi han en ila.
| Anion Gap hlutna | Eng nge a awmzia (entirnan) . |
|---|---|
| Anion Gap sang tak a ni | Chumi awmzia chu i thisen a acidic lutuk tihna a ni. Hei hi acidosis an ti a . Hei hi a chhan chu:
|
| Anion Gap hniam tak | Hei hi a tlem hle . Chuvangin, i doctor chuan a result dik leh dik loh hriat chian nan test chu a ti nawn leh thei a ni. Chutiang hlutna hniam tak a awm chuan a chhan ber chu:
|
Ka Anion Gap value a dik lo a nih chuan ka lungngai tur em ni?
Ni lo tak zet a ni. I Anion Gap value chu normal range pawnah a awm vang mai mai chuan natna khirh tak i nei tihna a ni lo. Hei hi a lantîrna mai a ni tih hre reng ang che.
- Thisen sample lakkhawm, phurh chhuah, test-naah thil tihsual tlemte a awm vang pawh a ni thei.
- Damdawi i ei vang pawh a ni thei.
- I taksaa hun engemaw chen a inthlak danglam vang pawh a ni thei.
I doctor-in he result a en hian thil tam tak a ngaihtuah ang a, chu chu i natna lan chhuah dan te, i damdawi lam chanchin te, leh damdawi i ei lai te hi a ni. Anion Gap value a dik lo a, rinhlelhna a awm chuan a chhan dik tak hriat nan test belh leh turin a rawt ang.
A pawimawh ber chu i report-a hlutna awmte ngaihtuah buai lo la, i doctor nen zalen taka inbiakna neih hi a ni. Amah emaw, amah emaw hi a sawifiahna tha ber pe theitu che a ni.
Test result pangngai lo hmuh chu a hlauhawm thei tih kan hria. Mahse, heng test zawng zawng hi kan hriselna hriatthiamna tha zawk neih theihna tur leh harsatna eng pawh rang taka hriatchhuah leh enkawl theihna tura tih a ni tih hre reng ang che.
Take-Home Thuchah a ni
- Anion Gap hi test hran a ni lo. Thisen test pangngaia value hmuh atanga chhut a ni.
- Hei hian i thisen acid-base balance a en ber a ni .
- Anion Gap sang chuan thisen acidity (acidosis) a tisang tih a tilang tlangpui. Hei hi thil chi hrang hrang, zunthlum atanga kal natna thlengin a awm thei a ni.
- Low Anion Gap hi a tlem hle. Thisen a albumin protein tlahniam nen a inzawm fo thin.
- I result chu normal range pawnah ni mahse, nangmah chauhin thutlukna siamah zuang lut suh. I doctor nen inbiak ngei ngei tur a ni.
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