Tlemte i damloh a, Doctor hmu tura i kal lai khan thisen test engemaw zat a pe che a ni lawm ni? Chu report-ah chuan ‘Electrolytes’ tih section i hmu tawh mai thei. Sodium, Potassium, leh Bicarbonate, emaw CO2 te value a nei a ni. Mi tam tak chuan hei hi an hmu a, "He bicarbonate hi eng nge ni?" Hei hi a takah chuan kan taksa hriselna chungchanga hriat tur pawimawh tak tak min hrilhtu test a ni. Chuvangin vawiinah hian awlsam takin kan sawi dawn a ni.
He bicarbonate hi eng nge ni?
A awlsam zawngin sawi ila, bicarbonate hi kan taksaa carbon dioxide (CO2) gas siam chhuah chi khat a ni. Kan ei tur chu chaknaah kan chantir hian bawlhhlawh a la awm reng a ni. Mahse, bawlhhlawh eng pawh a ni lo. Electrolytes tih hming pu thil chi hrang hrang zingah a tel a ni .
Tunah chuan heng electrolyte te hi eng nge an nih i ngaihtuah mai thei. Kan taksaa palai tenau ang maiin han ngaihtuah teh. Heng electrolytes te hian kan taksa hi tui a awm tir a, kan thisen acidity a control a, kan nerve leh muscle te pawh a thawk tha thei bawk.
Chuvangin, bicarbonate hi thil pawimawh tak a ni a, kan thisenah acid-base balance vawng reng turin a pui a ni. Hetiang zat hi a tam emaw, a tlem emaw pawh nise, kan taksaah thil dik lo a awm tih hriattirna a ni thei.
Engtik laiin nge doctor chuan he bicarbonate test hi tih a rawt?
Hei hi stand-alone test a ni tlangpui lo. I doctor chuan ‘Electrolyte Panel’ emaw ‘Serum Electrolytes’ emaw tih test a order tlangpui ang. Hei hian i sodium, potassium, leh chloride level a enfiah ang a, bicarbonate level pawh a enfiah bawk ang.
He test hi kum tin medical checkup tih dan pangngaia tih theih a ni. A nih loh leh, a hnuaia symptoms te hi i neih chuan he test hian a chhan zawng turin a pui thei a ni:
- Luak chhuak reng reng emaw, luak chhuak emaw.
- Thâwk harsa.
- Chauhna leh chak lohna nasa tak nei reng reng.
Tin, kal, thin, lung, emaw digestive system natna avanga enkawlna i dawng tawh a nih chuan, i doctor chuan he test hi tih fo turin a ti thei che a, chu chu enkawlna a hlawhtling em tih leh damdawi a thawk tha em tih hriat nan a ni.
Engtin nge he test hi i tih a, a result i hriatthiam?
A awlsam khawp mai. Doctor emaw, nurse trained emaw chuan i kut vein pakhat atanga thisen sample tlemte a la thin. Chu chu a ni.
Mahse, i damdawi, vitamin, supplement i ei apiang chu i doctor hnenah i hrilh ngei tur a ni tih hre reng ang che.A chhan chu damdawi thenkhat hian he test result hi a nghawng thei a ni. Tin, acidic thei chi hrang hrang orange, tangerines, leh grapefruit te ei tam lutuk hian a chang chuan a result ah nghawng tlem a nei thei bawk.
Puitling tan bicarbonate level hrisel chu thisen liter khatah millimoles 23 leh 29 inkar (23-29 mmol/L) a ni tur a ni. Mahse, he value hi lab hrang hrangah a inang lo deuh thei a, chuvangin i report-a ‘normal range’ nen khaikhin a tha ber.
A pawimawh ber chu, he report-a value awmte hmang hian nangmah chauhin i natna hi hriatchhuah tum suh. Hei hi eng nge a awmzia dik tak sawifiah chu i doctor mawhphurhna a ni.
Bicarbonate level hniam hian eng nge a awmzia?
I thisen report-a bicarbonate (CO2) level chu a tlangpui aia hniam a nih chuan a hnuaia thil awmte zinga pakhat chhinchhiahna a ni thei:
| Thil awm thei dinhmun | Hrilhfiahna awlsam tak |
|---|---|
| Kal natna | Hetiang dinhmun hi kal (kidney) hian thisen a filter tha thei lo va, taksaa acid awmkhawmte chu a paih chhuak thei lo a ni. |
| Zunthlum natna Ketoacidosis a awm | Hei hi zunthlum vei tan chuan nunna atana hlauhawm tak a ni. Taksain sugar hmanna tur insulin a tlakchham chuan thisen acidity chu hlauhawm takin a sang chho thin. |
| Metabolic Acidosis a awm thin | A awlsam zawngin taksain acid a siam tam lutuk emaw, kal (kidney) hian a paih chhuak thei lo emaw a ni. |
| Addison natna a ni | Hei hi hormone nena inzawm natna hmuh tur awm lo tak a ni a, adrenal glands hnathawh a tichhe a ni. |
| Aspirin hman tam lutuk | Aspirin ang damdawi ei tam lutuk hian thisen acidity a tidanglam thei a ni. |
| Ethylene glycol hmanga rimchhia a awm | Antifreeze hi detergent thenkhata chemical awm a ni. Hetiang thil i tawk nia rinhlelhna i neih chuan damdawi in emergency room (ETU)-ah kal nghal rawh. Tin, Colombo National Hospital-a National Poisons Information Center-ah pawh zawhfiah theih a ni bawk. |
Bicarbonate level tihsan hian eng nge a awmzia?
Tin, bicarbonate level pangngai aia sang hi hriselna lama harsatna thenkhat chhinchhiahna a ni thei bawk.
| Thil awm thei dinhmun | Hrilhfiahna awlsam tak |
|---|---|
| Lung natna te | A bik takin COPD (Chronic Obstructive Pulmonary Disease) ang natnaah chuan taksain carbon dioxide (CO2) a paih chhuak tha thei lo a, chu chuan thisenah bicarbonate level a tisang a ni. |
| Tui tlakchhamna (dehydration). | He value hi taksaa tui awm zat tlahniam avanga thisen chemical composition inthlak danglam vangin a pung thei a ni. |
| Anorexia a awm | Hei hi ei leh in lama harsatna a ni. Malnutrition hian taksa chemistry inthlauhna a siam a. |
| Adrenal gland lama harsatna nei | Cushing’s syndrome ang chi hian hormone imbalance a thlen thei a, he value hi a tisang thei bawk. |
Take-Home Thuchah a ni
- Bicarbonate (CO2) hi electrolyte pawimawh tak a ni a, i thisena acidity leh fluid level a control thei a ni.
- He test hi a tlangpuiin symptoms a awm chuan luak chhuak/riltam, thawk harsa, leh hah lutuk te hi a awm a ni.
- Hei hi a hlutna a hniam emaw, a sang emaw chuan hriselna lama harsatna chi hrang hrang, kal natna, zunthlum, leh lung natna te a tilang thei a ni.
- Thisen test hmanga inhriatchhuah ngai suh. Chumi chungchang chu i doctor nen inbia fo la, a hnen atangin thurawn dik tak la rawh.
- Damdawi leh supplement i ei zawng zawng hi doctor hnenah hriattir a pawimawh hle.
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