A châng chuan i chau hle a, i chau hle bawk? I doctor chuan i thisen test-naah chloride level a hniam tih a sawi mai thei em? Mi tam tak chuan ‘hypochloremia’ tih thumal an hriat hian an hlauthawng deuh thin. Mahse, eng nge ni tak tak? Hlauh tur thil a ni em? Okay, vawiin hian he thu hi chiang tak leh awlsam takin sawi ila.
A hmasain, he chloride hi eng nge ni?
A awlsam zawngin sawi ila, chloride hi kan taksaa thil pawimawh tak a ni. A dik tak chuan electrolyte chi khat a ni . Electrolytes hi kan thisena mineral awm, taksa hnathawhna atana pawimawh tak a ni. Car battery-in tui a mamawh ang maiin han ngaihtuah teh, heng electrolyte te hi kan taksa peng hrang hrangte hnathawh that nan a pawimawh hle.
Chloride hian kan taksaah hna pawimawh engemaw zat a thawk a:
- Muscle te chu a thawk tha thei hle.
- Nervous system-a thuchah dik taka thawn darh turin a pui.
- Kan thisen acid-base balance (pH balance) hi a vawng tha hle.
- Taksa chhunga fluid balance awm reng turin a pui.
He chloride tam zawk hi ei tur atana kan hman chi (salt) a\angin kan hmu a, chu chu sodium chloride a\angin kan hmu a ni.
Hypochloremia natna lan chhuahna chu engte nge ni?
Heta mak tak mai chu a tam zawkah chuan chloride level hniam hian symptom bik a siam lo . Mahse, a natna lan chhuah dan chu a natna thlentu damdawi lam dinhmun (underlying medical condition) vang a ni thei. Chumi awmzia chu chloride tlem hi a takin natna a ni lo va, natna dang chhinchhiahna a ni zawk tihna a ni.
Hengte hi electrolyte imbalance avanga lo awm thei symptoms tlangpui an ni:
- Khawsik
- Thâwk harsa
- Rilru tibuai
- Taksa a hring chhuak
Pawimawh tak chu, he chloride tlem dinhmun hi thisen a sodium tlahniam hi hyponatremia an tih dinhmun nen hian hmuh tur a awm fo thin.
Engvangin nge kan taksaa chloride hi a tlahniam? A chhan engte nge ni?
Kan ei leh in atanga chloride kan hmuh avangin he natna hi ei tur kan ei tlem avangin a tlem hle. Mi hrisel takah chuan chloride level control tu organ ber chu kidney a ni . Chuvangin kal (kidney)-ah harsatna a awm chuan heng chloride level te hi a inthlak theihna chance a sang hle.
A hnuaia table-ah hian chloride level hniam chhan ber thenkhat tarlan a ni.
| Chhan | Hrilhfiahna awlsam tak |
|---|---|
| Luak chhuak leh riltam reng reng | Taksa atanga tui leh chi hloh tam lutuk. |
| Thaw hah lutuk | Taksa atanga chi (salts) chhuak chu thawmhnaw nen. |
| Kal natna te | Chloride control tu organ lian ber, kal (kidney) hnathawh that lohna. |
| Damdawi lam dinhmun thenkhat | Entirnan: chronic respiratory acidosis, SIADH, leh metabolic alkalosis ang chi dinhmun. |
| Damdawi thenkhat | A bik takin damdawi, diuretics, corticosteroids, laxatives , leh bicarbonate te. |
| Cancer enkawl dan tur | Chemotherapy ang chi enkawlna hian kal a tichhe thei a, electrolyte imbalance a thlen thei bawk. |
Engtin nge doctor hian he natna hi a hriat theih ang?
I doctor chuan hei hi thisen test ‘electrolyte panel’ an tih hmangin a hmuchhuak tlangpui ang. Hei hi thisen test awlsam tak a ni. Chloride chauh ni lovin, electrolyte pawimawh dang sodium, potassium, leh bicarbonate te pawh vawi khatah a check thei bawk. Chuvang chuan hei hi fiahna pawimawh tak a ni. A châng chuan i doctor pawhin i zun chloride level enfiah turin a rawt thei bawk.
Chloride value pangngai chu eng ang nge ni tur?
Chloride hman dan pangngai hi kum a zirin a inang lo deuh.
| Kum Group hrang hrang | Thisen a chloride awm zat pangngai (mEq/L) . |
|---|---|
| Puitling tan | 98 - 106 ah a awm |
| Naupang | 90 - 110 inkar a ni |
| Nau piang thar | 96 - 106 ah a awm |
| Nausen piang hmasa | 95 - 110 ah a awm |
I report chu a range atanga tlem a nih vang mai mai chuan natna khirh tak a ni tihna a ni lo tih hre reng ang che. A chang chuan i luak chhuak a, tui tlem i hloh tawh a nih pawhin he hlutna hi a danglam thei. Chuvangin, report chu la ngei ang che, i doctor nen pawh inbia ang che.
Engtin nge enkawl a nih?
Hei hi enkawl dan tur chu i chloride level tlahniam chhan bulpuiah a innghat vek a ni. I doctor chuan chu chhan chu a enkawl lai hian i chloride level chu normalise a tum ang.
- Vawi tam tak chu taksaa chi (salt level) rang taka siam that nan vein (IV) hmangin saline solution pek thin a ni.
- Chutiang khawpa natna a nasat loh chuan doctor chuan chloride tamna ei tur ei turin a fuih ang che.
- Mahse, hei hi hre reng ang che: Doctor rawn hmasa lovin vitamin emaw supplement emaw ei ngai suh.
Chi ei tam lutuk hi a tha em?
Chloride hi chi atanga lo chhuak a nih avangin chi ei tam hi i tan a tha niin i ngai mai thei. MahseChi ei tam lutuk hian hriselna lama harsatna dang tam tak a thlen thei a ni.
- Kal natna
- Thai
- Thisen sang a sang
- Lung natna
- Pum cancer a ni
- Ruh natna (Osteoporosis) a awm
Chuvangin engkim inthlau taka vawn reng hi a pawimawh ber a ni.
Take-Home Thuchah a ni
- Hypochloremia hi thisenah chloride awm zat tlem a ni. Damdawi lam thil dang chhinchhiahna angin a lo awm tlangpui.
- Luak chhuak, luak chhuak, thawk hah lutuk, kal natna leh damdawi thenkhat te hian hetiang hi a thlen thei a ni.
- He natna hi thisen test awlsam tak ‘electrolyte panel’ an tih hmanga hriat theih a ni.
- I thisen test-naah chloride level a tlahniam a nih chuan hlauthawng suh la , i doctor nen pawh sawipui ngei ang che. A enkawl dan tur a rel ang.
- Doctor thurawn tel lo chuan vitamin leh mineral supplement engmah hmang suh.
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