Me ako atu tātou mō te whakamātautau Anion Gap, e ine ana i te toenga waikawa-pūtake o tō toto.

Kua rongo pea koe i te whakamātautau toto ina haere koe ki te tākuta. He maha ngā mea ka taea e ngā whakamātautau toto te kōrero ki a koe mō ngā momo mea rerekē o roto i ō tātou tinana. Waihoki, ko tētahi ine nui mō te taurite o ngā waikawa me ngā kawakore i roto i ō tātou toto, arā, te taurite waikawa-kawakore, e kiia ana ko te Anion Gap . Kāore he mea e wehi ai koe ina rongo koe i tēnei, ka hoatu he tohu mō ētahi āhuatanga hauora o roto i ō tātou tinana. Me kōrero noa tātou mō tēnei, ā, ka mārama hoki ki a koe.

He aha tēnei Āputa Anion, e Tākuta?

He whakarāpopototanga noa iho, ko te Anion Gap he ine i te rerekētanga i waenga i ngā matūriki hiko (ngā irahiko) i roto i tō toto. Tērā pea ka maumahara koe ki te ako mō ngā iona pai (+) me ngā iona kino (-) i te kura. Pērā tonu. Kei roto hoki i ō tātou toto ēnei momo irahiko pai me ngā irahiko kino.

Nō reira, ko tā tēnei Āputa Anion he ine i te rerekētanga, i te "āputa" rānei, i waenga i ngā electrolytes matua kua utaina pai (pēnei i te pāhare pāporo me te konutai) me ngā electrolytes matua kua utaina kino (pēnei i te pūhaumāota me te paikāponate) i roto i te toto. Ehara tēnei i te mea e inehia tika ana e te mīhini. Ka tatauhia te Āputa Anion mā te whakamahi i ngā hua o ētahi atu whakamātautau toto kua tonoa e tō tākuta māu. Ko ēnei whakamātautau kei roto i ngā kete whakamātautau toto ka riro mai i a tātou ina haere tātou ki te tākuta mō tētahi mate. Hei tauira:

• Paewhiri Pūnaha Whakaora Whānui (CMP)
• Paewhiri Pūnaha Pūnaha Taketake (BMP)
• Paewhiri Irahiko

Mā ngā whakamātautau pēnei ka puta ngā raraunga e hiahiatia ana hei whakatau i te āputa anion.

He aha i mahia ai tēnei whakamātautau āputa anion? He aha ngā mea e tirohia ana e ia?

Ko te tikanga o tēnei Anion Gap he tirotiro mēnā he kore taurite o te electrolyte i roto i tō toto, mēnā rānei he waikawa rawa tō toto (`(Acidosis)`) he waiwai rawa rānei (`(Alkalosis)`) .

Whakaarohia pēnei: ​​he rite tō tātou tinana ki tētahi mīhini kua tino whakatikatikaina. Me tino taurite ngā mea katoa o roto i tēnei mīhini. He rite tonu te taurite o te waikawa-pūmua i roto i te toto. Mena he kore taurite tēnei, ko te tikanga he mea kei roto i te tinana kāore e mahi tika ana. Ko te waikawa , ko te alkalosis rānei, he mea morearea ēnei e rua. Nō reira, ka whakamahia e ngā tākuta tēnei hua o te āputa anion hei rapu i te take o tēnei kore taurite.

Āhea ahau e hiahia ai ki te whakamātautau Anion Gap?

Tērā pea ka tonoa e tō tākuta he whakamātautau toto e whakauru ana i te āputa anion, ina koa mēnā kei te whakaatu koe i ngā tohu e tohu ana he kore taurite ō ngā taumata waikawa i roto i tō toto. Arā, ko ngā tohu i puta mai i te acidosis (te pikinga o te waikawa) i te alkalosis rānei (te pikinga o te kawakore). Kei roto i ēnei ko:

• Te uaua ki te manawa
• Te ruaki me te whakapairuaki
• Pōhēhētanga
• Ngā tere o te ngakau
• Tino ngenge te ngenge

I ētahi wā, ina mahia he whakamātautau toto auau mō tētahi atu take, ka tāpirihia pea te Anion Gap ki te kete whakamātautau. I roto i ēnei āhuatanga, kāore pea koe e kite i tētahi tohu motuhake, engari ka whakahuatia tēnei uara i roto i te pūrongo. Hei tauira, i roto i ēnei whakamātautau, ka kitea pea te hua o te Anion Gap penei:

• Paewhiri Pūnaha Pūnaha Taketake (BMP)
• Paewhiri Pūnaha Whakaora Whānui (CMP)
• Paewhiri Irahiko
• Paewhiri Mahi Whatukuhu (RFP)

Me pēhea te whakahaere i tēnei whakamātautau? Me wehi ahau kei tangohia he toto?

Ina hoki, he whakamātautau tika ake te Anion Gap i te whakamātautau taiwhanga, e ine ana ngā kaipūtaiao i ngā mea pēnei i te konutai, te pūhaumāota, me te CO2 (hauora waro) i roto i tō tauira toto, ā, ka whakamahia aua uara hei tatau i tētahi uara. Ka āwhina ēnei hua ki te whakatau mēnā nā te pikinga o te waikawa, te hekenga rānei o te kawakore (arā, he pikinga o te kawakore) ō tohumate. Ka āwhina hoki ki te whakatau mēnā he mate hauora kei raro i a koe.

He mea motuhake kei mua i te tuku toto?

Mā tō tākuta koe e kī atu mēnā me mahi koe i tētahi mea motuhake i mua i te whakamātautau toto. Tērā pea ka tonoa koe kia nohopuku mō ētahi haora i mua i te whakamātautau toto. Me kōrero anō hoki koe ki tō tākuta mēnā kei te tango koe i ētahi rongoā, nā te mea ka pāngia ngā hua o te whakamātautau e ētahi rongoā.

He aha te mea ka tupu ina koha toto koe?

Ehara i te mea whakamataku te tuku toto i tō whakaaro. Anei ngā mea e tupu ana i te nuinga o te wā:

• Ka noho koe ki runga i tētahi tūru. Kātahi ka tīpakohia e te tākuta toto tētahi uaua ngāwari i roto i tō ringa hei tango toto. Tērā pea ka whakanohoia he here rapa ki te ringa o runga kia kitea ai te uaua. I te nuinga o te wā, ka tangohia te toto mai i roto i te tuke.
• Kia kitea te uaua, ka horoia pai te wāhi, ka patua hoki.
• Kātahi ka werohia he ngira iti ki roto i te uaua, ā, ka tangohia he tauira toto. I tēnei wā, tera pea ka rongo koe i te ngau iti, me te mea kua ngaua koe e te pōpokorua . Ka roa hoki tēnei mō ētahi hēkona.
• Whai muri i te werohanga o te ngira, ka kohia he iti o te toto ki roto i tētahi ngongo whakamātautau.
• Kia nui te toto e tangohia ana mō te whakamātautau, ka tangohia te ngira, ka whakatakotoria he miro, he kākahu rānei ki te wāhi i werohia ai, ka pēhia hei whakamutu i te toto.
• Kātahi ka pania he pāreti iti ki te wāhi. Koia rā, kua oti te mahi!

I raro iho i te rima meneti te roa o tēnei tukanga katoa.

He aha ngā mea ka tupu i muri i te whakamātautau? Kia pēhea te roa o te wā e hiahiatia ana kia tae mai te pūrongo?

Ka tukuna tō tauira toto ki tētahi taiwhanga hei whakamātautau. I reira, ka whakarite te kaipūtaiao taiwhanga hauora i te tauira, ā, ka whakahaere i te whakamātautau mā te whakamahi i ngā mīhini motuhake (ngā taputapu tātari toto).

Kia tae mai ngā hua o te whakamātautau, ka whakamōhio atu tō tākuta ki a koe, ka whakarārangihia rānei ki roto i tō pūkete hauora hiko. Mena kei a koe ngā tohumate, pēnei i te poto o te manawa, te ruaki rānei, ā, he whakamātautau āputa anion tāu, tera pea ka puta ngā hua i roto i ētahi haora . Heoi, ki te mahia tēnei whakamātautau hei wāhanga o te kete whakamātautau toto noa (pēnei i te papatohu metabolic taketake), tera pea ka roa te kotahi ki te rua ngā rā pakihi ka puta mai ngā hua.

He mōrearea kei roto i tēnei whakamātautau toto?

He tikanga tino noa, he mea nui hoki ngā whakamātautau toto i roto i te rongoā. Kāore he mōrearea nui i roto i te tuku toto. Tērā pea ka pāngia koe e te maru, e te pupuhi rānei i te wāhi i tangohia ai te toto. Engari ka memeha haere tēnei i roto i te rā kotahi, e rua rānei. Nō reira kaua e manukanuka.

Āe, he aha te kōrero a tēnei pūrongo a Anion Gap ki a tātou?

Ko te pūrongo whakamātautau toto, tae atu ki ngā hua whakamātautau toto Anion Gap, kei roto i ēnei mōhiohio e whai ake nei:

• Te ingoa o te whakamātautau toto, te mea rānei i inehia i roto i tō toto.
• Te tau, te ine rānei o ngā hua o tō whakamātautau toto.
• Ko te awhe ine noa o te taiwhanga mō taua whakamātautau.
• He noa, he rerekē, he teitei, he iti rānei tō hua?

He aha te āputa anion noa?

Kāore he uara kotahi mō te Anion Gap e kī ana "koinei te uara noa mō te katoa." Ina whiwhi koe i ngā hua o te whakamātautau toto, ka whakahuatia anō hoki e te pūrongo te awhe noa o te Anion Gap mō taua taiwhanga.

Waihoki, ka rerekē pea tēnei awhe "noa" o te Anion Gap i runga i ngā āhuatanga maha. Hei tauira, ko te hunga e tango ana i te rongoā Lithium Carbonate mō te mate hinengaro-rua, ka pāngia pea rātou e te Anion Gap iti iho i te mea nā te rongoā.

He aha te tikanga mēnā ka piki ake te āputa anion? He mea morearea?

Mena he nui te Anion Gap i roto i ngā hua o tō whakamātautau toto, tera pea he waikawa tōu . Ko te tikanga he nui ake te waikawa o tō toto i te mea noa (he iti iho te pH o tō toto i te mea noa).

He maha ngā āhuatanga ka pā mai ai te waikawa:

• Te maroketangaKāore e nui te wai e whiwhi ana te tinana.
• Korere : Ka ngaro te nui o te wai me ngā electrolytes i te tinana i te korere.
• Te whakakori tinana nui rawa : Ka taea e te whakakori tinana nui te whakanui ake i ngā mea pēnei i te waikawa lactic i roto i te tinana.

Haunga ēnei, ka taea hoki e te waikawa te tohu i ētahi atu mate hauora nui :

• Mate Tākihi : Ka tukuna e ngā tākihi hauora te waikawa nui rawa ki roto i te tinana mā te mimi. Heoi, mō te hunga whai mate tākihi, kāore e taea e ngā tākihi te mahi tika i tēnei mahi. Ka kohia te waikawa i roto i te tinana, ka puta he āhuatanga e kiia nei ko te metabolic acidosis.
• Mate huka : Ka pā mai pea te waikawa, inā koa mēnā kāore anō kia kitea te mate huka momo 1. Ina kore e nui te insulin e whakaputaina e te repe taiaki, kāore e taea e ngā pūtau te tango huka (huka), ā, ka waikawa te toto.
• Ketoacidosis Mate Huka (DKA) : He raruraru kino tēnei, he raruraru morearea ki te ora e hua mai ana i te korenga o te insulin i roto i te mate huka kāore anō kia tautuhia.
• Te Paitini Salicylate (`(Paitini Salicylate / Paitini Salicylate)`) : Ko te salicylate he matū e kitea ana i roto i te maha o ngā rongoā ka taea te hoko kore utu me ngā rongoā kua tohua. Ko te aspirin he rongoā noa kei roto tēnei salicylate. Ko te tango nui rawa o ēnei, ko te tango nui rawa rānei, ka arahi pea ki te paitini salicylate, he mea morearea hoki ki te ora.

He mea nui: Kāore te āputa anion teitei e tohu i te mate kino. Heoi, ka rapu te tākuta i te take.

A, ki te heke te āputa anion? He onge te tupu o tēnā, tika?

Ae, he tino onge te whakaatu a te Anion Gap i tētahi uara iti . Nō reira, tera pea ka tuaruatia te whakamātautau e tō tākuta kia tika ai ngā hua.

Mena he iti te āputa anion i roto i ō whakamātautau toto, tera pea he iti iho i te taumata noa o te pūmua e kiia nei ko te albumin i roto i tō toto (hypoalbuminemia). He pūmua nui te albumin i roto i ō tātou toto. Ka puta pea ngā taumata albumin iti i ngā āhuatanga pēnei i:

• Ngā raruraru tākihi
• Mate ngakau
• Mate ate
• Ētahi momo mate pukupuku

He onge anō ngā hua o te āputa anion iti. Mēnā kei te hiahia koe ki te mōhio atu mō ngā hua o tō whakamātautau, me kōrero koe ki tō tākuta.

Nō reira, me manukanuka rānei tātou ina piki, ina heke rānei tēnei āputa anion?

Ahakoa he nui, he iti rānei te Anion Gap i roto i ngā hua o tō whakamātautau toto, ehara i te mea he mate kino tōu . He maha ngā āhuatanga e pā ana ki ō taumata electrolyte, ka pā hoki ki te ine i te Anion Gap. Tērā pea i he tetahi mea i te wā i kohia ai te tauira toto, i te kawe ki te taiwhanga, i te whakahaere rānei i te whakamātautau.

Ina tātarihia e tō tākuta ngā hua o tō whakamātautau toto, ka whakaarohia e rātou he maha ngā mea, pērā i tō hītori hauora katoa me ngā rongoā e tangohia ana e koe . Mena he rerekē ngā hua o tō Anion Gap, ka tono pea rātou i ētahi atu whakamātautau hei whakatau i te mate. Kāore he tangata e pai ki te whai whakamātautau toto, inā koa me mahi i ngā wā maha i te karapīpiti. Heoi, koinei te huarahi pai ki te whakarite kei te tika ō taumata electrolyte.

Mena he pātai āu mō ngā hua, kaua e wehi ki te pātai ki tō tākuta. Kei reira rātou hei āwhina i a koe.

Hei whakamutunga, ko ngā mea tino nui hei maumahara mā tātou (Karere hei tango ki te kāinga)

Āe, kua maha ngā kōrero kua pā ki te whakamātautau Anion Gap. Anei ētahi o ngā mea nui hei maumahara:

• He mea nui te tatau i te Anion Gap: ka whakaratohia he mōhiohio whai hua mō te toenga waikawa-pūtake o tō toto.
• Ehara i te mea he morearea tonu te uara teitei, te uara iti rānei: Kaua e mataku i te huringa ohorere o te uara i runga i tō pūrongo. Tērā pea he take kē atu mō tēnā.
• Ko tō tākuta te kaiwhakawā pai rawa atu: Ko tō tākuta anake ka taea te whakaaro ki tō āhua hauora katoa, te whakahaere i ētahi atu whakamātautau mēnā e tika ana, me te whakamārama i ngā hua.
• Pātai atu: Ki te mea he mea kāore koe e mārama ana, kaua e huna ki a koe anake, engari pātai atu ki tō tākuta.

Kia maumahara: Kāore e taea te tautuhi i tētahi mate mā te titiro noa ki tētahi tau i runga i tētahi pūrongo. Nō reira, whakawhirinaki ki tō tākuta, ā, whai i āna tohutohu. Kātahi ka taea e koe te noho hauora!

Āputa Anion , Whakamātautau Toto, Waikawa, Alkalosis, Irahiko, Waikawa o te Toto