He ngenge noa iho rānei koe i ētahi wā, he whakapairuaki, he uaua rānei ki te manawa? I tēnei rā ka kōrero tātou mō tētahi whakamātautau toto māmā ka taea e tō tākuta te mahi hei rapu i te take o ēnei tohu. Ka taea e tēnei whakamātautau te homai i ngā tohu mō ngā mate kino maha i roto i ō tātou tinana.
He aha tēnei Āputa Anion?
Ki te whakarapopototanga, ka ine te whakamātautau Anion Gap i te nui o te waikawa i roto i tō toto, te waikawa rānei. Ahakoa he teitei ake, he iti iho rānei te waikawa o ō tātou toto i te mea noa, he tohu pea tēnei mō tētahi raruraru hauora. Mā ngā hua o tēnei whakamātautau ka āwhina tō tākuta ki te tātaritanga i tō āhua me te whakarato i te maimoatanga tika.
Whakaarohia, he pai (+) me he kino (-) ngā utu hiko o roto i ō tātou toto. Ka kiia ēnei he irahiko . Koinei ngā kohuke o roto i tō tātou tinana pērā i te konutai, te pāhare pāporo, te pūhaumāota, te paikāpōnate. He mea nui te pupuri i te taurite tika i waenga i ēnei utu pai me ngā utu kino kia pai ai te mahi a te tinana. Ko te Āputa Anion te āputa i waenga i ēnei irahiko pai me ngā irahiko kino. Ina huri tēnei āputa, ka tohu i te huringa o te waikawa (pH) o te toto.
Ko te pikinga o te waikawa i roto i te toto he tohu pea nō tētahi raruraru poto pēnei i te matewai, tae atu ki ngā āhuatanga roa pēnei i te mate huka me te mate tākihi. Waihoki, ko te hekenga o te waikawa i roto i te toto he tohu pea nō tētahi āhuatanga kino atu pēnei i te mate ngākau.
He aha koe i tonoa ai kia mahi i tēnei whakamātautau?
Mena kei a koe ēnei tohu e whai ake nei, ka tonoa pea e tō tākuta he whakamātautau Anion Gap. Tērā pea ka puta ēnei tohu i te pikinga o te waikawa o te toto (Acidosis) i te hekenga rānei o te waikawa/alkalosis (Alkalosis) .
| Tūnga | Ngā tohu hei tirotiro |
|---|---|
| Te waikawa (Te pikinga o te waikawa i roto i te toto) |
|
| Te kawakore (te hekenga o te waikawa o te toto) |
|
Me pēhea te whakahaere i te whakamātautau?
He tino māmā ake tēnei i tō whakaaro. Ka taea te mahi i te tari o tō tākuta, i te taiwhanga rānei. He iti noa te toto e tangohia ana mai i te uaua i tō ringa .
Mā tō tākuta koe e kī atu mēnā me karo koe i te kai, i te inu rānei i tetahi mea i mua i te whakamātautau. Me kī atu hoki ki tō tākuta mēnā kei te tango koe i ētahi rongoā (ina koa ko ngā paturopi), nā te mea ka pāngia pea ngā hua o te whakamātautau e ētahi rongoā.
He aha te mea e kīia ana i roto i te pūrongo whakamātautau?
Ka taea e te hua o tō Anion Gap te Noa, te Teitei, te Iti rānei.
Āputa Anion Noa
Ko te tikanga, ko te uara Anion Gap kei waenga i te 4-12 mEq/L . Ko te tikanga o tēnei kei te taumata hauora te toenga waikawa-pūtake (pH) o tō toto. Arā, kāore he mea hei manukanuka.
Āputa Anion Teitei
Ki te kī mai tō tākuta he teitei tō Anion Gap, ko te tikanga he nui ake te waikawa o tō toto i te mea noa. Ka kiia tēnei āhuatanga he waikawa waikawa . He maha ngā take mō tēnei.
- Te matewai: Te ngaronga o te wai me ngā irahiko i roto i te tinana nā te ruaki, te korere (te mamae o te puku), me te nui rawa o te whakakori tinana.
- Mate whatukuhu: Ko ō tātou whatukuhu te kawenga mō te tango i te waikawa nui mai i te toto mā te mimi. Ina ngoikore ngā whatukuhu, ka nui haere te waikawa i roto i te toto.
- Mate huka: He mate kino te Diabetic Ketoacidosis (DKA) e pā ana ki te hunga mate huka kāore i te whakahaeretia. I roto i tēnei mate, ka kohia ngā waikawa kino (ketones) ki roto i te toto i te mea ka tahuna e te tinana te ngako hei pūngao.
- Te paihana salicylate: Ka taea e te tango nui rawa i ngā rongoā pēnei i te aspirin te whakanui ake i te waikawa o te toto.
- Te inu nui i te waipiro: Ka taea hoki e te inu nui i te waipiro te whakanui ake i te nui o te waikawa i roto i te toto.
- Ētahi atu rongoā: Ka taea hoki e ētahi rongoā te whakanui ake i te waikawa o te toto.
Āputa Anion Iti
He mea onge tēnei i te nuinga o te wā. Ina iti iho te nui o te waikawa i roto i te toto i te mea noa, ka kiia tēnei he alkalosis .
I ētahi wā, mā te hapa iti i roto i te taiwhanga ka iti te uara. Nō reira, ka tono pea tō tākuta kia tuaruatia te whakamātautau. Mena he iti te uara Anion Gap, tera pea nā te hekenga o tētahi momo pūmua e kiia nei ko te Albumin i roto i te toto. Ko te Albumin he pūmua e āwhina ana ki te kawe i ngā mea nui pēnei i ngā huaora me ngā homoni puta noa i ō tātou tinana. Ko tēnei hekenga pea he tohu o ngā āhuatanga e whai ake nei:
- Ngā raruraru whatukuhu
- Mate ngakau
- Mate ate
- Ētahi momo mate pukupuku
Kia maumahara, ko te nui, ko te iti rānei o te Anion Gap, ehara i te mea he mate kino. He tohu nui noa iho tēnei mā te tākuta ina tautuhia he mate.
Ka puta te whakatau whakamutunga a te tākuta i muri i te whakaaro ki tō pūrongo whakamātautau, ngā tohumate, me ētahi atu whakamātautau e tika ana. Nō reira, ka taea te tiki i te whakamārama pai rawa atu mō tō pūrongo mai i tō tākuta.
Karere Tangohia ki te Kāinga
- He whakamātautau toto māmā te Anion Gap e whakaatu ana i te taumata waikawa (pH) o tō toto.
- Mā ngā hua o tēnei whakamātautau ka āwhina te tākuta ki te tautuhi i ngā raruraru hauora huna maha.
- He maha ngā take ka puta ai he hua teitei, he hua iti rānei. He tohu pea tēnei mō tētahi mate pēnei i te mate huka, te mate tākihi, te matewai rānei.
- Kaua e manukanuka nā te mea ka huri te uara Anion Gap. He taahiraa kotahi noa iho tēnei i roto i te tautuhi mate.
- Me kōrero tonu ki tō tākuta te tikanga tuturu o tō pūrongo whakamātautau me te maimoatanga e hiahiatia ana.
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