Mwina dokotala wanu wakupatsani mayeso a magazi otchedwa 'CMP'. Kapena mwina mwawona dzinali mu lipoti la labu. 'Kodi CMP iyi ndi chiyani? Chifukwa chiyani imachitika?' Mwina mwadzifunsapo, sichoncho? Musadandaule, iyi ndi mayeso ofala kwambiri omwe nthawi zambiri amachitidwa kuti aone thanzi la munthu. Lero, tikambirana izi mosavuta, m'njira yomwe aliyense angamvetse.
Kodi CMP (Comprehensive Metabolic Panel) kwenikweni ndi chiyani?
Mwachidule, CMP ndi mayeso a magazi omwe amachita mayeso 14 ofunikira nthawi imodzi pa chitsanzo chimodzi cha magazi. Zili ngati 'lipoti lautumiki' lomwe limapereka chithunzithunzi chachangu cha momwe injini ya thupi lanu ilili. Mayesowa amalola dokotala wanu kupeza chithunzi chabwino cha momwe ziwalo zingapo zofunika kwambiri m'thupi lanu zimagwirira ntchito, momwe thupi lanu limagwirira ntchito, komanso momwe thupi lanu limagwirira ntchito.
Izi zimawonekera makamaka kuchokera ku:
- Momwe chiwindi ndi impso zimagwirira ntchito.
- Mulingo wa shuga m'magazi mwanu (shuga m'magazi) .
- Kulinganiza kwa electrolyte ndi madzi m'thupi.
Kodi kusiyana pakati pa CMP ndi BMP ndi kotani?
Mwina munamvapo za chinthu chotchedwa 'Basic Metabolic Panel' kapena 'BMP'. Chili ngati mtundu wocheperako wa CMP. BMP imangoyang'ana mayeso 8 mwa 14 omwe ali mu CMP. Kutengera ndi mbiri yanu yaumoyo, dokotala wanu angakulangizeni CMP ngati akufuna chithunzi chonse, kapena BMP ngati akufuna kungoyang'ana mfundo zina zofunika.
N’chifukwa chiyani dokotala angalimbikitse mayeso a CMP?
Pakhoza kukhala zifukwa zingapo za izi.
- Monga gawo la kafukufuku wa thanzi la chaka ndi chaka: Onetsetsani kuti zonse zikuyenda bwino, ngakhale palibe zizindikiro zilizonse.
- Kuzindikira matenda: Ngati muli ndi zizindikiro zodziwika bwino monga kutopa kosaneneka, kumva kufooka, kapena kupweteka m'mimba, pezani chomwe chikuyambitsa.
- Kuyang'anira matenda omwe alipo kale: Ngati muli kale ndi matenda a shuga, kuthamanga kwa magazi, matenda a chiwindi kapena impso, onani ngati vutoli likutha ndipo ngati pali kuwonongeka kulikonse kwa ziwalo.
- Kuwunika momwe mankhwala amakhudzira: Yang'anani ngati mankhwala aliwonse omwe mukumwa (monga mankhwala ochepetsa cholesterol, mankhwala ena ochepetsa ululu) akukhudza chiwindi kapena impso zanu.
- Pakagwa ngozi: Ngati mwalowa mu Emergency Treatment Unit (ETU), mayesowa adzachitika kuti mudziwe mwamsanga thanzi lanu lonse.
Kodi mayeso 14 omwe CMP imayesa ndi ati?
Tiyeni tsopano tiwone zomwe mayeso 14 awa akunena ndi zomwe akunena. Kawirikawiri awa akhoza kugawidwa m'magulu anayi akuluakulu.
| Dzina la mayeso | Kodi chimangonena chiyani? |
|---|---|
| 1. Ntchito ya Chiwindi ndi Mapuloteni | |
| ALT (Alanine Aminotransferase) ndi AST (Aspartate Aminotransferase) | Awa ndi ma enzyme omwe amapezeka mkati mwa maselo a chiwindi. Chiwindi chikawonongeka, chimatulutsidwa m'magazi. Kuchuluka kwa ma enzyme amenewa kungakhale chizindikiro cha mavuto a chiwindi. |
| Alkaline Phosphatase ( ALP ) | Iyi ndi enzyme yomwe imapezeka m'chiwindi, ndulu, ndi mafupa. Kuchuluka kwa milingo kungakhale chizindikiro cha matenda a chiwindi, ndulu, kapena mafupa. |
| Bilirubin | Zinyalala zachikasu zomwe zimapangidwa maselo ofiira akale amagazi akawonongeka. Izi zimasefedwa ndikuchotsedwa ndi chiwindi. Ngati chiwindi chili chofooka, izi zimatha kusonkhana m'magazi ndikupangitsa maso ndi khungu kukhala achikasu (jaundice). |
| Albumin ndi Mapuloteni Onse | Albumin ndiye puloteni yayikulu m'magazi. Imapangidwa m'chiwindi. Imatha kupereka lingaliro la momwe thupi limakhalira ndi zakudya komanso momwe chiwindi ndi impso zimagwirira ntchito. |
| 2. Ntchito ya Impso | |
| BUN (Blood Urea Nayitrogeni) | Zinyalala zomwe zimapangidwa panthawi yogaya mapuloteni. Izi zimasefedwa ndikuchotsedwa ndi impso. Kuchuluka kwa BUN kungakhale chizindikiro cha kuchepa kwa ntchito ya impso. |
| Creatinine | Zinyalala zomwe zimapangidwa minofu ikamagwira ntchito. Izi zimasefedwanso ndikuchotsedwa ndi impso. Kuwonjezeka kwa creatinine ndi chizindikiro chachikulu cha matenda a impso. Madokotala amagwiritsa ntchito mtengo uwu kuwerengera eGFR kuti adziwe kuchuluka kwenikweni kwa kusefedwa kwa impso. |
| 3. Ma Electrolyte | |
| Sodium, Potaziyamu, Kloridi, Bicarbonate (CO2) | Izi ndi mchere wofunikira womwe umalamulira kuchuluka kwa madzi m'thupi, ntchito ya mitsempha ndi minofu, komanso kuchuluka kwa acid-base balance m'thupi (pH balance). Kusintha kwa izi kumatha kuchitika chifukwa cha matenda osiyanasiyana monga kusowa madzi m'thupi, matenda a impso, ndi matenda a mtima. |
| 4. Shuga ndi calcium m'magazi (Glucose ndi Calcium) | |
| Glucose (shuga) | Gwero lalikulu la mphamvu m'thupi. Kuwonjezeka kwa mtengo wake ndi chizindikiro chachikulu cha matenda a shuga. Mtengo wotsika kwambiri ukhozanso kuchitika chifukwa cha matenda osiyanasiyana. |
| Kalisiyamu | Ndikofunikira kwambiri kuti mafupa, mano, mitsempha, minofu, ndi mtima zigwire ntchito bwino. Kusintha kwa mtengo uwu kungakhale chizindikiro cha matenda a mafupa, matenda a chithokomiro, kapena matenda a impso. |
Kodi mumakonzekera bwanji mayeso a CMP?
Iyi ndi njira yosavuta kwambiri.
- Kusala Kudya: Nthawi zambiri mudzapemphedwa kuti musadye kapena kumwa chilichonse kwa maola 8 mpaka 12 musanayesedwe. Izi zili choncho chifukwa chakudya chomwe timadya chingakhudze kuchuluka kwa shuga m'magazi mwathu (shuga) ndi zina. Nthawi zambiri ndibwino kumwa madzi pang'ono, koma ndi bwino kufunsa dokotala wanu za izi.
- Kuchita Masewera Olimbitsa Thupi: Pewani kuchita masewera olimbitsa thupi mopitirira muyeso tsiku lisanafike mayeso, chifukwa kungakhudze kuchuluka kwa shuga m'magazi monga ALT ndi AST.
- Kutenga magazi: Namwino wophunzitsidwa bwino kapena katswiri wa matenda a phlebotomist adzagwiritsa ntchito singano yaying'ono kuti atenge magazi kuchokera mumtsempha womwe uli m'dzanja lanu. Izi zingatenge mphindi zosakwana 5. Mungamve kupweteka pang'ono singano ikalowetsedwa, koma izi zimatha msanga.
Kumbukirani, onetsetsani kuti mwauza dokotala wanu za mankhwala aliwonse (omwe mwapatsidwa ndi dokotala kapena omwe simunawagule), mavitamini, ndi mankhwala azitsamba omwe mukumwa, chifukwa izi zingakhudzenso zotsatira za mayesowa.
Kodi mungamvetse bwanji zotsatira zake?
Lipoti lanu la labu lidzalembanso "mtundu wofotokozera" wa mtengo uliwonse woyesera. Mtundu uwu ukhoza kusiyana pang'ono kuchokera ku labu ina kupita ku ina, chifukwa zida ndi njira zomwe amagwiritsa ntchito zimasiyana.
Chofunika kwambiri:
Musadandaule ngati chimodzi kapena ziwiri mwa zinthu zomwe muli nazo sizili bwino kwenikweni. Sizimakhala chizindikiro cha matenda aakulu nthawi zonse.
- Chakudya chomwe chinadyedwa tsiku lisanafike mayeso
- Mumamwa mankhwala.
- Kutaya madzi pang'ono m'thupi
- Chinthu chaching'ono chomwe chimachitika mukatenga magazi
Miyezo imatha kusintha pazifukwa zosavuta monga: "Dokotala wanu samangoyang'ana mtengo umodzi wokha. Amayesa mayeso onse 14 pamodzi ndikuyerekeza momwe zinthu zilili ndi zizindikiro zanu komanso mbiri yanu yaumoyo kuti akwaniritse zomwe mukufuna."
Ngati pali kukayikira kulikonse pa mtengo wake, dokotala angalamule kuti ayesedwenso kapena kulangiza mayeso enaake (monga, ultrasound scan ya chiwindi).
Choncho, onetsetsani kuti mwalankhula ndi dokotala wanu kuti mupeze kufotokozera bwino komanso kolondola kwa zomwe lipoti lanu la CMP limatanthauza. Musangoganiza kuti muli ndi vuto lachipatala pofufuza zambiri pa intaneti.
Uthenga Wopita Nawo Kunyumba
- CMP (Comprehensive Metabolic Panel) ndi mayeso omwe amayang'ana zinthu 14 zofunika, monga chiwindi chanu, impso, shuga m'magazi, ndi electrolyte balance, mu chitsanzo chimodzi cha magazi.
- Izi zimagwiritsidwa ntchito pofufuza thanzi nthawi zonse, kuzindikira matenda, kapena kuyang'anira matenda omwe alipo kale.
- Kawirikawiri munthu amasala kudya maola 8-12 asanayesedwe. Dokotala wanu adzakulangizani za izi.
- Musadandaule ngati zotsatira zanu sizili bwino. Pakhoza kukhala zifukwa zosavuta zomwe zingachititse izi.
- Nthawi zonse kambiranani ndi dokotala wanu tanthauzo lenileni la lipoti lanu la mayeso ndi njira zotsatirazi zoti muchite.
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