Mukapita kukaonana ndi dokotala, amakuyesani magazi, sichoncho? Mwina mwawonapo chinthu chotchedwa "BMP" pa lipotilo. Anthu ambiri amada nkhawa pang'ono akaona izi, akudabwa kuti, "Ichi ndi chiyani?" Musadandaule, iyi ndi mayeso ofala kwambiri, okhazikika. Mwachidule, BMP ndi mayeso omwe amayesa kuchuluka kwa zinthu zofunika m'magazi anu. Izi zingapatse dokotala wanu lingaliro labwino la momwe ziwalo zina zofunika m'thupi lanu, makamaka impso zanu, zimagwirira ntchito.
N’chifukwa chiyani tikupemphedwa kuti tichite mayeso a BMP awa?
Pakhoza kukhala zifukwa zingapo zomwe dokotala angakupempheni kuti muyesedwe BMP.
- Monga gawo la kuyezetsa thanzi lanu nthawi zonse: Ngakhale mutakhala kuti mulibe matenda aliwonse, mutha kuchita izi panthawi yoyezetsa thanzi lanu pachaka kuti muwone ngati chilichonse m'thupi lanu chikugwira ntchito bwino.
- Dziwani kapena yang'anirani matenda: Ngati muli ndi matenda monga matenda a shuga kapena kuthamanga kwa magazi, izi zimathandiza kuona ngati akutha komanso ngati akukhudza impso zanu.
- Yang'anani zotsatira za mankhwala: Kuyesaku kumachitika kuti muwone ngati mankhwala ena omwe mukumwa (monga mankhwala a kuthamanga kwa magazi) akusintha kuchuluka kwa ma electrolyte m'thupi lanu.
- Pakagwa mwadzidzidzi: Ngati mwalowa mu Emergency Treatment Unit (ETU) chifukwa chakuti mukudwala, izi zimachitika kuti mudziwe mwachangu ngati thupi lanu latha madzi m'thupi komanso ngati impso zanu zikugwira ntchito bwino.
Kawirikawiri, dokotala wanu angakulangizeni mayesowa ngati muli ndi zizindikiro monga izi:
- Kutopa kosalekeza
- Ngati kusanza kukupitirira
- Kusokonezeka, kuvutika kuganizira
- Kuvuta kupuma
Kodi BMP iyi ikuyang'ana chiyani kwenikweni?
BMP imayesa makamaka kuchuluka kwa mankhwala 8 m'magazi mwanu. Tiyeni tiwone zomwe ali ndi zomwe akunena.
| Kodi kuyesedwa n’chiyani? | Kodi zimenezo zikuti chiyani? |
|---|---|
| Shuga | Ichi ndiye gwero lalikulu la mphamvu m'thupi lanu. Timangotcha "shuga m'magazi." Izi zimagwiritsidwa ntchito pofufuza ngati muli ndi matenda a shuga kapena ngati akutha. |
| Kalisiyamu | Ndikofunikira kwambiri kuti mafupa akhale olimba, magazi azigwira ntchito bwino, komanso kuti mtima ndi minofu zizigwira ntchito bwino. |
| Urea Nayitrogeni wa M'magazi (BUN) | Izi ndi zinyalala zomwe zimapangidwa m'thupi. Zimasefedwa ndi impso ndikutulutsidwa mu mkodzo. Kuchuluka kwa izi kungakudziwitseni momwe impso zanu zikugwira ntchito. |
| Creatinine | Izi ndi zinthu zotayira zomwe zimapangidwa ndi minofu. Zimachotsedwanso ndi impso. Monga BUN, izi zimaperekanso lingaliro labwino la momwe impso zimagwirira ntchito. |
| Ma electrolyte - mchere m'thupi | |
| Sodium | Zimathandiza kulamulira kuchuluka kwa madzi m'thupi. Ngati izi zikuwonjezeka kapena kuchepa, mavuto monga kusowa madzi m'thupi komanso kuthamanga kwa magazi angabuke. |
| Potaziyamu | Ndikofunikira kwambiri pakugwira ntchito kwa mtima ndi minofu. Ngati kuchuluka kwake kwakwera kwambiri kapena kutsika kwambiri, kungakhale koopsa pamtima. |
| Chloride | Monga sodium, imathandiza kulamulira bwino madzi ndi acid-base m'thupi. |
| Kaboni dioxide (Bicarbonate) | Limatanthauza kulinganiza kwa asidi m'magazi. Lingaperekenso lingaliro la momwe mapapo ndi impso zimagwirira ntchito. |
Kodi kusiyana pakati pa BMP ndi CMP ndi kotani?
Nthawi zina, dokotala wanu angakulangizeni kugwiritsa ntchito CMP m'malo mwa BMP. CMP imayimira Comprehensive Metabolic Panel .
Mwachidule, CMP ndi mayeso akuluakulu pang'ono komanso ofotokoza zambiri kuposa BMP.
Mu CMP, kuwonjezera pa zinthu 8 zomwe BMP imayang'ana, zinthu zina zingapo zimawonedwa, makamaka zinthu zomwe zimakuuzani za momwe chiwindi chanu chimagwirira ntchito . Zinthu zina izi ndi izi:
- Albumin ndi Mapuloteni Onse: Awa ndi mapuloteni opangidwa ndi chiwindi. Amapereka chidziwitso chokhudza momwe chiwindi ndi impso zilili komanso thanzi la chiwindi.
- ALP, ALT, AST: Awa ndi ma enzyme omwe amapezeka m'chiwindi. Chiwindi chikawonongeka, amasonkhana m'magazi.
- Bilirubin: Zinyalala zomwe zimapangidwa pamene maselo ofiira akale amagazi awonongeka. Izi zimachotsedwanso ndi chiwindi.
Ngati dokotala akuona kuti chiwindi chanu chikufunika chisamaliro chapadera, adzakupatsani CMP m'malo mwa BMP.
Kuyezetsa magazi kumeneku n'kosavuta kwambiri!
Uku ndi kuyezetsa magazi kwachizolowezi. Palibe chodetsa nkhawa.
1. Kusala Kudya: Kuyezetsa kumeneku nthawi zambiri kumafuna kuti musadye kapena kumwa china chilichonse kupatula madzi kwa maola 8-12. Ndicho chifukwa chake anthu ambiri amapita m'mawa kukapereka magazi, kotero zimakhala zosavuta kusala kudya usiku wonse. Komabe, onetsetsani kuti mwafunsa dokotala wanu ngati mukufuna kusala kudya ndi kumwa mankhwala anu anthawi zonse.
2. Kukonzekera: Kuti zikhale zosavuta kutulutsa magazi m'dzanja lanu, valani zovala zazifupi. Kumwa kapu ya madzi musanapereke magazi kudzakuthandizani kupeza mtsempha mosavuta.
3. Kusonkhanitsa magazi: Ku labu, mtsempha woyenera udzapezeka m'dzanja lanu, mozungulira chigongono, ndipo malowo adzatsukidwa ndi mankhwala opha tizilombo toyambitsa matenda. Kenako, lamba wa rabara (tourniquet) udzayikidwa mozungulira mkono wapamwamba ndikuulimbitsa. Izi zithandiza kuti mitsempha iwonekere bwino.
4. Kuboola: Mumakhala omasuka. Pumirani mpweya ndikuyang'ana kwina. Mukalowetsa singano yaying'ono, mudzamva kuluma pang'ono, ngati kulumidwa ndi nyerere . Magazi ofunikira adzatengedwa pakangopita masekondi ochepa.
5. Yatha: Singano imachotsedwa, chidutswa cha thonje chimayikidwa pamalopo ndikukanikizidwa pansi. Kenako pulasitala yaying'ono imayikidwa pamalopo.
Ntchito yonseyi imatenga mphindi zochepa chabe. Chitsanzo cha magazi chimatumizidwa ku labu ndipo lipotilo limapezeka pakatha tsiku limodzi kapena awiri. Malo omwe magaziwo adatengedwa akhoza kukhala abuluu pang'ono, koma izi zitha zokha pakatha masiku ochepa.
Lipotilo likafika, mumamvetsa bwanji?
Mu lipoti lanu, chilichonse choyesedwa chimayamba ndi zotsatira zanu ndi "Normal Range" yofanana.
Chofunika ndichakuti kungoti zotsatira zanu zili kunja kwa mlingo woyenera sizitanthauza kuti ndi chizindikiro cha matenda oopsa.
Kuchuluka kwa mankhwala omwe mumamwa kungasiyane pang'ono malinga ndi labu. Zotsatira zanu zingasiyanenso malinga ndi zinthu monga zaka zanu, jenda, mankhwala omwe mumamwa, ndi zakudya zomwe mumadya.
Choncho, musaganize molingana ndi zomwe zili mu lipotilo. Dokotala amene akukuthandizani ndi amene angamvetse bwino ndikukuuzani zomwe mukufunikira. Iye adzayerekeza izi ndi zizindikiro zanu ndi malipoti ena a mayeso ndikukupatsani upangiri woyenera.
Kodi pali zinthu zina zomwe zingakhudze zotsatira zake?
Inde, zinthu zina zingakhudze kulondola kwa zotsatira za BMP.
- Mankhwala ena omwe mumamwa
- Kupsinjika maganizo
- Zakudya ndi zakumwa zomwe zimatengedwa musanapereke magazi
- Matenda ena aliwonse omwe munali nawo panthawiyo
- Kawirikawiri, cholakwika chaukadaulo chimachitika mu labu.
Ngati mukuganiza kuti chinthu chonga ichi chakhudza zotsatira zanu, lankhulani ndi dokotala wanu za izi.
Uthenga Wopita Nawo Kunyumba
- Chida Choyesera Kagayidwe ka Thupi (BMP) ndi njira yodziwika bwino komanso yosavuta yoyezera magazi yomwe imapereka chidziwitso chofunikira chokhudza thanzi lanu.
- Izi makamaka zimayang'ana momwe impso zimagwirira ntchito, kuchuluka kwa shuga m'magazi, komanso kuchuluka kwa mchere m'thupi (electrolytes).
- Musadandaule ngati phindu pa lipoti lanu lili kunja pang'ono kwa "Normal Range." Pakhoza kukhala zifukwa zambiri za izi.
- Musaganize nokha za zotsatira za lipotilo, koma kambiranani ndi dokotala amene anakupatsani mankhwalawo. Iye yekha ndiye angafotokoze bwino kwambiri.
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