Kodi nthawi zina mumamva kutopa kwambiri komanso kutopa? Mwina dokotala wanu anati mayeso anu a magazi akusonyeza kuti muli ndi chloride yochepa? Anthu ambiri amachita mantha pang'ono akamva mawu oti 'hypochloremia'. Koma kodi ndi chiyani kwenikweni? Kodi ndi chinthu choopera? Chabwino, tiyeni tikambirane za izi momveka bwino komanso mosavuta lero.
Choyamba, tiyeni tiwone, kodi chloride iyi ndi chiyani?
Mwachidule, kloridi ndi chinthu chofunikira m'matupi athu. Kunena zoona, ndi mtundu wa electrolyte . Ma electrolyte ndi mchere womwe umapezeka m'magazi athu womwe ndi wofunikira kuti thupi ligwire ntchito. Taganizirani izi ngati batire yagalimoto imafuna madzi, ndipo ma electrolyte awa ndi ofunikira kuti ziwalo za thupi lathu zigwire ntchito bwino.
Chloride imagwira ntchito zingapo zofunika m'thupi lathu:
- Zimapangitsa minofu kugwira ntchito bwino.
- Zimathandiza kutumiza mauthenga bwino mu dongosolo la mitsempha.
- Kuchuluka kwa acid-base balance (pH balance) m'magazi athu kumasungidwa bwino.
- Zimathandiza kusunga madzi m'thupi.
Timapeza kloridi yambiri iyi kuchokera ku mchere womwe timagwiritsa ntchito pa chakudya, kutanthauza kuti, kuchokera ku sodium chloride .
Kodi zizindikiro za Hypochloremia ndi ziti?
Chodabwitsa apa ndichakuti nthawi zambiri, kuchuluka kwa chlorine kochepa sikumayambitsa zizindikiro zinazake . Komabe, zizindikirozo zitha kuchitika chifukwa cha matenda omwe amayambitsa vutoli. Izi zikutanthauza kuti kuchepa kwa chlorine si matenda okha, koma chizindikiro cha matenda ena.
Izi ndi zizindikiro zofala zomwe zingachitike chifukwa cha kusalinganika kwa electrolyte:
- Malungo
- Kuvuta kupuma
- Chisokonezo
- Kutupa kwa thupi
Chofunika kwambiri, vutoli la kuchepa kwa chloride nthawi zambiri limawoneka limodzi ndi vuto lotchedwa hyponatremia , lomwe ndi kuchepa kwa sodium m'magazi.
N’chifukwa chiyani chloride m’thupi lathu imachepa? Kodi zifukwa zake ndi ziti?
Popeza timapeza chloride kuchokera ku chakudya chomwe timadya, vutoli silimachitika kawirikawiri chifukwa cha kudya mokwanira. Mwa munthu wathanzi, chiwalo chachikulu chomwe chimayang'anira kuchuluka kwa chloride ndi impso . Chifukwa chake ngati pali vuto ndi impso, pali mwayi waukulu kuti kuchuluka kwa chloride kumeneku kusinthe.
Gome ili m'munsimu likuwonetsa zina mwa zifukwa zazikulu zomwe zimapangitsa kuti chloride ikhale yochepa.
| Chifukwa | Kufotokozera Kosavuta |
|---|---|
| Kusanza kosalekeza ndi kutsegula m'mimba | Kutaya madzi ambiri ndi mchere m'thupi. |
| Thukuta kwambiri | Kutuluka kwa mchere m'thupi chifukwa cha thukuta. |
| Matenda a impso | Kulephera kugwira ntchito kwa impso, chiwalo chachikulu chomwe chimayang'anira chloride. |
| Matenda ena | Mwachitsanzo: matenda monga matenda osatha a kupuma (chronic respiratory acidosis), SIADH, ndi metabolic alkalosis. |
| Mankhwala ena | Makamaka mankhwala monga diuretics, corticosteroids, laxatives , ndi bicarbonates. |
| Chithandizo cha khansa | Mankhwala monga chemotherapy angakhudze impso ndikuyambitsa kusalingana kwa ma electrolyte. |
Kodi dokotala amazindikira bwanji vutoli?
Dokotala wanu nthawi zambiri amazindikira izi ndi mayeso a magazi otchedwa 'electrolyte panel' . Iyi ndi mayeso osavuta kwambiri a magazi. Imatha kuyang'ana osati chloride yokha, komanso ma electrolyte ena ofunikira monga sodium, potaziyamu, ndi bicarbonate nthawi imodzi. Ichi ndichifukwa chake iyi ndi mayeso ofunikira kwambiri. Nthawi zina dokotala wanu angakulangizeninso kuti muwone kuchuluka kwa chloride m'mkodzo wanu.
Kodi ma chloride abwinobwino ayenera kukhala otani?
Mitundu ya chloride yodziwika bwino imasiyana pang'ono kutengera zaka.
| Gulu la Zaka | Kuchuluka kwa kloridi m'magazi (mEq/L) |
|---|---|
| Akuluakulu | 98 - 106 |
| Ana | 90 - 110 |
| Makanda Obadwa | 96 - 106 |
| Makanda obadwa msanga | 95 - 110 |
Kumbukirani, kungoti lipoti lanu silikupezeka bwino sizitanthauza kuti ndi matenda oopsa. Nthawi zina, ngakhale mutasanza ndipo mwataya madzi pang'ono, mtengo wake ungasinthe. Chifukwa chake, onetsetsani kuti mwalandira lipotilo ndikulankhula ndi dokotala wanu za vutoli.
Kodi chimachiritsidwa bwanji?
Chithandizo cha izi chimadalira kwathunthu chomwe chimayambitsa kuchepa kwa chloride m'thupi lanu. Dokotala wanu adzayesa kukonza kuchuluka kwa chloride m'thupi lanu akamachiritsa vutolo.
- Kawirikawiri, madzi amchere amaperekedwa kudzera mu mtsempha (IV) kuti abwezeretse msanga kuchuluka kwa mchere m'thupi.
- Ngati vutoli sili lalikulu kwambiri, dokotala adzakulangizani kuti mudye zakudya zokhala ndi chlorine yambiri.
- Koma kumbukirani izi: Musamwe mavitamini kapena zowonjezera zakudya popanda kufunsa dokotala.
Kodi kudya mchere wambiri n'kwabwino?
Popeza kloridi imachokera ku mchere, mungaganize kuti kudya mchere wambiri ndikwabwino kwa inu.Kudya mchere wambiri kungayambitse mavuto ena ambiri azaumoyo.
- Matenda a impso
- Stroke
- Kuthamanga kwa magazi
- Matenda amtima
- Khansa ya m'mimba
- Matenda a mafupa
Chifukwa chake, kusunga chilichonse moyenera ndiye chinthu chofunikira kwambiri.
Uthenga Wopita Nawo Kunyumba
- Hypochloremia ndi kuchuluka kochepa kwa chloride m'magazi. Nthawi zambiri kumachitika ngati chizindikiro cha matenda ena.
- Kusanza, kutsegula m'mimba, thukuta kwambiri, matenda a impso, ndi mankhwala ena angayambitse izi.
- Vutoli limapezedwa ndi mayeso osavuta a magazi otchedwa 'electrolyte panel'.
- Ngati mayeso anu a magazi akusonyeza kuti muli ndi chloride yochepa, musachite mantha ndipo kambiranani ndi dokotala wanu za vutoli. Iye ndiye adzasankha chithandizo.
- Musagwiritse ntchito mavitamini kapena michere ina iliyonse popanda upangiri wa dokotala.
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