Igipimo cya chloride mu maraso yawe kimeze gite? Reka tubiganireho mu buryo bworoshye!

Ese wigeze upimwa amaraso? Niba ari uko bimeze, ushobora kuba warabonye ikintu cyitwa "Chloride" kiri kuri raporo yawe. Ibi bishobora kuba bitamenyerewe n'abantu benshi. "Iyi chloride ni iki? Kuki ipimwa mu maraso yacu?" Ese wigeze wibaza ikintu kimwe? Uyu munsi rero tugiye kuvuga kuri iyi chloride n'isuzuma ry'amaraso rijyanye nayo mu buryo bworoshye cyane ushobora kumva. Kimwe no kuganira n'inshuti.

Chloride ni iki? Kuki ari ingenzi kuri twe?

Mu magambo make, kloride ni ikintu cy'ingenzi cyane mu mibiri yacu. Mu by'ukuri, ni electrolyte. Ushobora kuba urimo kwibaza uti "Wow, electrolyte ni iki?" Ntugahangayike, ndabigufashemo.

Tekereza nawe, hari imyunyu ngugu mito mu mibiri yacu idufasha gukora imirimo itandukanye neza. Iyi myunyu ngugu ishobora gutwara umuriro muto w'amashanyarazi iyo ishongeshejwe mu mazi. Ibyo ni byo twita "electrolytes". Chloride ni imwe muri zo. Si chloride gusa, ahubwo n'izindi "electrolytes" z'ingenzi mu mibiri yacu ni "Sodium", "Potasium", na "Bicarbonate".

Rero, hamwe n'izi chloride n'izindi "electrolytes", bigenzura ibintu byinshi by'ingenzi mu mibiri yacu. Urugero:

• Bifasha mu gukomeza gukora neza kw'imitsi n'ubwonko bwacu. Tekereza gato, ibi tubikeneye mu guhana ibiganza, kuganira, ibi byose.
• Ingano y'amazi mu mubiri wacu, cyangwa iringaniye ry'amazi, ifasha mu kubungabunga iringaniye ry'amazi.
• Ibi kandi ni ingenzi cyane mu kugenzura ikoreshwa ry’aside-base (cyangwa pH) mu maraso. Iyo ibi bibayeho gusa ni bwo imikorere y’imiti mu mubiri wacu ikora neza.

Bityo rero urashobora kubona akamaro ka kloride ku mibiri yacu. Muganga azasuzuma urugero rwa kloride mu maraso yawe kugira ngo arebe niba ibi bipimo biriho. Iki kizamini gishobora kandi gufasha gusuzuma indwara zimwe na zimwe. Urugero:

• Indwara y'impyiko
• Indwara z'umutima nk'umutima unanirwa
• Indwara y'umwijima
• Umuvuduko ukabije w'amaraso

Urugero rwa chloride rushobora guhinduka mu bihe nk'ibi, niyo mpamvu ibi bigenzurwa.

Ikizamini cya chloride gikorwa ryari?

Ni gake cyane kwa muganga gutumiza ikizamini cyihariye kugira ngo arebe urugero rwa chloride yawe. Akenshi, iki kizamini cya chloride ni kimwe mu bigize ipaki nini y'ikizamini ireba ibindi bintu byinshi biri mu maraso yawe icyarimwe. Ushobora kuba warumvise ibi:

• Itsinda ry’ibinyabutabire rikora neza (CMP): Ibi bigenzura isukari yo mu maraso yawe, kalisiyumu, poroteyine, imikorere y’umwijima, n’imikorere y’impyiko, n’ibindi. Chloride ni kimwe muri ibyo.
• Igice cy'ibanze cya Metabolic Panel (BMP): Iki ni ikizamini gito gato ugereranyije na CMP. Kireba ibintu nk'isukari, kalisiyumu, electrolytes (harimo na chloride), n'imikorere y'impyiko.
• Igice cya Electrolyte: Ibi bireba cyane cyane urugero rwa electrolyte nka kloride, sodium, potasiyumu, na bikarubonate.
• Impyiko zikora neza (RFP): Ibi bireba cyane cyane imikorere y'impyiko. Binareba urugero rw'amashanyarazi akoreshwa mu mubiri.

Rero, urabona ko ikizamini cya chloride ari kimwe mu bice by'urukurikirane rw'ibizamini bikunze gukorwa kugira ngo hamenyekane ubuzima bwawe muri rusange.

Kuki ngomba gukora iki kizamini cya chloride?

Hari impamvu nyinshi zishobora gutuma umuganga agusaba gukora iki kizamini cya chloride.

1. Mu rwego rwo kwisuzumisha ubuzima buri gihe: Wenda ukorerwa isuzuma ryuzuye buri mwaka. Hanyuma muganga ashobora kuguha ikizamini nk'iki (nk'ikimenyetso cya CMP, BMP cyavuzwe haruguru) kugira ngo arebe niba ibintu byose biri mu mubiri wawe bikora neza.

2. Niba ufite ibimenyetso: Muganga wawe ashobora kugutegeka iki kizamini niba akeka ko hari ikibazo kirimo, cyane cyane ku bijyanye n'amazi yawe cyangwa aside-base. Ibi bimenyetso ni ibihe?

• Niba uruka kenshi: Niba uruka inshuro nyinshi ku munsi, ushobora gutakaza amazi menshi n'ibinyabutabire biva mu mubiri wawe.
• Niba ufite impiswi: Niba impiswi ikomeye, ariko ni kimwe.
• Umunaniro: Kumva unaniwe igihe cyose nta mpamvu.
• Niba wumva ufite intege nke: Imitsi yawe iracitse intege, kandi wumva udafite icyo ukora ku buryo ntacyo wakora.
• Niba wumva udafite amazi ahagije, ni ukuvuga ko wabuze amazi: mu kanwa kawe karumye, urimo kwihagarika buhoro, kandi uruhu rwawe rwumye.
• Guhumeka bigoranye: Iyo ugize ikibazo cyo guhumeka gitunguranye.

Wibuke ko umuganga arimo gutumiza iki kizamini kuko yita ku buzima bwawe, bityo ntukitinye bitari ngombwa.

Ni iki mu by'ukuri gishobora kwigirwa muri iki kizamini?

Muganga azakoresha ibisubizo by'ikizamini cya chloride hamwe n'ibindi bizamini bya electrolyte kugira ngo amenye niba hari ubusumbane mu kuringaniza aside n'amazi mu mubiri wawe cyangwa kuringaniza amazi. Ibi bivuze ko umubiri wawe ufite aside nyinshi, usanzwe cyane, cyangwa udafite amazi ahagije.

Ese hari ikintu kidasanzwe ngomba gukora mbere yo gukora ikizamini?

Akenshi, iyo ukoze ikizamini kimwe cya kloride cyangwa igice kimwe cya electrolyte, ubaNta mpamvu yo kwitegura byihariye.

Ariko, nk'uko nabivuze mbere, iki kizamini cya chloride gikunze gukorwa nk'igice cya "Basic Metabolic Panel - BMP" cyangwa "Comprehensive Metabolic Panel - CMP". Muri ibyo bihe, niba urimo upima amaraso yawe ibindi bintu (nk'urugero rw'isukari mu maraso), ushobora gusabwa kwiyiriza ubusa amasaha make. Urugero, niba ugiye gutanga amaraso mu gitondo, muganga wawe ashobora kukubwira kutarya cyangwa kunywa ikintu icyo ari cyo cyose nyuma ya saa mbiri z'ijoro ryabanjirije iryo. Ariko, muganga wawe azakubwira neza niba ukeneye gukurikiza amabwiriza yihariye. Rero ntugahangayike. Kora gusa icyo muganga wawe akubwira.

Ni iki wakwitega mu gihe ugiye gukurwa amaraso?

Hari abantu bashobora kugira impungenge zo gutanga amaraso, ariko ni inzira yoroshye kandi yihuse. Dore uko bigenda:

1. Ubusanzwe, umuforomo cyangwa inzobere mu by’imitsi yatojwe by’umwihariko gukurura amaraso ni we uzakurura amaraso.

2. Ubwa mbere, azahitamo umutsi woroshye wo gukuramo amaraso ku kuboko kwawe (ubusanzwe ni imbere mu nkokora yawe).

3. Hanyuma usukure neza aho hantu hanyuma uhanagure n'umuti wica udukoko.

4. Noneho urushinge ruto ruzashyirwa mu mutsi. Muri iki gihe, uzumva urimo gukurura gato cyangwa ukumva urimo gukurura. Fata umwuka mwinshi maze uruhuke.

5. Nyuma yo gushyiramo urushinge, amaraso yawe make azakusanywa mu muyoboro w'ibizamini.

6. Nyuma yo gufata amaraso ahagije yo gupima, bazakuraho urushinge bashyire agace k'ipamba cyangwa gaze hejuru y'aho byakorewe maze bakabigumanaho igihe gito. Kuva amaraso bizahagarara.

7. Noneho shyira agatambaro gato aho hantu. Nguko uko bimeze! Akazi kawe karangiye.

Ibi bishobora gukorwa vuba kandi byoroshye kurusha uko ubitekereza.

Ni iki kibaho nyuma yo gutanga amaraso?

Nyuma yo gufata ikizamini cy'amaraso yawe, yoherezwa muri laboratwari kugira ngo ikorerwe ibizamini. Laboratwari izapima urugero rwa chloride mu maraso yawe (n'ibindi bintu, nka CMP, niba bihari).

Ibisubizo by'ibizamini bimaze kugaragara, muganga wawe azakubwira ibisobanuro birambuye. Muganga ashobora kuguhamagara kugira ngo abikubwire, cyangwa akagusaba kugaruka akakwereka raporo akayisobanura.

Ni ubuhe bwoko bw'ibisobanuro biri muri raporo?

Raporo y'ikizamini cya chloride (ndetse n'ibizamini byinshi by'amaraso) ikunze kuba irimo amakuru nk'aya:

• Izina ry'ikizamini: Ni ukuvuga icyasuzumwe mu maraso yawe (urugero: Serum Chloride).
• Ibisubizo byawe: Ni ukuvuga ko ingano ya chloride mu maraso yawe igaragazwa nk'umubare.
• Intera isanzwe: Ibi bivuze urwego rw'agaciro gasanzwe kagomba kuba kari ku muntu muzima kuri icyo kizamini.
• Niba igisubizo cyawe ari gisanzwe cyangwa kidasanzwe (hejuru cyangwa hasi): Ibi bigufasha kubona byoroshye niba agaciro kawe kari mu rugero rusanzwe cyangwa hanze yarwo.

Ariko, ntugasuzume imibare iri muri raporo gusa ngo uhite ufata umwanzuro, ahubwo gira muganga akusobanurire kandi akubwire uburyo bigira ingaruka ku buzima bwawe.

Ni ikihe gipimo gisanzwe cya chloride?

Igipimo cyemewe muri rusange ku gipimo cya kloride mu maraso y'umuntu mukuru kiri hagati ya milliequivalents 96 na 106 kuri litiro (mEq/L), cyangwa hagati ya millimoles 96 na 106 kuri litiro (mmol/L). Ibi ni ibipimo by'ibipimo, byaba mEq/L cyangwa mmol/L.

Ariko hari ikintu cy'ingenzi cyo kumenya. Uru rugero rusanzwe rushobora gutandukana gato bitewe na laboratwari. Ni ukuvuga ko niba urugero rusanzwe rwa laboratwari imwe ari 96-106 mEq/L, izindi laboratwari zishobora kugira urugero rutandukanye gato, nka 98-107 mEq/L. Ibi biterwa n'itandukaniro rito mu bikoresho n'uburyo bakoresha.

Rero, nubona raporo yawe, urutonde rw'ibizamini bya laboratwari ruzagaragara kuri raporo ubwayo. Ugomba kugereranya agaciro kawe n'urwo rugero. Niba ufite ikibazo cyangwa gushidikanya, menya neza ko wabaza muganga wawe.

Niba raporo ivuga ko chloride ari nkeya, ni iki gishobora kuba cyaratewe n'iyihe mpamvu?

Niba raporo yawe ivuga ko urugero rwa chloride yawe ruri munsi y’urugero rusanzwe (chloride nke / hypochloremia), bishobora kuba biterwa n’indwara zitandukanye. Dore ingero nke:

• Umutima unanirwa gukora neza: Iyo umutima udakora neza, electrolyte ihindagurika ishobora guterwa n'ibintu nko kubika amazi mu mubiri.
• Indwara z'ibihaha, nka emphysema: Indwara zimwe na zimwe z'ibihaha zishobora guhindura uburinganire bw'aside n'ishingiro ry'umubiri binyuze mu nzira y'ubuhumekero, bigira ingaruka ku rugero rwa chloride.
• Indwara ya Addison: Iki ni ikibazo cy'imisemburo ifitanye isano n'uturemangingo tw'intanga ngabo. Ibi kandi bitera impinduka mu mikorere y'amashanyarazi.
• Alkalose y'umubiri: Iyi ni indwara aho bicarbonate (alkalinity) y'umubiri yiyongera, bigatuma alkalinity y'amaraso yiyongera. Ibi bishobora guherekezwa no kugabanuka kwa kloride.

Ariko, hari ikintu cy'ingenzi cyane ugomba kwibuka hano. Urugero rwa kloride nkeya ntabwo bivuze ko ufite indwara ikomeye. Hari igihe urugero rwa kloride rushobora no kuba hasi bitewe n'impamvu z'igihe gito nko gufata imiti (urugero: imiti igabanya ubushyuhe), kuruka cyane, cyangwa kubira ibyuya. Rero ntugatinye kandi uganire na muganga wawe.

Niba raporo ivuga ko hari chloride nyinshi, ni iki gishobora kuba cyaratewe n'iyihe?

Mu buryo nk'ubwo, niba raporo yawe ivuga ko urugero rwa chloride yawe ruri hejuru y’urugero rusanzwe (chloride nyinshi / hyperchloremia), hari impamvu nyinshi zishobora kubitera:

• Kubura amazi mu mubiri: Iyo ingano y'amazi mu mubiri igabanutse cyane, ingano ya chloride mu maraso ishobora kwiyongera.
• Indwara z'impyiko: Iyo impyiko zidashobora kuyungurura no gukuramo chloride neza, zishobora kwirunda mu maraso.
• Indwara ya Cushing: Iyi nayo ni indwara iterwa n’imisemburo (imisemburo ya cortisol yiyongera).
• Asidekisiyo y'umubiri: Iyi ni indwara ituma umubiri uba ufite aside nyinshi. Ibi bishobora no gutera urugero rwinshi rwa chloride.
• Alkalose yo mu myanya y'ubuhumekero: Ibintu nko guhumeka vuba bishobora gutuma dioxyde de carbone nyinshi isohoka mu maraso, kandi urugero rwa kloride rushobora guhinduka kugira ngo rugenzurwe.

Nkuko byavuzwe haruguru, urugero rwinshi rwa chloride ntabwo ari ngombwa ko rugaragaza indwara ikomeye. Urugero rwa chloride rushobora kandi kwiyongera by'agateganyo bitewe n'ibintu nko kurya ibiryo byinshi birimo umunyu, gufata imiti imwe n'imwe, cyangwa gutanga umunyu mwinshi.

Ese nkwiye guhangayikishwa n'urugero rwa chloride ruri hasi cyangwa ruri hejuru?

Iki ni ikibazo abantu benshi bibaza. Ni ibisanzwe kugira ubwoba, "Oh, raporo yanjye ivuga ko chloride yanjye iri hasi/ifite hejuru, hari ikintu gikomeye mfite?"

Ariko, ibuka ko kuba ibisubizo by'ibizamini bya chloride bitarenze gato urugero rusanzwe, bitavuze ko ufite indwara ikomeye.

Hari n'ibindi bintu byinshi bigira ingaruka ku rugero rwa chloride. Urugero:

• Iyo unyoye amazi menshi: Ashobora kugabanya amaraso yawe gato bigatuma asa n'aho akungahaye kuri chloride nkeya.
• Iyo amazi menshi abuze mu mubiri bitewe no kuruka cyangwa impiswi: Ibi bishobora gutuma urugero rwa chloride rugabanuka, rimwe na rimwe rukagaragara rwinshi bitewe no kubura amazi mu mubiri.
• Imiti imwe n'imwe: Imiti imwe n'imwe, cyane cyane imiti igabanya ubushyuhe mu gifu, imiti igabanya ubushyuhe mu mubiri, na steroid, ishobora kugira ingaruka ku rugero rwa chloride.
• Inenge nto ishobora kubaho iyo umuntu afashe amaraso: Hari igihe, ndetse n'impinduka nto mu buryo bwo gufata amaraso zishobora kugira ingaruka nke ku musaruro (ariko ibi bibaho gake cyane).

Kubwibyo, muganga wawe azareba ibisubizo bya chloride yawe ntabifate nk'umubare gusa, ahubwo azabigereranya n'ibindi bisubizo byawe, ibimenyetso byawe, imiti ufata, n'amateka yawe yose y'ubuzima kugira ngo agere ku mwanzuro.

Muganga ashobora kuvuga ati “Oh, nta kibazo gikomeye kirimo, reka tugaruke turebe mu minsi mike iri imbere.” Cyangwa se, ashobora kuvuga ati “Reka dukore ibindi bipimo kugira ngo tumenye icyabiteye.” Rero, ganira na muganga wawe ku bibazo byose, ubwoba, cyangwa impungenge ufite. Ni uburenganzira bwawe.

Bizatwara igihe kingana iki kugira ngo raporo igere?

Kenshi na kenshi, uzabona ibisubizo by'ibizamini bya chloride mu minsi imwe cyangwa ibiri y'akazi nyuma yo gutanga amaraso. Laboratwari zimwe zitanga ibisubizo vuba, izindi zigafata igihe kirekire. Ibi bishobora gutandukana bitewe na laboratwari.

Amaherezo, ni ibisanzwe kumva ufite ubwoba no gutinya iyo ibisubizo by'ikizamini bigarutse bitameze neza. Ariko, ibuka ko kuba urugero rwa chloride ruri hasi cyangwa ruri hejuru bitavuze ko ufite indwara ikomeye kandi ugomba kuvurwa ako kanya. Hari n'ibindi bintu byinshi bishobora kugira ingaruka kuri ibi. Muganga wawe ni we muntu mwiza wo kugusobanurira ibi no kukubwira icyo gukora nyuma, nibiba ngombwa. Rero, ntutinye cyangwa ngo utinye kubaza muganga wawe ibibazo. Arahari kugira ngo agufashe.

Ibintu by'ingenzi tugomba kwibuka muri iyi nkuru ni

Sawa, reka dusubiremo ingingo z'ingenzi twavuzeho mu igeragezwa rya chloride:

• Chloride ni electrolyte y'ingenzi ku mikorere y'amazi, aside-base, n'imikorere y'imitsi mu mubiri wacu.
• Iki kizamini gikunze gukorwa nk'igice cy'ibindi bipimo by'amaraso bisuzuma ubuzima bwawe muri rusange.
• Urugero rwa korode nke cyangwa nyinshi ntirugaragaza buri gihe indwara ikomeye. Hari n'ibindi bintu byinshi (nk'imirire, imiti, amazi mu mubiri) bishobora kugira ingaruka kuri ibi.
• Muganga wawe azasuzuma neza ibyavuye muri raporo y'ibizamini byawe abisuzuma hamwe n'ubuzima bwawe muri rusange.
• Niba ufite ikibazo cyangwa gushidikanya ku bisubizo by'ibizamini, banza ubaze muganga wawe ibisobanuro.

Rero, ndizera ko iyi nkuru yasubije ibibazo byinshi wabajije ku isuzuma rya chloride. Komeza ugire ubuzima bwiza!

Chloride , ibizamini by'amaraso, electrolytes, ubuzima, gusuzuma, chloride yo mu maraso, ibizamini by'amaraso