Reka tumenye byinshi ku ikizamini cya Anion Gap, gipima aside-base iri mu maraso yawe.

Ushobora kuba warumvise ibyerekeye gupimwa amaraso iyo ugiye kwa muganga. Gupimwa amaraso bishobora kukubwira byinshi ku bintu bitandukanye mu mibiri yacu. Nanone, igipimo cy'ingenzi cy'uburinganire bwa aside n'ibice by'amaraso mu maraso yacu, ni ukuvuga uburinganire bwa aside n'ibice by'amaraso, cyitwa Anion Gap . Nta kintu na kimwe ugomba gutinya iyo ubyumvise, bitanga ibimenyetso ku buzima bumwe na bumwe mu mibiri yacu. Reka tubiganireho mu buryo bworoshye, hanyuma nawe bizakugaragara neza.

Iki kimenyetso cya Anion ni iki, Muganga?

Mu magambo make, Anion Gap ni igipimo cy'itandukaniro riri hagati y'uduce tw'amashanyarazi (electrolytes) mu maraso yawe. Ushobora kuba wibuka kwiga kuri iyoni nziza (+) zifite ingufu n'izangiritse (-) zifite ingufu mu ishuri. Uko ni ko bimeze. Amaraso yacu kandi arimo ubwo bwoko bwa electrolytes nziza n'izangiritse.

Rero, icyo iyi Anion Gap ikora ni ugupima itandukaniro, cyangwa "icyuho," hagati ya electrolyte nini zifite ingufu nziza (nka potasiyumu na sodium) na electrolyte nini zifite ingufu mbi (nka chloride na bicarbonate) mu maraso. Iki si ikintu gipimwa mu buryo butaziguye n'imashini. Anion Gap ibarwa hakoreshejwe ibisubizo by'ibindi bipimo by'amaraso muganga wawe yagutegetse. Ibi bizamini akenshi biba biri mu mapaki y'ibipimo by'amaraso tubona iyo tugiye kwa muganga kubera indwara. Urugero:

• Igice cy’imashini zikora metabolike (CMP)
• Igice cy'ibanze cya Metabolic Panel (BMP)
• Igice cya Electrolyte

Ibizamini nk'ibi bitanga amakuru akenewe kugira ngo hamenyekane icyuho cy'aroni.

Kuki iki kizamini cy'icyuho cy'amoni gikorwa? Ni iki kigenzura?

Iyi Anion Gap igenzura cyane cyane niba hari ihindagurika ry'amashanyarazi mu maraso yawe, cyangwa niba amaraso yawe afite aside nyinshi (`(Acide)`) cyangwa niba ari make cyane (`(Alkalosis)`) .

Tekereza kuri ubu buryo: umubiri wacu umeze nk'imashini ikoze neza. Ibintu byose biri muri iyi mashini bigomba kuba biri ku rugero rwiza. Ingano ya aside n'ishingiro mu maraso ni imwe. Iyo hari itandukanyirizo muri ibi, bivuze ko hari ikintu kiri mu mubiri kidakora neza. Acidosis cyangwa alkalosis, byombi bishobora guteza akaga. Rero, abaganga bakoresha iki gisubizo cy'icyuho cya anion kugira ngo bagerageze kumenya icyateye ubu busumbane.

Ni ryari nkeneye ikizamini cya Anion Gap?

Muganga wawe ashobora gutegeka ko upimwa amaraso arimo anion gap, cyane cyane niba ugaragaza ibimenyetso bigaragaza ko ufite aside iringaniye mu maraso yawe. Ni ukuvuga ibimenyetso biterwa na aside (ubwiyongere bw'aside) cyangwa alkalose (ubwiyongere bw'aside). Ibi bishobora kuba birimo:

• Guhumeka bigoranye
• Kuruka no kugira isesemi
• Urujijo
• Umutima utera cyane
• Kumva unaniwe cyane

Hari igihe, iyo ukoze isuzuma risanzwe ry’amaraso ku mpamvu zindi, Anion Gap ishobora gushyirwa mu ipaki y’ibizamini. Muri ibyo bihe, ushobora kutagira ibimenyetso byihariye ufite, ariko iki gipimo kizavugwa muri raporo. Urugero, muri ibyo bizamini, ibisubizo bya Anion Gap bishobora kugaragara nk'ibi bikurikira:

• Igice cy'ibanze cya Metabolic Panel (BMP)
• Igice cy’imashini zikora metabolike (CMP)
• Igice cya Electrolyte
• Akanama gashinzwe imikorere y'impyiko (RFP)

Iki gipimo gikorwa gute? Ese nkwiye gutinya gukurwa amaraso?

Mu by’ukuri, Anion Gap ni ikizamini cyihariye kuruta ikizamini cya laboratwari, aho abahanga mu bya siyansi bapima ibintu nka sodium, chloride, na CO2 (carbon dioxide) mu maraso yawe bagakoresha ibyo bipimo kugira ngo babare agaciro. Ibi bisubizo bishobora gufasha kumenya niba ibimenyetso byawe biterwa no kwiyongera kwa aside cyangwa kugabanuka kwa alkalinity (ni ukuvuga kwiyongera kwa alkalinity). Bishobora kandi gufasha kumenya niba ufite ikibazo cy’uburwayi.

Ese hari ikintu kidasanzwe ngomba gukora mbere yo gutanga amaraso?

Muganga wawe azakubwira niba ukeneye gukora ikintu kidasanzwe mbere yo gupimwa amaraso. Ushobora gusabwa kwiyiriza ubusa amasaha make mbere yo gupimwa amaraso. Ugomba kandi kubibwira muganga wawe niba ufata imiti iyo ari yo yose, kuko imwe mu miti ishobora kugira ingaruka ku bisubizo by'ibizamini.

Bigenda bite iyo utanze amaraso?

Gutanga amaraso mu by'ukuri ntabwo biteye ubwoba nkuko ushobora kubitekereza. Dore ibisanzwe bibaho:

• Uzaba wicaye mu ntebe. Hanyuma umuganga w’indwara z’imitsi azahitamo umutsi woroshye mu kuboko kwawe wo gukuramo amaraso. Bashobora gushyira agapira ku kuboko ko hejuru kugira ngo umutsi ugaragare. Akenshi, amaraso akurwa imbere mu nkokora.
• Iyo umutsi ubonetse, aho hantu hasukurwa neza kandi hagashyirwamo imiti yica udukoko.
• Hanyuma, urushinge ruto rushyirwa mu mutsi hanyuma amaraso agafatwa. Muri iki gihe, ushobora kumva urimo gukurumwa gato, nk'aho urumwe n'ikimonyo . Ibi kandi bimara amasegonda make.
• Nyuma yo gushyiramo urushinge, amaraso make akusanywa mu muyoboro w'ibizamini.
• Nyuma yo gufata amaraso ahagije yo gupima, urushinge rurakurwaho hanyuma agace k'ipamba cyangwa gaze gashyirwa aho byakorewe kagashyirwa hasi kugira ngo amaraso ahagarike.
• Hanyuma hashyirwamo sima ntoya kuri ako gace. Nguko uko, akazi karangiye!

Ubusanzwe iyi gahunda yose imara munsi y'iminota itanu .

Bigenda bite nyuma y'ikizamini? Bifata igihe kingana iki kugira ngo raporo iboneke?

Ingero z'amaraso yawe zoherezwa muri laboratwari kugira ngo zipimwe. Aho ngaho, umuhanga mu bya laboratwari y'ubuvuzi ategura ingero hanyuma agakoresha imashini zidasanzwe (ibipimo by'amaraso).

Ibisubizo by'ibizamini bimaze kugaragara, muganga wawe azakubwira ibisubizo, cyangwa bishobora kugaragara mu nyandiko yawe y'ubuvuzi. Niba ufite ibimenyetso, nko kubura umwuka cyangwa kuruka, kandi ukaba warapimwe anion gap, ushobora kubona ibisubizo mu masaha make . Ariko, niba iki kizamini gikozwe nk'igice cy'ikizamini gisanzwe cy'amaraso (nk'itsinda ry'ibanze rya metabolism), bishobora gufata umunsi umwe cyangwa ibiri y'akazi kugira ngo ibisubizo bigaruke.

Ese hari ingaruka zishobora guterwa n'iki gipimo cy'amaraso?

Gupima amaraso ni igikorwa gisanzwe kandi gikenewe mu buvuzi. Nta ngaruka zikomeye zishobora kubaho mu gutanga amaraso. Ushobora kugira ibisebe cyangwa kubyimba aho amaraso yakuwe. Ariko ibi bizashira mu munsi umwe cyangwa ibiri. Rero ntugahangayike.

None se, iyi raporo ya Anion Gap ivuga iki?

Raporo y'isuzuma ry'amaraso, harimo n'ibyavuye mu isuzuma ry'amaraso rya Anion Gap, ubusanzwe iba irimo amakuru akurikira:

• Izina ry'ikizamini cy'amaraso, cyangwa icyapimwe mu maraso yawe.
• Umubare cyangwa igipimo cy'ibyavuye mu isuzuma ry'amaraso yawe.
• Ingano isanzwe y'ibipimo bya laboratwari kuri icyo kizamini.
• Ese ibisubizo byawe ni ibisanzwe, bidasanzwe, biri hejuru cyangwa biri hasi?

Icyuho gisanzwe cya anion ni iki?

Mu by’ukuri, nta gaciro na kamwe ka Anion Gap kavuga ngo "iki ni cyo gipimo gisanzwe kuri buri wese." Iyo ubonye ibisubizo by'ibipimo by'amaraso yawe, raporo izagaragaza kandi urwego rusanzwe rwa Anion Gap kuri iyo laboratwari.

Nanone, uru rugero "rusanzwe" rwa Anion Gap rushobora gutandukana bitewe n'ibintu bitandukanye. Urugero, abantu bafata umuti wa Lithium Carbonate uvura indwara ya bipolar bashobora kugira ikibazo cya Anion Gap gito bitewe n'uyu muti.

Ese iyo icyuho cy'amoniyoni cyiyongereye bivuze iki? Ese ni akaga?

Niba ibisubizo by'ibipimo by'amaraso yawe bigaragaza ko hari Anion Gap nyinshi , ushobora kuba ufite acidosis . Ibi bivuze ko amaraso yawe afite aside nyinshi kuruta uko bisanzwe (pH y'amaraso yawe iri hasi kuruta uko bisanzwe).

Aside ishobora guterwa n'ibintu byinshi:

• Kubura amazi mu mubiri: Kutabona amazi ahagije ku mubiri.
• Impiswi : Impiswi itera amazi menshi n'ibinyabutabire biva mu mubiri.
• Gukora imyitozo ngororamubiri irenze urugero : Imyitozo ngororamubiri ikabije ishobora gutuma ibintu nka aside lactic byiyongera mu mubiri.

Uretse ibi, acidosis ishobora no kuba ikimenyetso cy'izindi ndwara zikomeye :

• Indwara y'Impyiko : Impyiko zizima zisohora aside nyinshi mu mubiri binyuze mu nkari. Ariko, ku bantu barwaye impyiko, impyiko ntizishobora gukora uyu murimo neza. Aside yiyongera mu mubiri, bigatera indwara yitwa aside metabolic.
• Diyabete : Asideosis ishobora kubaho, cyane cyane iyo urwaye diyabete yo mu bwoko bwa 1 itaramenyekana. Iyo pancreas idakora insuline ihagije, uturemangingo ntidushobora kwakira isukari (glucose), kandi amaraso ashobora guhinduka aside.
• Indwara ya diyabete yitwa Ketoacidosis (DKA) : Iyi ni ikibazo gikomeye, gishyira ubuzima mu kaga giterwa no kubura insuline muri diyabete itaramenyekana.
• Uburozi bwa Salicylate (`(Uburozi bwa Salicylate / Uburozi bwa Salicylate)`) : Salicylate ni imiti iboneka mu miti myinshi igurishwa mu kigo cya leta no mu yandi mabwiriza. Aspirine ni umuti usanzwe urimo iyi salicylate. Kunywa ibi byinshi cyangwa gufata ibirenze urugero bishobora gutera uburozi bwa salicylate, nabyo bikaba byashyira ubuzima mu kaga.

Icy'ingenzi: Icyuho kinini cy'ayiyoni ntikivuga indwara ikomeye buri gihe. Ariko, muganga azashakisha impamvu.

Bite se niba icyuho cy'ayiyoni kigabanuka? Ibyo ntibikunze kubaho, sibyo?

Yego, ni gake cyane ko Anion Gap igaragaza agaciro gake . Kubwibyo, muganga wawe ashobora gusubiramo ikizamini kugira ngo arebe neza ko ibisubizo ari ukuri.

Niba ibisubizo by'ibipimo by'amaraso yawe bigaragaza ko hari anion nkeya, bishobora gusobanura ko ufite poroteyine iri hasi y'isanzwe yitwa albumin mu maraso yawe (hypoalbuminemia). Albumin ni poroteyine y'ingenzi mu maraso yacu. Urugero ruto rwa albumin rushobora guterwa n'indwara nka:

• Ibibazo by'impyiko
• Indwara z'umutima
• Indwara y'umwijima
• Ubwoko bumwe na bumwe bwa kanseri

Na none, ibisubizo by'icyuho gito cy'ayiyoni ntibikunze kubaho. Menya neza ko wavuganye na muganga wawe niba ushaka kumenya byinshi ku bisubizo by'ibizamini byawe.

None se, twagombye guhangayika igihe iki cyuho cy’aroni cyiyongera cyangwa kigabanuka?

Ibisubizo by'ibipimo by'amaraso yawe byaba bigaragaza ko hari agace ka Anion gafite cyangwa gafite agace kayo, ntabwo bivuze ko ufite indwara ikomeye . Hari ibintu byinshi bigira ingaruka ku rugero rw'amashanyarazi yawe, bishobora no kugira ingaruka ku gipimo cya Anion Gap. Birashoboka ko hari ikintu cyagenze nabi mu gihe cyo gukusanya amaraso, kuyajyana muri laboratwari, cyangwa gukora ikizamini.

Iyo muganga wawe asuzumye ibisubizo by'ibipimo by'amaraso yawe, azasuzuma ibintu byinshi, nko amateka yawe yose y'uburwayi n'imiti ufata . Niba ibisubizo byawe bya Anion Gap bidakunze kugaragara, ashobora gusaba ibindi bipimo kugira ngo amenye uko uhagaze. Nta muntu ukunda gupimwa amaraso, cyane cyane iyo bigomba gukorwa inshuro nyinshi zikurikiranye. Ariko, ni bwo buryo bwiza bwo kwemeza ko urugero rw'amashanyarazi mu maraso yawe ruri ku murongo.

Niba ufite ikibazo icyo ari cyo cyose ku bisubizo, ntutinye kubaza muganga wawe. Barahari kugira ngo bagufashe.

Hanyuma, ibintu by'ingenzi tugomba kwibuka (Ubutumwa bwo kujyana mu rugo)

Sawa, twavuze byinshi ku ikizamini cya Anion Gap. Dore bimwe mu bintu by'ingenzi ugomba kwibuka:

• Ingano ya Anion ni ingenzi: itanga amakuru y'ingirakamaro ku bijyanye n'ingano ya aside mu maraso yawe.
• Agaciro ko hejuru cyangwa hasi si ko buri gihe kaba ari akaga: Ntugahangayikishwe n'impinduka zitunguranye mu gaciro ka raporo yawe. Hari izindi mpamvu zishobora gutuma bibaho.
• Muganga wawe ni we mucamanza mwiza kurusha abandi: Muganga wawe ni we wenyine ushobora gusuzuma uko ubuzima bwawe buhagaze, agakora ibindi bipimo nibiba ngombwa, kandi agasobanura ibisubizo.
• Baza ibibazo: Niba hari ikintu udasobanukiwe, ntukigire icyo uhisha, ahubwo baza muganga wawe.

Wibuke: Ntushobora gusuzuma indwara urebye gusa inomero iri kuri raporo. Rero, wizera muganga wawe kandi ukurikize inama ze. Hanyuma ushobora gukomeza kugira ubuzima bwiza!

Icyuho cya Anion , Ibipimo by'Amaraso, Aside, Alkalose, Electrolyte, Ubushyuhe bw'Amaraso