Ese wigeze ukorerwa isuzuma ry'amaraso ukabona amagambo menshi n'indangagaciro zitandukanye kuri raporo bigoye kumva? Muganga wawe ashobora kubigusobanurira, ariko rimwe na rimwe natwe ubwacu tuba duhangayikishijwe n'icyo ibi bivuze. Urugero, rimwe mu magambo ushobora kubona kuri raporo zimwe na zimwe z'amaraso ni "Anion Gap". Uyu munsi turaganira, mu buryo bworoshye, ku bijyanye n'iki kimenyetso cya Anion Gap n'impamvu ari ingenzi kuri twe.
Mu magambo make, iki kimenyetso cya Anion ni iki?
Kugira ngo tubisobanukirwe, tugomba kubanza kumenya bike ku maraso yacu. Hari imiti itandukanye mu maraso yacu. Imwe muri iyi ifite amashanyarazi meza (+), indi ifite amashanyarazi mabi (-). Utu duce twa electrolyte twitwa. Sodiyumu, potasiyumu, koloride, na bikarubonate ni byo bintu by'ingenzi bigize electrolyte.
Rero, Akadomo ka Anion ni uburyo bworoshye cyane bwo kubara. Ni itandukaniro riri hagati y’ibipimo by’ingenzi byiza (+) (nka sodium) n’ibipimo by’ingenzi bibi (-) (nka kloride na bicarbonate) mu maraso yawe. Mu by’ukuri, ni "icyuho" kiri hagati y’ibipimo by’ingenzi byiza n’ibipimo bibi.
Igikuru ni uko iki atari ikizamini cy’amaraso cyihariye. Iki gipimo cya Anion Gap kibarwa muri laboratwari hakoreshejwe agaciro ka sodium, chloride, na bicarbonate biboneka mu isuzuma risanzwe ry’amaraso (nk’urupapuro rwa electrolyte, BMP, CMP).
Kuki abaganga bahangayikishijwe n'aka gaciro ka Anion Gap?
Iyi ndangagaciro iduha ishusho y'ikintu cy'ingenzi cyane mu mubiri wacu. Ni ukuvuga ikoreshwa ry'aside mu maraso yacu . Nk'uko moteri y'imodoka igomba kugira urugero rwiza rw'amavuta n'amazi kugira ngo ikore neza, ni nako aside mu maraso yacu igomba kuba iri mu rugero runaka kugira ngo uturemangingo tw'umubiri wacu dukore neza.
- Iyo aside mu maraso yiyongereye cyane, byitwa asideosis .
- Iyo aside mu maraso igabanutse cyane kandi alkali ikazamuka, byitwa alkalosis .
Izi ndwara zombi zishobora guteza akaga kuko zigaragaza ko hari ikintu kiri mu mubiri kidakora neza. Rero, niba igipimo cya Anion Gap cyahindutse, ni ngombwa kwa muganga gusuzuma indwara nka acidosis.
Ni ryari umuganga abona ko iki kizamini ari ngombwa?
Ubusanzwe, ushobora kubibona iyo ufite ibimenyetso bikubangamiye. Urugero:
- Guhumeka bigoranye
- Kuruka no kugira isesemi
- Umutima utera cyane
- Urujijo
- Kumva unaniwe bidasanzwe
Ariko rimwe na rimwe, nta bimenyetso na bimwe, iyi Anion Gap ishobora kuba iri kuri raporo yawe nk'igice cy'isuzuma ry'amaraso risanzwe rikorwa mu gihe nk'isuzuma ryawe rya buri mwaka ry'ubuvuzi.
Ni gute nitegura gupimwa amaraso? Bigenda bite iyo hafashwe amaraso?
Iki ni ikizamini cy’amaraso gisanzwe, bityo nta kwitegura kwihariye gukenewe. Ariko, hari igihe muganga wawe ashobora kugusaba kwiyiriza ubusa amasaha make mbere yo gutanga amaraso. Ibi bivuze ko utagomba kurya cyangwa kunywa ikintu icyo ari cyo cyose. Ni ngombwa kandi kubwira muganga wawe imiti iyo ari yo yose ufata, kuko imwe mu miti ishobora kugira ingaruka ku bisubizo by’iki kizamini.
Uzi neza uburyo bwo gukurura amaraso.
1. Mu gihe wicaye ku ntebe, umuforomo cyangwa umuganga w’indwara z’imitsi azasangamo umutsi mu kuboko kwawe.
2. Hanyuma, agapira k'urukiramende (tourniquet) gashyirwa ku kuboko ko hejuru kugira ngo imitsi isa neza.
3. Iyo umutsi umaze kuboneka, aho hantu hasukurwa neza, hagashyirwamo urushinge ruto, hanyuma amaraso make agashyirwa mu muyoboro w'isuzuma. Muri iki gihe, ushobora kumva nk'aho agakoko gato kari kukuruma.
4. Nyuma yo gukusanya amaraso akenewe, urushinge rurakurwaho hanyuma agace k'ipamba gashyirwa aho hantu hanyuma kagakanda.
5. Iyo amaraso ahagaze, hashyirwa plaster nto kuri ako gace maze akazi karangirira.
Iyi gahunda yose ifata iminota itarenze itanu.
Ibisubizo bivuga iki?
Iyo raporo y'ibizamini by'amaraso yawe igeze, hari ikindi kintu kizana n'agaciro ka Anion Gap. Ni "urwego rusanzwe". Ibi bishobora gutandukana gato bitewe na laboratwari. Kubwibyo, ugomba kugereranya agaciro kawe n'urwego rusanzwe rwatanzwe muri raporo ubwayo kugira ngo urebe niba ari urusanzwe cyangwa atari rwo.
Noneho reka turebe ibimenyetso byerekana ko iyi gaciro ishobora kuduha niba yiyongera cyangwa igabanuka.
| Agaciro k'icyuho cya Anion | Icyo bishobora gusobanura (ingero) |
|---|---|
| Icyuho kinini cya Anion | Ibi bivuze ko amaraso yawe afite aside nyinshi cyane. Ibi byitwa aside . Ibi bishobora guterwa na:
|
| Icyuho gito cya Anion | Ibi ni gake cyane. Kubwibyo, muganga wawe ashobora gusubiramo ikizamini kugira ngo arebe neza ko igisubizo ari cyo. Iyo hari agaciro gake cyane, impamvu nyamukuru zishobora kuba:
|
Ese nagombye guhangayikishwa niba agaciro ka Anion Gap yanjye katari gasanzwe?
Oya rwose. Kuba igipimo cyawe cya Anion Gap kiri hanze y’urugero rusanzwe ntibivuze ko ufite indwara ikomeye. Wibuke ko iki ari ikimenyetso gusa.
- Bishobora guterwa n'ikosa rito ryabaye mu gihe cyo gufata, gutwara, cyangwa gupima amaraso.
- Bishobora kuba biterwa n'imiti urimo gufata.
- Bishobora guterwa n'impinduka z'igihe gito mu mubiri wawe.
Iyo umuganga wawe arebye ibi bisubizo, azasuzuma ibintu byinshi, nko ibimenyetso byawe, amateka y'ubuzima bwawe, n'imiti urimo gufata. Niba igipimo cya Anion Gap kidasanzwe kandi hari gushidikanya kuri cyo, azakugira inama yo gukomeza gupima kugira ngo hamenyekane impamvu nyayo.
Igikuru ni ukudahangayikishwa n'agaciro kari muri raporo yawe, ukabivuganaho na muganga wawe nta gushishoza. Ni we ushobora kuguha ibisobanuro byiza.
Tuzi ko kubona ibisubizo by’ikizamini kidasanzwe bishobora gutera ubwoba. Ariko ibuka ko ibi bizamini byose bikorwa kugira ngo dusobanukirwe neza ubuzima bwacu no kumenya vuba no kuvura ikibazo icyo ari cyo cyose.
Ubutumwa bwo kujyana mu rugo
- Ikizamini cya Anion si ikizamini cyihariye. Kibarwa hashingiwe ku gaciro kaboneka mu isuzuma ry’amaraso risanzwe.
- Ibi ahanini bireba uburinganire bwa aside-base mu maraso yawe .
- Icyuho kinini cya Anion gikunze kugaragaza ukwiyongera kwa aside mu maraso (acidosis). Ibi bishobora guterwa n'ibintu bitandukanye, kuva kuri diyabete kugeza ku ndwara z'impyiko.
- Icyuho gito cya Anion ni gake cyane. Akenshi gifitanye isano no kugabanuka kwa poroteyine ya albumin mu maraso.
- Nubwo ibisubizo byawe byaba birenze urugero rusanzwe, ntugahite ufata umwanzuro wenyine. Menya neza ko uganira na muganga wawe kugira ngo agusobanurire.
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Ishyirireho intego ya calorie hanyuma ubare itariki yo kugabanya ibiro.