Huwandu hwe chloride muropa rako hwakaita sei? Ngatitaurei nezvazvo zviri nyore!

Wakamboongororwa ropa here? Kana zvakadaro, pamwe wakaona chimwe chinhu chinonzi "Chloride" chakanyorwa pamushumo wako. Saka, izvi zvingave zvisingazivikanwe nevanhu vazhinji. "Chii chinonzi chloride iyi? Sei ichiongororwa muropa redu?" Wakambozvibvunzawo here zvakafanana? Saka, nhasi tichataura nezve chloride iyi uye kuongororwa kweropa kwakabatana nayo nenzira iri nyore yaunogona kunzwisisa. Sekutaura neshamwari.

Chii chinonzi chloride? Sei ichikosha kwatiri?

Zvichitaurwa zviri nyore, chloride chinhu chakakosha kwazvo mumiviri yedu. Kutaura chokwadi, ielectrolyte. Ungave uchifunga kuti, "Wow, chii chinonzi electrolyte?" Usazvidya moyo, ndichazvichengeta zviri nyore.

Funga nezvazvo, kune zvicherwa zvidiki mumiviri yedu zvinotibatsira kuita mabasa akasiyana-siyana nemazvo. Izvi zvinogona kutakura chaji diki yemagetsi kana zvanyungudutswa mumvura. Ndizvo zvatinodaidza kuti "electrolytes". Chloride ndeimwe yadzo. Kwete chloride chete, asi mamwe "electrolytes" akakosha mumiviri yedu ndi "Sodium", "Potassium", uye "Bicarbonate".

Saka, pamwe chete nema chloride aya nemamwe ma "electrolytes", anodzora zvinhu zvakawanda zvakakosha mumiviri yedu. Semuenzaniso:

• Zvinobatsira kuchengetedza kushanda zvakanaka kwetsinga dzedu netsandanyama. Ingofungai, tinoda izvi kuti tibatane maoko, titaure, zvese izvi.
• Huwandu hwemvura mumuviri wedu, kana kuti mvura yakaenzana, hunobatsira kuchengetedza mwero wakakodzera wemvura.
• Izvi zvakakoshawo zvikuru pakudzora acid-base balance (kana pH balance) muropa. Kana izvi zvangovapo chete ndipo panogona kushanda zvakanaka maitiro emakemikari mumuviri wedu.

Saka unogona kuona kukosha kwechloride kumiviri yedu. Chiremba achaongorora huwandu hwechloride muropa rako kuti aone kana zviyero izvi zviripo. Kuongororwa uku kunogonawo kubatsira kuona mamwe mamiriro ehutano. Semuenzaniso:

• Chirwere cheitsvo
• Zvirwere zvemwoyo zvakaita sekushaya simba kwemoyo
• Chirwere chechiropa
• Kukwira kweropa

Mazinga e chloride anogona kuchinja mumamiriro ezvinhu akadai, ndosaka izvi zvichiongororwa.

Kuedzwa kwechloride kunoitwa rini?

Hazviwanzoitiki kuti chiremba arayire bvunzo yakasiyana kuti aongorore huwandu hwechloride yako. Kazhinji, bvunzo iyi yechloride chikamu chepakeji hombe yebvunzo inotarisa zvimwe zvinhu zvakawanda muropa rako panguva imwe chete. Ungave wakambonzwa nezveizvi:

• Comprehensive Metabolic Panel (CMP): Izvi zvinoongorora shuga yeropa rako, calcium, protein, chiropa, uye itsvo, pakati pezvimwe zvinhu. Chloride ndeimwe yeiyi.
• Basic Metabolic Panel (BMP): Iyi bvunzo diki zvishoma pane CMP. Inotarisa zvinhu zvakaita seshuga, calcium, electrolytes (kusanganisira chloride), uye mashandiro eitsvo.
• Panel yeElectrolyte: Izvi zvinonyanya kutarisa mazinga e electrolyte akadai se chloride, sodium, potassium, uye bicarbonate.
• Renal Function Panel (RFP): Izvi zvinonyanya kutarisa mashandiro eitsvo. Zvinotarisawo mazinga e electrolyte.

Saka, unoona, bvunzo yechloride ingori chikamu chimwe chete cheongororo dzakawanda dzinowanzoitwa kuti uwane pfungwa yehutano hwako hwese.

Sei ndichifanira kuita bvunzo iyi ye chloride?

Pane zvikonzero zvakati wandei zvinoita kuti chiremba akukumbire kuti unyore bvunzo iyi ye chloride.

1. Sechikamu chekuongorora hutano nguva dzose: Pamwe unoongororwa gore rega rega. Ipapo chiremba anogona kukupa bvunzo yakaita seiyi (senge CMP, BMP yataurwa pamusoro) kuti aone kana zvese zviri mumuviri wako zviri kushanda nemazvo.

2. Kana uine zviratidzo: Chiremba wako anogona kuraira bvunzo iyi kana vachifungidzira kuti pane chisina kumira zvakanaka, kunyanya nechiyero chemvura yako kana chiyero cheacid-base. Ndezvipi zviratidzo izvi?

• Kana uchirutsa kakawanda: Kana ukarutsa kakawanda pazuva, unogona kurasikirwa nemvura yakawanda uye ma electrolyte mumuviri wako.
• Kana uine manyoka: Kana manyoka acho akanyanya, asi akafanana.
• Kuneta: Kunzwa kuneta nguva dzese pasina chikonzero.
• Kana uchinzwa usina simba: Tsandanyama dzako dzinonzwa dzisina simba, uye unonzwa usina simba zvekuti haugone kuita chero chinhu.
• Kana uchinzwa sekuti hausi kuwana mvura yakakwana, kureva kuti, wapera mvura mumuviri: muromo wako waoma, uri kuita weti shoma, uye ganda rako rakaoma.
• Kutadza kufema: Kana ukangoerekana waomerwa nekufema.

Yeuka, chiremba ari kuraira bvunzo iyi nekuti vane hanya nehutano hwako, saka usazvitya zvisina kufanira.

Chii chaizvo chingadzidzwa kubva mubvunzo iyi?

Chiremba achashandisa mhedzisiro yebvunzo yechloride pamwe chete nedzimwe bvunzo dze electrolyte kuti aone kana paine kusawirirana muchiyero che acid-base mumuviri wako kana chiyero chemvura mumuviri wako. Izvi zvinoreva kuti muviri wako une acid yakawanda, wakanyanya kuoma, kana kuti hauna mvura yakakwana.

Ndinofanira kuita chero chinhu chakakosha here ndisati ndaenda kunoongororwa?

Kazhinji, kana uine chloride test imwe chete kana electrolyte panel imwe chete, unongodaHapana chikonzero chekugadzirira kwakakosha.

Zvisinei, sezvandambotaura, bvunzo iyi yechloride inowanzoitwa sechikamu che "Basic Metabolic Panel - BMP" kana "Comprehensive Metabolic Panel - CMP". Muzviitiko zvakadaro, kana uri kuyedzawo ropa rako kuti uone zvimwe zvinhu (semazinga eshuga muropa), unogona kukumbirwa kutsanya kwemaawa mashoma. Semuenzaniso, kana uchizopa ropa mangwanani, chiremba wako anogona kukuudza kuti usadye kana kunwa chero chinhu mushure ma8pm husiku hwapfuura. Zvisinei, chiremba wako achakuudza zvakajeka kana uchida kutevedzera chero mirairo yakakosha. Saka usazvidya moyo nazvo. Ingoita zvinotaurwa nachiremba wako.

Chii chaunofanira kutarisira paunenge uchitorwa ropa?

Vamwe vanhu vanogona kunge vachitya kupa ropa. Asi inzira iri nyore uye inokurumidza. Hezvino zvinoitika:

1. Kazhinji, mukoti kana chiremba wephlebotomist akadzidziswa zvakanyanya kudhonza ropa ndiye anodhonza ropa rako.

2. Kutanga, achasarudza tsinga iri nyore kubvisa ropa paruoko rwako (kazhinji mukati megokora rako).

3. Wobva wachenesa nzvimbo yacho zvakanaka woipukuta nemushonga wekuuraya utachiona.

4. Zvino tsono diki ichapinzwa mutsinga. Panguva iyi, uchanzwa kukwenya kana kunzwa kurwadza. Fema zvakadzama wozorora.

5. Mushure mekupinza tsono, ropa rako shoma richatorwa muchubhu yekuyedza.

6. Mushure mekutora ropa rakakwana kuti vaongorore, vanobvisa tsono yacho voisa donje kana jira pamusoro penzvimbo yacho voibata ipapo kwenguva yakati. Kubuda ropa kuchamira.

7. Wobva waisa bhandeji diki panzvimbo yacho. Ndizvozvo! Basa rako rapera.

Izvi zvinogona kuitwa nekukurumidza uye zviri nyore kupfuura zvaunofunga.

Chii chinoitika mushure mekupa ropa?

Mushure mekunge ropa rako ratorwa, rinotumirwa kurabhoritari kuti riongororwe. Rabhoritari ichayera huwandu hwechloride muropa rako (nezvimwe zvinhu, zvakaita seCMP, kana zviripo).

Kana mhinduro dzebvunzo dzangoburitswa, chiremba wako achakuudza zvese. Chiremba anogona kukufonera kuti akuudze, kana kukukumbira kuti udzoke kuzokuratidza mushumo wacho woutsanangura.

Rudzii rwemashoko rwuri mumushumo?

Mushumo wekuongororwa kwechloride (uye kuongororwa kweropa kwakawanda) unowanzo kuve neruzivo rwakadai seizvi:

• Zita rebvunzo: Kureva kuti, chii chakaongororwa muropa rako (semuenzaniso Serum Chloride).
• Mhedzisiro yako: Kureva kuti, huwandu hwechloride muropa rako hunoratidzwa senhamba.
• Rudzi rwakajairika: Izvi zvinoreva huwandu hwehunhu hwakajairika hunofanirwa kuvepo pabvunzo iyoyo mumunhu ane hutano.
• Kunyangwe mhedzisiro yako iri yakajairika kana isina kujairika (yakakwira kana yakaderera): Izvi zvinokutendera kuti uone zviri nyore kana kukosha kwako kuri mukati kana kunze kwehuwandu hwakajairika.

Asi, usangotarisa nhamba dziri mumushumo wobva wangosvika pamhedziso chete, ita kuti chiremba akutsanangurire uye akutsanangurire kuti zvinokanganisa sei hutano hwako.

Ko chloride yakawanda sei?

Huwandu hunogamuchirwa hwehuwandu hwechloride muropa remunhu mukuru huri pakati pe96 ne106 milliequivalents pa litre (mEq/L), kana pakati pe96 ne106 millimoles pa litre (mmol/L). Aya mayuniti ekuyera, ingava mEq/L kana mmol/L.

Asi hechino chinhu chakakosha chekucherechedza. Huwandu hwakajairwa uhwu hunogona kusiyana zvishoma kubva pakurabhoritari kuenda kune imwe. Kureva kuti, kana huwandu hwakajairika hwerabhoritari imwe huri 96-106 mEq/L, humwe hurirabhoritari hunogona kunge huine huwandu hwakasiyana zvishoma, senge 98-107 mEq/L. Izvi zvinokonzerwa nekusiyana kudiki mumidziyo nenzira dzavanoshandisa.

Saka, kana wawana mushumo wako, huwandu hwezvinotarisirwa zverabhoritari iyoyo huchanyorwa pamushumo wacho pachawo. Unofanira kuenzanisa kukosha kwako nehuwandu ihwohwo. Kana uine mibvunzo kana kusava nechokwadi, iva nechokwadi chekubvunza chiremba wako.

Kana mushumo ukati chloride yakaderera, chii chingave chiri chikonzero?

Kana gwaro rako rikati huwandu hwechloride yako huri pasi pehuwandu hwakajairika (chloride yakaderera / hypochloremia), zvinogona kunge zvichikonzerwa nematambudziko akati wandei ehutano. Heano mimwe mienzaniso:

• Kukundikana kwemoyo: Kana mwoyo usingashande zvakanaka, kusawirirana kwema electrolyte kunogona kuitika nekuda kwezvinhu zvakaita sekuchengetedza mvura mumuviri.
• Zvirwere zvemapapu, zvakaita se emphysema: Zvimwe zvirwere zvemapapu zvinogona kushandura acid-base balance yemuviri kuburikidza nekufema, zvichikanganisa huwandu hwechloride.
• Chirwere cheAddison: Iri idambudziko remahormone rine chekuita nemagland eadrenal. Rinokonzerawo kusawirirana kwema electrolyte.
• Kuora kwemuviri: Ichi chirwere chinokonzerwa nekuwedzera kwehuwandu hwebicarbonate (alkali) mumuviri, zvichikonzera kuwedzera kwealkalinity muropa. Izvi zvinogona kuperekedzwa nekudzikira kwehuwandu hwechloride.

Zvisinei, pane chimwe chinhu chakakosha chekurangarira pano. Kuderera kwe chloride hazvirevi kuti une chirwere chakakomba. Dzimwe nguva, huwandu hwe chloride hunogonawo kuderera nekuda kwezvikonzero zvenguva pfupi zvakaita semishonga yatinotora (semuenzaniso, mimwe mishonga inobvisa mvura mumuviri), kurutsa zvakanyanya, kana kudikitira. Saka usavhunduke utaure nachiremba wako.

Kana mushumo ukati kune chloride yakawandisa, chii chingave chiri chikonzero?

Saizvozvowo, kana gwaro rako rikati huwandu hwechloride yako huri pamusoro pehuwandu hwakajairwa (yakakwira chloride / hyperchloremia), panogona kunge paine zvikonzero zvakawanda zveizvozvo:

• Kushaya mvura mumuviri: Kana huwandu hwemvura mumuviri hukadzikira zvakanyanya, huwandu hwechloride muropa hunogona kuwedzera.
• Chirwere cheitsvo: Kana itsvo dzikatadza kusefa nekubvisa chloride zvakanaka, inogona kuungana muropa.
• Chirwere cheCushing: Ichi chirwere chinokonzerwawo nemahormone (kuwedzera kwecortisol hormone).
• Metabolic acidosis: Ichi chirwere chinoita kuti muviri uve neacid yakawanda. Izvi zvinogonawo kukonzera chloride yakawanda.
• Respiratory alkalosis: Zvinhu zvakaita sekufema nekukurumidza zvinogona kukonzera kuti carbon dioxide yakawandisa ibude muropa, uye huwandu hwechloride hunogona kuchinja kuti idzorerwe.

Sezvambotaurwa pamusoro apa, huwandu hwakawanda hwechloride hazvirevi kuti munhu ane chirwere chakakomba. Huwandu hwechloride hunogonawo kukwidziridzwa kwenguva pfupi nekuda kwezvinhu zvakaita sekudya chikafu chine munyu wakawandisa, kutora mimwe mishonga, kana kupa munyu wakawandisa.

Ndinofanira kunetseka here nezvehuwandu hwechloride hwakaderera kana kuti hwakakwira?

Uyu ndiwo mubvunzo unobvunzwa nevanhu vazhinji. Zvakajairika kutya, "Oh, mushumo wangu unoti chloride yangu yakaderera/yakakwira, ndine chimwe chinhu chakakomba here?"

Asi, yeuka kuti nekuda kwekuti mhinduro dzako dzebvunzo dzechloride dziri pamusoro pehuwandu hwakajairika, hazvirevi hazvo kuti une chirwere chakakomba.

Kune zvimwe zvinhu zvakawanda zvinokanganisa huwandu hwechloride. Semuenzaniso:

• Kana ukanwa mvura yakawanda: Inogona kuderedza ropa rako zvishoma uye kuita kuti riite serisina chloride yakawanda.
• Kana mvura yakawanda ikabviswa mumuviri nekuda kwekurutsa kana manyoka: Izvi zvinogona kukonzera kuti huwandu hwechloride huderere, uye dzimwe nguva huoneke hwakakwira nekuda kwekushaya mvura mumuviri.
• Mimwe mishonga: Mimwe mishonga, kunyanya mishonga inorwisa chirungurira, diuretics, uye steroid, inogona kukanganisa huwandu hwechloride mumuviri.
• Chikanganiso chidiki chinogona kuitika kana munhu achitora ropa: Dzimwe nguva, kunyangwe kuchinja kudiki munzira yekutora ropa kunogona kukanganisa mhedzisiro yacho (asi izvi hazviwanzoitika).

Saka, chiremba wako achatarisa mhedzisiro yechloride yako kwete kungoitora senhamba chete, asi achaienzanisa nemimwe mhedzisiro yako yekuyedzwa, zviratidzo zvako, mishonga yaunotora, uye nhoroondo yako yese yehutano kuti asvike pamhedziso.

Chiremba angati, "Hazvina kuipa, ngationgororei zvakare mumazuva mashoma anotevera." Kana kuti, vangati, "Ngatiite mimwe miedzo kuti tione kuti chii chiri kukonzera izvi." Saka, taura nachiremba wako nezvemibvunzo, kutya, kana zvinokunetsa. Ikodzero yako.

Zvinotora nguva yakareba sei kuti mushumo usvike?

Kazhinji, uchawana mhinduro dzako dzekuyedzwa kwechloride mukati mezuva rimwe kana maviri ebhizinesi mushure mekunge wapa ropa. Mamwe marabhoritari anopa mhinduro nekukurumidza, nepo mamwe achitora nguva yakati rebei. Izvi zvinogona kusiyana kubva murabhoritari kuenda kurabhoritari.

Chekupedzisira, zvakajairika kunzwa kutya zvishoma kana mhinduro yebvunzo ikadzoka isina kujairika. Zvisinei, yeuka kuti kungoti huwandu hwechloride yako hwakaderera kana kuti hwakakwira hazvirevi kuti une chirwere chakakomba uye unoda kurapwa nekukasika. Zvimwe zvinhu zvakawanda zvinogona kukanganisa izvi. Chiremba wako ndiye munhu akakodzera kukutsanangurira izvi uye kukuudza zvekuita zvinotevera, kana zvichidikanwa. Saka, usatya kana kuzeza kubvunza chiremba wako mibvunzo. Aripo kuti akubatsire.

Zvinhu zvinonyanya kukosha zvatinofanira kurangarira kubva munyaya iyi ndeizvi:

Zvakanaka, ngatidzokororei pfungwa dzakakosha dzatakakurukura nezve chloride test:

• Chloride ielectrolyte inokosha pakushanda kwemvura, acid-base, uye neuromuscular mumiviri yedu.
• Bvunzo iyi inowanzoitwa sechikamu cheimwe bvunzo dzeropa dzinoongorora hutano hwako hwese.
• Kuderera kana kukwira kwechloride mumuviri hazvireve kuti munhu ane chirwere chakakomba. Zvimwe zvinhu zvakawanda (sekudya, mishonga, kushaya mvura mumuviri) zvinogona kukanganisa izvi.
• Chiremba wako achaongorora mhedzisiro yemushumo wako wekuongororwa nemazvo nekutarisa pamwe chete nehutano hwako hwese.
• Kana muine mibvunzo kana kusava nechokwadi nezvemhedzisiro yebvunzo, iva nechokwadi chekubvunza chiremba wenyu kuti akutsanangurirei.

Saka, ndinovimba kuti chinyorwa chino chapindura mibvunzo yako yakawanda nezve chloride test. Ramba uine hutano hwakanaka!

Chloride , kuongororwa kweropa, maelectrolyte, hutano, kuongororwa, serum chloride, kuongororwa kweropa