Ngatidzidzei zvakawanda nezve Anion Gap test, iyo inoyera acid-base balance yeropa rako.

Pamwe wakambonzwa nezvekuongororwa ropa paunoenda kunoona chiremba. Kuongororwa ropa kunogona kukuudza zvakawanda nezvezvinhu zvakasiyana-siyana mumiviri yedu. Zvakare, chiyero chakakosha chekuenzanisa kwemaacid nemabhesi muropa redu, ndiko kuti, acid-base balance, chinonzi Anion Gap . Hapana chekutya kana ukanzwa izvi, zvinopa zviratidzo nezvemamwe mamiriro ehutano mumiviri yedu. Ngatitaurei nezvazvo zviri nyore, uye ipapo zvichajeka kwauriwo.

Chii ichi Anion Gap, Chiremba?

Zvichitaurwa zviri nyore, Anion Gap ndiyo nzira yekuyera musiyano uripo pakati pezvikamu zvemagetsi (electrolytes) zviri muropa rako. Ungayeuka uchidzidza nezvemaion ane positive (+) charged nemaion ane negative (-) charged kuchikoro. Ndizvo zvazviri. Ropa redu rinewo marudzi aya e positive ne negative electrolytes.

Saka, chinoitwa neAnion Gap iyi kuyera musiyano, kana kuti "gap," pakati pema electrolytes makuru ane positive charge (senge potassium nesodium) nema electrolytes makuru ane negative charge (senge chloride nebicarbonate) muropa. Ichi hachisi chinhu chinoyerwa zvakananga nemuchina. Anion Gap inoverengerwa uchishandisa mhedzisiro yeimwe bvunzo dzeropa dzawakarairwa nachiremba wako. Miedzo iyi inowanzo batanidzwa mumapakeji ekuongorora ropa atinowana patinoenda kuna chiremba nekuda kwechirwere. Semuenzaniso:

• Panera reMetabolic Rakazara (CMP)
• Panel yeBasic Metabolic (BMP)
• Panera reElectrolyte

Miedzo yakaita seiyi inopa data rinodiwa kuti paonekwe musiyano weanion.

Sei bvunzo iyi ye anion gap ichiitwa? Inotariswa sei?

Iyi Anion Gap inonyanya kutarisa kana paine kusawirirana kwema electrolyte muropa rako, kana kuti ropa rako rine acid yakawanda (`(Acidosis)`) kana kuti rakanyanya kuoma (`(Alkalosis)`) .

Funga nezvazvo nenzira iyi: muviri wedu wakaita semuchina wakagadzirwa zvakanaka. Zvese zviri mumuchina uyu zvinofanirwa kunge zvakaringana zvakakwana. Kuenzana kweacid-base muropa kwakafanana. Kana paine kusaenzana mune izvi, zvinoreva kuti chimwe chinhu mumuviri hachisi kushanda nemazvo. Acidosis kana alkalosis, zvese izvi zvinogona kuva nengozi. Saka, vanachiremba vanoshandisa iyi anion gap result kuyedza kutsvaga chiri kukonzera kusaenzana uku.

Ndirini pandinofanira kuongororwa Anion Gap?

Chiremba wako anogona kuraira kuongororwa ropa kunosanganisira anion gap, kunyanya kana uri kuratidza zviratidzo zvinoratidza kuti une kusawirirana muhuwandu hweacid muropa rako. Kureva, zviratidzo zvinokonzerwa neacidosis (kuwedzera kweacidity) kana alkalosis (kuwedzera kwealkalinity). Izvi zvinogona kusanganisira:

• Kuoma kufema
• Kurutsa uye kuda kurutsa
• Kuvhiringidzika
• Kurova kwemoyo
• Kunzwa kuneta zvakanyanya

Dzimwe nguva, kana waita bvunzo dzeropa nguva dzose nekuda kwechimwe chikonzero, Anion Gap inogona kuiswa mupakeji yebvunzo. Muzviitiko zvakadaro, ungasave nezviratidzo zvakananga, asi kukosha uku kuchataurwa mumushumo. Semuenzaniso, mubvunzo dzakadaro, mhedzisiro yeAnion Gap inogona kuonekwa se:

• Panel yeBasic Metabolic (BMP)
• Panera reMetabolic Rakazara (CMP)
• Panera reElectrolyte
• Panel Yebasa reItsvo (RFP)

Kuongororwa uku kunoitwa sei? Ndinofanira kutya here kutorwa ropa?

Kutaura zvazviri, Anion Gap ibvunzo yakananga kupfuura bvunzo yemurabhoritari, uko masayendisiti anoyera zvinhu zvakaita sesodium, chloride, uye CO2 (carbon dioxide) muropa rako uye anoshandisa zviyero izvozvo kuverenga kukosha. Izvi zvinogona kubatsira kuona kana zviratidzo zvako zvichikonzerwa nekuwedzera kweacidity kana kudzikira kwealkalinity (kureva, kuwedzera kwealkalinity). Zvinogonawo kubatsira kuona kana uine chirwere chiripo.

Pane chimwe chinhu chakakosha chandinofanira kuita ndisati ndapa ropa here?

Chiremba wako achakuudza kana uchida kuita chero chinhu chakakosha usati waongororwa ropa. Ungangokumbirwa kutsanya kwemaawa mashoma usati waongororwa ropa. Unofanirawo kuudza chiremba wako kana uri kutora mishonga, sezvo mimwe mishonga inogona kukanganisa mhedzisiro yebvunzo.

Chii chinoitika kana ukapa ropa?

Kupa ropa hakusi kutyisa sezvaungafunga. Hezvino zvinowanzoitika:

• Uchagara pachigaro. Zvadaro chiremba wephlebotomist achasarudza tsinga iri nyore muruoko rwako kuti abvise ropa. Vanogona kuisa rabha rakatenderedza ruoko rwepamusoro kuti tsinga ionekwe. Kazhinji, ropa rinotorwa kubva mukati megokora.
• Kana tsinga yacho yaonekwa, nzvimbo yacho inocheneswa zvakanaka uye inopiswa nemishonga inouraya utachiona.
• Zvadaro, tsono diki inopinzwa mutsinga uye ropa rinotorwa. Panguva iyi, unogona kunzwa kuruma zvishoma, sekunge warumwa nesvosve . Izvi zvinogarawo kwemasekonzi mashoma.
• Mushure mekupinza tsono, ropa diki rinounganidzwa muchubhu yekuyedza.
• Mushure mekutorwa ropa rakakwana kuti munhu aongorore, tsono inobviswa uye chidimbu chedonje kana jira chinoiswa panzvimbo yacho chodzvanywa kuti ropa risabude.
• Zvadaro plaster diki inoiswa panzvimbo yacho. Ndizvo chete, basa rapera!

Maitiro ese aya anowanzo tora maminetsi asingasviki mashanu .

Chii chinoitika mushure mekuongororwa? Zvinotora nguva yakareba sei kuti munhu awane mushumo?

Ropa rako rinotumirwa kurabhoritari kuti riongororwe. Ikoko, nyanzvi yezvekurapa inogadzirira sampuli uye inoita bvunzo yacho achishandisa michina yakakosha (blood analyzers).

Kana mhinduro dzebvunzo dzangoburitswa, chiremba wako achakuudza mhinduro dzacho, kana kuti dzinogona kunyorwa mumagwaro ako ekurapa emagetsi. Kana uine zviratidzo, zvakaita sekushaya mweya kana kurutsa, uye uine bvunzo ye anion gap, unogona kuwana mhinduro mukati memaawa mashoma . Zvisinei, kana bvunzo iyi ikaitwa sechikamu cheongororo yeropa yenguva dzose (senge metabolic panel), zvinogona kutora zuva rimwe kusvika maviri ebhizinesi kuti mhinduro dzidzoke.

Pane njodzi here nekuongororwa kweropa uku?

Kuongororwa ropa inzira yakajairika uye inodiwa mukurapa. Hapana njodzi huru dzinobatanidzwa mukupa ropa. Unogona kunzwa maronda madiki kana kuzvimba panzvimbo yakatorwa ropa. Asi izvi zvinopera mukati mezuva rimwe kana maviri. Saka usazvidya mwoyo nazvo.

Zvakanaka, zvino mushumo uyu weAnion Gap unotiudzei?

Mushumo wekuongororwa ropa, kusanganisira mhedzisiro yekuongororwa ropa reAnion Gap, unowanzo sanganisira ruzivo runotevera:

• Zita rekuongororwa kweropa, kana kuti chii chakayerwa muropa rako.
• Nhamba kana chiyero chemhedzisiro yekuongororwa kweropa rako.
• Nhamba yekuyera yakajairika yerabhoritari pabvunzo iyoyo.
• Mhedzisiro yako yakajairika here, haina kujairika, yakakwira here kana kuti yakaderera?

Chii chinonzi anion gap yakajairika?

Kutaura zvazviri, hapana chinhu chimwe chete cheAnion Gap chinoti "iyi ndiyo nhamba yakajairika kune wese munhu." Paunowana mhinduro dzekuongororwa kweropa rako, mushumo uchataurawo kuti mhando yeAnion Gap yakajairika ndeyei yerabhoritari iyoyo.

Uyewo, iyi "yakajairika" Anion Gap inogona kusiyana zvichienderana nezvinhu zvakasiyana-siyana. Semuenzaniso, vanhu vanotora mushonga weLithium Carbonate webipolar disorder vanogona kuwana Anion Gap yakaderera zvishoma nekuda kwemushonga uyu.

Zvinorevei kana mukaha weanion ukawedzera? Zvine njodzi here?

Kana zvabuda muongororo yeropa rako zvikaratidza kuti une Anion Gap yakakwira , unogona kunge uine acidosis . Izvi zvinoreva kuti ropa rako rine acid yakawanda kupfuura yakajairika (pH yeropa rako yakaderera pane yakajairika).

Acidosis inogona kukonzerwa nezvinhu zvakasiyana-siyana:

• Kushaya mvura mumuviri: Kusawana mvura yakakwana yemuviri.
• Manyoka : Manyoka anokonzera kuti huwandu hwakawanda hwemvura nemaelectrolyte zvirasikirwe mumuviri.
• Kurovedza muviri zvakanyanya : Kurovedza muviri zvakanyanya kunogona kukonzera zvinhu zvakaita se lactic acid kuzviunganira mumuviri.

Kuwedzera kune izvi, acidosis inogonawo kuva chiratidzo chezvimwe zvirwere zvakakomba :

• Chirwere cheItsvo : Itsvo dzine hutano dzinoburitsa acid yakawanda mumuviri kuburikidza neweti. Zvisinei, kune vanhu vane chirwere cheitsvo, itsvo hadzikwanisi kuita basa iri nemazvo. Asidhi inoungana mumuviri, zvichikonzera chirwere chinonzi metabolic acidosis.
• Chirwere cheshuga : Acidosis inogona kuitika, kunyanya kana uine chirwere cheshuga cherudzi rwekutanga chisingazivikanwe. Kana pancreas ikasagadzira insulin yakakwana, masero haakwanise kugamuchira shuga (glucose), uye ropa rinogona kuva acidic.
• Chirwere cheshuga chinonzi Diabetic Ketoacidosis (DKA) : Ichi chirwere chakakomba, chinotyisidzira hupenyu chinokonzerwa nekushaikwa kwe insulin mumuviri wechirwere cheshuga chisati chaonekwa.
• Kuuraya Salicylate (`(Salicylate Poisoning / Salicylate Toxicity)`) : Salicylate ikemikari inowanikwa mumishonga yakawanda inotengeswa kunze kwemuchipatara uye inonyorerwa nachiremba. Aspirin mushonga unowanzo shandiswa une salicylate iyi. Kutora mishonga yakawandisa kana kunwa mishonga yakawandisa kunogona kukonzera chepfu yesalicylate, iyo inotyisidzirawo hupenyu.

Zvakakosha: Kuwanda kweanion mukaha hazvirevi kuti chirwere chakakomba nguva dzose. Zvisinei, chiremba achatsvaga chikonzero chacho.

Ko kana mukaha weanion ukaderedzwa? Izvozvo hazviwanzoitika, handiti?

Ehe, hazviwanzoitiki kuti Anion Gap iratidze kukosha kwakaderera . Saka, chiremba wako angangodzokorora bvunzo kuti ave nechokwadi chekuti mhinduro dzacho dzakarurama.

Kana zvabuda muongororo yeropa rako zvikaratidza kuti pane anion gap shoma, zvinogona kureva kuti une protein yakaderera pane yakajairika inonzi albumin muropa rako (hypoalbuminemia). Albumin iprotein inokosha muropa redu. Kuderera kwealbumin kunogona kukonzerwa nemamiriro ezvinhu akadai se:

• Matambudziko eitsvo
• Chirwere chemwoyo
• Chirwere chechiropa
• Mamwe marudzi egomarara

Zvakare, mhedzisiro ye anion muganho wakaderera haiwanzoitiki. Iva nechokwadi chekutaura nachiremba wako kana uchida kuziva zvakawanda nezvemhedzisiro yako yekuyedzwa.

Saka, tinofanira kunetseka here kana mukaha uyu weanion uchiwedzera kana kudzikira?

Kunyangwe zvabuda muongororo yeropa rako zvichiratidza kuti Anion Gap yakakwira kana yakaderera, hazvirevi kuti une chirwere chakakomba . Pane zvinhu zvakawanda zvinokanganisa huwandu hwe electrolyte yako, izvo zvinogonawo kukanganisa kuyerwa kweAnion Gap. Zvinogona kunge paine chakakanganisika pakutora ropa, kuriendesa ku lab, kana kuita bvunzo.

Kana chiremba wako achiongorora zvabuda muongororo yeropa rako, achafunga nezvezvinhu zvakawanda, zvakaita senhoroondo yako yese yezvekurapa uye mishonga yauri kutora . Kana zvabuda muongororo yeAnion Gap zvisina kujairika, anogona kuraira mimwe miedzo kuti aongorore chirwere. Hapana anoda kuongororwa ropa, kunyanya kana zvichifanira kuitwa kakawanda zvakatevedzana. Zvisinei, ndiyo nzira yakanakisisa yekuona kuti mazinga e electrolyte ako akarongeka.

Kana muine mibvunzo nezvemhedzisiro, musatya kubvunza chiremba wenyu. Varipo kuti vakubatsirei.

Chekupedzisira, zvinhu zvakakosha zvatinofanira kurangarira (Mharidzo Yekuenda Kumba)

Zvakanaka, saka tataura zvakawanda nezvebvunzo yeAnion Gap. Heano mamwe emabasa akakosha ekurangarira:

• Anion Gap inyaya yakakosha yekuverenga: inopa ruzivo rwakakosha nezve acid-base balance yeropa rako.
• Kukosha kwakakwirira kana kwakaderera hakusi nguva dzose kune njodzi: Usavhunduke nekuchinja kamwe kamwe kwekukosha kuri pamushumo wako. Panogona kunge paine zvimwe zvikonzero.
• Chiremba wako ndiye mutongi akanakisisa: Chiremba wako chete ndiye anogona kufunga nezvehutano hwako hwese, kuita mimwe miedzo kana zvichidikanwa, uye kutsanangura zvabuda.
• Bvunza mibvunzo: Kana paine chimwe chinhu chausinganzwisisi, usachichengete wega, asi bvunza chiremba wako.

Yeuka: Haugone kuona chirwere nekungotarisa nhamba iri pamushumo. Saka, vimba nachiremba wako uye tevera mazano ake. Ipapo unogona kuramba uine hutano!

` Anion Gap, Kuongororwa kweRopa, Acidosis, Alkalosis, Electrolytes, Acidity yeRopa