Wakamboongororwa ropa ukaona mazwi akawanda netsika dzakasiyana pamushumo izvo zvakaoma kunzwisisa here? Chiremba wako angangotsanangura kwauri, asi dzimwe nguva isu pachedu tinovhiringidzika zvishoma nezvezvinorehwa nezvinhu izvi. Semuenzaniso, rimwe remashoko aungaona pane mamwe mareport eropa ndi "Anion Gap". Nhasi tichataura, zviri nyore, nezve Anion Gap iyi uye kuti nei ichikosha kwatiri.
Zvichitaurwa zviri nyore, chii chinonzi Anion Gap iyi?
Kuti tinzwisise izvi, tinofanira kutanga taziva zvishoma nezveropa redu. Kune makemikari akasiyana-siyana muropa redu. Mamwe acho ane chaji yemagetsi yakanaka (+), nepo mamwe aine chaji yemagetsi yakaipa (-). Tinodaidza kuti zvidimbu izvi zvinotengeswa electrolytes . Sodium, potassium, chloride, uye bicarbonate ndiwo marudzi makuru e electrolytes.
Saka, Anion Gap iri nyore kuverenga. Ndiwo musiyano uripo pakati pemain positive (+) charges (senge sodium) nemain negative (-) charges (senge chloride nebicarbonate) muropa rako. Kutaura chokwadi, ndiwo "musiyano" uripo pakati pemameasure positive nenegative charges.
Chinhu chakakosha ndechekuti iyi haisi bvunzo yeropa yakasiyana. Iyi Anion Gap value inoverengerwa murabhoritari uchishandisa sodium, chloride, uye bicarbonate values inowanikwa muongororo yeropa yenguva dzose (senge electrolyte panel, BMP, CMP).
Sei vanachiremba vachinetseka nezve kukosha kweAnion Gap uku?
Kukosha uku kunotipa ruzivo nezvechimwe chinhu chakakosha mumuviri wedu. Ndiko kuenzana kweacid-base muropa redu . Kungofanana neinjini yemotokari ichifanira kuva nemazinga akakodzera emafuta nemvura kuti ishande zvakanaka, acidity yeropa redu inofanira kunge iri mukati mehuwandu hwakati kuti masero mumuviri wedu ashande zvakanaka.
- Kana acidity yeropa ikawedzera zvakanyanya, inonzi acidosis .
- Kana acidity yeropa ikanyanya kuderera uye alkalinity ikawedzera, inonzi alkalosis .
Zvese izvi zvinogona kuva nengozi nekuti zvinoratidza kuti chimwe chinhu mumuviri hachisi kushanda zvakanaka. Saka, kana kukosha kweAnion Gap kukachinjwa, chinhu chakakosha kuti chiremba aongorore chirwere chakadai seacidosis.
Chiremba anofunga kuti bvunzo iyi inodiwa riini?
Kazhinji, unogona kuona izvi kana uine zviratidzo zvisingafadzi. Semuenzaniso:
- Kuoma kufema
- Kurutsa uye kuda kurutsa
- Kurova kwemoyo
- Kuvhiringidzika
- Kunzwa kuneta zvisinganzwisisike
Asi dzimwe nguva, pasina zviratidzo, kukosha kweAnion Gap uku kunogona kunge kuri pamushumo wako sechikamu chekuongororwa ropa nguva dzose kunoitwa panguva yakaita sekuongororwa kwako kwechiremba kwegore negore.
Ndingagadzirira sei kuongororwa ropa? Chii chinoitika kana ropa ratorwa?
Uku kuongororwa ropa nguva dzose, saka hapana kugadzirira kwakakosha kunodiwa. Zvisinei, dzimwe nguva chiremba wako anogona kukukumbira kuti utsanye kwemaawa mashoma usati wapa ropa. Izvi zvinoreva kuti haufanirwe kudya kana kunwa chero chinhu. Zvakakoshawo kuudza chiremba wako nezvemishonga yauri kutora, sezvo mimwe mishonga inogona kukanganisa mhedzisiro yebvunzo iyi.
Unoziva chaizvo nzira yekudhonza ropa.
1. Paunenge wakagara pachigaro, mukoti kana chiremba wephlebotomist achawana tsinga muruoko rwako.
2. Zvadaro, bhandi rerabha (tourniquet) rinoiswa paruoko rwepamusoro kuti tsinga iite seyakanaka.
3. Kana tsinga yaonekwa, nzvimbo yacho inocheneswa zvakanaka, tsono diki inopinzwa, uye ropa shoma rinodhonzwa muchubhu yekuyedza. Panguva ino, zvinogona kunzwa sekunge svosve diki riri kukuruma.
4. Kana huwandu hweropa hunodiwa hwatorwa, tsono inobviswa uye chidimbu chedonje chinoiswa panzvimbo yacho chodzvanywa.
5. Kana ropa ramira kubuda, purasita diki inoiswa panzvimbo yacho uye basa rinopera.
Maitiro ese aya anotora asingasviki maminetsi mashanu.
Mhedzisiro yacho inoti chii?
Kana gwaro rako rekuongororwa ropa rikauya, pane chimwe chinhu chinouya neAnion Gap value. Ndiyo "normal range". Izvi zvinogona kusiyana zvishoma kubva murabhoritari kuenda kune imwe. Saka, unofanirwa kuenzanisa kukosha kwako nenormal range yakapihwa mugwaro racho kuti uone kana iri yakajairika kana kwete.
Iye zvino ngationei kuti kukosha uku kungatipa zviratidzo zvipi kana kuchiwedzera kana kuderera.
| Kukosha kweAnion Gap | Zvazvinogona kureva (mienzaniso) |
|---|---|
| Gap reAnion Rakakwirira | Izvi zvinoreva kuti ropa rako rine acid yakawanda. Izvi zvinonzi acidosis . Izvi zvinogona kukonzerwa ne:
|
| Mukana weAnion Wakaderera | Izvi hazviwanzoitiki . Saka, chiremba wako anogona kudzokorora bvunzo kuti ave nechokwadi chekuti mhinduro yacho yakarurama. Kana paine kukosha kwakaderera kudaro, zvikonzero zvikuru zvinogona kuva:
|
Ndinofanira kunetseka here kana huwandu hwangu hweAnion Gap husina kujairika?
Kwete zvachose. Kungoti kukosha kweAnion Gap yako kuri kunze kwehuwandu hwakajairika hazvirevi kuti une chirwere chakakomba. Yeuka, ichi chiratidzo chete.
- Zvinogona kunge zvichikonzerwa nekukanganisa kudiki kwakaitika panguva yekutorwa, kutakurwa, kana kuyedzwa kweropa.
- Zvinogona kunge zvichikonzerwa nemushonga wauri kutora.
- Zvingave zvichikonzerwa nekuchinja kwenguva pfupi mumuviri wako.
Kana chiremba wako achitarisa mhedzisiro iyi, achafunga nezvezvinhu zvakawanda, zvakaita sezviratidzo zvako, nhoroondo yako yehutano, uye mishonga yauri kutora. Kana kukosha kweAnion Gap kusina kujairika uye paine kusava nechokwadi nazvo, achakurudzira kuongororwa kwakawanda kuti awane chikonzero chaicho.
Chinhu chinonyanya kukosha ndechekusazvidya mwoyo nezvezvinhu zviri mumushumo wako uye kutaura pachena nezvazvo nachiremba wako. Iye ndiye anogona kukupa tsananguro yakanakisisa.
Tinoziva kuti kuona mhinduro yebvunzo isina kujairika kunogona kutyisa. Asi yeukai, bvunzo idzi dzese dzinoitirwa kuti tinzwisise hutano hwedu zviri nani uye kuti tizive nekukurumidza uye tigadzirise matambudziko ese.
Mharidzo Yekuenda Nayo Kumba
- Anion Gap haisi bvunzo yakasiyana. Inoverengerwa kubva pahuwandu hunowanikwa mukuongororwa kweropa nguva dzose.
- Izvi zvinonyanya kutarisa chiyero cheacid-base muropa rako .
- Kuwanda kweAnion Gap kunowanzo ratidza kuwedzera kweacidity muropa (acidosis). Izvi zvinogona kukonzerwa nezvinhu zvakasiyana-siyana, kubva pachirwere cheshuga kusvika kuchirwere cheitsvo.
- Kuderera kweAnion Gap hakuwanzoitiki. Kazhinji kunobatanidzwa nekuderera kweprotein yealbumin muropa.
- Kunyangwe kana mhedzisiro yako iri kunze kwehuwandu hwakajairika, usakurumidza kuita mhedziso wega. Iva nechokwadi chekutaura nachiremba wako kuti akutsanangurire.
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