Wakambotora gwaro rekuongororwa ropa, ukatarisa murwi wemabhii nenhamba dziri pairi, ukati, 'Chii ichi?' Pamwe chete neSodium nePotassium, pane chinhu chakakosha pakati pacho chatisingataure zvakawanda, chinonzi Chloride. Chinokosha pakushanda zvakanaka kwemiviri yedu. Saka nhasi, ngatitaurei nenzira iri nyore uye ine hushamwari nezvekuti nei chloride iyi ichikosha kwazvo kumiviri yedu, zvinowanikwa muongororo iyi, uye kuti tingadudzira sei mhedzisiro yacho painodzoka.
Chii chaizvo chinonzi chloride?
Zvichitaurwa zviri nyore, chloride ielectrolyte iri mumiviri yedu. Funga nezvemiviri yedu semichina yakaoma inofambiswa nemabhatiri. Michina iyi inoda magetsi kuti ishande zvakanaka. Saizvozvowo, maelectrolyte zvidimbu zvidiki zvemineral zvine simba remagetsi zvinobatsira sisitimu yedu yetsinga kutumira mameseji, tsandanyama dzinoshanda zvakanaka, uye kuchengetedza mvura neacid-base balance yemuviri (kana pH balance).
Ma electrolytes makuru muropa redu ndeaya:
- Chloride
- Sodium
- Potassium
- Bicarbonate
Zvese izvi zvinoshanda pamwe chete sechikwata kuchengetedza miviri yedu ine hutano. Kana imwe isina simba zvakanyanya kana kuti isina simba zvakanyanya, hurongwa hwese hunogona kusashanda zvakanaka.
Sei chiremba angakurudzira bvunzo iyi ye chloride?
Hazviwanzoitiki kuti chiremba arayire bvunzo ye "chloride-only". Izvi zvinodaro nekuti huwandu hwechloride hunoyerwa pamwe chete nemamwe ma electrolytes. Izvi zvinoreva kuti zvinowanzoitwa sechikamu cheongororo dzeropa. Izvi zvinobatsira chiremba wako kuti awane mufananidzo wakakura wehutano hwako.
Semuenzaniso, huwandu hwechloride hunoongororwa kuti huonekwe kana kutarisa mamiriro ezvinhu akadai se:
- Chirwere cheitsvo
- Kukundikana kwemoyo
- Chirwere chechiropa
- Kukwira kweropa
Kazhinji, bvunzo ye chloride inouya neongororo yeropa yenguva dzose yakaita seizvi:
| Zita rePanel | Zvichitaurwa zviri nyore, uri kuonei? |
|---|---|
| Panera reMetabolic Rakazara (CMP) | Kuongororwa kwakazara kunotarisa zvinhu zvakawanda panguva imwe chete, zvakaita sekushanda kwechiropa neitsvo, ma electrolyte, uye huwandu hweshuga. |
| Panel yeBasic Metabolic (BMP) | Kuongororwa kunotarisa zvinhu zvakakosha zvakaita sekushanda kweitsvo, huwandu hweshuga, uye ma electrolytes. |
| Panera reElectrolyte | Kuongororwa kwakakosha kunongotarisa mazinga e electrolyte akadai se chloride, sodium, uye potassium. |
| Panel Yebasa reItsvo (RFP) | Pakeji yekuedza inotarisa zvakanyanya pakushanda kweitsvo. |
Ndezvipi zviratidzo zvandinofanira kuva nazvo pabvunzo iyi?
Pamusoro pekuongororwa nguva dzose, chiremba wako anogona kuraira bvunzo iyi kana vachifungidzira kuti une dambudziko nekuenzana kwemvura mumuviri wako kana kuti acid-base balance. Panguva dzakadaro, unogona kuona zviratidzo zvakaita se:
- Kana kurutsa kukaramba kuripo
- Kana uine manyoka (kurutsa)
- Kana uchinzwa kuneta kusingafungidzike (kuneta)
- Kana uchinzwa usina hupenyu kana kuti usina simba
- Kushaya mvura mumuviri, zvinoreva kunzwa sekunge hauna mvura mumuviri wako
- Kana uchinetseka kufema
Unogadzirira sei kuongororwa ropa uku?
Nhau dzakanaka ndedzekuti hapana kugadzirira kwakakosha kunodiwa pakuongorora kunongotarisa huwandu hwechloride kana panel ye electrolyte.
Zvisinei, sezvatakambokurukura, kana bvunzo iyi ichiitwa sechikamu chepakeji yakaita seCMP kana BMP, unogona kukumbirwa kutsanya (kureva, kurega kudya kana kunwa) kwemaawa mashoma usati wapa ropa. Usafungidzire nezveizvi. Chiremba wako achakuudza maawa mangani chaiwo aunofanira kutsanya usati wapa ropa, uye kana uchigona kunwa mvura, nezvimwewo. Kutevedzera mirairo iyoyo kwakakosha kuti uwane mhinduro dzakarurama.
Chii chinoitika kana wawana ropa? (Zvichida unozviziva izvi!)
Iyi inzira iri nyore kwazvo, sekunge kutora ropa.
1. Chiremba wephlebotomist ari murabhoritari achawana tsinga iri nyore mukati megokora rako yekuburitsa ropa.
2. Kana wangowana nzvimbo yacho, ichenese zvakanaka woisa mushonga wekuuraya utachiona.
3. Zvadaro, tsono diki inopinzwa mutsinga iyoyo uye ropa rinotorwa. Panguva inoUnganzwa kuruma zvishoma, sekunge warumwa nesvosve .
4. Mushure mekuunganidza huwandu hweropa hunodiwa kuti bvunzo iongororwe muchubhu yekuyedza, tsono inobviswa uye chidimbu chedonje kana gauze chinoiswa chodzvanywa kuti ropa risabude.
5. Pakupedzisira, chidimbu chidiki chepurasita chinoiswa panzvimbo yacho uye basa rinopera. Maitiro ese anotora maminetsi mashoma chete.
Munonzwisisa sei mushumo wacho?
Muchagamuchira mushumo wenyu muzuva rimwe kana maviri. Mushumo wacho unowanzova neruzivo rwakaita seizvi:
- Zita rekuyedza: semuenzaniso "Serum Chloride"
- Mhedzisiro yako: inoratidzwa senhamba.
- Range Yakajairika: Inoratidza kuti tsika dzakajairika dzinofanira kunge dziri dzipi kumunhu ane hutano.
- Mhedzisiro yacho yakajairika here kana kuti kwete: Kukosha kwako kunoratidzwa seNormal, High, kana Low.
Huwandu hwechloride hwakajairika kumunhu mukuru huri pakati pe96 ne106 milliequivalents pa litre (mEq/L) .
Asi yeukai chimwe chinhu, 'Normal Range' iyi inogona kusiyana zvishoma kubva kune imwe lab kuenda kune imwe. Ndosaka mushumo wenyu uchizotaurawo kuti zviyero zvavo zvakajairika chii. Musamhanyira kuita mhedziso zvichibva panhamba dziri mumushumo. Siyai kuna chiremba wenyu kuti atsanangure zvazvinoreva chaizvo.
Kana huwandu hwechloride hwakaderera kana kuti hwakakwira, zvinorevei?
Zvakajairika kuti utye zvishoma kana ukaona mhedzisiro isingawanzoitiki. Asi kuva ne chloride yakawanda kana kuti yakaderera hazvirevi kuti une chirwere chakakomba. Ngatizvitarisei.
Mazinga echloride akaderera (Hypochloremia)
Kana mhedzisiro yako iri pasi peyakajairika, inogona kunge iri chiratidzo chechirwere chakadai:
- Kukundikana kwemoyo
- Zvirwere zvemapapu, semuenzaniso, emphysema
- Chirwere cheAddison
- Kusagadzikana kwemuviri - Izvi zvinoreva kuwedzera kwealkalinity muropa.
Kuwedzera kwehuwandu hwechloride (Hyperchloremia)
Kana mhedzisiro yako yakakwira kupfuura yakajairika, inogona kunge iri chiratidzo chechirwere chakadai:
- Kushaya mvura mumuviri - kushomeka kwemvura mumuviri
- Chirwere cheitsvo
- Chirwere cheCushing
- Metabolic acidosis - Izvi zvinoreva kuwedzera kweacidity muropa.
- Respiratory alkalosis - chirwere chinokonzerwa nekufema nekukurumidza.
Asi, chinhu chinonyanya kukosha ndeichi!
Kuchinja kwehuwandu hwechloride hakufanirwe kunge kuri kukonzerwa nechirwere. Panogona kunge paine zvimwe zvikonzero zviri nyore zvakare.
| Zvimwe zvikonzero zvisiri chirwere | Tsananguro iri nyore |
|---|---|
| Kunwa mvura yakawandisa | Kana ukanwa mvura yakawandisa, ma electrolyte ari muropa rako anogona kudzikira uye huwandu hwe chloride mumuviri wako hunogona kuoneka hwakaderera. |
| Kurutsa kana manyoka | Kana mvura yakawanda ikarasikirwa mumuviri nenzira iyi, electrolyte balance inogona kukanganiswa uye huwandu hwechloride hunogona kuchinja. |
| Mimwe mishonga | Semuenzaniso, mimwe mishonga inorwisa asidhi yaunotora, yakaita seinoshandiswa kurapa maronda emudumbu, inogona kukanganisa huwandu hwechloride mumuviri. |
| Chikanganiso pakutora ropa | Kunyangwe zvisingawanzoitiki, chikanganiso chidiki panguva yekutorwa kweropa chinogona kukonzera mutsauko mumhedzisiro. |
Unofanira kutya mhedzisiro isingawanzoitika here?
Kwete zvachose. Chiremba wako ndiye munhu akakodzera kuendesa mushumo wako, mimwe miedzo, uye zviratidzo zvako pamwe chete wosarudza kana ichi chiri chinhu chekunetseka nacho. Haazongotarise mhedzisiro yechloride yako chete. Achaitarisa pamwe chete nemamwe ma electrolytes (sodium, potassium) uye hutano hwako hwese.
Kana mhedzisiro yacho isina kujairika, chiremba wako anogona kuraira kuongororwa kwakawanda kuti aone chiri kukonzera. Kana kuti vanogona kukutsanangurira kuti haisi nyaya hombe. Saka usanyara kubvunza chiremba wako.
Mharidzo Yekuenda Nayo Kumba
- Chloride ielectrolyte inokosha pakuchengetedza tsinga, tsandanyama, uye kuenzana kwemvura mumuviri wedu.
- Bvunzo iyi haiwanzoitwa yoga, asi sechikamu cheimwe bvunzo dzeropa.
- Kungoti huwandu hwechloride mumuviri wako huri kunze kwehuwandu hwakajairika hazvirevi kuti une chirwere chakakomba.
- Mazinga e chloride anogonawo kuchinja nekuda kwezvikonzero zviri nyore zvakaita sekunwa mvura yakawandisa, kurutsa/kubuda manyoka, uye mimwe mishonga.
- Chinonyanya kukosha: Usambofa wakangoerekana wafunga nezvemhinduro dzekuongororwa kweropa rako. Gara uchibvunza chiremba wako kuti uwane tsananguro chaiyo.
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