Muviri wedu wakaita serabhoritari diki. Muropa mune zvinhu zvakawanda zvakaita seokisijeni , mapuroteni, mahormone , uye maminerari . Kazhinji, muviri unoenzanisa zvese izvi nehuwandu hwakakodzera. Asi dzimwe nguva chiyero ichi chinogona kurasika. Zvimwe zvinhu zvinogona kuwanda, uye zvimwe zvinogona kuva zvishoma. Heino bvunzo yakakosha inoitwa kuti ione kana paine kusawirirana kwemakemikari muropa rako kunonzi Serum Osmolality Test.
Chii chinonzi Serum Osmolality?
Zvakanaka, ngatinzwisisei izwi iri zviri nyore. "Serum" zvinoreva chikamu chemvura cheyero chinosara mushure mekunge masero eropa abviswa muropa redu. Nguva dzese dzaunoita bvunzo yeropa, chaunongotora ropa shoma kubva kwauri.
Izwi rekuti "osmolality" rinoreva kuyera kuti makemikari nemaminerari (akadai sesodium ) zvakanyungudutswa muchikamu chemvura chinonzi serum zvakakora sei, kana kuti 'zvakakora' sei.
- Osmolality yakakwira zvinoreva kuti mune zvinhu zvakanyungudutswa zvakawanda mumvura.
- Kuderera kwe osmolality zvinoreva kuti zvinhu izvozvo zvakasanganiswa nemvura, kureva kuti, zvine mvura.
Zvichitaurwa zviri nyore, bvunzo iyi inoongorora kana chiyero chiri pakati pehuwandu hwemvura mumuviri wako nemaminerari akanyungudutswa mairi chakarurama.
Mumamiriro ezvinhu api anofanira kuitwa bvunzo iyi?
Pane zvikonzero zvakawanda zvinoita kuti chiremba akukumbire kuti uedze bvunzo iyi. Ngationei kuti ndezvipi.
- Kushaya mvura mumuviri : Kana uine zviratidzo zvekusawana mvura mumuviri, zvichireva kuti hauna mvura mumuviri , chiremba wako anogona kukuraira bvunzo iyi.
- Matambudziko ehuwandu hweSodium: Kuongororwa uku kwakakosha kana huwandu hwesodium mumuviri hwakaderera zvisingawanzoitiki ( Hyponatremia ) , zvichikonzera kuchengetwa kwemvura mumuviri.
- Dambudziko remahormone: Kune hormone inokosha inodzora huwandu hwemvura mumuviri wedu. Inonzi Antidiuretic Hormone , kana kuti ADH muchidimbu.Homoni iyi inodzora huwandu hwemvura yatinoburitsa mumiviri yedu patinoita weti. Kana chiremba wako achifungidzira kuti pane dambudziko nehomoni iyi yeADH, vanogona kuita bvunzo iyi.
- Kubatwa nepfari: Fungidzira kana mumwe munhu akangoerekana abatwa nepfari. Izvi zvinogona kuitika kana huwandu hwesodium mumuviri hwaderera zvakanyanya. Muchiitiko chakadaro, bvunzo iyi inogona kubatsira kuwana chikonzero.
Saka, kana uchigara uchiita weti, kana huwandu hweweti yauri kubuda nayo hwakachinja, kana kuti uine chirwere chakadai sepfari, chiremba wako anogona kukukumbira kuti uite Serum Osmolality Test iyi.
Unofanira kugadzirira bvunzo usati waitwa here?
Hapana chikonzero chekugadzirira kwakakosha, asi pane zvinhu zviviri zvaunofanira kutaura nezvazvo paunenge uchitaura nachiremba.
- Tiudzei nezvemishonga yese yamunoshandisa, pamwe chete nezvimwe zvinowedzera zvamunotora.
- Ndiudzewo kana wanga uchinwa mvura yakawanda nguva pfupi yadarika.
Zvakakosha kuzivisa chiremba nezvezvinhu izvi, sezvo zvichigona kukanganisa mhedzisiro yebvunzo.
Unoita sei bvunzo?
Kuongororwa kweropa uku kuri nyore kwazvo. Chiremba kana nesi achatora ropa diki kubva mutsinga iri muruoko rwako. Hapana kurwadziwa kunze kwekunzwa kudiki kwekurwadza kana tsono yaiswa. Kunopera mumaminitsi mashoma. Zvadaro bhandeji diki rinoiswa panzvimbo yakatorwa ropa.
Kashoma, panogona kuva nemavanga kana utachiona panzvimbo yakatorwa ropa. Vamwe vanhu vanogona kunzwa dzungu kana vachipa ropa, asi izvi zvinopera mushure mechinguva. Saka hapana chekunetseka nazvo.
Ndinonzwisisa sei mhedzisiro yemushumo?
Kazhinji unogona kuwana mushumo wako webvunzo mukati meawa imwe chete kana maawa makumi maviri nemana. Hunhu huri pamushumo wako hunoyerwa mu milliosmoles pa kilogiramu (mOsm/kg) . Asi chakakosha kwauri inhamba.
| Boka rezera | Nhamba Yakajairika mu mOsm/kg |
|---|---|
| Vakuru | Pakati pe285 ne295 |
| Vana | Pakati pe275 ne290 |
Chinonyanya kukosha: Usasarudza wega nezvetsika idzi. Chiremba wako chete ndiye anogona kukupa tsananguro yakanakisisa.
Ngatitarisei tafura iri pazasi kuti tione kuti izvi zvingarevei kana zvikakwira kana kudzika.
| Mamiriro Anogona Kuitika | Zvinoreva Zviri Nyore |
|---|---|
| Kana mhedzisiro yacho yakakwira kupfuura avhareji (High Result) | |
| Hypernatremia | Kuwedzera kwehuwandu hwesodium (munyu) mumuviri. |
| Chirwere cheshuga insipidus | Kugadzirwa kweweti yakawandisa neitsvo. |
| Kushaya mvura mumuviri | Kudzikira kwehuwandu hwemvura mumuviri wese (kupera mvura mumuviri). |
| Uremia | Kuwanda kwetsvina yakaita seurea muropa (chiratidzo chekushanda kweitsvo zvisina kunaka). |
| Kuwanda kweshuga yeropa mumuviri | Kuwedzera kwehuwandu hweshuga muropa. |
| Chirwere cheshuga cheKetoacidosis | Chirwere chakakomba chine chekuita nechirwere cheshuga. |
| Kudya zvine chepfu | Kunwa doro kana zvimwe zvinhu zvine chepfu zvakaita se ethanol. Muchiitiko chakadaro, munhu anofanira kuenda kuETU (Emergency Treatment Unit) yechipatara nekukasika. Zvakakoshawo kuzivisa National Poison Information Center paColombo National Hospital. |
| Kana mhedzisiro iri pasi peavhareji (Mhedzisiro Yakaderera) | |
| Hyponatremia | Kuderera kwehuwandu hwe sodium mumuviri. |
| Kunyudzwa nemvura yakawanda | Kuchengetwa kwemvura mumuviri zvakanyanya. |
Pane mimwe miedzo yaunoita kunze kweiyi here?
Ehe. Kuti awane chikonzero chaicho chechirwere chako, chiremba wako anogona kukupa mimwe miedzo.
- Kuongororwa kweOsmolality yeWeti: Izvi zvinoyera huwandu hwemakemikari akanyungudika muweti yako. Kana ukasanganisa mhedzisiro yeongororo yeropa neyeweti, zviri nyore kuti chiremba wako aone chikonzero chekusawirirana kwemakemikari.
- Kuongororwa kweropa reADH: Izvi zvinoongorora zvakananga huwandu hwehomoni yeADH muropa rako.
Mushure mekuongororwa kwese uku, chiremba achaongorora mamiriro ako chaiwo uye achakupa hurongwa hwekurapa kuti ugadzirise makemikari emuviri wako, ma electrolytes, zvicherwa, nezvimwewo.
Mharidzo Yekuenda Nayo Kumba
- Kuongororwa kweOsmolality yeSerum inzira iri nyore yekuongorora ropa inoongorora kuenzanisa kwemakemikari nemvura muropa rako.
- Bvunzo iyi inokurudzirwa kana paine kushaya mvura mumuviri, huwandu hwesodium shoma (hyponatremia), pfari, kana matambudziko nehomoni yeADH.
- Mhedzisiro yebvunzo yakakwira kana yakaderera pane yakajairwa inogona kuratidza zvirwere zvakasiyana-siyana, zvinosanganisira chirwere cheshuga, matambudziko eitsvo, uye kusarongeka kwemahormone.
- Usazvidya mwoyo nezve kukosha kuri mumushumo webvunzo. Ingotaura nachiremba wako nezvazvo kuti uwane tsananguro uye matanho anotevera.
- Kuongororwa uku chete hakuiti kuti pave nechirwere. Kana zvichidikanwa, chiremba acharaira kuti pave neongororo dzakawanda uye otanga kurapwa mushure mekunge awana chikonzero.
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