Ngaba ngamanye amaxesha uziva udiniwe, unesicaphucaphu, okanye unengxaki yokuphefumla? Namhlanje sithetha ngovavanyo lwegazi olulula olunokwenziwa ngugqirha wakho ukuze afumanise ukuba yintoni ebangela ezi mpawu. Olu vavanyo lunokunika izikhokelo malunga nezifo ezininzi ezinzulu emizimbeni yethu.
Yintoni le Anion Gap?
Ngamafutshane, uvavanyo lwe-Anion Gap lulinganisa ubungakanani be-asidi egazini lakho, okanye i-asidi. Nokuba i-asidi egazini lethu iphezulu okanye iphantsi kunesiqhelo, inokuba luphawu lwengxaki yempilo. Iziphumo zolu vavanyo ziya kunceda ugqirha wakho ukuba axilonge imeko yakho aze anikeze unyango olufanelekileyo.
Khawucinge nje, igazi lethu linemirhumo yombane emihle (+) nembi (-). Ezi electrolytes sizibiza ngokuba zi-. Ezi ziiminerali emzimbeni wethu ezifana ne-sodium, i-potassium, i-chloride, ne-bicarbonate. Ukugcina ibhalansi efanelekileyo phakathi kwezi mirhumo emihle nembi kubalulekile ukuze umzimba usebenze. I-Anion Gap ngumhumo phakathi kwezi mirhumo emihle nembi. Xa lo mhumo utshintsha, unika uphawu lotshintsho kwi-acidity (pH) yegazi.
Ukwanda kwe-asidi egazini kunokuba luphawu lwalo naluphi na uhlobo, ukususela kwingxaki yexesha elifutshane njengokuphelelwa ngamanzi emzimbeni ukuya kwiimeko ezinde ezifana nesifo seswekile nesifo sezintso. Ngokufanayo, ukwehla kwe-asidi egazini kunokuba luphawu lwesifo esibi ngakumbi njengesifo sentliziyo.
Kutheni ucelwa ukuba ubhale olu vavanyo?
Ukuba unezi mpawu zilandelayo, ugqirha wakho unokuyalela uvavanyo lwe-Anion Gap. Ezi mpawu zinokubangelwa kukunyuka kwe-asidi egazini (i-Acidosis) okanye ukwehla kwe-asidi/i-alkalosis (i-Alkalosis) .
| Imeko | Iimpawu ekufuneka uzijonge |
|---|---|
| I-Acidosis (Ukwanda kwe-asidi egazini) |
|
| I-Alkalosis (ukwehla kwe-asidi egazini) |
|
Ulwenza njani uvavanyo?
Oku kulula kakhulu kunokuba ucinga. Kungenziwa eofisini kagqirha wakho okanye kwilebhu. Kuthatha nje isampuli encinci yegazi elivela kumthambo osengalweni yakho .
Ugqirha wakho uza kukuxelela ukuba kufuneka ungatyi okanye usele nantoni na ngaphambi kovavanyo. Kwakhona, qiniseka ukuba uxelela ugqirha wakho ukuba usebenzisa amayeza (ingakumbi amayeza okubulala iintsholongwane), njengoko amanye amayeza enokuchaphazela iziphumo zovavanyo.
Ingxelo yovavanyo ithini?
Iziphumo zakho ze-Anion Gap zinokuba zeZiqhelekileyo, eziPhezulu, okanye eziPhantsi.
Isithuba esiqhelekileyo se-Anion
Ngokwesiqhelo, ixabiso le-Anion Gap liphakathi kwe- 4-12 mEq/L . Oku kuthetha ukuba ibhalansi ye-acid-base (ibhalansi ye-pH) yegazi lakho ikwinqanaba elifanelekileyo. Oko kuthetha ukuba akukho nto ibalulekileyo yokukhathazeka ngayo.
Isithuba se-Anion esiPhakamileyo
Ukuba ugqirha wakho uthi i-Anion Gap yakho iphezulu, oko kuthetha ukuba igazi lakho line-asidi engaphezulu kunesiqhelo. Le meko siyibiza ngokuba yi-acidosis . Kunokubakho izizathu ezininzi zoku.
- Ukuphelelwa ngamanzi emzimbeni: Ukulahlekelwa ngamanzi kunye nee-electrolytes emzimbeni ngenxa yokuhlanza, urhudo (ukuphazamiseka kwesisu), kunye nokuzilolonga kakhulu.
- Isifo sezintso: Izintso zethu zinoxanduva lokususa i-asidi egqithisileyo egazini ngomchamo. Xa izintso zingaphumeleli, i-asidi iyaqokelelana egazini.
- Isifo seswekile: Isifo seswekile i-Diabetic Ketoacidosis (DKA) sisifo esibi kakhulu esisenzeka ngakumbi kubantu abanesifo seswekile esingalawulekiyo. Kule meko, ii-asidi eziyingozi (ii-ketones) ziyaqokelelana egazini njengoko umzimba utshisa amafutha ukuze ufumane amandla.
- Ityhefu yesalicylate: Ukusela amayeza amaninzi afana ne-aspirin kunokunyusa i-asidi egazini.
- Ukusebenzisa kakubi utywala: Ukusela utywala kakhulu kunokunyusa ubungakanani be-asidi egazini.
- Amanye amayeza: Amanye amayeza anokunyusa i-asidi egazini.
Isithuba esiphantsi se-Anion
Oku kudla ngokungaqhelekanga. Xa ubungakanani be-asidi egazini buphantsi kunesiqhelo, sibubiza ngokuba yi-alkalosis .
Ngamanye amaxesha, impazamo encinci kwilebhu inokubangela ixabiso eliphantsi. Ke ngoko, ugqirha wakho unokukucela ukuba uphinde uvavanyo. Ukuba ixabiso le-Anion Gap liphantsi ngokwenene, kusenokwenzeka ukuba kungenxa yokwehla kohlobo lweproteni ebizwa ngokuba yi-Albumin egazini. I-Albumin yiproteni enceda ukuthwala izinto ezibalulekileyo ezifana neevithamini kunye neehomoni emizimbeni yethu. Oku kuncipha kungaba luphawu lwezi meko zilandelayo:
- Iingxaki zezintso
- Isifo sentliziyo
- Isifo sesibindi
- Ezinye iintlobo zomhlaza
Khumbula, ixabiso eliphezulu okanye eliphantsi le-Anion Gap akuthethi ukuba kukho isifo esinzulu. Yindlela ebalulekileyo kuphela kugqirha xa esenza uxilongo.
Ugqirha uza kufikelela kwisigqibo sokugqibela emva kokuqwalasela ingxelo yovavanyo lwakho, iimpawu, kunye nazo naziphi na ezinye iimvavanyo ezinokuba yimfuneko. Ke ngoko, ingcaciso engcono yengxelo yakho inokufumaneka kugqirha wakho.
Umyalezo Wokuya Ekhaya
- I-Anion Gap luvavanyo olulula lwegazi olukuxelela ngenqanaba le-acidity (pH) yegazi lakho.
- Iziphumo zolu vavanyo zinceda ugqirha ukuba abone iingxaki ezininzi zempilo ezifihlakeleyo.
- Iziphumo eziphezulu okanye eziphantsi zinokubangelwa zizizathu ezahlukeneyo. Zingaba luphawu lwemeko efana nesifo seswekile, isifo sezintso, okanye ukuphelelwa ngamanzi emzimbeni.
- Ungakhathazeki kuba ixabiso le-Anion Gap liyatshintsha. Linyathelo nje elinye ekuxilongweni.
- Soloko uxoxa nogqirha wakho ngentsingiselo echanekileyo yengxelo yakho yovavanyo kunye nonyango olufunekayo.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment