Xa uya kugqirha, bayakunika uvavanyo lwegazi, akunjalo? Mhlawumbi uyibonile loo ngxelo, kunye nezinto ezifana ne-sodium kunye ne-potassium, kukho nexabiso elibizwa ngokuba yi-'Chloride'. Nangona abantu abaninzi bengakunaki oku, le chloride yinto ebalulekileyo kwimpilo yemizimba yethu. Ngoko ke, namhlanje siza kuthetha ngolu vavanyo lwegazi lwe-chloride, ukuba lujonge ntoni, kunye nendlela olubaluleke ngayo kwimpilo yethu.
Yintoni kanye kanye i-chloride?
Ngamafutshane, i-chloride yi-
electrolyte emizimbeni yethu. Cinga ngayo njengetshaja encinci yombane emizimbeni yethu ukuze isebenze ngokufanelekileyo. Le electrolyte iyanceda kuloo msebenzi. I-chloride ayisebenzi yodwa. Isebenza nezinye ii-electrolyte ezifana ne-sodium kunye ne-potassium ukwenza imisebenzi emininzi ebalulekileyo:
- Ilinganisela ubungakanani bolwelo emzimbeni : Oku kunceda ukulawula ukuhamba kolwelo olungena noluphuma kwiiseli zethu.
- Ilawula ibhalansi ye-asidi-base (ibhalansi ye-pH): I-chloride ibalulekile ekugcineni amanqanaba afanelekileyo e-asidi kunye neziseko egazini nasemzimbeni wethu.
- Inceda ekugayweni kokutya: I-chloride ikwanceda ekuvelisweni kwe-asidi yesisu esiswini.
Ukuba eli nqanaba liyehla, unokufumana iimeko ezifana nokuphelelwa ngamanzi emzimbeni. Kwaye ukuba inqanaba liyanyuka, kunokuba luphawu lokuba kukho ingxaki kwizintso zethu. Kuba
izintso zezona zitho ziphambili ezilawula inqanaba le-chloride egazini lethu. Kuxa kutheni apho ugqirha angacebisa olu vavanyo?
Ixesha elininzi, olu vavanyo lwe-chloride alwenziwa lodwa. Lwenziwa njengenxalenye yephakheji yovavanyo lwegazi oluqhelekileyo (iphaneli ye-metabolic) ejonga izinto ezifana neswekile yakho kunye ne-cholesterol. Nangona kunjalo, olu vavanyo lubaluleke kakhulu ukuba ugqirha wakho ukrokrela oku kulandelayo:
- Ukudinwa rhoqo kunye nokudinwa: Ukuba uhlala udiniwe kwaye uzive udiniwe ngaphandle kwesizathu, olu vavanyo lunokukunceda ubone ukuba unobangela kukungalingani kwe-electrolyte.
- Ukuhlanza rhoqo okanye urhudo : Ukuba ubuhlanza okanye urhudo kangangeentsuku ezininzi, umzimba wakho ulahlekelwa lulwelo oluninzi kunye netyuwa. Oku kunokubangela ukuba amanqanaba akho e-chloride ehle.
- Ubunzima bokuphefumla : Ukuba kukho utshintsho okanye ubunzima bokuphefumla, kubalulekile ukujonga ibhalansi ye-acid-base yegazi.
- Isifo sezintso okanye sentliziyo esirhanelwayo: Ukuba unenkxalabo malunga nokusebenza kwezintso zakho okanye imeko yentliziyo, amanqanaba e-chloride luphawu olubalulekileyo.
- Isifo seswekile : Ngamanye amaxesha isifo seswekile esingalawulekiyo sinokubangela amanqanaba aphezulu e-chloride.
Eyona nto ibalulekileyo kukuba ugqirha afikelele kwisigqibo ngokuthelekisa iziphumo zolu vavanyo kunye neziphumo ezivela kwezinye iimvavanyo zegazi kunye neempawu zakho.
Ngaba kukho into ekufuneka ndiyenze ngaphambi kovavanyo?
Ngokwesiqhelo, ukuba une-chloride test kuphela, awudingi kulungiselela okuninzi. Nangona kunjalo, ukuba ugqirha wakho u-odole i-metabolism panel epheleleyo ejonga izinto ezifana neswekile kunye ne-cholesterol,
angakucela ukuba uzile ukutya iiyure ezimbalwa. Buza ugqirha wakho ngale nto ukuze uqiniseke. Kwakhona, qaphela ezi zinto:
- Amayeza owasebenzisayo: Xelela ugqirha wakho ngawo onke amayeza owasebenzisayo (kuquka iivithamini, iintlungu zentlungu, iipilisi zokulawula ukuzalwa, kunye namayeza esintu). Amanye amayeza anokuchaphazela amanqanaba akho e-chloride. Umzekelo:
- Ezinye iintlobo zeehomoni (i-Estrogen)
- Ii-steroids ezifana ne-cortisone
- Iipilisi zokunciphisa iintlungu (ii-NSAID) ezifana ne-ibuprofen
- Ukugabha okanye urhudo: Ukuba ukhe wagabha okanye warhudo kwiintsuku ezingaphambi kovavanyo, xelela ugqirha wakho . Oku kunokubangela ukuba amanqanaba akho e-chloride abonakale ephantsi.
Ithini ingxelo?
Wakuba ufumene ingxelo yakho, ugqirha wakho ngoyena mntu ulungileyo ukukunceda uqonde amaxabiso. 'Uluhlu oluQhelekileyo' lunokwahluka kancinci ukusuka kwilabhoratri ukuya kwenye. Inqanaba le-chloride yomntu ophilileyo lidla ngokuba
phakathi kwe-96 kunye ne-106 milliequivalents ngelitha (mEq/L) . Oogqirha abenzi zigqibo zinkulu ngokusekelwe kwisiphumo sovavanyo esinye. Bajonga iindlela kunye nezinye iziphumo zovavanyo ngokuhamba kwexesha. Itheyibhile engasezantsi ikunika umbono ocacileyo wento eyenzekayo.
| Inqanaba le-chloride | Iimeko ezinokwenzeka |
|---|
| Inqanaba eliphezulu (iHyperchloremia) (ngaphezulu kwe-106 mEq/L) | - Iingxaki zezintso (umz. i-Renal Tubular Acidosis)
- Ukuphelelwa ngamanzi emzimbeni kakhulu
- Iingxaki zehomoni ezifana ne-Cushing's syndrome
- I-Metabolic acidosis (ukwanda kwe-asidi egazini)
- Imiphumo yamanye amayeza
|
| Inqanaba eliphantsi (iHypochloremia) (ngaphantsi kwe-96 mEq/L) | - Ukuhlanza okukhulu okanye urhudo
- Ukungaphumeleli kwentliziyo okubangelwa kukunganyamezelani
- Iingxaki zehomoni ezifana nesifo sika-Addison
- I-Metabolic alkalosis (ukwanda kwe-alkalinity egazini)
- Isifo semiphunga esingapheliyo
- Ukutsha
|
Yintoni omawuyenze ukuba inqanaba le-chloride litshintshile?
Ukuba amanqanaba akho e-chloride angaphaya komlinganiselo oqhelekileyo, ungoyiki.
Into yokuqala neyona ibalulekileyo ekufuneka uyenze kukuthetha nogqirha wakho. Nje ukuba kufumaneke unobangela, ugqirha wakho uya kukunika unyango olufunekayo. Umzekelo:
- Ukuba inqanaba liphezulu: Ungaxelelwa ukuba usele amanzi amaninzi, unciphise ityuwa oyityayo, okanye utshintshe amayeza owathathayo. Ukuba unesifo esifihlakeleyo, esifana nesifo seswekile okanye isifo sezintso, kubalulekile ukusilawula.
- Ukuba inqanaba liphantsi: Ukuba unobangela kukuhlanza okanye urhudo, umzimba unokuphinda unikwe amanzi (mhlawumbi nge-saline). Ukuba kukho enye imeko efihlakeleyo, kuya kuqaliswa unyango olufanelekileyo.
Umyalezo Wokuya Ekhaya
- I-chloride yi-electrolyte ebalulekileyo ekugcineni ulwelo kunye ne-acid-base balance emzimbeni wethu.
- Olu vavanyo lunokumisela ukuba inqanaba le-chloride liphantsi, liphezulu, okanye liqhelekile na.
- Utshintsho kumanqanaba e-chloride lunokuba luphawu lwesifo esithile esingabonakaliyo, ngoko ke musa ukulutyeshela.
- Soloko uqhagamshelana nogqirha wakho ukuze uthelekise iimpawu zakho nezinye iimvavanyo uze ufikelele kwisigqibo, endaweni yokuthembela kuphela kwingxelo yovavanyo olunye.
- Kubaluleke kakhulu ukwazisa ugqirha wakho malunga nawo onke amayeza (kuquka iivithamini kunye nezongezo) owasebenzisayo.
Uvavanyo lwegazi lwe-chloride, i-electrolyte, uvavanyo lwegazi, isifo sezintso, ukuphelelwa ngamanzi emzimbeni
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