Linjani izinga lakho le-chloride egazini? Ake sixoxe ngalokhu kalula!

Wake wahlolwa igazi? Uma kunjalo, kungenzeka ukuthi uke wabona into ebizwa ngokuthi "i-Chloride" ebhalwe embikweni wakho. Ngakho-ke, lokhu kungase kungavamile kubantu abaningi. "Kuyini lokhu okubizwa ngokuthi i-chloride? Kungani kuhlolwa egazini lethu?" Wake wazibuza into efanayo? Ngakho-ke, namuhla sizokhuluma ngale chloride kanye nokuhlolwa kwegazi okuhlobene nayo ngendlela elula kakhulu ongayiqonda. Njengokukhuluma nomngane.

Kuyini i-chloride? Kungani ibalulekile kithi?

Kalula nje, i-chloride iyinto ebaluleke kakhulu emizimbeni yethu. Uma sikhuluma iqiniso, iyi-electrolyte. Ungase ucabange, "Hawu, iyini i-electrolyte?" Ungakhathazeki, ngizokugcina kulula.

Cabanga ngakho, kunezamaminerali amancane emizimbeni yethu asisiza ukuthi senze imisebenzi eyahlukahlukene kahle. Lawa angathwala ishaja encane kagesi uma incibilikiswa oketshezini. Yilokho esikubiza ngokuthi "ama-electrolyte". I-Chloride ingenye yazo. Akuyona i-chloride kuphela, kodwa namanye "ama-electrolyte" abalulekile emizimbeni yethu yi-"Sodium", "Potassium", kanye ne-"Bicarbonate".

Ngakho-ke, kanye nalawa ma-chloride namanye ama-"electrolyte" alawula izinto eziningi ezibalulekile emizimbeni yethu. Isibonelo:

• Kusiza ukugcina ukusebenza kahle kwesimiso sethu sezinzwa kanye nemisipha. Cabanga nje, sidinga lokhu ukuze sixhawulane, sikhulume, zonke lezi zinto.
• Inani lamanzi emzimbeni wethu, noma ibhalansi yamanzi, lisiza ekugcineni ibhalansi efanele yoketshezi.
• Lokhu futhi kubaluleke kakhulu ekulawuleni ibhalansi ye-acid-base (noma ibhalansi ye-pH) egazini. Kuphela uma lokhu sekukhona lapho izinqubo zamakhemikhali emzimbeni wethu zisebenza kahle.

Ngakho-ke ungabona ukuthi i-chloride ibaluleke kangakanani emizimbeni yethu. Udokotela uzohlola amazinga e-chloride egazini lakho ukuze abone ukuthi lawa mabhalansi ayasebenza yini. Lokhu kuhlolwa kungasiza futhi ekuxilongeni izimo ezithile zezokwelapha. Isibonelo:

• Isifo sezinso
• Izifo zenhliziyo ezifana nokwehluleka kwenhliziyo
• Isifo sesibindi
• Umfutho wegazi ophakeme

Amazinga e-chloride angashintsha ezimweni ezinjengalezi, yingakho lokhu kuhlolwa.

Ukuhlolwa kwe-chloride kwenziwa nini?

Akuvamile ukuthi udokotela a-ode ukuhlolwa okuhlukile ukuze nje ahlole amazinga akho e-chloride. Ngokuvamile, lokhu kuhlolwa kwe-chloride kuyingxenye yephakheji enkulu yokuhlola ebheka ezinye izinto eziningana egazini lakho ngesikhathi esisodwa. Kungenzeka ukuthi uke wezwa ngalokhu:

• Iphaneli Ephelele Ye-Metabolic (CMP): Lokhu kuhlola ushukela wegazi lakho, i-calcium, iphrotheni, ukusebenza kwesibindi, kanye nokusebenza kwezinso, phakathi kwezinye izinto. I-Chloride ingenye yalezi zinto.
• Iphaneli Eyisisekelo Ye-Metabolic (BMP): Lokhu kuhlolwa okuncane kancane kune-CMP. Kubheka izinto ezifana noshukela, i-calcium, ama-electrolyte (kufaka phakathi i-chloride), kanye nomsebenzi wezinso.
• Iphaneli ye-Electrolyte: Lokhu kubheka kakhulu amazinga e-electrolyte njenge-chloride, i-sodium, i-potassium, ne-bicarbonate.
• Iphaneli Yokusebenza Kwezinso (RFP): Lokhu kubheka kakhulu ukusebenza kwezinso. Kubheka namazinga e-electrolyte.

Ngakho-ke, uyabona, ukuhlolwa kwe-chloride kuyingxenye eyodwa nje yochungechunge lwezivivinyo ezivame ukwenziwa ukuze uthole umbono wempilo yakho jikelele.

Kungani ngidinga ukwenza lolu vivinyo lwe-chloride?

Kunezizathu eziningana zokuthi kungani udokotela angase akucele ukuthi wenze lolu vivinyo lwe-chloride.

1. Njengengxenye yokuhlolwa kwempilo okuvamile: Mhlawumbe unokuhlolwa okuphelele konyaka. Udokotela angase akunike ukuhlolwa okufana nalokhu (njenge-CMP, i-BMP okukhulunywe ngayo ngenhla) ukuze abone ukuthi konke emzimbeni wakho kusebenza kahle yini.

2. Uma unezimpawu: Udokotela wakho angase akucele lokhu kuhlolwa uma esola ukuthi kukhona okungahambi kahle, ikakhulukazi ngebhalansi yakho yoketshezi noma ibhalansi ye-acid-base. Ziyini lezi zimpawu?

• Uma uhlanza njalo: Uma uhlanza izikhathi eziningana ngosuku, ungase ulahlekelwe uketshezi oluningi kanye nama-electrolyte emzimbeni wakho.
• Uma unesifo sohudo: Uma isifo sohudo sibi kakhulu, kodwa siyafana.
• Ukukhathala: Ukuzizwa ukhathele ngaso sonke isikhathi ngaphandle kwesizathu.
• Uma uzizwa ubuthakathaka: Uma uzizwa sengathi imisipha yakho ibuthakathaka futhi ubuthakathaka kakhulu ukuba ungenza noma yini.
• Uma uzizwa sengathi awutholi amanzi anele, okungukuthi, uphelelwe amanzi emzimbeni: umlomo wakho womile, uchama kancane, futhi isikhumba sakho somile.
• Ubunzima bokuphefumula: Uma unenkinga yokuphefumula ngokuzumayo.

Khumbula, udokotela u-oda lolu vivinyo ngoba uyakhathalela impilo yakho, ngakho-ke ungesabi ngokungadingekile.

Yini ngempela engafundwa kulolu vivinyo?

Udokotela uzosebenzisa imiphumela yokuhlolwa kwe-chloride kanye nezinye izivivinyo ze-electrolyte ukuze athole ukuthi kukhona yini ukungalingani ebhalansini le-acid-base yomzimba wakho noma ebhalansini loketshezi. Lokhu kusho ukuthi umzimba wakho une-acid kakhulu, ulula kakhulu, noma awunamanzi anele.

Ingabe kukhona engikudingayo ukwenza okukhethekile ngaphambi kokuhlolwa?

Esikhathini esiningi, uma une-chloride test eyodwa kuphela noma iphaneli eyodwa ye-electrolyte, wenaAkunasidingo sokulungiselela okukhethekile.

Kodwa-ke, njengoba ngishilo ngaphambili, lokhu kuhlolwa kwe-chloride kuvame ukwenziwa njengengxenye ye-"Basic Metabolic Panel - BMP" noma "Comprehensive Metabolic Panel - CMP". Ezimweni ezinjalo, uma uhlola igazi lakho nezinye izinto (njengamazinga kashukela egazini), ungase ucelwe ukuba uzile ukudla amahora ambalwa. Isibonelo, uma uzonikela ngegazi ekuseni, udokotela wakho angakutshela ukuthi ungadli noma uphuze lutho ngemva kuka-8 ebusuku ngobusuku obandulele. Kodwa-ke, udokotela wakho uzokutshela ngokucacile uma udinga ukulandela noma yimiphi imiyalelo ekhethekile. Ngakho ungakhathazeki ngakho. Vele wenze lokho okushiwo udokotela wakho.

Yini okufanele uyilindele lapho ukhishwa igazi?

Abanye abantu bangase babe novalo kancane ngokunikela ngegazi. Kodwa inqubo elula kakhulu futhi esheshayo. Nakhu okwenzekayo:

1. Ngokuvamile, umhlengikazi noma udokotela we-phlebotomist oqeqeshwe ngokukhethekile ukudonsa igazi uzokhipha igazi lakho.

2. Okokuqala, uzokhetha umthambo olula wokukhipha igazi engalweni yakho (ngokuvamile ingaphakathi lendololwane yakho).

3. Bese uhlanza indawo kahle bese uyisula ngesibulali-magciwane.

4. Manje kuzofakwa inaliti encane emthanjeni. Kuleli qophelo, uzozwa ukuthuthumela okuncane noma umuzwa wokuthuthumela. Phefumula kakhulu bese uphumula.

5. Ngemva kokufaka inaliti, inani elincane legazi lakho lizoqoqwa epayipini lokuhlola.

6. Ngemva kokuthatha igazi elanele lokuhlolwa, bazosusa inaliti bese bebeka ucezu lukakotini noma i-gauze phezu kwendawo bese belubamba lapho isikhashana. Ukopha kuzophela.

7. Bese ubopha ibhandishi elincane endaweni. Yilokho kuphela! Umsebenzi wakho usuqedile.

Lokhu kungenziwa ngokushesha futhi kalula kunalokho ocabanga.

Kwenzekani ngemva kokunikela ngegazi?

Ngemva kokuthathwa kwesampula yegazi lakho, lithunyelwa elabhorethri ukuze lihlolwe. Ilabhorethri izokala amazinga e-chloride egazini lakho (nezinye izinto, njenge-CMP, uma zikhona).

Uma imiphumela yokuhlolwa isifikile, udokotela wakho uzokutshela imininingwane. Udokotela angase akushayele ucingo ukuze akutshele, noma akucele ukuthi ubuye azokukhombisa umbiko bese ewuchaza.

Hlobo luni lwemininingwane olufakiwe embikweni?

Umbiko wokuhlolwa kwe-chloride (kanye nokuhlolwa kwegazi okuningi) uvame ukuqukethe ulwazi olufana nalolu:

• Igama lokuhlolwa: Okusho ukuthi, yini ehlolwe egazini lakho (isib. i-Serum Chloride).
• Umphumela wakho: Okusho ukuthi, inani le-chloride egazini lakho liboniswa njengenombolo.
• Uhla olujwayelekile: Lokhu kusho uhla lwamanani ajwayelekile okufanele abe khona kulolo vivinyo kumuntu ophilile.
• Kungakhathaliseki ukuthi umphumela wakho ujwayelekile noma awujwayelekile (uphakeme noma uphansi): Lokhu kukuvumela ukuthi ubone kalula ukuthi inani lakho lingaphakathi noma lingaphandle kobubanzi obujwayelekile.

Kodwa, ungabheki nje izinombolo ezisembikweni bese ufinyelela esiphethweni ngokushesha. Cela udokotela akuchazele ngakho futhi akuchazele ukuthi kuthinta kanjani impilo yakho.

Liyini izinga elijwayelekile le-chloride?

Ububanzi obamukelekayo bamazinga e-chloride egazini lomuntu omdala buphakathi kwama-milliequivalents angu-96 no-106 ngelitha (mEq/L), noma phakathi kwama-millimoles angu-96 no-106 ngelitha (mmol/L). Lawa amayunithi okulinganisa, kungaba i-mEq/L noma i-mmol/L.

Kodwa nansi into ebalulekile okufanele uyiqaphele. Lolu hlu olujwayelekile lungahluka kancane kusuka elabhorethri kuya elabhorethri. Okusho ukuthi, uma ububanzi obujwayelekile belabhorethri eyodwa bungu-96-106 mEq/L, olunye uhla lwelabhorethri lungase lube nobubanzi obuhlukile kancane, njengo-98-107 mEq/L. Lokhu kungenxa yomehluko omncane emishinini nasezindleleni abazisebenzisayo.

Ngakho-ke, uma uthola umbiko wakho, uhlu lwezinkomba zalolo lab luzofakwa ohlwini lombiko ngokwalo. Kufanele uqhathanise inani lakho nalolo hlu. Uma unemibuzo noma ukungabaza, qiniseka ukuthi ubuza udokotela wakho.

Uma umbiko uthi i-chloride iphansi, yini engaba imbangela?

Uma umbiko wakho uthi izinga lakho le-chloride lingaphansi kwesilinganiso esijwayelekile (i-chloride ephansi / i-hypochloremia), kungenzeka ukuthi kungenxa yezimo eziningana zempilo. Nazi izibonelo ezimbalwa:

• Ukwehluleka kwenhliziyo: Uma inhliziyo ingasebenzi kahle, ukungalingani kwama-electrolyte kungenzeka ngenxa yezinto ezifana nokugcinwa koketshezi emzimbeni.
• Izifo zamaphaphu, njenge-emphysema: Ezinye izifo zamaphaphu zingashintsha ibhalansi ye-acid-base yomzimba ngenqubo yokuphefumula, okuthinta amazinga e-chloride.
• Isifo sika-Addison: Lena inkinga yama-hormone ehlobene nezindlala ze-adrenal. Lokhu kubangela noshintsho lwe-electrolyte.
• I-Metabolic alkalosis: Lesi yisimo lapho i-bicarbonate yomzimba (i-alkalinity) ikhuphuka khona, okuholela ekwandeni kwe-alkalinity egazini. Lokhu kungahambisana nokwehla kwe-chloride.

Kodwa-ke, kukhona into ebaluleke kakhulu okufanele uyikhumbule lapha. Amazinga aphansi e-chloride akusho ukuthi unesifo esibi kakhulu. Ngezinye izikhathi, amazinga e-chloride angaba phansi ngenxa yezizathu zesikhashana ezifana nemithi esiyithathayo (isb., eminye imithi yokukhipha isisu), ukuhlanza ngokweqile, noma ukujuluka. Ngakho-ke ungesabi futhi ukhulume nodokotela wakho.

Uma umbiko uthi kune-chloride eningi kakhulu, yini engaba imbangela?

Ngokufanayo, uma umbiko wakho uthi izinga lakho le-chloride lingaphezu kwesilinganiso esijwayelekile (i-chloride ephezulu / i-hyperchloremia), kungaba nezizathu eziningana zalokho:

• Ukuphelelwa amanzi emzimbeni: Uma inani lamanzi emzimbeni lehla kakhulu, ukugcwala kwe-chloride egazini kunganda.
• Isifo sezinso: Uma izinso zingakwazi ukuhlunga nokususa i-chloride kahle, inganqwabelana egazini.
• I-Cushing's syndrome: Lesi futhi yisimo esihlobene nama-hormone (i-cortisol hormone eyanda).
• I-Metabolic acidosis: Lesi yisimo lapho umzimba uba ne-asidi kakhulu. Lokhu kungabangela namazinga aphezulu e-chloride.
• I-alkalosis yokuphefumula: Izinto ezifana nokuphefumula okusheshayo zingabangela ukuthi i-carbon dioxide eningi ikhishwe egazini, futhi amazinga e-chloride angashintsha ukuze ayilawule.

Njengoba kushiwo ngenhla, amazinga aphezulu e-chloride akusho ukuthi umuntu unesifo esibucayi. Amazinga e-chloride angakhushulwa okwesikhashana ngenxa yezinto ezifana nokudla ukudla okunosawoti omningi, ukuthatha imithi ethile, noma ukunikeza usawoti omningi kakhulu.

Ingabe kufanele ngikhathazeke ngamazinga aphansi noma aphezulu e-chloride?

Lona umbuzo abantu abaningi abanawo. Kuvamile ukwesaba, "O, umbiko wami uthi i-chloride yami iphansi/iphezulu, ingabe nginokuthile okungathi sína?"

Kodwa, khumbula ukuthi ngenxa yokuthi imiphumela yakho yokuhlolwa kwe-chloride ingaphezu kancane kwesilinganiso esijwayelekile, akusho ukuthi unesifo esibi kakhulu.

Kunezinye izinto eziningi ezithinta amazinga e-chloride. Isibonelo:

• Uma uphuza amanzi amaningi: Anganciphisa igazi lakho kancane futhi alenze libonakale lingenawo ama-chloride amaningi.
• Uma kulahleka uketshezi oluningi emzimbeni ngenxa yokuhlanza noma uhudo: Lokhu kungabangela ukuthi amazinga e-chloride ehle, futhi ngezinye izikhathi abonakale ephezulu ngenxa yokuphelelwa amanzi emzimbeni.
• Imithi ethile: Imithi ethile, ikakhulukazi imithi elwa namagciwane esilungu, imithi yokukhipha isisu, kanye nemithi yokwelapha ama-steroid, ingathinta amazinga e-chloride.
• Iphutha elincane elingenzeka lapho kuthathwa igazi: Ngezinye izikhathi, ngisho noshintsho oluncane endleleni yokuthatha igazi lungaba nomthelela omncane emphumeleni (kodwa lokhu kwenzeka kaningi kakhulu).

Ngakho-ke, udokotela wakho uzobheka umphumela wakho we-chloride futhi angawuthathi nje njengenombolo, kodwa uzowuqhathanisa neminye imiphumela yakho yokuhlolwa, izimpawu zakho, imithi oyiphuzayo, kanye nomlando wakho wezempilo ophelele ukuze afinyelele esiphethweni.

Udokotela angase athi, "O, akulona iqiniso, ake sihlole emuva ezinsukwini ezimbalwa." Noma, angase athi, "Ake senze ezinye izivivinyo ukuze sithole ukuthi yini ebangela lokhu." Ngakho-ke, khuluma nodokotela wakho nganoma yimiphi imibuzo, ukwesaba, noma ukukhathazeka onakho. Kuyilungelo lakho.

Kuzothatha isikhathi esingakanani ukuthi umbiko ufike?

Ezimweni eziningi, uzothola imiphumela yakho yokuhlolwa kwe-chloride zingakapheli izinsuku ezimbili zebhizinisi ngemuva kokunikela ngegazi. Amanye amalabhorethri anikeza imiphumela ngokushesha, kanti amanye athatha isikhathi eside. Lokhu kungahluka kuye ngelabhorethri.

Okokugcina, kuvamile ukuzizwa ukhathazekile futhi wesaba kancane lapho umphumela wokuhlolwa ubuya ungajwayelekile. Kodwa-ke, khumbula ukuthi ukuthi nje izinga lakho le-chloride liphansi noma liphezulu akusho ukuthi unesifo esibi futhi udinga ukwelashwa ngokushesha. Ezinye izinto eziningi zingathinta lokhu. Udokotela wakho ungumuntu ongcono kakhulu wokukuchazela lokhu futhi akutshele ukuthi wenzeni ngokulandelayo, uma kudingeka. Ngakho-ke, ungesabi noma ungabaze ukubuza udokotela wakho imibuzo. Ukhona ukuzokusiza.

Izinto ezibaluleke kakhulu okudingeka sizikhumbule kule ndaba yilezi:

Kulungile, ake siphinde sixoxe ngamaphuzu abaluleke kakhulu esixoxe ngawo mayelana nokuhlolwa kwe-chloride:

• I-chloride iyi-electrolyte ebalulekile ekusebenzeni koketshezi, isisekelo se-asidi, kanye nokusebenza kwemisipha emizimbeni yethu.
• Lokhu kuhlolwa kuvame ukwenziwa njengengxenye yephakheji yezinye izivivinyo zegazi ezihlola impilo yakho iyonke.
• Amazinga aphansi noma aphezulu e-chloride awabonisi njalo isimo esibucayi sezokwelapha. Ezinye izinto eziningi (njengokudla, imithi, ukuphelelwa amanzi emzimbeni) zingathinta lokhu.
• Udokotela wakho uzohlola imiphumela yombiko wakho wokuhlolwa ngokunembile ngokuyicabangela kanye nempilo yakho iyonke.
• Uma unemibuzo noma ukungabaza ngemiphumela yokuhlolwa, qiniseka ukuthi ubuza udokotela wakho ukuze akucacisele.

Ngakho-ke, ngithemba ukuthi lesi sihloko siphendule imibuzo yakho eminingi mayelana nokuhlolwa kwe-chloride. Hlala uphilile!

I- chloride, ukuhlolwa kwegazi, ama-electrolyte, impilo, ukuxilongwa, i-serum chloride, ukuhlolwa kwegazi