Ingabe ngezinye izikhathi uzizwa ukhathele, unesicanucanu, noma unenkinga yokuphefumula? Namuhla sikhuluma ngokuhlolwa kwegazi okulula udokotela wakho angakwenza ukuze athole ukuthi yini ebangela lezi zimpawu. Lokhu kuhlolwa kungakunikeza izinkomba mayelana nezifo eziningi ezimbi emizimbeni yethu.
Iyini le-Anion Gap?
Kalula nje, ukuhlolwa kwe-Anion Gap kulinganisa inani le-asidi egazini lakho, noma i-asidi. Kungakhathaliseki ukuthi i-asidi egazini lethu iphakeme noma iphansi kunokuvamile, kungaba uphawu lwenkinga yempilo. Imiphumela yalolu vivinyo izosiza udokotela wakho ukuthi ahlole isimo sakho futhi anikeze ukwelashwa okufanele.
Cabanga nje, igazi lethu linama-electrolyte amahle (+) nangalungile (-). Siwabiza lawa ngama-electrolyte . Lawa ngamaminerali emzimbeni wethu njenge-sodium, i-potassium, i-chloride, i-bicarbonate. Ukugcina ibhalansi efanele phakathi kwala ma-electrolyte amahle nangalungile kubalulekile ukuze umzimba usebenze. I-Anion Gap iyigebe phakathi kwala ma-electrolyte amashajelwe kahle nangalungile. Uma leli gebe lishintsha, linikeza inkomba yokushintsha kwe-acidity (pH) yegazi.
Ukwanda kwe-asidi egazini kungaba uphawu lwanoma yini kusukela enkingeni yesikhashana njengokuphelelwa amanzi emzimbeni kuya ezimweni zesikhathi eside ezifana nesifo sikashukela nesifo sezinso. Ngokufanayo, ukwehla kwe-asidi egazini kungaba uphawu lwesimo esibi kakhulu njengesifo senhliziyo.
Kungani ucelwa ukuthi ubhale lesi sivivinyo?
Uma unezimpawu ezilandelayo, udokotela wakho angase akucele ukuhlolwa kwe-Anion Gap. Lezi zimpawu zingase zibangelwe ukwanda kwe-asidi egazini (i-Acidosis) noma ukwehla kwe-asidi/i-alkalosis (i-Alkalosis) .
| Isimo | Izimpawu okufanele uzibheke |
|---|---|
| I-Acidosis (Ukwanda kwe-asidi egazini) |
|
| I-Alkalosis (ukwehla kwe-asidi egazini) |
|
Ulwenza kanjani lolu vivinyo?
Lokhu kulula kakhulu kunalokho ongakucabanga. Kungenziwa ehhovisi likadokotela wakho noma elabhorethri. Kuthatha isampula encane yegazi elivela emthanjeni ongalweni yakho .
Udokotela wakho uzokutshela uma kudingeka ugweme ukudla noma ukuphuza noma yini ngaphambi kokuhlolwa. Futhi, qiniseka ukuthi utshela udokotela wakho uma uthatha noma yimiphi imithi (ikakhulukazi ama-antibiotic), njengoba eminye imithi ingathinta imiphumela yokuhlolwa.
Uthini umbiko wokuhlolwa?
Umphumela wakho we-Anion Gap ungaba Ojwayelekile, Ophezulu, noma Ophansi.
Igebe Elijwayelekile le-Anion
Ngokuvamile, inani le-Anion Gap liphakathi kuka- 4-12 mEq/L . Lokhu kusho ukuthi ibhalansi ye-acid-base (ibhalansi ye-pH) yegazi lakho isezingeni elinempilo. Lokho kusho ukuthi akukho okufanele ukhathazeke ngakho.
Isikhala Esiphezulu Se-Anion
Uma udokotela wakho ethi i-Anion Gap yakho iphezulu, kusho ukuthi igazi lakho line-asidi eningi kunejwayelekile. Lesi simo sibizwa ngokuthi i-acidosis . Kungaba nezizathu eziningana zalokhu.
- Ukuphelelwa amanzi emzimbeni: Ukulahlekelwa amanzi nama-electrolyte emzimbeni ngenxa yokuhlanza, uhudo (ukuphazamiseka kwesisu), kanye nokuzivocavoca ngokweqile.
- Isifo sezinso: Izinso zethu zinomthwalo wokususa i-asidi eningi egazini ngomchamo. Uma izinso zihluleka, i-asidi iyanqwabelana egazini.
- Isifo Sikashukela: I-Diabetic Ketoacidosis (DKA) yisimo esibi kakhulu esenzeka ikakhulukazi kubantu abanesifo sikashukela esingalawuleki. Kulesi simo, ama-asidi ayingozi (ama-ketone) aqoqana egazini njengoba umzimba ushisa amafutha ukuze uthole amandla.
- Ubuthi be-salicylate: Ukuthatha imithi eminingi njenge-aspirin kungandisa i-asidi egazini.
- Ukusebenzisa kabi utshwala: Ukuphuza utshwala ngokweqile kungandisa nenani le-asidi egazini.
- Eminye imithi: Eminye imithi ingandisa ne-asidi egazini.
Igebe Eliphansi le-Anion
Lokhu kuvame ukwenzeka kaningi. Uma inani le-asidi egazini liphansi kunokujwayelekile, sikubiza ngokuthi i-alkalosis .
Ngezinye izikhathi, iphutha elincane elebhu lingabangela inani eliphansi. Ngakho-ke, udokotela wakho angase akucele ukuthi uphinde ukuhlolwa. Uma inani le-Anion Gap liphansi empeleni, kungase kube ngenxa yokwehla kohlobo lweprotheyini ebizwa ngokuthi i-Albumin egazini. I-Albumin iyiprotheyini esiza ukuthwala izinto ezibalulekile njengamavithamini nama-hormone emizimbeni yethu yonke. Lokhu kwehla kungaba uphawu lwezimo ezilandelayo:
- Izinkinga zezinso
- Isifo senhliziyo
- Isifo sesibindi
- Ezinye izinhlobo zomdlavuza
Khumbula, inani le-Anion Gap eliphezulu noma eliphansi alisho ngempela ukugula okungathí sina. Kuyinkomba ebalulekile kudokotela lapho ethola isifo.
Udokotela uzofinyelela esiphethweni sokugcina ngemva kokucabangela umbiko wakho wokuhlolwa, izimpawu, kanye nanoma yiziphi ezinye izivivinyo ezingadingeka. Ngakho-ke, incazelo engcono kakhulu yombiko wakho ingatholakala kudokotela wakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Anion Gap ukuhlolwa kwegazi okulula okukutshela ngezinga le-acidity (pH) yegazi lakho.
- Imiphumela yalolu vivinyo isiza udokotela ukuthi abone izinkinga eziningi zempilo ezifihliwe.
- Umphumela ophezulu noma ophansi ungabangelwa yizizathu ezahlukahlukene. Kungaba uphawu lwesimo esifana nesifo sikashukela, isifo sezinso, noma ukuphelelwa amanzi emzimbeni.
- Ungakhathazeki ngoba nje inani le-Anion Gap liyashintsha. Kuyisinyathelo esisodwa nje ekuxilongweni.
- Xoxa njalo nodokotela wakho ngencazelo eqondile yombiko wakho wokuhlolwa nokuthi yikuphi ukwelashwa okudingekayo.
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