Ngesikhathi ugula kancane futhi uya kudokotela, wakunikeza ukuhlolwa kwegazi, akunjalo? Kungenzeka ukuthi uke wabona ingxenye ebizwa ngokuthi 'ama-Electrolyte' kulowo mbiko. Inenani le-Sodium, i-Potassium, ne-Bicarbonate, noma i-CO2. Abantu abaningi bayakubona lokhu bese becabanga, "Kuyini le bicarbonate?" Empeleni lokhu ukuhlolwa okusitshela ulwazi oluningi olubalulekile mayelana nempilo yemizimba yethu. Ngakho-ke namuhla, sizokhuluma ngakho kalula.
Iyini le bicarbonate?
Kalula nje, i-bicarbonate uhlobo lwegesi ye-carbon dioxide (CO2) ekhiqizwa emizimbeni yethu. Iwumkhiqizo olahlwayo osala lapho siguqula ukudla esikudlayo kube amandla. Kodwa akuyona nje noma yimuphi umkhiqizo olahlwayo. Ingokwesigaba sezinto ezibizwa ngokuthi ama-electrolyte .
Manje cishe uyazibuza ukuthi ziyini lezi zi-electrolyte. Cabanga ngazo njengezithunywa ezincane emizimbeni yethu. Lezi zi-electrolyte zisiza ukugcina imizimba yethu inamanzi, zilawule i-asidi egazini lethu, futhi zisize imizwa nemisipha yethu isebenze kahle.
Ngakho-ke, i-bicarbonate iyinto ebaluleke kakhulu esiza ekugcineni ibhalansi ye-acid-base egazini lethu. Kungakhathaliseki ukuthi leli nani liphezulu noma liphansi, kungaba uphawu lokuthi kukhona okungahambi kahle emzimbeni wethu.
Kunini lapho udokotela encoma khona ukwenza lolu vivinyo lwe-bicarbonate?
Lokhu akuvamile ukuba ukuhlolwa okuzimele. Udokotela wakho uvame uku-oda ukuhlolwa okubizwa ngokuthi 'i-Electrolyte Panel' noma 'ama-Serum Electrolytes'. Lokhu kuzohlola amazinga akho e-sodium, potassium, kanye ne-chloride, kanye namazinga e-bicarbonate.
Lokhu kuhlolwa kungenziwa njengengxenye yokuhlolwa kwezokwelapha okuvamile kwaminyaka yonke. Noma, uma unezimpawu ezilandelayo, lokhu kuhlolwa kungasiza ekutholeni imbangela:
- Ukuhlanza noma uhudo oluqhubekayo.
- Ubunzima bokuphefumula.
- Ukuzizwa njalo kokukhathala okukhulu kanye nobuthakathaka.
Futhi, uma usuvele uthola ukwelashwa kwesimo sezinso, isibindi, amaphaphu, noma uhlelo lokugaya ukudla, udokotela wakho angase akucele ukuthi wenze lokhu kuhlolwa kaningi ukuze abone ukuthi ukwelashwa kuphumelele yini nokuthi imithi iyasebenza.
Ulwenza kanjani lolu vivinyo futhi uqonda kanjani imiphumela?
Kulula kakhulu. Udokotela noma umhlengikazi oqeqeshiwe uthatha isampula encane yegazi emthanjeni osengalweni yakho. Yilokho kuphela.
Kodwa khumbula, kufanele nakanjani utshele udokotela wakho nganoma yimiphi imithi, amavithamini, noma izithasiselo ozithathayo.Ngoba eminye imithi ingathinta imiphumela yalolu vivinyo. Futhi, ukudla izithelo eziningi kakhulu ezine-asidi njengamawolintshi, ama-tangerine, kanye nama-grapefruit ngezinye izikhathi kungaba nomthelela omncane emiphumeleni.
Izinga le-bicarbonate elinempilo kumuntu omdala kufanele libe phakathi kwama-millimole angu-23 no-29 ngelitha legazi (23-29 mmol/L). Kodwa-ke, leli nani lingahluka kancane kusuka elabhorethri kuya kwelebhu, ngakho-ke kungcono ukuliqhathanisa 'nebanga elijwayelekile' embikweni wakho.
Into ebaluleke kakhulu ukuthi, ungazami ukuzixilonga ngokwakho ngokusekelwe ezindinganisweni ezikulo mbiko. Kungumsebenzi kadokotela wakho ukuchaza kahle ukuthi lokhu kusho ukuthini.
Kusho ukuthini ukuthi izinga eliphansi le-bicarbonate lisho ukuthini?
Uma izinga le-bicarbonate (CO2) embikweni wakho wegazi liphansi kunokujwayelekile, kungaba uphawu lwesinye sezimo ezilandelayo:
| Isimo Esingenzeka | Incazelo Elula |
|---|---|
| Isifo sezinso | Lesi simo senzeka lapho izinso zingakwazi ukuhlunga igazi kahle futhi zisuse ama-asidi aqongelela emzimbeni. |
| I-Diabetic Ketoacidosis | Lesi yisimo esingasongela impilo yabantu abanesifo sikashukela. Uma umzimba ungenayo i-insulin yokusebenzisa ushukela, i-asidi egazini ikhuphuka kakhulu ngendlela eyingozi. |
| I-Metabolic Acidosis | Kalula nje, umzimba ukhiqiza i-asidi eningi kakhulu noma izinso azikwazi ukuyisusa. |
| Isifo sika-Addison | Lesi yisifo esingavamile esihlobene nama-hormone esithinta ukusebenza kwezindlala ze-adrenal. |
| Ukudlula ngokweqile kwe-aspirin | Ukuthatha imithi eminingi njenge-aspirin kungashintsha i-asidi egazini. |
| Ubuthi be-ethylene glycol | I-antifreeze iyikhemikhali etholakala kwezinye izihlanzi. Uma usola ukuthi uke wabhekana nento efana nale, iya ekamelweni lezimo eziphuthumayo esibhedlela (ETU) ngokushesha. Futhi, xhumana ne-National Poisons Information Center e-Colombo National Hospital. |
Kusho ukuthini ukwanda kwezinga le-bicarbonate?
Futhi, amazinga aphezulu e-bicarbonate kunejwayelekile angaba uphawu lwezinkinga ezithile zempilo.
| Isimo Esingenzeka | Incazelo Elula |
|---|---|
| Izifo zamaphaphu | Ikakhulukazi ezifweni ezifana ne-COPD (Isifo Esingapheli Sokuvimbela Amaphaphu), umzimba awukwazi ukukhipha i-carbon dioxide (CO2) ngendlela efanele, okubangela ukuba izinga le-bicarbonate egazini likhuphuke. |
| Ukuphelelwa amanzi emzimbeni | Leli nani lingakhuphuka ngenxa yezinguquko ekwakhiweni kwamakhemikhali egazini ngenxa yokwehla kwenani lamanzi emzimbeni. |
| I-Anorexia | Lokhu kuyisifo sokudla. Ukungondleki kahle kubangela ukungalingani kwamakhemikhali omzimba. |
| Izinkinga ze-adrenal gland | Izimo ezifana ne-Cushing's syndrome zingabangela ukungalingani kwama-hormone futhi zibangele ukuthi leli nani likhuphuke. |
Umlayezo Wokuya Nawe Ekhaya
- I-Bicarbonate (CO2) iyi-electrolyte ebalulekile elawula amazinga e-acidity kanye noketshezi egazini lakho.
- Lokhu kuhlolwa kuvame ukwenziwa uma kunezimpawu ezifana nokuhlanza/uhudo oluqhubekayo, ubunzima bokuphefumula, kanye nokukhathala okukhulu.
- Inani eliphansi noma eliphakeme lalokhu kungaba uphawu lwezinkinga ezahlukene zempilo, njengesifo sezinso, isifo sikashukela, nesifo samaphaphu.
- Ungalokothi uzihlole ngokuhlola igazi. Khuluma nodokotela wakho ngaso sonke isikhathi ngakho futhi uthole iseluleko esifanele kuye.
- Kubaluleke kakhulu ukwazisa udokotela wakho ngayo yonke imithi kanye nezithasiselo ozithathayo.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho