Wake wathatha umbiko wokuhlolwa kwegazi, wabheka igama ngalinye nezinombolo ezikuwo, wazibuza, "Kusho ukuthini lokhu?" Phakathi kwazo, kungenzeka ukuthi uke wahlangana negama elithi `Chloride`. Abantu abaningi bayakubona lokhu, kodwa abazi kahle ukuthi kusho ukuthini. Ngakho-ke namuhla, ake sixoxe ngokuthi lokhu kuhlolwa kwegazi kwe-Chloride kuyini, kungani kubalulekile, nokuthi yini okufanele siyicabangele uma amanani ayo eshintsha.
Iyini i-Chloride? Kungani ibalulekile emizimbeni yethu?
Kalula nje, i-chloride iyi-electrolyte ebaluleke kakhulu emizimbeni yethu. Nakuba igama elithi "electrolyte" lingase lizwakale njengegama elikhulu, libhekisela kumaminerali athwala ishaja kagesi uma ehlanganiswa noketshezi emizimbeni yethu. Asebenza njengamabhethri amancane emizimbeni yethu.
Akuyona i-chloride kuphela, kodwa nezinye izinto ezifana ne-sodium, i-potassium, ne-bicarbonate zilawula izinto eziningi ezibalulekile emizimbeni yethu. Cabanga nje, lezi yizi:
- Kugcina inani lamanzi emzimbeni wethu lilingana .
- Ukusebenza kahle kwemizwa nemisipha kuyagcinwa.
- Igcina ibhalansi ye-acid-base (ibhalansi ye-pH) egazini.
Ngakho-ke, ukugcina izinga le-chloride elinempilo kubaluleke kakhulu empilweni yethu iyonke. Odokotela bahlola leli zinga le-chloride, kanye namanye amazinga e-electrolyte, ukuze bathole umbono wezimo ezahlukene zezokwelapha. Isibonelo:
- Isifo sezinso
- Ukwehluleka kwenhliziyo
- Isifo sesibindi
- Umfutho wegazi ophakeme
Lokhu kuhlolwa kusiza ukuhlonza noma ukuqapha izimo ezifana nalezi:
Kunini lapho udokotela encoma khona ukwenza lolu vivinyo lwe-chloride?
Esikhathini esiningi, udokotela akaku-odi ukuhlolwa okuhlukile ukuhlola i-chloride. Ngokuvamile kwenziwa njengengxenye yephakheji enkulu yokuhlola ebheka ezinye izinto eziningana egazini ngesikhathi esisodwa. Kungenzeka ukuthi uke wabona enye yalezi embikweni wakho wegazi:
- Iphaneli Ephelele Ye-Metabolic (i-CMP)
- Iphaneli Eyisisekelo Ye-Metabolic (BMP)
- Iphaneli ye-Electrolyte
- Iphaneli Yomsebenzi Wezinso (i-RFP)
Amazinga e-chloride nawo alinganiswa ngalezi zivivinyo.
Ngaphezu kwalokho, udokotela wakho angancoma lokhu kuhlolwa uma unezimpawu ezibonisa ukuthi unokungalingani emazingeni oketshezi noma e-asidi emzimbeni wakho. Izimpawu ezinjalo zifaka:
- Ukuhlanza okuqhubekayo.
- Uhudo olubi kakhulu.
- Uma uzizwa ukhathele ngendlela engakholeki.
- Uma uzizwa ubuthakathaka .
- Uma uzizwa uphelelwe amanzi emzimbeni (njengomlomo owomile, amehlo ashone).
- Uma unenkinga yokuphefumula .
Ngezikhathi ezinjengalezi, ukuhlola amazinga e-chloride namanye ama-electrolyte kungaba usizo olukhulu ekutholeni inkinga eqondile.
Kwenzekani ngaphambi nangesikhathi sokuhlolwa kwegazi?
Ingabe udinga ukulungiselela ngaphambi kokuhlolwa?
Ukuhlolwa okubheka i-chloride kuphela akudingi ukulungiswa okukhethekile. Kodwa-ke, njengoba sishilo ngaphambili, uma lokhu kwenziwa kanye nokuhlolwa okufana ne-`BMP` noma i-`CMP`, udokotela wakho angakucela ukuthi uzile ukudla amahora ambalwa , okusho ukuthi ungadli noma uphuze lutho. Ngakho-ke, buza udokotela wakho ngalokhu ngaphambi kokunikela ngegazi bese ulandela imiyalelo yakhe ngqo.
Kwenzekani uma kudonswa igazi?
Lokhu kulula kakhulu.
1. Umuntu ose-lab (i-phlebotomist) uzothola umthambo omuhle ngaphakathi kwengalo yakho, ngaphansi nje kwendololwane yakho.
2. Bese uhlanza indawo nge-cotton swab bese uyibulala amagciwane.
3. Okulandelayo, kusetshenziswa inaliti encane ukukhipha igazi emthanjeni. Kuleli qophelo, ungase uzizwe ulunywa kancane, njengokulunywa yintuthwane .
4. Ngemva kokuqoqa inani legazi elidingekayo epayipini lokuhlola, inaliti iyasuswa bese kufakwa ucezu lwekotini bese lucindezelwa ukuze kumiswe ukopha.
5. Ekugcineni, kufakwa ucezu oluncane lweplasta endaweni bese umsebenzi usuqediwe. Kuzothatha imizuzu embalwa kuphela ukuqeda.
Ngiyiqonda kanjani imiphumela yombiko?
Uma uthola umbiko wakho wokuhlolwa kwegazi, ngokuvamile uqukethe ulwazi olufana nalolu:
- Igama lokuhlolwa okwenziwe (isib. i-Chloride).
- Inani egazini lakho (isib. 102 mEq/L).
- Ububanzi obujwayelekile balolo vivinyo.
- Kungakhathaliseki ukuthi inani lakho lijwayelekile, liphansi, noma liphezulu.
Izinga elijwayelekile le-chloride kumuntu omdala liphakathi kuka-96 no-106 mEq/L . Kodwa khumbula ukuthi ububanzi bokubhekisela obunikezwa yilebhu ngayinye bungahluka kancane. Ngakho-ke, kungcono ukuqhathanisa inani lakho nobubanzi obujwayelekile okukhulunywe ngabo embikweni wakho.
Uma inani le-chloride selishintshile, kufanele ngikhathazeke?
Lokhu kuyinto ebaluleke kakhulu: Ukuthi amazinga akho e-chloride angaphezulu kancane kwesilinganiso esijwayelekile akusho ukuthi unesifo esibi kakhulu. Kungaba nezinye izinto eziningi ezingaba nomthelela kukho.
Ake sibheke izizathu ezenza amazinga e-chloride ehle noma akhuphuke.
| Amazinga aphansi e-chloride (i-Hypochloremia) | Amazinga e-chloride akhuphukile (i-Hyperchloremia) |
|---|---|
| Izimo zezokwelapha ezingaba khona: - Isifo senhliziyo (ukwehluleka kwenhliziyo) - Izifo ezihlobene namaphaphu (isib. i-Emphysema) - Isifo sika-Addison - I-alkalosis ye-Metabolic | Izimo zezokwelapha ezingaba khona: - Ukuphelelwa amanzi emzimbeni - Isifo sezinso - Isifo sikaCushing - I-Metabolic acidosis - I-alkalosis yokuphefumula |
| Ezinye izizathu ezivamile zokushintsha kwenani: - Ukuphuza amanzi amaningi (ukunciphisa) - Ukulahlekelwa uketshezi ngenxa yokuhlanza noma uhudo (kungancipha noma kwande) - Imithi ethile, ikakhulukazi imithi elwa nama-asidi - Kwenzeke iphutha elincane ngesikhathi kuthathwa igazi. | |
Njengoba ubona, amazinga e-chloride angashintsha ngenxa yezimo zezokwelapha kanye nezizathu ezivame kakhulu. Ngakho-ke, uma ubona ushintsho embikweni wakho, ungesabi bese ulubonisa udokotela wakho.
Udokotela wakho ngeke abheke nje inani le-chloride embikweni wakho. Uzoliqhathanisa neminye imiphumela yokuhlolwa, izimpawu zakho, kanye nomlando wakho wezempilo ukuze afinyelele esiphethweni. Angase futhi acele ukuhlolwa okwengeziwe uma edinga ulwazi olwengeziwe.
Umlayezo Wokuya Nawe Ekhaya
- I-chloride iyi-electrolyte ebalulekile esiza ukugcina ibhalansi yoketshezi, yezinzwa, kanye ne-acid-base emizimbeni yethu.
- Lokhu kuhlolwa kuvame ukwenziwa kanye nezinye izivivinyo eziningi, njengengxenye yokuhlolwa kwempilo okuvamile.
- Ukuthi nje izinga lakho le-chloride lingaphandle kwesilinganiso esijwayelekile akusho ukuthi unesifo esingathi sína. Leli nani lingashintsha ngenxa yezizathu ezilula njengokuphuza amanzi amaningi, ukuphelelwa amanzi emzimbeni, kanye nemithi ethile.
- Into ebaluleke kakhulu ukukhuluma nodokotela wakho ngokuqinisekile ngemiphumela yokuhlolwa kwegazi lakho, kunokuba uyibheke ku-inthanethi bese ufinyelela iziphetho ngokushesha. Nguye ozokunikeza iseluleko esingcono kakhulu ngesimo sakho.
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