Umzimba wethu ufana nelabhorethri encane. Kunezinto eziningi egazini, njengomoya -mpilo , amaprotheni, ama-hormone , kanye namaminerali . Ngokuvamile, umzimba ulinganisela konke lokhu ngamanani afanele. Kodwa ngezinye izikhathi leli bhalansi lingalahleka. Ezinye izinto zingaba ziningi kakhulu, kanti ezinye zingaba zincane kakhulu. Nasi isivivinyo esikhethekile esenziwayo ukuze kubonwe ukuthi kukhona yini ukungalingani kwamakhemikhali egazini lakho okubizwa ngokuthi i-Serum Osmolality Test.
Kuyini i-Serum Osmolality?
Kulungile, ake siqonde leli gama kalula. Igama elithi "serum" libhekisela engxenyeni ephuzi ewuketshezi esala ngemva kokuba amaseli egazi esusiwe egazini lethu. Njalo uma wenza ukuhlolwa kwe-serum, okwenzayo nje ukuthatha igazi elincane kuwe.
Igama elithi "osmolality" lisho ukulinganisa ukuthi amakhemikhali namaminerali (njenge -sodium ) ancibilikisiwe engxenyeni yoketshezi ebizwa ngokuthi i-serum agxilile kangakanani, noma 'aqine' kangakanani.
- I-osmolality ephezulu isho ukuthi kukhona izinto ezincibilikisiwe kakhulu oketshezini.
- I-osmolality ephansi isho ukuthi lezo zinto ziyancibilikiswa, okungukuthi, zinamanzi.
Kalula nje, lokhu kuhlolwa kuhlola ukuthi kukhona yini ibhalansi efanele phakathi kwenani loketshezi emzimbeni wakho kanye namaminerali ancibilikisiwe kuwo.
Kukuziphi izimo lapho kufanele kwenziwe khona lokhu kuhlolwa?
Kunezizathu eziningana ezenza udokotela angase akucele ukuthi wenze lokhu kuhlolwa. Ake sibheke ukuthi ziyini.
- Ukuphelelwa amanzi emzimbeni : Uma unezimpawu zamazinga aphansi amanzi emzimbeni, okusho ukuthi uphelelwe amanzi emzimbeni , udokotela wakho angase akuyalele lokhu kuhlolwa.
- Izinkinga zezinga le-sodium: Lokhu kuhlolwa kubalulekile uma izinga le-sodium emzimbeni liphansi ngendlela engavamile ( i-Hyponatremia ) , okubangela ukugcinwa kwamanzi.
- Inkinga yama-hormone: Kukhona i-hormone ebalulekile elawula inani lamanzi emzimbeni wethu. Ibizwa ngokuthi i-Antidiuretic Hormone , noma i-ADH ngamafuphi.Le hormone ilawula inani lamanzi esiwakhipha emizimbeni yethu uma sichama. Lokhu kuhlolwa kungenziwa uma udokotela wakho esola ukuthi kunenkinga nge-hormone ye-ADH.
- Ukuquleka: Cabanga uma othile eba nokuquleka ngokuzumayo. Lokhu kungenzeka uma inani le-sodium emzimbeni liphansi kakhulu. Esimweni esinjalo, lokhu kuhlolwa kungasiza ekutholeni imbangela.
Ngakho-ke, uma uchama njalo, uma inani lomchamo owukhiphayo lishintshile, noma uma unesimo esifana nokuquleka, udokotela wakho angase akucele ukuthi wenze lolu vivinyo lwe-Serum Osmolality.
Ingabe udinga ukulungiselela ngaphambi kokuhlolwa?
Asikho isidingo sokulungiselela okukhethekile, kodwa kunezinto ezimbili okufanele uzisho nakanjani uma ukhuluma nodokotela.
- Sitshele ngayo yonke imithi oyisebenzisayo, kanye nanoma yiziphi izithasiselo ozithathayo.
- Ngitshele futhi uma uphuze amanzi amaningi muva nje.
Kubaluleke kakhulu ukwazisa udokotela ngalezi zinto, njengoba zingathinta imiphumela yokuhlolwa.
Ulwenza kanjani lolu vivinyo?
Lokhu ukuhlolwa kwegazi okulula kakhulu. Udokotela noma umhlengikazi uzothatha isampula encane yegazi emthanjeni osengalweni yakho. Akukho ubuhlungu ngaphandle kokuzwa okuncane okuhlabayo lapho inaliti ifakwa. Buphela ngemizuzu embalwa. Bese kubekwa ibhande elincane phezu kwendawo lapho igazi likhishwe khona.
Akuvamile kakhulu, kungase kube nokuklwebheka okuncane noma ukutheleleka endaweni lapho igazi lidonswa khona. Abanye abantu bangase bazizwe benesiyezi kancane lapho benikela ngegazi, kodwa lokhu kuzophela ngemva kwesikhashana. Ngakho-ke akukho okufanele ukhathazeke ngakho.
Ngiyiqonda kanjani imiphumela yombiko?
Ngokuvamile ungathola umbiko wakho wokuhlolwa zingakapheli ihora noma amahora angama-24. Amanani embikweni wakho alinganiswa ngama -milliosmoles ngekhilogramu (mOsm/kg) . Kodwa okubalulekile kuwe izinombolo.
| Iqembu lobudala | Ibanga Elijwayelekile ku-mOsm/kg |
|---|---|
| Abantu abadala | Phakathi kuka-285 no-295 |
| Izingane | Phakathi kuka-275 no-290 |
Okubaluleke kakhulu: Ungenzi izinqumo ngalezi zindinganiso wedwa. Udokotela wakho kuphela ongakunikeza incazelo engcono kakhulu.
Ake sibheke ithebula elingezansi ukuze sibone ukuthi la manani angasho ukuthini uma ekhuphuka noma ehla.
| Isimo Esingenzeka | Incazelo Elula |
|---|---|
| Uma umphumela uphakeme kunenani elimaphakathi (Umphumela Omkhulu) | |
| I-Hypernatremia | Amazinga aphezulu e-sodium (usawoti) emzimbeni. |
| Isifo sikashukela i-Insipidus | Ukukhiqizwa komchamo ngokweqile yizinso. |
| Ukuphelelwa amanzi emzimbeni | Ukwehla kwamazinga oketshezi emzimbeni wonke (ukuphelelwa amanzi emzimbeni). |
| I-Uremia | Ukuqongelela ngokweqile kwemikhiqizo engcolile efana ne-urea egazini (uphawu lokusebenza kwezinso okungasebenzi kahle). |
| I-Hyperglycemia | Amazinga kashukela egazini akhuphukile. |
| I-Diabetic Ketoacidosis | Isimo esibucayi esihlobene nesifo sikashukela. |
| Ukungenisa Okunobuthi | Ukuphuza utshwala noma obunye ubuthi obufana ne-ethanol. Esimweni esinjalo, umuntu kufanele aye ngokushesha e-ETU (Emergency Treatment Unit) yesibhedlela. Kubalulekile futhi ukwazisa iNational Poison Information Center eColombo National Hospital. |
| Uma umphumela uphansi kunenani elimaphakathi (Umphumela Ophansi) | |
| I-Hyponatremia | Ukwehla kwamazinga e-sodium emzimbeni. |
| Ukumanzisa ngokweqile | Ukugcinwa koketshezi ngokweqile emzimbeni. |
Ingabe kukhona okunye ukuhlolwa okwenzayo ngaphandle kwalokhu?
Yebo. Ukuze athole imbangela eqondile yesimo sakho, udokotela wakho angase asikisele ezinye izivivinyo.
- Ukuhlolwa kwe-Osmolality yomchamo: Lokhu kulinganisa ukugcwala kwamakhemikhali ancibilikile emchameni wakho. Uma uhlanganisa imiphumela yokuhlolwa kwegazi kanye nokuhlolwa komchamo, kulula kudokotela wakho ukuthola imbangela yokungalingani kwamakhemikhali.
- Ukuhlolwa Kwegazi kwe-ADH: Lokhu kuhlola ngqo izinga le-hormone ye-ADH egazini lakho.
Ngemva kwazo zonke lezi zivivinyo, udokotela uzohlonza isimo sakho esiqondile futhi akunikeze uhlelo lokwelapha ukuze alinganisele kabusha amakhemikhali omzimba wakho, ama-electrolyte, amaminerali, njll.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlolwa kwe-Serum Osmolality ukuhlolwa kwegazi okulula okuhlola ibhalansi phakathi kwamakhemikhali namanzi egazini lakho.
- Lokhu kuhlolwa kunconywa ezimweni zokuphelelwa amanzi emzimbeni, amazinga aphansi e-sodium (hyponatremia), ukuxhuzula, noma izinkinga nge-hormone ye-ADH.
- Imiphumela yokuhlolwa ephakeme noma ephansi kunokuvamile ingabonisa izimo ezahlukene zezokwelapha, okuhlanganisa isifo sikashukela, izinkinga zezinso, kanye nokungalingani kwama-hormone.
- Ungakhathazeki ngezindinganiso ezisembikweni wokuhlolwa. Vele ukhulume nodokotela wakho ngakho ukuze uthole incazelo kanye nezinyathelo ezilandelayo.
- Lokhu kuhlolwa kukodwa akwenzi ukuxilongwa. Uma kudingeka, udokotela uzoyala ukuhlolwa okwengeziwe bese eqala ukwelashwa ngemva kokuthola imbangela.
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