Kungani udokotela ehlola izinga le-chloride egazini lakho? Ake sixoxe ngalokhu!

Uma uya kudokotela, bakunikeza ukuhlolwa kwegazi, akunjalo? Cishe uke wawubona lowo mbiko, kanye nezinto ezifana ne-sodium ne-potassium, kukhona nenani elibizwa ngokuthi 'i-Chloride'. Nakuba abantu abaningi bengakunaki kakhulu lokhu, le chloride iyinto ebalulekile empilweni yomzimba wethu. Ngakho-ke, namuhla sizoxoxa ngalokhu kuhlolwa kwegazi le-chloride, ukuthi libukeka kanjani, nokuthi kubaluleke kanjani empilweni yethu.

Iyini ngempela i-chloride?

Kalula nje, i-chloride iyi- electrolyte emizimbeni yethu. Cabanga ngayo njengokushaja okuncane kukagesi emizimbeni yethu ukuze isebenze kahle. Le electrolyte iyasiza ngalowo msebenzi. I-chloride ayisebenzi yodwa. Isebenza namanye ama-electrolyte afana ne-sodium ne-potassium ukwenza imisebenzi eminingana ebalulekile:

• Ilinganisela inani loketshezi emzimbeni : Lokhu kusiza ukulawula ukuhamba koketshezi olungena noluphuma emangqamuzaneni ethu.
• Ilawula ibhalansi ye-acid-base (ibhalansi ye-pH): I-chloride ibalulekile ekugcineni amazinga afanele ama-acid kanye nezisekelo egazini nasemzimbeni wethu.
• Isiza ekugayweni kokudla: I-chloride inegalelo ekukhiqizweni kwe-asidi esiswini.

Uma leli zinga lehla, ungase ubhekane nezimo ezifana nokuphelelwa amanzi emzimbeni. Futhi uma izinga likhuphuka, kungaba uphawu lokuthi kunenkinga ngezinso zethu. Ngoba izinso ziyizitho eziyinhloko ezilawula izinga le-chloride egazini lethu.

Kukuziphi izimo lapho udokotela angancoma khona lokhu kuhlolwa?

Esikhathini esiningi, lokhu kuhlolwa kwe-chloride akwenziwa ngokwako. Kwenziwa njengengxenye yephakheji yokuhlolwa kwegazi okujwayelekile (iphaneli ye-metabolic) ehlola izinto ezifana noshukela wakho kanye ne-cholesterol. Kodwa-ke, lokhu kuhlolwa kubaluleke kakhulu uma udokotela wakho esola okulandelayo:

• Ukukhathala okuvamile kanye nokuzola: Uma uhlala ukhathele futhi uzizwa ukhathele ngaphandle kwesizathu, lokhu kuhlolwa kungasiza ekunqumeni ukuthi imbangela iwukungalingani kwama-electrolyte.
• Ukuhlanza noma uhudo njalo: Uma ubulokhu uhlanza noma uhudo izinsuku eziningana, umzimba wakho ulahlekelwa uketshezi oluningi nosawoti. Lokhu kungabangela ukuthi amazinga akho e-chloride ehle.
• Ubunzima bokuphefumula : Uma kukhona ushintsho noma ubunzima bokuphefumula, kubalulekile ukuhlola ibhalansi ye-acid-base yegazi.
• Isifo sezinso noma senhliziyo okusolwayo: Uma unenkinga mayelana nokusebenza kwezinso zakho noma isimo senhliziyo, amazinga e-chloride ayisibonakaliso esibalulekile.
• Isifo Sikashukela : Ngezinye izikhathi isifo sikashukela esingalawuleki singadala amazinga aphezulu e-chloride.

Ingabe kukhona engikudingayo ngaphambi kokuhlolwa?

Ngokuvamile, uma une-chloride test kuphela, awudingi ukulungiselela okuningi. Kodwa-ke, uma udokotela wakho e-ode iphaneli ephelele ye-metabolic ehlola izinto ezifana noshukela ne-cholesterol, angakucela ukuthi uzile ukudla amahora ambalwa. Buza udokotela wakho ngalokhu ukuze uqiniseke. Futhi, qaphela lezi zinto:

• Imithi oyithathayo: Tshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini, imithi yobuhlungu, amaphilisi okuvimbela inzalo, kanye nemithi yamakhambi). Eminye imithi ingathinta amazinga akho e-chloride. Isibonelo:
• Ezinye izinhlobo zama-hormone (i-Estrogen)
• Ama-steroid afana ne-cortisone
• Ama-painkiller (ama-NSAID) njenge-ibuprofen
• Ukuhlanza noma uhudo: Uma uke wahlanza noma wahudo ezinsukwini ngaphambi kokuhlolwa, tshela udokotela wakho . Lokhu kungabangela amazinga akho e-chloride abonakale ephansi.

Uthini umbiko?

Uma usuthole umbiko wakho, udokotela wakho ungumuntu ongcono kakhulu ukukusiza uqonde amanani. 'I-Normal Range' ingahluka kancane kusuka kwelinye ilabhorethri kuya kwelinye. Izinga le-chloride lomuntu ophilile livame ukuba phakathi kwama-milliequivalents angu-96 no-106 ngelitha (mEq/L) . Odokotela abenzi izinqumo ezinkulu ngokusekelwe kumphumela owodwa wokuhlolwa. Babheka izitayela kanye neminye imiphumela yokuhlolwa ngokuhamba kwesikhathi. Ithebula elingezansi likunikeza umbono oqondile wokuthi kwenzekani.

Izinga le-chloride	Izimo ezingenzeka
Izinga eliphezulu (i-Hyperchloremia) (elingaphezu kuka-106 mEq/L)	Izinkinga zezinso (isib. i-Renal Tubular Acidosis) Ukuphelelwa amanzi emzimbeni okukhulu Izinkinga zama-hormone njenge-Cushing's syndrome I-Metabolic acidosis (ukwanda kwe-asidi egazini) Imiphumela yemithi ethile
Izinga eliphansi (i-Hypochloremia) (ngaphansi kuka-96 mEq/L)	Ukuhlanza okukhulu noma uhudo Ukwehluleka kwenhliziyo okubangelwa ukuminyana Izinkinga zama-hormone ezifana nesifo sika-Addison I-alkalosis ye-metabolic (ukwanda kwe-alkalinity egazini) Isifo samaphaphu esingamahlalakhona Ukusha

Yini okufanele uyenze uma izinga le-chloride selishintshile?

Uma amazinga akho e-chloride engaphandle kwesilinganiso esijwayelekile, ungesabi. Into yokuqala nebaluleke kakhulu okufanele uyenze ukukhuluma nodokotela wakho. Uma imbangela isitholakele, udokotela wakho uzokunikeza ukwelashwa okudingekayo. Isibonelo:

• Uma izinga liphezulu: Ungase utshelwe ukuthi uphuze amanzi amaningi, unciphise usawoti owudlayo, noma ushintshe imithi oyiphuzayo. Uma unesifo esiyisisekelo, njengesifo sikashukela noma isifo sezinso, kubalulekile ukusilawula.
• Uma izinga liphansi: Uma imbangela kuwukuhlanza noma uhudo, umzimba ungaphinde uphuze amanzi emzimbeni (mhlawumbe ngosawoti). Uma kukhona esinye isimo esiyisisekelo, kuzoqalwa ukwelashwa okufanele.

Umlayezo Wokuya Nawe Ekhaya

• I-chloride iyi-electrolyte ebalulekile ekugcineni ibhalansi yoketshezi kanye ne-acid-base emzimbeni wethu.
• Lokhu kuhlolwa kunganquma ukuthi izinga le-chloride liphansi, liphezulu, noma lijwayelekile.
• Ukushintsha kwamazinga e-chloride kungaba uphawu lwesimo sezokwelapha esingaphansi, ngakho ungasinaki.
• Njalo thintana nodokotela wakho ukuze uqhathanise izimpawu zakho nezinye izivivinyo bese ufinyelela esiphethweni, kunokuthembela kuphela embikweni owodwa wokuhlolwa.
• Kubaluleke kakhulu ukwazisa udokotela wakho ngayo yonke imithi (kufaka phakathi amavithamini kanye nezithasiselo) oyithathayo.

Ukuhlolwa kwegazi le-chloride, i-electrolyte, ukuhlolwa kwegazi, isifo sezinso, ukuphelelwa amanzi emzimbeni