Kuyesa magazi kwa Osmolality

Osmolality ndiyeso lomwe limayeza kuchuluka kwa tinthu tina tonse tomwe timapezeka m'magazi.

Osmolality itha kuyezedwanso ndimayeso amkodzo.

Muyenera kuyesa magazi.

Tsatirani malangizo aliwonse ochokera kwa omwe amakupatsani zaumoyo kuti musadye musanayezetse. Wothandizira anu akhoza kukuwuzani kuti musiye kumwa mankhwala aliwonse omwe angasokoneze zotsatira za mayeso. Mankhwalawa atha kuphatikizira mapiritsi amadzi (okodzetsa).

Pamene singano imayikidwa kuti ikoke magazi, anthu ena amamva kupweteka pang'ono. Ena amangomva kuluma kapena kuluma. Pambuyo pake, pakhoza kukhala kupunduka kapena kuvulala pang'ono. Izi posachedwa zichoka.

Kuyesaku kumathandizira kuwona momwe madzi amthupi anu alili. Dokotala wanu akhoza kuyitanitsa mayesowa ngati muli ndi zizindikiro za izi:

• Low sodium (hyponatremia) kapena kutayika kwa madzi
• Poizoni kuchokera kuzinthu zoyipa monga ethanol, methanol, kapena ethylene glycol
• Mavuto opanga mkodzo

Mwa anthu athanzi, osmolality m'magazi atakwera, thupi limatulutsa ma antidiuretic hormone (ADH).

Hormone iyi imapangitsa impso kubwezeretsanso madzi. Izi zimabweretsa mkodzo wambiri. Madzi obwezerezedwanso amachepetsa magazi. Izi zimapangitsa kuti magazi osmolality abwerere mwakale.

Kutaya magazi pang'ono kumachepetsa ADH. Izi zimachepetsa kuchuluka kwa impso zomwe zimabwezeretsanso madzi. Sungunulani mkodzo kuti muchotse madzi ochulukirapo, omwe amachulukitsa magazi osabwerera kubwinobwino.

Makhalidwe abwinobwino kuyambira 275 mpaka 295 mOsm / kg (275 mpaka 295 mmol / kg).

Mitengo yamtengo wapatali imatha kusiyanasiyana pakati pa ma labotore osiyanasiyana. Ma lab ena amagwiritsa ntchito miyeso yosiyanasiyana kapena amayesa mitundu yosiyanasiyana. Lankhulani ndi omwe akukuthandizani za tanthauzo la zotsatira zanu zoyeserera.

Mulingo woposa wabwinobwino ukhoza kukhala chifukwa cha:

• Matenda a shuga
• Mlingo wa shuga wambiri (hyperglycemia)
• Mkulu wa zinthu zotayidwa m'magazi (uremia)
• Mulingo wa sodium wochuluka (hypernatremia)
• Stroke kapena kupwetekedwa mutu kumapangitsa kuchepa kwa ADH kutulutsa
• Kutaya madzi (kuchepa madzi m'thupi)

Ochepera kuposa milingo yanthawi zonse atha kukhala chifukwa cha:

• Kuwonjezeka kwa ADH
• Matenda a adrenal sakugwira bwino ntchito
• Zomwe zimalumikizidwa ndi khansa yamapapo (yoyambitsa matenda osayenera a ADH, kapena SIADH)
• Kumwa madzi kapena madzi ambiri
• Mulingo wocheperako wa sodium (hyponatremia)
• SIADH, momwe thupi limapangira ADH yambiri
• Chithokomiro chosagwira ntchito (hypothyroidism)

Pali chiopsezo chochepa chotenga magazi anu. Mitsempha ndi mitsempha imasiyana mosiyanasiyana kuchokera kwa wodwala kupita kwa wina komanso kuchokera mbali imodzi ya thupi kupita mbali inayo. Kutenga magazi kuchokera kwa anthu ena kumatha kukhala kovuta kuposa ena.

Zowopsa zina zomwe zimakhudzidwa ndikutengedwa magazi ndizochepa koma mwina ndi izi:

• Kutaya magazi kwambiri
• Kukomoka kapena kumva mopepuka
• Ma punctures angapo kuti mupeze mitsempha
• Hematoma (magazi akuchuluka pansi pa khungu)
• Kutenga (chiopsezo chochepa nthawi iliyonse khungu likasweka)

• Kuyezetsa magazi

Oh MS, Briefel G. Kuwunika kwa ntchito yaimpso, madzi, ma electrolyte, ndi acid-base balance. Mu: McPherson RA, Pincus MR, olemba., Eds. Henry's Clinical Diagnosis and Management by Laboratory Methods. Wachitatu. St Louis, MO: Elsevier; 2017: mutu 14.

Zamatsenga JG. Kusokonezeka kwamadzi. Mu: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, olemba. Brenner ndi Rector a Impso. 11th ed. Philadelphia, PA: Elsevier; 2020: mutu 15.