Mayeso a chloride - magazi

Chloride ndi mtundu wa electrolyte. Imagwira ndi ma electrolyte ena monga potaziyamu, sodium, ndi carbon dioxide (CO2). Zinthu izi zimathandiza kuti madzi amthupi azikhala oyenera komanso kuti thupi likhale ndi asidi.

Nkhaniyi ikunena za kuyesa kwa labotale komwe kumagwiritsidwa ntchito kuyeza kuchuluka kwa mankhwala enaake am'magazi (serum) amwazi.

Muyenera kuyesa magazi. Nthawi zambiri magazi amatengedwa mumtambo womwe uli mkati mwa chigongono kapena kumbuyo kwa dzanja.

Mankhwala ambiri amatha kusokoneza zotsatira zoyesa magazi.

• Wothandizira zaumoyo wanu angakuuzeni ngati mukufuna kusiya kumwa mankhwala musanayezeke.
• Osayimitsa kapena kusintha mankhwala anu osalankhula ndi omwe akukuthandizani kaye.

Mutha kukhala ndi mayesowa ngati muli ndi zizindikilo zosonyeza kuti msinkhu wamadzimadzi kapena wolimbirana ndi asidi umasokonezeka.

Mayesowa amalamulidwa nthawi zambiri ndi mayeso ena amwazi, monga gawo loyambira kapena lathunthu lama metabolic.

Mulingo woyenera ndi 96 mpaka 106 milliequivalents pa lita (mEq / L) kapena 96 mpaka 106 millimoles pa lita (millimol / L).

Mitengo yamtengo wapatali imatha kusiyanasiyana pakati pa ma labotore osiyanasiyana. Lankhulani ndi omwe akukuthandizani za tanthauzo la zotsatira zanu zoyeserera.

Chitsanzo pamwambapa chikuwonetsa muyeso wamba wazotsatira zamayeso awa. Ma labotale ena amagwiritsa ntchito miyeso yosiyana kapena amatha kuyesa mitundu yosiyanasiyana.

Mulingo wochuluka kuposa wabwinobwino wa mankhwala enaake amatchedwa hyperchloremia. Zitha kukhala chifukwa cha:

• Matenda a Addison
• Carbonic anhydrase inhibitors (omwe amagwiritsidwa ntchito pochizira glaucoma)
• Kutsekula m'mimba
• Matenda a acidosis
• Kupuma kwa alkalosis (kulipidwa)
• Aimpso tubular acidosis

Mlingo wotsika kuposa wabwinobwino wa mankhwala enaake amatchedwa hypochloremia. Zitha kukhala chifukwa cha:

• Matenda a Bartter
• Kutentha
• Kulephera kwa mtima
• Kutaya madzi m'thupi
• Kutuluka thukuta kwambiri
• Hyperaldosteronism
• Kagayidwe kachakudya alkalosis
• Kupuma kwa acidosis (kulipidwa)
• Matenda osayenera a diuretic hormone secretion (SIADH)
• Kusanza

Mayesowa amathanso kuchitidwa kuti athandize kuwulula kapena kuwazindikira:

• Angapo endocrine neoplasia (MEN) II
• Pulayimale hyperparathyroidism

Mayeso a seramu chloride

• Kuyezetsa magazi

Giavarina D. Biochemistry wamagazi: kuyeza ma electrolyte akuluakulu am'magazi. Mu: Ronco C, Bellomo R, Kellum JA, Ricci Z, olemba. Chisamaliro Chachikulu Nephrology. Wachitatu ed. Philadelphia, PA: Elsevier; 2019: mutu 54.

Seifter JR. Mavuto amadzimadzi. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. Wolemba 25. Philadelphia, PA: Elsevier Saunders; 2016: mutu 118.

Tolwani AJ, Saha MK, Wille KM. Kagayidwe kachakudya acidosis ndi alkalosis. Mu: Vincent JL, Abraham E, Moore FA, Prime Minister wa Kochanek, MP wa Fink, eds. Buku Lopereka Chithandizo Chachikulu. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu 104.