Kuyesa magazi kwa Ammonia

Mayeso a ammonia amayesa mulingo wa ammonia muyeso yamagazi.

Muyenera kuyesa magazi.

Wothandizira zaumoyo wanu akhoza kukupemphani kuti musiye kumwa mankhwala ena omwe angakhudze zotsatira za mayeso. Izi zikuphatikiza:

• Mowa
• Acetazolamide
• Zamgululi
• Okodzetsa
• Mankhwala osokoneza bongo
• Valproic asidi

Simuyenera kusuta musanatenge magazi anu.

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

Ammonia (NH3) amapangidwa ndi maselo mthupi lonse, makamaka matumbo, chiwindi, ndi impso. Ambiri mwa ammonia omwe amapangidwa mthupi amagwiritsidwa ntchito ndi chiwindi kuti apange urea. Urea ndichotayanso, koma ndi ocheperako poizoni kuposa ammonia. Amoniya ndi owopsa kwambiri kuubongo. Zitha kuyambitsa chisokonezo, mphamvu zochepa, ndipo nthawi zina kukomoka.

Mayesowa atha kuchitika ngati muli, kapena omwe amakupatsani akuganiza kuti muli nawo, zomwe zingayambitse ammonia. Amagwiritsidwa ntchito kwambiri pofufuza ndikuwunika encephalopathy, matenda owopsa a chiwindi.

Mtundu wabwinobwino ndi 15 mpaka 45 µ / dL (11 mpaka 32 µmol / L).

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

Zotsatira zosazolowereka zitha kutanthauza kuti mwachulukitsa ammonia m'magazi anu. Izi zitha kukhala chifukwa cha izi:

• Kutuluka m'mimba (GI), nthawi zambiri kumtunda kwa GI
• Matenda amtundu wa urea
• Kutentha kwa thupi (hyperthermia)
• Matenda a impso
• Kulephera kwa chiwindi
• Mulingo wa potaziyamu wotsika (mwa anthu omwe ali ndi matenda a chiwindi)
• Zakudya za Parenteral (zakudya zamitsempha)
• Matenda a Reye
• Salicylate poyizoni
• Kulimbikira kwambiri kwa minofu
• Ureterosigmoidostomy (njira yokonzanso kwamikodzo m'matenda ena)
• Matenda a mkodzo ndi mabakiteriya otchedwa Proteus mirabilis

Zakudya zamapuloteni ambiri zimathandizanso kukweza magazi ammonia.

Palibe chiopsezo chotenga magazi anu. Mitsempha ndi mitsempha imasiyana mosiyanasiyana kuchokera pa munthu wina kupita kwina komanso kuchokera mbali imodzi ya thupi kupita mbali inayo. Kutenga magazi kuchokera kwa anthu ena kumatha kukhala kovuta kuposa ena.

Zowopsa zina zomwe zimakoka magazi ndi zochepa, 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)

Seramu ammonia; Encephalopathy - amoniya; Matenda enaake - ammonia; Chiwindi kulephera - ammonia

• Kuyezetsa magazi

Chernecky CC, Berger BJ. Amoniya (NH3) - magazi ndi mkodzo. Mu: Chernecky CC, Berger BJ, olemba., Eds. Kuyesa Kwantchito ndi Njira Zakuzindikira. Lachisanu ndi chimodzi. St Louis, MO: Elsevier Saunders; 2013: 126-127.

Nevah MI, Fallon MB. Hepatic encephalopathy, hepatorenal syndrome, hepatopulmonary syndrome, ndi zovuta zina zamatenda a chiwindi. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Fordtran's Mimba ndi Matenda a Chiwindi: Pathophysiology / Diagnosis / Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 94.

Pincus MR, PM wa Tierno, Gleeson E, Bowne WB, Bluth MH. Kuwunika kwa chiwindi kumagwira ntchito. Mu: McPherson RA, Pincus MR, olemba., Eds. Henry's Clinical Diagnosis and Management by Laboratory Methods. Wachitatu. St Louis, MO: Elsevier; 2017: mutu 21.