Mkodzo mayeso a mphamvu yokoka

Mphamvu yamkodzo ndiyeso ya labotale yomwe imawonetsa kuchuluka kwa tinthu tina tonse tomwe timapezeka mumkodzo.

Mukapereka chitsanzo cha mkodzo, chimayesedwa nthawi yomweyo. Wopereka chithandizo chamankhwala amagwiritsa ntchito chidindo chopangidwa ndi pedi yosamalitsa mtundu. Mtundu womwe dipstick imasinthira udzauza woperekayo kukula kwa mkodzo wanu. Kuyesa kwa dipstick kumangopereka zotsatira zoyipa. Kuti mupeze zotsatira zolondola, omwe amakupatsani mwayi atha kutumiza mkodzo wanu ku labu.

Wothandizira anu akhoza kukuwuzani kuti muyenera kuchepetsa kumwa madzi kwa maola 12 mpaka 14 musanayese.

Wothandizira anu adzakufunsani kuti muleke kumwa mankhwala aliwonse omwe angakhudze zotsatira zanu. Onetsetsani kuti mukuwuza omwe akukuthandizani za mankhwala onse omwe mumamwa, kuphatikizapo dextran ndi sucrose. Osasiya kumwa mankhwala musanalankhule ndi omwe akukuthandizani.

Zinthu zina zingakhudzenso zotsatira za mayeso. Uzani wothandizira wanu ngati posachedwapa:

• Ndinali ndi mtundu uliwonse wa mankhwala ochititsa dzanzi ochitidwa opaleshoni.
• Adalandira utoto wolowa mkati (chosiyanitsira pakati) poyesa kujambula, monga CT kapena MRI scan.
• Zitsamba zogwiritsidwa ntchito kapena mankhwala achilengedwe, makamaka zitsamba zaku China.

Chiyesocho chimaphatikizapo kukodza kokha. Palibe kusapeza.

Kuyesaku kumathandizira kuwunika kuchuluka kwa madzi mthupi lanu komanso ndende yanu.

Mkodzo osmolality ndimayeso apadera amtsinje. Kuyesa kwamphamvu kwamkodzo kumakhala kosavuta komanso kosavuta, ndipo nthawi zambiri kumakhala gawo la kukodza kwamtsinje nthawi zonse. Kuyezetsa mkodzo osmolality sikungakhale kofunikira.

Mtundu wabwinobwino wa mphamvu yokoka yamkodzo ndi 1.005 mpaka 1.030. 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.

Kuchuluka kwamphamvu kwamkodzo kumatha kukhala chifukwa cha zinthu monga:

• Matenda a Adrenal samatulutsa mahomoni okwanira (Addison matenda)
• Mtima kulephera
• Mulingo wa sodium wochuluka m'magazi
• Kutaya madzi amthupi (kusowa madzi m'thupi)
• Kuchepetsa kwa mitsempha ya impso (aimpso artery stenosis)
• Chodabwitsa
• Shuga (shuga) mkodzo
• Matenda osayenera a ADH (SIADH)

Kutsika kwamphamvu kwamkodzo kumatha kukhala chifukwa cha:

• Kuwonongeka kwa ma cell a tubulo a impso (aimpso tubular necrosis)
• Matenda a shuga
• Kumwa madzi ambiri
• Impso kulephera
• Mulingo wochepa wa sodium m'magazi
• Matenda akulu a impso (pyelonephritis)

Palibe zowopsa pamayesowa.

Kuchuluka kwa mkodzo

• Thirakiti lachikazi
• Njira yamkodzo wamwamuna

Krishnan A, Levin A. Laboratory kuwunika matenda a impso: glomerular kusefera, mlingo wa urinalysis, ndi proteinuria. 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: chap 23.

(Adasankhidwa) Riley RS, McPherson RA. Kuwunika koyambirira kwa mkodzo. Mu: McPherson RA, Pincus MR, olemba., Eds. Henry's Clinical Diagnosis and Management by Laboratory Methods. Wachitatu. St Louis, MO: Elsevier; 2017: mutu 28.

Villeneuve PM, Bagshaw SM. Kuyesa kwamikodzo biochemistry. Mu: Ronco C, Bellomo R, Kellum JA, Ricci Z, olemba. Chisamaliro Chachikulu Nephrology. Wachitatu ed. Philadelphia, PA: Elsevier; 2019: chap 55.