Mayeso a mkodzo wa Osmolality

Kuyezetsa mkodzo wosmolality kumayesa kuchuluka kwa tinthu tambiri mumkodzo.

Osmolality itha kuyezedwanso pogwiritsa ntchito kuyesa magazi.

Muyenera kuyesa mkodzo woyera. Njira yoyera moyera imagwiritsidwa ntchito popewera majeremusi ochokera ku mbolo kapena kumaliseche kuti asalowe mkodzo. Kuti mutenge mkodzo wanu, wothandizira zaumoyo atha kukupatsirani chida chogwirira bwino chomwe chili ndi yankho loyeretsera komanso zopukutira. Tsatirani malangizo ndendende.

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 chimakodza kukodza. Palibe kusapeza.

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

Osmolality ndiyeso yolondola kwambiri ya mkodzo kuposa kuyesa kwamkodzo.

Makhalidwe abwinobwino ndi awa:

• Zotengera zokha: 50 mpaka 1200 mOsm / kg (50 mpaka 1200 mmol / kg)
• Kuletsa kwamadzi 12 mpaka 14 ola: Kuposa 850 mOsm / kg (850 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.

Zotsatira zachilendo zimawonetsedwa motere:

Zapamwamba kuposa miyezo yabwinobwino zitha kuwonetsa:

• 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)

Zochepera kuposa miyezo yanthawi zonse zitha kuwonetsa:

• 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.

• Mayeso a Osmolality
• Thirakiti lachikazi
• Njira yamkodzo wamwamuna
• Mkodzo wa osmolality - mndandanda

Berl T, Mchenga JM. Matenda amadzimadzi amadzimadzi. Mu: Feehally J, Floege J, Tonelli M, Johnson RJ, olemba. Chachikulu Chachipatala Nephrology. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2019: mutu 8.

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.