Magulu a Amoniya

Zamkati

• Kodi mayeso a ammonia ndi otani?
• Amagwiritsidwa ntchito yanji?
• Chifukwa chiyani ndikufunika mayeso ammonia?
• Kodi chimachitika ndi chiyani poyesedwa kwa ammonia?
• Kodi ndiyenera kuchita chilichonse kukonzekera mayeso?
• Kodi pali zoopsa zilizonse pamayeso?
• Kodi zotsatirazi zikutanthauza chiyani?
• Kodi pali china chilichonse chomwe ndiyenera kudziwa pamayeso a ammonia?
• Zolemba

Kodi mayeso a ammonia ndi otani?

Chiyesochi chimayeza kuchuluka kwa ammonia m'magazi anu. Amoniya, yemwenso amadziwika kuti NH3, ndi chinthu chonyansa chopangidwa ndi thupi lanu panthawi yopukusa mapuloteni. Nthawi zambiri, ammonia amasinthidwa m'chiwindi, pomwe amasinthidwa kukhala zinyalala zina zotchedwa urea. Urea imadutsa mthupi la mkodzo.

Ngati thupi lanu silingathe kukonza kapena kuthetsa amoniya, limakhala m'magazi. Kuchuluka kwa ammonia m'magazi kumatha kubweretsa zovuta zovuta, kuphatikiza kuwonongeka kwa ubongo, kukomoka, ngakhale kufa.

Kuchuluka kwa ammonia m'magazi nthawi zambiri kumayambitsidwa ndi matenda a chiwindi. Zimayambitsa zina ndi impso kulephera ndi majini.

Mayina ena: Kuyesedwa kwa NH3, kuyesa kwa magazi ammonia, serum ammonia, ammonia; plasma

Amagwiritsidwa ntchito yanji?

Mayeso a ammonia atha kugwiritsidwa ntchito pofufuza ndi / kapena kuwunika zomwe zimayambitsa kuchuluka kwa ammonia. Izi zikuphatikiza:

• Kusokonezeka kwa chiwindi, zomwe zimachitika chiwindi chikadwala kwambiri kapena chitawonongeka kuti chitha kukonza ammonia. M'vutoli, ammonia imakhazikika m'magazi ndikupita kuubongo. Zitha kupangitsa chisokonezo, kusokonezeka, kukomoka, ngakhale kupha kumene.
• Matenda a Reye, vuto lowopsa ndipo nthawi zina limapha lomwe limawononga chiwindi ndi ubongo. Amakhudza kwambiri ana ndi achinyamata omwe akuchira matenda opatsirana ndi ma virus monga chimfine kapena chimfine ndipo amamwa aspirin kuchiza matenda awo. Zomwe zimayambitsa Reye syndrome sizikudziwika. Koma chifukwa cha chiopsezo, ana ndi achinyamata sayenera kumwa aspirin pokhapokha atalangizidwa ndi wothandizira zaumoyo wanu.
• Matenda a Urea, zopindika zachibadwa za majini zomwe zimakhudza kuthekera kwa thupi kusintha amoniya kukhala urea.

Chiyesocho chingagwiritsidwenso ntchito kuwunika momwe chithandizo cha matenda a chiwindi chikuyendera kapena kulephera kwa impso.

Chifukwa chiyani ndikufunika mayeso ammonia?

Mungafunike kuyesaku ngati muli ndi matenda a chiwindi ndipo mukuwonetsa zizindikiro za vuto laubongo. Zizindikiro zake ndi izi:

• Kusokonezeka
• Kugona mokwanira
• Kusokonezeka, momwe mungasokonezedwere za nthawi, malo, ndi / kapena malo omwe muli
• Maganizo amasintha
• Kugwedeza kwa manja

Mwana wanu angafunike kuyesedwa ngati ali ndi zizindikiro za Reye syndrome. Izi zikuphatikiza:

• Kusanza
• Kugona
• Kukwiya
• Kugwidwa

Mwana wanu wakhanda angafunike kuyezetsa ngati ali ndi zina mwazizindikiro pamwambapa. Zizindikiro zomwezo zitha kukhala chizindikiro cha matenda a urea.

Kodi chimachitika ndi chiyani poyesedwa kwa ammonia?

Katswiri wa zamankhwala adzatenga magazi kuchokera mumtsinje uli m'manja mwanu, pogwiritsa ntchito singano yaying'ono. Singanoyo italowetsedwa, magazi ang'onoang'ono amatengedwa mu chubu choyesera. Mutha kumva kuluma pang'ono singano ikamalowa kapena kutuluka. Izi nthawi zambiri zimatenga mphindi zosakwana zisanu.

Pofuna kuyesa mwana wakhanda, wothandizira zaumoyo amatsuka chidendene cha mwana wanu ndi mowa ndikumutengera chidendene ndi singano yaying'ono. Woperekayo amatolera magazi pang'ono ndikuyika bandeji pamalowo.

Kodi ndiyenera kuchita chilichonse kukonzekera mayeso?

Simuyenera kuchita masewera olimbitsa thupi kapena kusuta ndudu pafupifupi maola asanu ndi atatu mayeso a ammonia asanachitike.

Makanda safuna kukonzekera kulikonse asanayesedwe.

Kodi pali zoopsa zilizonse pamayeso?

Pali chiopsezo chochepa kwambiri choyesedwa magazi. Inu kapena mwana wanu mumatha kumva kupweteka pang'ono kapena kuvulala pamalo pomwe singano idayikidwapo, koma zizindikilo zambiri zimatha msanga.

Kodi zotsatirazi zikutanthauza chiyani?

Ngati zotsatira zanu zikuwonetsa kuchuluka kwa ammonia m'magazi, atha kukhala chizindikiro cha chimodzi mwazinthu izi:

• Matenda a chiwindi, monga chiwindi kapena chiwindi
• Kusokonezeka kwa chiwindi
• Impso kapena kulephera kwa impso

Kwa ana ndi achinyamata, zikhoza kukhala chizindikiro cha matenda a Reye.

Kwa makanda, milingo yayikulu ya ammonia ikhoza kukhala chizindikiro cha matenda amtundu wa urea kapena vuto lotchedwa hemolytic matenda a wakhanda. Vutoli limachitika mayi akapanga ma antibodies m'maselo amwana wake.

Ngati zotsatira zanu sizinali zachilendo, wothandizira zaumoyo wanu adzafunika kuyitanitsa mayeso ena kuti mudziwe chifukwa cha kuchuluka kwanu kwa ammonia. Ndondomeko ya chithandizo chanu idzadalira matenda anu.

Ngati muli ndi mafunso pazotsatira zanu, lankhulani ndi omwe amakuthandizani.

Dziwani zambiri zamayeso a labotale, magawo owerengera, ndi zotsatira zakumvetsetsa.

Kodi pali china chilichonse chomwe ndiyenera kudziwa pamayeso a ammonia?

Ena othandizira zaumoyo amaganiza kuti magazi ochokera mumitsempha amatha kupereka zothandiza kwambiri za ammonia kuposa magazi ochokera mumitsempha. Kuti mutenge magazi ochepa, woperekayo amaika jakisoni mumitsempha m'manja mwanu, chigongono, kapena malo obowola. Njira yoyeserayi saigwiritsa ntchito pafupipafupi.

Zolemba

1. American Liver Foundation. [Intaneti]. New York: American Liver Foundation; c2017. Kuzindikira Hepatic Encephalopathy; [adatchula 2019 Jul 17]; [pafupifupi zowonetsera 4]. Ipezeka kuchokera:
2. Hinkle J, Cheever K. Brunner & Suddarth's Handbook of Laboratory and Diagnostic Test. 2nd Ed, Wokoma. Philadelphia: Wolters Kluwer Health, Lippincott Williams & Wilkins; c2014. Amoniya, Plasma; p. 40.
3. Kuyesa kwa Labu Paintaneti [Intaneti]. Washington DC; American Association for Chipatala Chemistry; c2001–2019. Amoniya [kusinthidwa 2019 Jun 5; yatchulidwa 2019 Jul 10]; [pafupifupi zowonetsera 2]. Ipezeka kuchokera: https://labtestsonline.org/tests/ammonia
4. Merck Manual Consumer Version [Intaneti]. Kenilworth (NJ): Merck & Co., Inc .; c2019. Hepatic Encephalopathy [yasinthidwa 2018 Meyi; yatchulidwa 2019 Jul 10]; [pafupifupi zowonetsera 2]. Ipezeka kuchokera: https://www.merckmanuals.com/home/liver-and-gallbladder-disorders/manifestations-of-liver-disease/hepatic-encephalopathy?query=ammonia
5. National Cancer Institute [Intaneti]. Bethesda (MD): Dipatimenti ya Zaumoyo ndi Zantchito ku U.S. NCI Dictionary Yokhudza Khansa: kusokonezeka; [adatchula 2019 Jul 17]; [pafupifupi zowonetsera 4]. Ipezeka kuchokera: https://www.cancer.gov/publications/dictionaries/cancer-terms/def/disorientation
6. National Heart, Lung, ndi Blood Institute [Internet]. Bethesda (MD): Dipatimenti ya Zaumoyo ndi Zantchito ku U.S. Kuyesa Magazi [kutchulidwa 2019 Jul 10]; [pafupifupi zowonetsera 3]. Ipezeka kuchokera: https://www.nhlbi.nih.gov/health-topics/blood-tests
7. Zowonjezera Kuwonetseratu kumene kubadwa kwa zovuta za urea. Matenda [Internet]. 1981 Sep [yotchulidwa 2019 Jul 10]; 68 (3): 453-7. Ipezeka kuchokera: https://pediatrics.aappublications.org/content/68/3/453.long
8. NIH U.S. National Library of Medicine: Genetics Home Reference [Internet]. Bethesda (MD): Dipatimenti ya Zaumoyo ndi Zantchito ku U.S. Kodi kuyezetsa ana kumene kumachitika bwanji ?; 2019 Jul 9 [yatchulidwa 2019 Jul 10]; [pafupifupi zowonetsera 3]. Ipezeka kuchokera: https://ghr.nlm.nih.gov/primer/newbornscreening/nbsprocedure
9. UF Health: University of Florida Health [Intaneti]. Gainesville (FL): Yunivesite ya Florida Health; c2019. Kuyesa magazi kwa Ammonia: Mwachidule [kusinthidwa 2019 Jul 10; yatchulidwa 2019 Jul 10]; [pafupifupi zowonetsera 2]. Ipezeka kuchokera: https://ufhealth.org/ammonia-blood-test
10. University of Rochester Medical Center [Intaneti]. Rochester (NY): Yunivesite ya Rochester Medical Center; c2019. Health Encyclopedia: Ammonia [yotchulidwa 2019 Jul 10]; [pafupifupi zowonetsera 2]. Ipezeka kuchokera: https://www.urmc.rochester.edu/encyclopedia/content.aspx?ContentTypeID=167&ContentID=ammonia
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13. UW Health [Intaneti]. Madison (WI): Zipatala za University of Wisconsin ndi Clinics Authority; c2019. Zambiri Zaumoyo: Amoniya: Zotsatira [zosinthidwa 2018 Jun 25; yatchulidwa 2019 Jul 10]; [pafupifupi zowonetsera 8]. Ipezeka kuchokera: https://www.uwhealth.org/health/topic/medicaltest/ammonia/hw1768.html#hw1792
14. UW Health [Intaneti]. Madison (WI): Zipatala za University of Wisconsin ndi Clinics Authority; c2019. Zambiri Zaumoyo: Amoniya: Kuyesa Kwachidule [kusinthidwa 2018 Jun 25; yatchulidwa 2019 Jul 10]; [pafupifupi zowonetsera 2]. Ipezeka kuchokera: https://www.uwhealth.org/health/topic/medicaltest/ammonia/hw1768.html#hw1771
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Zomwe zili patsamba lino siziyenera kugwiritsidwa ntchito m'malo mwa chithandizo chamankhwala kapena upangiri. Lumikizanani ndi othandizira azaumoyo ngati muli ndi mafunso okhudzana ndi thanzi lanu.