Uvavanyo lwe-chloride - igazi

I-chloride luhlobo lwe-electrolyte. Isebenza nezinye ii-electrolyte ezinje nge potassium, isodiyam, kunye necarbon dioxide (CO2). Ezi zinto zinceda ukugcina ulungelelwano olufanelekileyo lwamanzi omzimba kunye nokugcina i-acid-base balance body.

Eli nqaku limalunga novavanyo lwaselabhoratri olusetyenziselwa ukulinganisa isixa se-chloride kwisahlulo se-fluid (serum) segazi.

Isampulu yegazi iyafuneka. Uninzi lwexesha igazi litsalwa kumthambo ngaphakathi kwengqiniba okanye ngasemva kwesandla.

Amayeza amaninzi anokuphazamisa iziphumo zovavanyo lwegazi.

• Umboneleli wakho wokhathalelo lwempilo uya kukuxelela ukuba ngaba ufuna ukuyeka ukuthatha nawaphi na amayeza phambi kokuba wenze olu vavanyo.
• SUKUYEKE okanye utshintshe amayeza akho ungakhange uthethe nomboneleli wakho kuqala.

Unokuba nalo olu vavanyo ukuba unemiqondiso yokuba inqanaba lomkhuhlane womzimba wakho okanye i-acid-base balance iyaphazamiseka.

Olu vavanyo luhlala lu-odolwa kunye nezinye iimvavanyo zegazi, ezinje ngesiseko okanye iphaneli yokuhambisa.

Uluhlu oluqhelekileyo oluqhelekileyo ngama-96 ukuya kwi-106 yeemililitha ngokulinganayo ilitha (mEq / L) okanye i-96 ukuya kwi-106 yeemilimitha ngelitha (millimol / L).

Amaxabiso esiqhelo ahluka kancinci phakathi kweelebhu ezahlukeneyo. Thetha nomboneleli wakho malunga nentsingiselo yeziphumo zakho zovavanyo.

Umzekelo ongentla ubonakalisa uluhlu oluqhelekileyo lwemilinganiselo yeziphumo zolu vavanyo. Ezinye iilabhoratri zisebenzisa imilinganiselo eyahlukeneyo okanye zinokuvavanya iisampulu ezahlukeneyo.

Inqanaba elikhulu kune-eliqhelekileyo le-chloride libizwa ngokuba yi-hyperchloremia. Isenokuba ngenxa:

• Isifo iAddison
• I-Carbonic anhydrase inhibitors (esetyenziselwa ukunyanga i-glaucoma)
• Urhudo
• I-metosis acidosis
• I-alkalosis yokuphefumula (iyahlawulwa)
• I-acidosis ye-tubular acidosis

Inqanaba elingaphantsi kweqhelekileyo le-chloride libizwa ngokuba yi-hypochloremia. Isenokuba ngenxa:

• Isifo seBartter
• Ukutsha
• Ukusilela kwentliziyo
• Ukuphelelwa ngamanzi emzimbeni
• Ukubila okugqithisileyo
• Hyperaldosteronism
• I-alkalosis yeMetabolic
• I-acidosis yokuphefumla (iyahlawulwa)
• Isifo se-diuretic hormone secretion esingalunganga (SIADH)
• Ukuhlanza

Olu vavanyo lunokwenziwa ukunceda ukukhupha okanye ukuxilonga:

• Uninzi lwe-endocrine neoplasia (MEN) II
• Isiseko sehyperparathyroidism

Uvavanyo lweSerum chloride

• Uvavanyo lwegazi

IGiavarina D.I-biochemistry yegazi: ukulinganisa ii-electrolyte ezinkulu zeplasma. Ku: Ronco C, Bellomo R, Kellum JA, Ricci Z, ii-eds. Unonophelo olubalulekileyo lweNephrology. Ngomhla wesi-3. IPhiladelphia, PA: Elsevier; I-2019: isahluko 54.

Seifter JR. Ukuphazamiseka kwesiseko se-Acid. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Umhla wama-25. IPhiladelphia, PA: Elsevier Saunders; 2016: isahl. 118.

Tolwani AJ, Saha MK, Wille KM. I-Metabolic acidosis kunye ne-alkalosis. Ku: Vincent JL, Abraham E, Moore FA, PM Kochanek, Fink MP, ii-eds. Incwadi yesikhokelo soKhathalelo oluBalulekileyo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 104.