Uvavanyo lwegazi lwe-Ammonia

Uvavanyo lwe-ammonia lilinganisa inqanaba le-ammonia kwisampulu yegazi.

Isampulu yegazi iyafuneka.

Umboneleli wakho wezempilo unokucela ukuba uyeke ukuthatha amachiza athile anokuchaphazela iziphumo zovavanyo. Oku kubandakanya:

• Utywala
• Acetazolamide
• IiBarbiturates
• Womchamo
• Iziyobisi
• I-Valproic acid

Akufanele utshaye ngaphambi kokuba utsale igazi lakho.

Xa kufakwa inaliti ukutsala igazi, abanye abantu baziva iintlungu eziphakathi. Abanye baziva behlaba okanye behlaba kuphela. Emva koko, kunokubakho ukubetha okanye ukukrala kancinci. Oku kuya kuhamba kungekudala.

I-Ammonia (NH3) iveliswa ziiseli kuwo wonke umzimba, ngakumbi amathumbu, isibindi kunye nezintso. Uninzi lwe-ammonia eveliswe emzimbeni isetyenziswa sisibindi ukuvelisa i-urea. I-Urea nayo iyimveliso yenkunkuma, kodwa ayinetyhefu encinci kune-ammonia. I-Ammonia iyityhefu ngakumbi kwingqondo. Ingabangela ukudideka, amandla aphantsi, kwaye ngamanye amaxesha isiqaqa.

Olu vavanyo lunokwenziwa ukuba unayo, okanye umboneleli wakho ucinga ukuba unayo, imeko enokubangela i-ammonia eyityhefu eyityhefu. Ngokuqhelekileyo kusetyenziswa ukuxilonga nokubeka iliso kwi-hepatic encephalopathy, isifo sesibindi esibi.

Uluhlu oluqhelekileyo yi-15 ukuya kwi-45 µ / dL (11 ukuya kwi-32 µmol / L).

Amaxabiso esiqhelo ahluka kancinci phakathi kweelebhu ezahlukeneyo. Ezinye iilebhu zisebenzisa imilinganiselo eyahlukeneyo okanye zinokuvavanya iisampulu ezahlukeneyo. Thetha nomboneleli wakho malunga nentsingiselo yeziphumo zakho zovavanyo.

Iziphumo ezingaqhelekanga zinokuthetha ukuba unyukile amanqanaba e-ammonia egazini lakho. Oku kungakho ngenxa yoku kulandelayo:

• Ukuphuma kwamathumbu emathunjini (GI), ngokuqhelekileyo kwiphepha eliphezulu le-GI
• Izifo zemfuza zomjikelo we-urea
• Ubushushu bomzimba obuphezulu (hyperthermia)
• Isifo sezintso
• Ukungaphumeleli kwesibindi
• Iqondo eliphantsi le-potassium yegazi (kubantu abanesifo sesibindi)
• Isondlo sabazali (isondlo ngumthambo)
• Isifo seReye
• Ityhefu yeSalicylate
• Ukusebenza ngamandla kwemisipha
• I-Ureterosigmoidostomy (inkqubo yokwakha ngokutsha umchamo kwizifo ezithile)
• Usulelo lwe-Urinary tract kunye ne-bacteria ebizwa Iproteus mirabilis

Ukutya okuneproteni ephezulu kunokuphakamisa nenqanaba le-ammonia yegazi.

Akukho mngcipheko wokuthathwa kwegazi lakho. Imithambo kunye nemithambo iyahluka ngobukhulu ukusuka komnye umntu ukuya komnye nakwelinye icala lomzimba liye kwelinye. Ukuthatha igazi kwabanye abantu kunokuba nzima ngakumbi kunabanye.

Eminye imingcipheko enxulumene nokutsalwa kwegazi incinci, kodwa inokubandakanya:

• Ukopha kakhulu
• Ukufa isiqaqa okanye ukuziva ungenantloko
• Ukugqobhoza okuninzi ukufumana imithambo
• I-Hematoma (igazi eliqokelela phantsi kwesikhumba)
• Usulelo (umngcipheko omncinci nangaliphi na ixesha ulusu lwaphukile)

I-serum ammonia; Encephalopathy - ammonia; Ukuqina - ammonia; Ukungaphumeleli kwesibindi - i-ammonia

• Uvavanyo lwegazi

IChernecky CC, iBerger BJ. I-Ammonia (NH3) - igazi kunye nomchamo. Ku: IChernecky CC, iBerger BJ, ii-eds. Iimvavanyo zaselebhu kunye neenkqubo zokuqonda isifo. Umhla wesi-6. ISt Louis, MO: Elsevier Saunders; Ngo-2013: 126-127.

INevah MI, Fallon MB. I-hepatic encephalopathy, i-hepatorenal syndrome, i-hepatopulmonary syndrome, kunye nezinye iingxaki zesifo sesibindi. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Amathumbu kunye nezifo zesibindi: iPathophysiology / Diagnosis / Management. Ngomhla we-10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 94.

UPincus MR, u-Tierno PM, uGleeson E, uBowne WB, uBluth MH. Ukuvavanywa kokusebenza kwesibindi. Ku: McPherson RA, Pincus MR, ii-eds. Ukuchongwa kweKlinikhi kaHenry kunye noLawulo ngeendlela zeLebhu. Umhla we-23. ISt Louis, MO: Elsevier; I-2017: isahluko 21.