Uvavanyo lwe-pH yomchamo

Uvavanyo lomchamo we-pH ulinganisa inqanaba le-asidi kumchamo.

Emva kokuba unikeze isampuli yomchamo, ivavanywa kwangoko. Umboneleli ngononophelo lwempilo usebenzisa idipstick eyenziwe ngephedi enovakalelo lombala. Utshintsho lombala kwi-dipstick luxelela umboneleli ngenqanaba le-asidi kumchamo wakho.

Umboneleli wakho angakuxelela ukuba uyeke ukuthatha amayeza athile anokuchaphazela iziphumo zovavanyo. Oku kunokubandakanya:

• Acetazolamide
• Ammonium chloride
• Isigunyaziso seMethenamine
• Potassium citrate
• Isodium bicarbonate
• I-Thiazide yomchamo

SUKUYEKE ukuthatha nawaphi na amayeza ngaphambi kokuba uthethe nomboneleli wakho.

Yitya ukutya okuqhelekileyo, okunesondlo kwiintsuku ezininzi ngaphambi kovavanyo. Qaphela oko:

• Ukutya okuphezulu kwiziqhamo, imifuno, okanye iimveliso zobisi ezingezizo ezitshizi kunokunyusa umchamo wakho pH.
• Ukutya okuphezulu kwintlanzi, iimveliso zenyama, okanye itshizi kunokunciphisa umchamo wakho pH.

Uvavanyo lubandakanya kuphela ukuchama okuqhelekileyo. Akukho buhlungu.

Umboneleli wakho unoku-odola olu vavanyo ukukhangela utshintsho kumanqanaba e-acid yomchamo. Kungenziwa ukubona ukuba:

• Ngaba basemngciphekweni wamatye ezintso. Iindidi ezahlukeneyo zamatye zingenza ngokuxhomekeka kwindlela umchamo wakho omuncu ngayo.
• Unesimo se-metabolic, esifana ne-renal tubular acidosis.
• Kufuneka uthathe amayeza athile ukunyanga usulelo lomchamo. Amanye amayeza asebenza ngakumbi xa umchamo une-asidi okanye i-asidi (i-alkaline).

Amaxabiso aqhelekileyo aqala kwi-pH 4.6 ukuya kwi-8.0.

Imizekelo engentla yimilinganiselo eqhelekileyo yeziphumo zolu vavanyo. Amaxabiso esiqhelo ahluka kancinci phakathi kweelebhu ezahlukeneyo. Ezinye iilebhu zisebenzisa imilinganiselo eyahlukeneyo okanye ukuvavanya iisampulu ezahlukeneyo. Thetha nomboneleli wakho malunga nentsingiselo yeziphumo zakho zovavanyo.

Umchamo ophezulu we-pH unokubangelwa:

• Izintso ezingasusi ngokufanelekileyo ii-asidi (i-kidney tubular acidosis, ekwabizwa ngokuba yi-renal tubular acidosis)
• Ukungaphumeleli kwezintso
• Ukupompa isisu (ukutsala esiswini)
• Usulelo lwe-Urinary tract
• Ukuhlanza

Umchamo ophantsi pH unokubangelwa:

• I-ketoacidosis yeswekile
• Urhudo
• I-asidi eninzi kulwelo lomzimba (i-metabolic acidosis), enje ngesifo seswekile ketoacidosis
• Indlala

Akukho bungozi kolu vavanyo.

pH - umchamo

• Iphecana lomchamo labasetyhini
• Uvavanyo lomchamo we-PH
• Indoda yokuchama

Bushinsky DA. Amatye eentso. Ku: UMelmed S, uAuchus RJ, uGoldfine AB, uKoenig RJ, uRosen CJ, ii-eds. Incwadi ebhaliweyo kaWilliam ye-Endocrinology. Umhla we-14. IPhiladelphia, PA: Elsevier; 2020: isahluko 32.

I-DuBose TD. Ukuphazamiseka kokulingana kwe-acid-base. Ku: Skorecki K, Chertow GM, Marsden PA, Taal MW, Yu ASL, ii-eds. Brenner kunye noMphathi weZintso. Ngomhla we-10. IPhiladelphia, PA: Elsevier; 2016: isahluko 17.

I-Fogazzi GB, Garigali G. Urinalysis. Ku: Feehally J, Floege J, Tonelli M, Johnson RJ, ii-eds. I-Clinical Nephrology epheleleyo. Umhla wesi-6. IPhiladelphia, PA: Elsevier; I-2019: isahluko 4.

URiley RS, uMcPherson RA. Uvavanyo olusisiseko lomchamo. Ku: McPherson RA, Pincus MR, ii-eds. Ukuchongwa kweKlinikhi kaHenry kunye noLawulo ngeendlela zeLebhu. Umhla we-23. ISt Louis, MO: Elsevier; Ngo-2017: isahluko 28.