Uvavanyo lwe-chlorine-umchamo

Uvavanyo lomchamo we-chloride ulinganisa inani le-chloride kumthamo othile womchamo.

Emva kokubonelela ngesampulu yomchamo, iyavavanywa elebhu. Ukuba kuyimfuneko, umboneleli wezempilo unokukucela ukuba uqokelele umchamo wakho ekhaya ngaphezulu kweeyure ezingama-24. Umboneleli wakho uya kukuxelela ukuba ungayenza njani le nto. Landela imiyalelo ngokuchanekileyo ukuze iziphumo zichaneke.

Umboneleli wakho uyakukucela ukuba uyeke okwexeshana nawaphi na amayeza anokuchaphazela iziphumo zovavanyo. Xelela umboneleli wakho ngawo onke amayeza owathathayo, kubandakanya:

• Acetazolamide
• ICorticosteroids
• Izidakamizwa ezichasayo ezichasayo (i-NSAID)
• Iipilisi zamanzi (amayeza e-diuretic)

SUKUYEKE ukuthatha nawaphi na amayeza ngaphambi kokuba uthethe nomboneleli wakho.

Uvavanyo lubandakanya kuphela ukuchama okuqhelekileyo. Akukho buhlungu.

Umboneleli wakho unokuyalela olu vavanyo ukuba unemiqondiso yemeko echaphazela amanzi emzimbeni okanye ibhalansi esisiseko seasidi.

Uluhlu oluqhelekileyo lu-110 ukuya kuma-250 mEq ngosuku ngengqokelela yeeyure ezingama-24. Olu luhlu luxhomekeke kwinani leetyuwa kunye nolwelo oluthathayo.

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 yesiphumo sakho sovavanyo.

Inqanaba eliphezulu kunomchamo oqhelekileyo womchamo kunokuba ngenxa:

• Umsebenzi ophantsi wedlala yamadlala
• Ukudumba kwezintso okukhokelela kwilahleko yetyuwa (ukulahleka kwetyuwa nephropathy)
• Ukuphela kwePotassium (egazini okanye emzimbeni)
• Ukuveliswa kwesixa esikhulu somchamo (polyuria)
• Ininzi ityuwa ekudleni

Ukuncipha kwenqanaba lomchamo wechloride kungakho ngenxa:

• Umzimba ophethe ityuwa eninzi (ukugcinwa kwesodiyamu)
• Isifo seCushing
• Ukuncipha kokutya ityuwa
• Ukulahleka kolwelo okwenzeka xa kukho urhudo, ukugabha, ukubila, kunye nokutsalwa sisisu
• Isifo sokungafuneki kwe-ADH (SIADH)

Akukho bungozi kolu vavanyo.

Ichloride yomchamo

• Iphecana lomchamo labasetyhini
• Indoda yokuchama

USegal A, uGennari FJ. I-alkalosis yeMetabolic. Ku: Ronco C, Bellomo R, Kellum JA, Ricci Z, ii-eds. Unonophelo olubalulekileyo lweNephrology. Ngomhla wesi-3. IPhiladelphia, PA: Elsevier; I-2019: isahluko 13.

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 Saunders; Ngo-2017: isahluko 104.