Uvavanyo lomchamo we-Osmolality

Uvavanyo lomchamo we-osmolality amanyathelo okuxinana kwamasuntswana kumchamo.

I-Osmolality inokulinganiswa kusetyenziswa uvavanyo lwegazi.

Isampulu yomchamo ococekileyo iyafuneka. Indlela yokubambisa ecocekileyo isetyenziselwa ukunqanda iintsholongwane ezivela kwilungu lobudoda okanye kwilungu lobufazi ekungeneni kwisampulu yomchamo. Ukuqokelela umchamo wakho, umboneleli wezempilo unokukunika ikiti yokubambisa ecocekileyo ekhethekileyo enesisombululo sokucoca kunye nokusula okungenazintsholongwane. Landela imiyalelo ngokuchanekileyo.

Umboneleli wakho unokukuxelela ukuba kuya kufuneka unciphise ukuthatha kwakho ulwelo iiyure ezili-12 ukuya kwezi-14 phambi kovavanyo.

Umboneleli wakho uya kukucela ukuba uyeke okwethutyana nawaphi na amayeza anokuchaphazela iziphumo zovavanyo. Qiniseka ukuba uxelela umboneleli wakho ngawo onke amayeza owathathayo, kubandakanya i-dextran kunye ne-sucrose. SUKUYEKE ukuthatha nawaphi na amayeza ngaphambi kokuba uthethe nomboneleli wakho.

Ezinye izinto zinokuchaphazela neziphumo zovavanyo. Xelela umboneleli wakho ukuba kutshanje:

• Ngaba wayenalo naluphi na uhlobo lwe-anesthesia yotyando.
• Kufunyenwe idayi efakwe ngaphakathi (umahluko ophakathi) kuvavanyo lokucinga njenge-CT okanye iMRI scan.
• Amayeza asetyenzisiweyo okanye amayeza endalo, ngakumbi amayeza amaTshayina.

Uvavanyo lubandakanya ukuchama okuqhelekileyo. Akukho buhlungu.

Olu vavanyo lunceda ukujonga ubungakanani bamanzi emzimbeni wakho kunye nokuxinana komchamo.

I-Osmolality ngumlinganiso ochanekileyo wokuchama komchamo kunokuvavanya umchamo othile.

Amaxabiso aqhelekileyo ngala alandelayo:

• Umzekelo ohleliweyo: 50 ukuya ku-1200 mOsm / kg (50 ukuya ku-1200 mmol / kg)
• Isithintelo se-12 ukuya kwi-14 yothintelo lwamanzi: Inkulu kune-850 mOsm / kg (850 mmol / kg)

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

Iziphumo ezingaqhelekanga ziboniswa ngolu hlobo lulandelayo:

Imilinganiselo ephezulu kunesiqhelo inokubonisa:

• Iincindi zamadlala azivelisi iihomoni ezaneleyo (isifo iAddison)
• Ukumelwa yintliziyo
• Inqanaba le-sodium ephezulu egazini
• Ukuphulukana nolwelo lomzimba (ukomisa)
• Ukunciphisa i-artery yezintso (i-renal artery stenosis)
• Umothuko
• Iswekile (iswekile) kumchamo
• Isifo sokungafuneki kwe-ADH (SIADH)

Ngaphantsi kwemilinganiselo eqhelekileyo kunokubonisa:

• Umonakalo kwiiseli zesifo sezintso (renal tubular necrosis)
• Isifo seswekile
• Ukusela ulwelo oluninzi
• Ukungaphumeleli kwezintso
• Inqanaba le-sodium ephantsi egazini
• Usulelo olunzima lwezintso (pyelonephritis)

Akukho bungozi kolu vavanyo.

• Uvavanyo lwe-Osmolality
• Iphecana lomchamo labasetyhini
• Indoda yokuchama
• Umchamo we-Osmolality-uthotho

I-Berl T, iisanti zeJM. Ukuphazamiseka kokucolwa kwamanzi. Ku: Feehally J, Floege J, Tonelli M, Johnson RJ, ii-eds. I-Clinical Nephrology epheleleyo. Umhla wesi-6. IPhiladelphia, PA: Elsevier; I-2019: isahluko 8.

I-Oh MS, i-Briefel G. Uvavanyo lomsebenzi we-renal, amanzi, ii-electrolyte, kunye ne-acid-base balance. Ku: McPherson RA, Pincus MR, ii-eds. Ukuchongwa kweKlinikhi kaHenry kunye noLawulo ngeendlela zeLebhu. Umhla we-23. ISt Louis, MO: Elsevier; Ngo-2017: isahluko 14.