Uvavanyo lokucoceka kwe-Creatinine
Uvavanyo lokucaca kwe-creatinine lunceda ukubonelela ngolwazi malunga nokuba zisebenza njani izintso. Uvavanyo luthelekisa inqanaba le-creatinine kumchamo kunye nenqanaba le-creatinine egazini.
Olu vavanyo lufuna zombini isampulu yomchamo kunye nesampulu yegazi. Uya kuqokelela umchamo wakho iiyure ezingama-24 emva koko uthathwe igazi. Landela imiyalelo ngokuchanekileyo. Oku kuqinisekisa iziphumo ezichanekileyo.
Umboneleli wakho wokhathalelo lwempilo unokukucela ukuba uyeke okwethutyana na nawaphi na amayeza anokuchaphazela iziphumo zovavanyo. Oku kubandakanya amayeza okubulala iintsholongwane kunye namayeza e-asidi esiswini. Qiniseka ukuba uxelela umboneleli wakho ngawo onke amayeza owathathayo.
SUKUYEKE ukuthatha nawaphi na amayeza ngaphambi kokuba uthethe nomboneleli wakho.
Uvavanyo lomchamo lubandakanya kuphela ukuchama okuqhelekileyo. Akukho buhlungu.
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-Creatinine yimveliso yenkunkuma yemichiza yendalo. I-Creatine yikhemikhali eyenziwa ngumzimba ukubonelela ngamandla, ngakumbi izihlunu.
Ngokuthelekisa inqanaba le-creatinine kumchamo kunye nenqanaba le-creatinine egazini, uvavanyo lwe-creatinine clearance the glomerular filtration rate (GFR). I-GFR linyathelo lokusebenza kakuhle kwezintso, ngakumbi iiyunithi zokucoca izintso. Ezi yunithi zokucoca zibizwa ngokuba yi-glomeruli.
I-Creatinine iyasuswa, okanye icocwe, emzimbeni ngokupheleleyo zizintso. Ukuba umsebenzi wezintso awuqhelekanga, inqanaba le-creatinine lonyuka egazini kuba i-creatinine encinci ikhutshwa ngomchamo.
Ukucoca kuhlala kulinganiswa njengeemililitha ngomzuzu (mL / min) okanye ngeemililitha ngomzuzwana (mL / s). Amaxabiso aqhelekileyo ngala:
- Indoda: 97 ukuya kwi-137 ml / min (1.65 ukuya kwi-2.33 mL / s).
- Umfazi: 88 ukuya kwi-128 mL / min (14.96 ukuya ku-2.18 mL / s).
Amaxabiso esiqhelo ahluka kancinci phakathi kweelebhu ezahlukeneyo. Ezinye iilebhu zisebenzisa imilinganiselo eyahlukeneyo okanye ukuvavanya iisampulu ezahlukeneyo. Thetha nogqirha wakho ukuze wazi ngentsingiselo yeziphumo zovavanyo lwakho.
Iziphumo ezingaqhelekanga (ezantsi kunendawo yesiqhelo yokudala) zingabonisa:
- Iingxaki zezintso, ezinje ngomonakalo kwiiseli ezinetyhubhu
- Ukungaphumeleli kwezintso
- Ukuhamba kwegazi okuncinci ukuya kwizintso
- Ukonakala kweeyunithi zokucoca izintso
- Ukuphulukana nolwelo lomzimba (ukomisa)
- Isithintelo esivelisa isinyi
- Ukumelwa yintliziyo
Akukho mngcipheko ubandakanyekileyo ekuthatheni igazi 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)
Ukucoca i-Serum creatinine; Umsebenzi sezintso - creatinine kugqitywe; Umsebenzi we-renal - imvume yokudala
- Uvavanyo lwe-creatinine
Landry DW, Bazari H. Indlela eya kwisigulana esinesifo sezintso. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 106.
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.