Hōʻike koko CO2

ʻO CO2 ʻo carbon dioxide. Kūkākūkā kēia ʻatikala i ka hoʻokolohua keʻena hoʻokolohua e ana i ka nui o carbon dioxide i ka ʻāpana wai o kou koko, i kapa ʻia ka serum.

I ke kino, ka hapa nui o ka CO2 ma ke ʻano o kahi mea i kapa ʻia bicarbonate (HCO3-).No laila, ʻo ka hoʻāʻo koko koko kahi ana maoli ia o kāu pae o ke koko bikarbonate.

Pono kahi laʻana koko. ʻO ka hapanui o ka manawa e huki ʻia ke koko mai kahi aa i waiho ʻia ma loko o ka kuʻe lima a i ʻole ka hope o ka lima.

Hiki i nā lāʻau he nui ke hoʻopilikia i nā hopena hōʻike koko.

• E haʻi aku kāu mea mālama ola inā pono ʻoe e hōʻoki i ka lawe ʻana i nā lāʻau i mua o ka loaʻa ʻana o kēia hōʻike.
• Mai kū a hoʻololi paha i kāu mau lāʻau me ke kamaʻilio ʻole mua ʻana i kāu mea hāʻawi.

Hiki paha iā ʻoe ke ʻeha iki a i ʻole ke kuʻi ke hoʻokomo ʻia o ka nila. Hiki paha iā ʻoe ke hāwele i kahi kani ma ka pūnaewele ma hope o ka huki ʻia ʻana o ke koko.

Hana pinepine ʻia ka hōʻike CO2 ma ke ʻano he ʻāpana o ka electrolyte a i ʻole ka panel metabolic maʻamau. Hōʻike paha nā loli i kāu pae CO2 e lilo ana ʻoe a i ʻole ka mālama ʻana i ka wai. Hiki i kēia ke kumu i kahi kaulike ʻole o nā electrolytes o kou kino.

Hoʻopilikia ʻia nā pae o ke koko e ka hakuʻala a me ka hana māmā. Kōkua nā puʻupaʻa i ka mālama ʻana i nā pae bicarbonate maʻamau.

ʻO ka pae maʻamau he 23 a 29 mau milliequivalents i kēlā me kēia lita (mEq / L) a i ʻole 23 a 29 mau millimoles i kēlā me kēia lita (mmol / L).

Hiki ke loli iki nā pae waiwai maʻamau i waena o nā hale hana ʻokoʻa. E kamaʻilio i kāu mea hāʻawi e pili ana i ke ʻano o kāu mau hopena hōʻike.

Hōʻike ka laʻana ma luna i ke ana maʻamau o nā hualoaʻa no kēia mau hoʻāʻo. Hoʻohana kekahi mau keʻena hoʻokolohua i nā ana like ʻole a i ʻole hoʻokolohua i nā hoʻohālikelike like ʻole.

Nā pae maʻamau paha ma muli o kēia mau pilikia.

Nā pae haʻahaʻa ma mua o ka maʻamau:

• Maʻi Addison
• Pohā
• Lāʻau make ʻai ʻo Ethylene glycol
• ʻO Ketoacidosis
• ʻO ka maʻi kīwī
• Losis acidosis
• ʻAtosis metabolabolic
• ʻIngkehu metanol
• Acidosis tubular hōʻino; distal
• Renal acid tubular acidosis; koke
• Alkalosis hanu (uku ʻia)
• Salicylate toxicity (e like me ka aspirin overdose)
• Hoʻololi ureteral

Nā kūlana kiʻekiʻe ma mua o ka maʻamau:

• ʻO Bartter Syndrome
• Cushing maʻi maʻi
• ʻO Hyperaldosteronism
• Alkalosis Metabolic
• Respiratory acidosis (compensated)
• ʻO ka luaʻi

Hiki paha i Delirium ke hoʻololi i nā pae bicarbonate.

Hōʻike Bicarbonate; HCO3-; Hōʻike ʻāpana kalapona; TCO2; Huina CO2; Hōʻike CO2 - serum; ʻO Acidosis - CO2; Alkalosis - CO2

ʻO Ring T, Acology-base physiology a me nā hōʻailona o nā maʻi. I: Ronco C, Bellomo R, Kellum JA, Ricci Z, eds. Manaʻo koʻikoʻi koʻikoʻi nephrology. ʻEkolu huaʻōlelo. Piladelapia, PA: Elsevier; 2019: chap 65.

Seifter JL. Nā maʻi kūmole. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 118.