Hōʻike koko Amonia

ʻO ke ana ʻana o ka amonia ke ana i ka pae o ka amonia i kahi hāpana koko.

Pono kahi laʻana koko.

E noi paha kāu mea mālama ola iā ʻoe e haʻalele i ka lawe ʻana i kekahi mau lāʻau e hiki ai ke hoʻololi i nā hopena hōʻike. Pākuʻi ʻia kēia mau mea:

• ʻAlekohola
• ʻO Acetazolamide
• ʻO Barbiturates
• ʻO Diuretics
• Nā Narcotics
• ʻAkika Valproic

ʻAʻole pono ʻoe e puhipaka ma mua o ka huki ʻia ʻana o kou koko.

Ke hoʻokomo ʻia ke kui kele e huki i ke koko, manaʻo kekahi poʻe i ka ʻeha kaulike. ʻIke wale kekahi i kahi ʻōniʻu a i ʻole kui. Ma hope, loaʻa paha i kahi kūpikipiki a i ʻole ka ʻūlū iki. Hele koke kēia.

Hana ʻia ʻo Ammonia (NH3) e nā hunaola ma loko o ke kino, keu hoʻi o nā ʻōpū, ke ake, a me nā puʻupaʻa. ʻO ka hapa nui o ka amonia i hana ʻia i ke kino e hoʻohana ʻia e ke akepaʻa e hana i ka urea. ʻO Urea kahi huahana neoneo, akā ʻoi aku ka liʻiliʻi o ka lāʻau ʻona ma mua o ka amonia. ʻAmiʻona ʻo Ammonia i ka lolo. Hiki iā ia ke kumu i ka huikau, ka haʻahaʻa o ka ikehu, a i kekahi manawa koma.

E hana ʻia paha kēia hōʻike inā loaʻa iā ʻoe, a i ʻole manaʻo paha kāu mea hāʻawi iā ʻoe, kahi kūlana e kumu ai i kahi kūkulu ʻona o ka amonia. Hoʻohana pinepine ʻia ia e hōʻoia a nānā i ka encephalopathy hepatic, kahi maʻi akepaʻa nui.

ʻO ka pae maʻamau he 15 a 45 µ / dL (11 a 32 µmol / L).

Hiki ke loli iki nā pae waiwai maʻamau i waena o nā hale hana ʻokoʻa. Hoʻohana kekahi mau labs i nā ana like ʻole a i ʻole hoʻokolohua i nā laʻana like ʻole. E kamaʻilio i kāu mea hāʻawi e pili ana i ke ʻano o kāu mau hopena hōʻike.

Hiki paha i nā hopena maʻamau ke hoʻonui i nā pae amonia i kou koko. Loaʻa paha kēia i kekahi o kēia mau mea:

• Ke kahe ʻana o Gastrointestinal (GI), maʻa mau i ka ʻaoʻao GI luna
• Nā maʻi genetic o ka pōʻai urea
• ʻO ke kino wela kiʻekiʻe (hyperthermia)
• ʻO ka maʻi kīwī
• Hoka kōpaʻa
• Low pae potassium pae (i ka poʻe me ka maʻi ate)
• Palekana pilikino (hānai naʻau)
• Reye maʻi maʻi
• Lāʻau make Salicylate
• Hooikaika kino mikiala
• Ureterosigmoidostomy (kahi hana e hana hou i ke kahakaha i kekahi mau maʻi)
• ʻO ka maʻi urinary tract me kahi bacteria i kapa ʻia Proteus mirabilis

Hiki i kahi papaʻai protein kiʻekiʻe ke hāpai i ka pae o ka amonia koko.

ʻAʻohe liʻiliʻi o ka lawe ʻia ʻana o kou koko. ʻOkoʻa nā aʻa a me nā aʻa i ka nui mai kekahi kanaka a i kekahi ʻē aʻe a mai kekahi ʻaoʻao o ke kino i kekahi. ʻOi aku ka paʻakikī o ka lawe ʻana i ke koko mai kekahi poʻe ma mua o nā poʻe ʻē aʻe.

ʻO nā pilikia ʻē aʻe e pili ana i ke kau ʻana o ke koko he liʻiliʻi, akā hiki ke hoʻopili ʻia:

• Kahe nui ke koko
• Pāleʻale a ʻoluʻolu paha
• Nā punctures he nui e ʻimi i nā uaua
• Hematoma (hōʻiliʻili koko ma lalo o ka ʻili)
• Maʻiʻaʻai (i iki kamepiula i kēlā me kēia manawa ka ʻili i haki)

ʻAmonia serum; Encephalopathy - amonia; Cirrhosis - amonia; Hoka kō ʻole - amonia

• Hōʻaʻo koko

Chernecky CC, Berger BJ. ʻAmonia (NH3) - ke koko a me ka mimi. I: Chernecky CC, Berger BJ, hua. Nā Hoʻokolohua Laboratory a me nā kaʻina hana Diagnostic. ʻElua huaʻōlelo St Louis, MO: Elsevier Saunders; 2013: 126-127.

Nevah MI, Fallon MB. Hepatic encephalopathy, hepatorenal syndrome, hepatopulmonary syndrome, a me nā ʻōnaehana ʻōnaehana o nā maʻi ate. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi Liver: Pathophysiology / Diagnosis / Management. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2016: chap 94.

ʻO Pincus MR, Tierno PM, Gleeson E, Bowne WB, Bluth MH. Ka loiloi i ka hana ate. I: McPherson RA, Pincus MR, hua. ʻO kā Henry's Clinical Diagnosis a me Management e nā Laboratory Methods. 23rd Ed. St Louis, MO: Elsevier; 2017: chap 21.