Hōʻike pH mimi
Ana kahi mimi pH mika i ka pae o ka waikawa i ka mimi.
Ma hope o kou hāʻawi ʻana i kahi mimi, hoʻāʻo koke ʻia ia. Hoʻohana ka mea mālama ola i kahi dipstick i hana ʻia me ka pale kala ʻole. Hoʻololi ke kala i ka dipstick i ka mea hāʻawi i ka pae o ka waikawa i kāu mimi.
E haʻi paha kāu mea lawelawe iā ʻoe e haʻalele i ka lawe ʻana i kekahi mau lāʻau i hiki ke hoʻololi i nā hopena o ka hoʻāʻo. Pākuʻi ʻia kēia mau mea:
- ʻO Acetazolamide
- ʻAmoniuma koleka
- Metelamine mandelate
- ʻO ka potassium citrate
- Sodium bicarbonate
- ʻO Thiazide diuretic
Mai hōʻoki i ka lawe ʻana i kekahi lāʻau i mua o ke kamaʻilio ʻana i kāu mea hāʻawi.
ʻAi i kahi papaʻai maʻamau, kaulike no nā lā he nui ma mua o ka hoʻāʻo. E hoʻomaopopo ia:
- ʻO kahi papaʻai kiʻekiʻe i nā huaʻai, nā lau, a me nā huahana waiū ʻaila ʻole hiki ke hoʻonui i kou pH mimi.
- Hiki i kahi papaʻai kiʻekiʻe i ka iʻa, nā huahana ʻai, a me ka tī ke hoʻēmi i kāu pH mimi.
Hoʻopili wale ka hōʻike i ka urination maʻamau wale nō. ʻAʻohe pilikia.
E kauoha paha kāu mea hāʻawi i kēia hoʻāʻo e nānā no nā loli i kāu pae mimi acid. Hana ʻia paha e ʻike inā ʻoe:
- Aia i ka pōpilikia o nā pōhaku hakuʻala. Hiki ke hana i nā ʻano pōhaku like ʻole e pili ana i ka acidic o kou mimi.
- Loaʻa i kahi ʻano metabolic, e like me ka acidosis tubular renal.
- Pono e lawe i kekahi mau lāʻau e mālama ai i nā maʻi maʻi urinary tract. ʻOi aku ka maikaʻi o kekahi mau lāʻau i ka waikawa a me nā mea ʻakika ʻole (alkaline).
Loaʻa nā kumukūʻai maʻamau mai ka pH 4.6 a i ka 8.0.
ʻO nā laʻana ma luna he ana maʻamau no nā hopena o kēia mau hoʻāʻo. 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 nā hoʻāʻo i nā laʻana like ʻole. E kamaʻilio i kāu mea hāʻawi e pili ana i ke ʻano o kāu mau hopena hōʻike.
ʻO kahi PH mimi kiʻekiʻe ma muli o:
- Nā hakuʻala ʻaʻole pono e hemo pono i nā waikawa (acidosis tubular kidney, i ʻike ʻia ʻo acidosis tubular renal)
- Hewa ʻole nā hakuʻala
- ʻ pumppuʻu ʻōpū (omo gastric)
- Maʻi ʻaʻai Urinary
- ʻO ka luaʻi
ʻO kahi pH mimi haʻahaʻa ma muli o:
- Ketoacidosis diabetes
- Pohā
- ʻO ka nui o ka waikawa i loko o nā kino o ke kino (acidabolic metabolic), e like me ka ketoacidosis diabetic
- Pololi
ʻAʻohe pilikia me kēia hōʻike.
pH - mimi
- ʻĀpana mimi wahine
- Hōʻike mimi PH
- ʻĀpana mimi kāne
Bushinsky DA. Pohaku hakuʻala. I: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. ʻO Williams Textbook of Endocrinology. 14th ed. Piladelapia, PA: Elsevier; 2020: chap 32.
DuBose TD. Nā maʻi o ke kaulike acid-base. I: Skorecki K, Chertow GM, Marsden PA, Taal MW, Yu ASL, eds. ʻO Brenner a me Rector's The Kidney. 10 o ka lā. Piladelapia, PA: Elsevier; 2016: chap 17.
Fogazzi GB, Garigali G. Urinalysis. I: Feehally J, Floege J, Tonelli M, Johnson RJ, eds. Nā Nephrology Haumāna piha. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2019: chap 4.
ʻO Riley RS, ʻo McPherson RA. Ninaninau maʻamau o ka mimi. 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 28.