Chloride - hoʻāʻo mimi

Ke ana ka mimi chloride i ka nui o ka chloride i kekahi ka mimi.

Ma hope o kou hāʻawi ʻana i kahi laʻana mimi, ua hoʻāʻo ʻia i ka lab. Inā pono, hiki i ka mea mālama ola ke noi iā ʻoe e hōʻiliʻili i kou mimi ma ka home ma kahi o 24 mau hola. E haʻi aku kāu mea hāʻawi iā ʻoe pehea e hana ai i kēia. E hāhai pono i nā ʻōkuhi i pololei nā hopena.

E noi ana kāu mea lawelawe iā ʻoe e haʻalele no ka manawa pōkole i nā lāʻau i hiki ke hoʻololi i ka hopena hōʻike. E haʻi i kāu mea hāʻawi e pili ana i nā lāʻau āpau āu e lawe ai, me:

• ʻO Acetazolamide
• Corticosteroids
• Nā lāʻau anti-inflammatory nonsteroidal (NSAIDs)
• Pila wai (diuretic lāʻau)

Mai hōʻoki i ka lawe ʻana i kekahi lāʻau i mua o ke kamaʻilio ʻana i kāu mea hāʻawi.

Hoʻopili wale ka hōʻike i ka urination maʻamau wale nō. ʻAʻohe pilikia.

E kauoha paha kāu mea hāʻawi i kēia hoʻāʻo inā loaʻa nā hōʻailona o kahi ʻano e hoʻopili i nā wai o ke kino a i ʻole ke kaulike acid-base.

ʻO ka palena maʻamau ʻo 110 a 250 mEq i kēlā me kēia lā i kahi hōʻiliʻili 24 mau hola. Aia kēia pae i ka nui o ka paʻakai a me ka wai āu e lawe ai.

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 hopena hoʻokolohua kikoʻī.

ʻO ke kiʻekiʻe ma mua o ka pae mimi chloride pae ma muli o:

• Hana haʻahaʻa o nā adrenal glands
• ʻO ka hoʻohaunaele o ka puʻupaʻa e hopena i ka lilo o ka paʻakai (nephropathy paʻakai-paʻakai)
• Pau ka potassium (mai ke koko a i ʻole ke kino)
• Iecaianoaaiiuo o ka maʻamau nui nui o ka mimi (polyuria)
• Nui ka paʻakai i ka papaʻai

ʻO ka pae haʻahaʻa o ka mimi chloride ma muli o:

• Kino paʻa i ka nui paʻakai (paʻakai paʻa)
• Cushing maʻi maʻi
• Hoʻoemi i ka lawe paʻakai
• Loli ka wai i kū me ka maʻi diarrhea, luaʻi, sweating, a me ka omo gastric
• Syndrome o ka huna huna ADH (SIADH)

ʻAʻohe pilikia me kēia hōʻike.

Mīkini mālamu

• ʻĀpana mimi wahine
• ʻĀpana mimi kāne

ʻO Segal A, Gennari FJ. Alkalosis Metabolic. I: Ronco C, Bellomo R, Kellum JA, Ricci Z, eds. Manaʻo koʻikoʻi koʻikoʻi nephrology. ʻEkolu huaʻōlelo. Piladelapia, PA: Elsevier; 2019: chap 13.

Tolwani AJ, Saha MK, Wille KM. Metabolic acidosis a me alkalosis. I: ʻO Vincent J-L, ʻo Abraham E, Moore FA, Kochanek PM, Fink MP, eds. Puke aʻo o ka mālama koʻikoʻi. ʻEpekema 7 Piladelapia, PA: Elsevier Saunders; 2017: chap 104.