Hōʻike mimi Osmolality

ʻO ke aniani o ka mimi osmolality ke ana i ka nui o nā huna i ka mimi.

Hiki ke ana ʻia i ka Osmolality me ka hoʻāʻo ʻana i ke koko.

Pono kahi laʻana mimi hoʻomaʻemaʻe. Hoʻohana ʻia ke ʻano hoʻomaʻemaʻe hopu i mea e pale aku ai i nā g germ mai ka peni a i ʻole ka puki mai ke komo ʻana i kahi mimi. No ka hōʻiliʻili ʻana i kou mimi, hāʻawi ka mea mālama ola iā ʻoe i kahi pahu hopu hoʻomaʻemaʻe kūikawā i loaʻa ka hopena hoʻomaʻemaʻe a me nā holoi holoi. E hahai pololei i nā ʻōkuhi.

E haʻi paha kāu mea lawelawe iā ʻoe pono ʻoe e kaohi i kāu lawe wai i 12 a 14 mau hola ma mua o ka hoʻāʻo.

E noi ana kāu mea lawelawe iā ʻoe e haʻalele no ka manawa pōkole i nā lāʻau i hiki ke hoʻololi i nā hopena hōʻike. E pono e haʻi aku i kāu mea hoʻolako e pili ana i nā lāʻau āpau āu e lawe ai, e like me ka dextran a me ka sucrose. Mai hōʻoki i ka lawe ʻana i kekahi lāʻau i mua o ke kamaʻilio ʻana i kāu mea hāʻawi.

Hiki i nā mea ʻē aʻe ke hoʻopili i nā hopena hōʻike. E haʻi i kāu mea hāʻawi inā ʻoe i kēia manawa:

• Loaʻa kekahi ʻano anesthesia no kahi hana.
• Loaʻa ka pena intravenous (medium medium) no kahi hōʻike kiʻi e like me ka scan CT a MRI paha.
• Nā mea kanu i hoʻohana ʻia a i ʻole nā ​​mea lapaʻau kūlohelohe, ʻo nā mea kanu Kina hoʻi.

Hoʻopili ka hōʻike i ka urination maʻamau. ʻAʻohe pilikia.

Kōkua kēia hoʻāʻo e nānā i ke kaulike wai o kou kino a me ka mimiki.

ʻO ke Osmolality kahi ana kikoʻī ʻoi loa o ka mimi ma mua o ka miki kikoʻī kikoʻī gravity.

Penei nā waiwai maʻamau:

• Hoʻohālike kaulike: 50 a 1200 mOsm / kg (50 a 1200 mmol / kg)
• 12 a 14 mau hola kaohi kapu: ʻoi aku ma mua o 850 mOsm / kg (850 mmol / kg)

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.

Hōʻike ʻia nā hopena kūpono ʻole penei:

ʻOi aku ma mua o nā ana maʻamau e hōʻike ai:

• ʻAʻole hana nā adrenal adrenal i nā hormona (Addison maʻi)
• Hewa puʻuwai
• ʻO ke kiʻekiʻe sodium kiʻekiʻe i ke koko
• Loaʻa ka wai o ke kino (make wai)
• Pahu o ke aʻa puʻuwai (renal artery stenosis)
• Pāhaʻi
• Sugar (glucose) i ka mimi
• Syndrome o ka huna huna ADH (SIADH)

Hōʻike ka haʻahaʻa ma lalo o nā ana maʻamau:

• Poino i nā puʻupaʻa tubule hakuʻala (necrosis tubular renal)
• Insipidus diabetes
• Ke inu nui nei i ka wai
• Hewa ʻole nā ​​hakuʻala
• Ka pae sodium haʻahaʻa i ke koko
• ʻO ka maʻi ʻino nui (pyelonephritis)

ʻAʻohe pilikia me kēia hōʻike.

• Hōʻike Osmolality
• ʻĀpana mimi wahine
• ʻĀpana mimi kāne
• Mimi Osmolality - moʻo

Berl T, Ke one JM. Nā maʻi o ka wai metabolism. I: Feehally J, Floege J, Tonelli M, Johnson RJ, eds. Nā Nephrology Haumāna piha. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2019: chap 8.

ʻO MS, Briefel G. Ka loiloi ʻana i ka hana o ke kōpaʻa, ka wai, nā electrolytes, a me ke kaulike acid-base. 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 14.