Nā Pae Amonia

Anter

• He aha ka hōʻike amonia pae?
• No ke aha ia e hoʻohana ai?
• No ke aha wau e pono ai i kahi pae amonia hōʻoia?
• He aha ka hana i ka wā o ka hoʻokolohua pae amonia?
• Pono wau e hana i kekahi mea e hoʻomākaukau ai no ka hoʻāʻo?
• Aia kekahi mau pilikia i ka hoʻāʻo?
• He aha ke ʻano o nā hopena?
• Aia kekahi mea ʻē aʻe e pono iaʻu e ʻike e pili ana i kahi hōʻike pae amonia?
• Nā kūmole

He aha ka hōʻike amonia pae?

Ana kēia hōʻike i ke kiʻekiʻe o ka amonia i kou koko. ʻO Ammonia, i ʻike ʻia ʻo NH3, kahi huahana ʻōpala i hana ʻia e kou kino i ka wā o ka digestion o ka protein. ʻO ka maʻamau, hana ʻia ka amonia i ke akepaʻa, kahi e hoʻololi ʻia ai i kahi huahana ʻōpala ʻē aʻe i kapa ʻia ʻo urea. Hoʻoholo ʻia ʻo Urea ma ke kino i ka mimi.

Inā ʻaʻole hiki i kou kino ke hana a hoʻopau paha i ka amonia, kūkulu ia i ke kahe o ke koko. Hiki i nā pae amonia kiʻekiʻe i ke koko ke alakaʻi i nā pilikia olakino koʻikoʻi, me ka ʻino o ka lolo, koma, a me ka make pū kekahi.

Hoʻokumu pinepine ʻia nā pae amonia kiʻekiʻe i ke koko e ka maʻi ate. ʻO nā kumu ʻē aʻe e laʻa me nā kīnā ʻole a me nā ʻano maʻi ʻole.

Nā inoa ʻē aʻe: Hōʻike NH3, hoʻāʻo amonia koko, serum amonia, amonia; plasma

No ke aha ia e hoʻohana ai?

Hiki ke hoʻohana ʻia kahi hōʻoia pae amonia e kuhikuhi a / a i ʻole e nānā i nā kūlana i kumu i nā pae amonia kiʻekiʻe. Pākuʻi ʻia kēia mau mea:

• Hepatic encephalopathy, kahi kūlana e hana ana ke maʻi a ʻeha paha ke akepaʻa e hana pono i ka amonia. I kēia maʻi, kūkulu ka amonia i loko o ke koko a hele i ka lolo. Hiki iā ia ke kumu i ka huikau, disorientation, coma, a me ka make pū kekahi.
• Reye maʻi maʻi, kahi kūlana koʻikoʻi a make hoʻi i kekahi manawa e hōʻino i ke ake a me ka lolo. Hoʻololi ka hapa nui i nā keiki a me nā ʻōpio e ola nei mai nā maʻi viral e like me ka moa pox a me ka maʻi flu a ua lawe i ka aspirin e mālama i ko lākou mau maʻi. ʻAʻole ʻike ʻia ke kumu o Reye Syndrome. Akā ma muli o ka makaʻu, ʻaʻole pono nā keiki a me nā ʻōpio e lawe i ka aspirin ke ʻole i kuhikuhi pono ʻia e kāu mea mālama ola.
• Nā maʻi pōʻai Urea, nā kīnā kūpilikiʻi ʻole e hoʻopili i ka hiki i ke kino ke hoʻololi i ka amonia i urea.

Hiki ke hoʻohana ʻia ka hoʻokolohua e kiaʻi ai i ka maikaʻi o ka mālama ʻana no ka maʻi ate a i ʻole ke kō ʻana o ka hakuʻala.

No ke aha wau e pono ai i kahi pae amonia hōʻoia?

Pono ʻoe i kēia hōʻoia inā loaʻa ʻoe i ka maʻi ate a ke hōʻike nei i nā hōʻailona o kahi maʻi lolo. ʻO nā hōʻailona me:

• Huikau
• Ka hiamoe nui loa
• ʻO Disorientation, ke ʻano o ka huikau e pili ana i ka manawa, kahi, a me / a i ʻole nā ​​wahi a puni
• Swings hāhuli
• Haʻalulu lima

Pono paha kāu keiki i kēia hōʻoia inā loaʻa iā ia nā ʻōuli o Reye Syndrome. Pākuʻi ʻia kēia mau mea:

• ʻO ka luaʻi
• Hiamoe
• Huhū
• Ka hopu ʻana i nā maʻi

Pono paha kāu pēpē hānau hou i kēia hōʻoia inā loaʻa iā ia kekahi o nā ʻōuli i luna. ʻO nā hōʻailona like he hōʻailona paha ia o ka ulia pōʻaiapuni urea.

He aha ka hana i ka wā o ka hoʻokolohua pae amonia?

E lawe kahi ʻoihana mālama ola i kahi laʻana koko mai kahi aa i kou lima, e hoʻohana ana i kahi nila kuʻikuʻi. Ma hope o ka hoʻokomo ʻia ʻana o ka nila, e hōʻiliʻili ʻia kahi koko liʻiliʻi i loko o kahi pahu hoʻāʻo a ipu paha. Hiki paha iā ʻoe ke ʻoni iki i ka wā e hele ai a kuʻi paha ka nila. Lōʻihi kēia ma mua o ʻelima mau minuke.

No ka hoʻāʻo ʻana i kahi hānau hou, e hoʻomaʻemaʻe kahi mea mālama ola i kou kuʻekuʻe wāwae o kāu pēpē me ka waiʻona a kuʻi i ka kuʻekuʻe wāwae me kahi nila liʻiliʻi. E hōʻiliʻili ka mea hāʻawi i kahi mau kulu o ke koko a kau i kahi kaula ma ka pūnaewele.

Pono wau e hana i kekahi mea e hoʻomākaukau ai no ka hoʻāʻo?

ʻAʻole pono ʻoe e hoʻoikaika a puhi paka paha ma kahi o ʻewalu mau hola ma mua o ka hoʻāʻo ʻana o ka amonia.

ʻAʻole pono nā pēpē i kahi hoʻomākaukau kūikawā ma mua o ka hoʻāʻo.

Aia kekahi mau pilikia i ka hoʻāʻo?

ʻAʻohe liʻiliʻi loa i ka hōʻoia ʻana o ke koko. Loaʻa paha iā ʻoe a ʻo kāu keiki paha ka ʻeha a ʻeha paha ma kahi i hoʻokomo ʻia ai ka nila, akā ʻo ka hapa nui o nā ʻōuli hele koke aku.

He aha ke ʻano o nā hopena?

Inā hōʻike kāu hopena i nā pae kiʻekiʻe o ka amonia i loko o ke koko, he hōʻailona paha ia o kekahi o nā ʻano penei:

• Nā maʻi akepaʻa, e like me cirrhosis a i ʻole hepatitis
• Hepatic encephalopathy
• ʻO ka maʻi kīwī a i ʻole kūleʻa ʻole ka hakuʻala

I nā keiki a me nā ʻōpio, he hōʻailona paha ia o Reye Syndrome.

I nā pēpē, hiki i nā pae amonia kiʻekiʻe ke hōʻailona o kahi maʻi genetical o ka pōʻai urea a i ʻole kahi ʻano i kapa ʻia he maʻi hemolytic o ka hānau hou. Hana kēia maʻi i ka wā e hoʻomohala ai kahi makuahine i nā hunaola koko o kāna pēpē.

Inā ʻaʻole maʻamau kāu mau hopena, pono i kāu mea mālama ola e kauoha i nā hoʻokolohua hou aku e ʻike i ke kumu o kāu kiʻekiʻe amonia kiʻekiʻe. E hilinaʻi kāu papa hana i kāu ʻike kikoʻī.

Inā he mau nīnau kāu e pili ana i kāu hopena, e kamaʻilio me kāu kauka olakino.

E aʻo hou aʻe e pili ana i nā hoʻokolohua hoʻokolohua, nā pae kuhikuhi, a me ka hoʻomaopopo ʻana i nā hopena.

Aia kekahi mea ʻē aʻe e pono iaʻu e ʻike e pili ana i kahi hōʻike pae amonia?

Manaʻo kekahi poʻe lawelawe mālama ola i ke koko mai kahi aʻa e hāʻawi i ka ʻike kūpono e pili ana i ka amonia ma mua o ke koko mai kahi aa. No ka loaʻa ʻana o kahi laʻana o ke koko arterial, e hoʻokomo kahi mea hāʻawi i kahi syringe i loko o ke aʻa i kou lima, kuʻekuʻe lima, a i ʻole ʻuluna. ʻAʻole hoʻohana pinepine ʻia kēia ʻano hoʻokolohua.

Nā kūmole

1. ʻO ka Foundation Liver Liver. [Pūnaewele]. NūIoka: ʻAmelika Hui Pūnaewele Liver; c2017. ʻIke i ka Hepatic Encephalopathy; [helu ʻia 2019 Jul 17]; [ma kahi o 4 pale]. Loaʻa mai: https://liverfoundation.org/for-patients/about-the-liver/diseases-of-the-liver/hepatic-encephalopathy/diagnosing-hepatic-encephalopathy/#what-are-the-symptoms
2. ʻO Hinkle J, Cheever K. Brunner & Suddarth's Handbook of Laboratory and Diagnostic Tests. ʻO Ed Ed, Kindle. Piladelapia: Wolters Kluwer Health, Lippincott Williams & Wilkins; c2014. ʻAmonia, Plasma; p. 40.
3. Nā Hoʻokolohua Lab ma ka Pūnaewele [Pūnaewele]. Wakinekona D.C.; ʻAhahui ʻAmelika no ka Chemical Clinical; c2001–2019. Ammonia [hōʻano hou ʻia 2019 Jun 5; i helu ʻia ʻo 2019 Jul 10]; [ma kahi o 2 pale]. Loaʻa mai: https://labtestsonline.org/tests/ammonia
4. Merck Manual Mea Kūʻai Manuahi [Pūnaewele]. Kenilworth (NJ): Merck & Co., Inc. c2019. Hepatic Encephalopathy [hōʻano hou ʻia 2018 Mei; i helu ʻia ʻo 2019 Jul 10]; [ma kahi o 2 pale]. Loaʻa mai: https://www.merckmanuals.com/home/liver-and-gallbladder-disorder/manifestations-of-liver-disease/hepatic-encephalopathy?query=ammonia
5. Ka Papa ʻInikena Kanaka Makahiki [Pūnaewele]. Bethesda (MD): Ke Keʻena ʻOihana Ola a me nā lawelawe kanaka; Ka Papa Kuhikuhi NCI o nā ʻōlelo maʻi ʻaʻai: hōʻino; [helu ʻia 2019 Jul 17]; [ma kahi o 4 pale]. Loaʻa mai: https://www.cancer.gov/publications/dictionaries/cancer-terms/def/disorientation
6. National Heart, Lung, and Blood Institute [Pūnaewele]. Bethesda (MD): Ke Keʻena ʻOihana Ola a me nā lawelawe kanaka; Nā ho'āʻo koko [i helu ʻia 2019 Jul 10]; [ma kahi o 3 pale]. Loaʻa mai: https://www.nhlbi.nih.gov/health-topics/blood-tests
7. Naylor EW. ʻO ka loiloi hānau hou no nā maʻi pōʻai urea. Pediatrics [Pūnaewele]. 1981 Sep [helu ʻia 2019 Jul 10]; 68 (3): 453-7. Loaʻa mai: https://pediatrics.aappublications.org/content/68/3/453.long
8. NIH U.S. National Library of Medicine: Genetics Home Reference [Pūnaewele]. Bethesda (MD): Ke Keʻena ʻOihana Ola a me nā lawelawe kanaka; Pehea e hana ʻia ai ka loiloi hou ?; 2019 Jul 9 [kuhi ʻia 2019 Jul 10]; [ma kahi o 3 pale]. Loaʻa mai: https://ghr.nlm.nih.gov/primer/newbornscreening/nbsprocedure
9. UF Health: Ke Kulanui o Florida Health [Pūnaewele]. Gainesville (FL): Ke Kula Nui o Florida; c2019. Hōʻoia ke koko Ammonia: Overview [hōʻano hou ʻia 2019 Jul 10; i helu ʻia ʻo 2019 Jul 10]; [ma kahi o 2 pale]. Loaʻa mai: https://ufhealth.org/ammonia-blood-test
10. Kulanui o Rochester Medical Center [Pūnaewele]. Rochester (NY): Kulanui o Rochester Medical Center; c2019. Encyclopedia Health: ʻAmonia [helu ʻia 2019 Jul 10]; [ma kahi o 2 pale]. Loaʻa mai: https://www.urmc.rochester.edu/encyclopedia/content.aspx?ContentTypeID=167&ContentID=ammonia
11. UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2019. ʻIkepili Ola: ʻAmonia: Pehea e Hana ai [i hōʻano hou ʻia 2018 Jun 25; i helu ʻia ʻo 2019 Jul 10]; [ma kahi o 5 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/medicaltest/ammonia/hw1768.html#hw1781
12. UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2019. ʻIkepili olakino: ʻAmonia: Pehea e hoʻomākaukau ai [i hōʻano hou ʻia 2018 Jun 25; i helu ʻia ʻo 2019 Jul 10]; [ma kahi o 4 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/medicaltest/ammonia/hw1768.html#hw1779
13. UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2019. ʻIkepili Ola: ʻAmonia: Nā hopena [hoʻohou ʻia 2018 Jun 25; i helu ʻia ʻo 2019 Jul 10]; [ma kahi o 8 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/medicaltest/ammonia/hw1768.html#hw1792
14. UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2019. ʻIkepili olakino: ʻAmonia: Nānā Hōʻike Hou [hoʻohou ʻia 2018 Jun 25; i helu ʻia ʻo 2019 Jul 10]; [ma kahi o 2 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/medicaltest/ammonia/hw1768.html#hw1771
15. UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2019. ʻIkepili olakino: ʻAmonia: No ke aha e hana ʻia ai [hoʻohou ʻia 2018 Jun 25; i helu ʻia ʻo 2019 Jul 10]; [ma kahi o 3 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/medicaltest/ammonia/hw1768.html#hw1774

ʻAʻole pono e hoʻohana i ka ʻike ma kēia pūnaewele i pani no ka mālama olakino ʻoihana a ʻōlelo aʻoaʻo paha. Kāhea aku i ka mea mālama ola inā he nīnau kāu e pili ana i kou olakino.