Hōʻike Koko Anion Gap

Anter

• He aha ka anion gap gap test?
• No ke aha ia e hoʻohana ai?
• No ke aha wau e pono ai i kahi anion gap test test?
• He aha ka hana i ka wā o ka anion gap gap test?
• 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 ka anion gap gap test?
• Nā kūmole

He aha ka anion gap gap test?

ʻO kahi anion gap āpau e hoʻāʻo ai kahi ala e nānā ai i nā pae o ka waikawa i kou koko. Hoʻokumu ʻia ka hōʻike ma nā hopena o kahi hōʻike koko ʻē aʻe i kapa ʻia he panela uila. Uku uila nā electrolytes i kōkua i ka mālama ʻana i ke kaulike o nā kemika i kou kino i kapa ʻia he acid a me nā kumu. Loaʻa i kekahi o kēia mau minelala ka uku uila maikaʻi. Loaʻa i kekahi poʻe i ka uku uila maikaʻi ʻole. ʻO ke anion gap kahi ana o ka ʻokoʻa-a hakahaka-ma waena o nā electrolytes i hoʻopiʻi maikaʻi ʻole ʻia.Inā kiʻekiʻe a haʻahaʻa paha ka hakahaka anion, he hōʻailona paha ia o kahi maʻi i kou mau māmā, nā puʻupaʻa, a i ʻole nā ​​ʻōnaehana ʻōnaehana ʻē aʻe.

Nā inoa ʻē aʻe: Serum anion gap

No ke aha ia e hoʻohana ai?

Hoʻohana ʻia ka anion gap āpau e hōʻike ai inā ʻaʻohe kaulike o kāu electrolytes a nui a ʻaʻole lawa paha ka waikawa i kou koko. ʻO ka nui o ka waikawa i ke koko i kapa ʻia ʻo acidosis. Inā ʻaʻole lawa kou waikawa i kou koko, loaʻa paha iā ʻoe kahi ʻano i kapa ʻia ʻo alkalosis.

No ke aha wau e pono ai i kahi anion gap test test?

Ua kauoha paha kāu mea mālama ola i kahi anion gap gap test inā loaʻa iā ʻoe nā hōʻailona o ke kaulike ʻole i kāu mau waikawa koko. Pākuʻi ʻia paha kēia mau hōʻailona:

• Pokole o ka hanu
• ʻO ka luaʻi
• Kuʻi naʻau maʻamau
• Huikau

He aha ka hana i ka wā o ka anion gap gap test?

Lawe ʻia ka anion gap test mai nā hopena o ka paneli uila, kahi hōʻike koko. I ka wā o kahi hoʻokolohua koko, hoʻohana kahi loea mālama ola i kahi nila liʻiliʻi e lawe i kahi koko mai kahi aa i kou lima. Ma hope o ka hoʻokomo ʻia ʻana o ka nila, e hōʻiliʻili ʻia kahi koko liʻiliʻi i loko o kahi pahu hōʻike. 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.

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

ʻAʻole pono ʻoe i kahi hoʻomākaukau kūikawā no ka anion gap gap test. Inā ua kauoha aku kāu mea mālama ola i nā hoʻokolohua koko ʻē aʻe, pono ʻoe e hoʻokē ʻai (ʻaʻole ʻai a inu) no kekahi mau hola ma mua o ka hoʻāʻo ʻana. E haʻi aku kāu mea mālama ola iā ʻoe inā aia kekahi ʻōlelo kūikawā e ukali ai.

Aia kekahi mau pilikia i ka hoʻāʻo?

ʻAʻohe liʻiliʻi loa i ka loaʻa ʻana o kēia hōʻike. Loaʻa paha iā ʻoe ka ʻeha a ʻeha paha ma kahi o ka nila i hoʻokomo ʻia ai, akā ʻo ka hapa nui o nā ʻōuli e hele wikiwiki aku.

He aha ke ʻano o nā hopena?

Inā hōʻike kāu hopena i kahi āpau anion kiʻekiʻe, loaʻa paha iā ʻoe ka acidosis, ʻo ia hoʻi ke kiʻekiʻe ma mua o nā pae maʻamau o ka waikawa i ke koko. ʻO ka Acidosis he hōʻailona paha ia o ka make wai, diarrhea, a i ʻole ka nui o ka hoʻoikaika kino. Hōʻike paha ia i kahi ʻano ʻoi aku ke koʻikoʻi e like me ka maʻi puʻupaʻa a i ʻole diabetes.

Inā hōʻike kāu mau hopena i kahi āpau anion haʻahaʻa, manaʻo paha ia he pae haʻahaʻa kāu o ka albumin, kahi protein i ke koko. Hōʻike ka albumin haʻahaʻa i nā pilikia pākī, nā maʻi puʻuwai, a i ʻole kekahi ʻano o ka maʻi ʻaʻai. No ka mea maʻamau ʻole nā ​​hakahaka anion haʻahaʻa, hana pinepine ʻia ka hōʻoia hou ʻana e hōʻoia i ka hopena o nā hopena. E kamaʻilio me kāu mea mālama ola e aʻo i ke ʻano o kāu mau hopena.

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 ka anion gap gap test?

Hiki i ka anion gap gap test ke hāʻawi i ka ʻike nui e pili ana i ka waikawa a me ke kaulike kumu i kou koko. Akā aia ka nui o nā hopena maʻamau, no laila hiki i kāu kauka olakino ke koi i nā hoʻokolohua hou aʻe e hana i kahi hōʻailona.

Nā kūmole

1. ChemoCare.com [Pūnaewele]. Cleveland (OH): ChemoCare.com; c2002-2017. Hypoalbuminemia (Low Albumin) [helu ʻia 2017 Feb 1]; [ma kahi o 3 pale]. Loaʻa mai: http://chemocare.com/chemotherapy/side-effects/hypoalbuminemia-low-albumin.aspx
2. Kūkākūkā i ka lāʻau lapaʻau e hōʻike ai i ka hōʻike [Pūnaewele]. EBM Consult, LLC; Hōʻike Lab: Anion Gap; [helu ʻia 2017 Pepeluali 1]; [ma kahi o 2 pale]. Loaʻa mai: http://www.ebmconsult.com/articles/lab-test-anion-gap
3. ʻO Galla J. Metabolic Alkalosis. Ka Nūpepa o ka ʻAmelika Hui Pū ʻIa o Nefrology [Pūnaewele]. 2000 Feb 1 [helu ʻia 2017 Pep 1]; 11 (2): 369-75. Loaʻa mai: http://jasn.asnjournals.org/content/11/2/369.full
4. Kraut JA, Madias N. Serum Anion Gap: Hoʻohana a me nā palena i ka lāʻau lapaʻau. Ka Nūpepa Lapaʻau o ka ʻAmelika Hui Pū ʻIa o Nefrology [Pūnaewele]. 2007 Ian [helu ʻia 2017 Pep 1]; 2 (1): 162-74. Loaʻa mai: http://cjasn.asnjournals.org/content/2/1/162.full.pdf
5. Kraut JA, Nagami GT. ʻO ke āpau anion serum i ka loiloi i nā maʻi acid-base: He aha nā palena a hiki ke hoʻomaikaʻi ʻia kona hopena ?; Ka Nūpepa Lapaʻau o ka ʻAmelika Hui Pū ʻIa o Nefrology [Pūnaewele]. 2013 Nov [helu ʻia 2017 Pep 1]; 8 (11): 2018-24. Loaʻa mai: https://www.ncbi.nlm.nih.gov/pubmed/23833313
6. Nā Hoʻokolohua Lab ma ka Pūnaewele [Pūnaewele]. Wakinekona D.C .: ʻAmelika Hui Pū ʻIa no ka Chemical Clinical; c2001–2017. Nā Electrolytes; [hoʻohou 2015 Dec 2; i helu ʻia 2017 Feb1]; [ma kahi o 3 pale]. Loaʻa mai: https://labtestsonline.org/understanding/analytes/electrolytes/tab/test
7. Lolekha PH, Vanavanan S, Lolekha S. Hoʻohou i ka waiwai o ke anion āpau i ka hōʻailona maʻi a me ka loiloi ʻana o ka hale hana. ʻO Clinica Chimica Acta [Pūnaewele]. 2001 Mei [helu ʻia 2016 Nov 16]; 307 (1-2): 33-6. Loaʻa mai: https://www.ncbi.nlm.nih.gov/pubmed/11369334
8. Merck Manuals [Pūnaewele]. Kenilworth (NJ): Merck & Co., Inc. c2016. Mea Hoʻolaha Mea Kūʻai Aku: Overview of Acid-Base Balance; [hoʻohou 2016 Mei; i helu ʻia 2017 Feb 1]; [ma kahi o 2 pale]. Loaʻa mai: https://www.merckmanuals.com/home/hormonal-and-metabolic-disorder/acid-base-balance/overview-of-acid-base-balance
9. Merck Manuals: Mana Mana Manawa [Pūnaewele]. Kenilworth (NJ): Merck & Co., Inc. c2016. Nā maʻi acid-base; [helu ʻia 2017 Pepeluali 1]; [ma kahi o 2 pale]. Loaʻa mai: http://www.merckmanuals.com/professional/endocrine-and-metabolic-disorder/acid-base-regulation-and-disorders/acid-base-disorder
10. National Heart, Lung, and Blood Institute [Pūnaewele]. Bethesda (MD): Ke Keʻena ʻOihana Ola a me nā lawelawe kanaka; Nā ʻano o nā hoʻāʻo koko; [hōʻano 2012 Jan 6; i helu ʻia 2017 Feb 1]; [ma kahi o 4 pale]. Loaʻa mai: https://www.nhlbi.nih.gov/health-topics/blood-tests#Types
11. National Heart, Lung, and Blood Institute [Pūnaewele]. Bethesda (MD): Ke Keʻena ʻOihana Ola a me nā lawelawe kanaka; He aha nā pilikia o ke hoʻāʻo ʻana i ke Koko ?; [hōʻano 2012 Jan 6; i helu ʻia 2017 Feb 1]; [ma kahi o 5 pale]. Loaʻa mai: https://www.nhlbi.nih.gov/health-topics/blood-tests#Risk-Factors
12. National Heart, Lung, and Blood Institute [Pūnaewele]. Bethesda (MD): Ke Keʻena ʻOihana Ola a me nā lawelawe kanaka; He aha ka mea e manaʻo ai me nā hoʻāʻo ʻana i ke Koko; [hōʻano 2012 Jan 6; i helu ʻia 2017 Jan 31]; [ma kahi o 4 pale]. Loaʻa mai: https://www.nhlbi.nih.gov/health-topics/blood-tests
13. Kulanui o Rochester Medical Center [Pūnaewele]. Rochester (NY): Kulanui o Rochester Medical Center; c2017. ʻO Encyclopedia Health: Anion Gap (Koko); [helu ʻia 2017 Pepeluali 1]; [ma kahi o 2 pale]. Loaʻa mai: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid;=anion_gap_blood

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.