ʻIke Urea Nitrogen (BUN) hōʻike
Anter
- No ke aha e hana ʻia ai kahi hōʻike BUN?
- Pehea wau e hoʻomākaukau ai no kahi hōʻike BUN?
- Pehea e hana ʻia ai kahi hōʻike BUN?
- He aha ke ʻano o nā hopena o kahi hōʻike BUN?
- He aha nā pilikia o kahi hōʻike BUN?
- ʻO ka lawe lawe ʻana
He aha ka hōʻike BUN?
Hoʻohana ʻia kahi hōʻike urea nitrogen (BUN) e hoʻoholo ai i ka maikaʻi o ka hana o kāu mau puʻupaʻa. Hana ia i kēia me ke ana ʻana i ka nui o ka urea nitrogen i loko o ke koko. Urea nitrogen kahi huahana neoneo i hana ʻia i ke ake ke wāwahi ke kino i nā protein. ʻO ka maʻamau, kānana nā puʻupaʻa i kēia ʻōpala, a lawe ka urino iā ia mai ke kino.
Māhuahua nā pae BUN ke hōʻino ʻia nā puʻupaʻa a i ʻole ke ake. ʻO ka loaʻa ʻana o ka nitrogen urea he nui i ke koko hiki ke lilo i hōʻailona o nā pilikia o ke ake a me ke ake.
No ke aha e hana ʻia ai kahi hōʻike BUN?
ʻO kahi hōʻike BUN kahi hōʻike koko e hoʻohana pinepine ʻia e loiloi i ka hana o ka hakuʻala. Hana pinepine ʻia me nā hoʻokolohua koko ʻē aʻe, e like me ka hoʻāʻo ʻana o ke koko creatinine, e hana i kahi hōʻailona kūpono.
Hiki i kahi hōʻike BUN ke kōkua i ke kuhi ʻana i nā ʻano aʻe:
- hōʻino ka ate
- hana maikaʻi ʻole
- maikaʻi ka holo ʻana
- hoʻomake wai
- keʻakeʻa i ka mimi
- puʻuwai puʻuwai kongestive
- kahe koko gastrointestinal
Hoʻohana ʻia paha ka hōʻoia e hoʻoholo ai i ka maikaʻi o ka lāʻau dialysis.
Hana pinepine ʻia nā hoʻokolohua BUN ma ke ʻano he mahele o nā māka maʻamau, i ka wā o ka noho ʻana i ka haukapila, a i ʻole a ma hope paha o ka mālama ʻana no nā ʻano e like me ka maʻi kō.
ʻOiai kahi ana o kahi BUN e ana i ka nui o ka urea nitrogen i loko o ke koko, ʻaʻole ia e ʻike i ke kumu o kahi kiʻekiʻe a i ʻole haʻahaʻa ma mua o ka helu maʻamau o ka nitrogen urea.
Pehea wau e hoʻomākaukau ai no kahi hōʻike BUN?
ʻAʻole koi kahi hōʻike BUN i kahi hoʻomākaukau kūikawā. Eia nō naʻe, he mea nui e haʻi aku i kāu kauka inā lawe ʻoe i kekahi lāʻau lapaʻau a i ʻole nā lāʻau lapaʻau over-the-counter. Hiki i kekahi mau lāʻau ke hoʻololi i kāu pae BUN.
ʻO kekahi mau lāʻau, e like me chloramphenicol a i ʻole streptomycin, hiki ke hoʻohaʻahaʻa i kāu mau pae BUN. ʻO nā lāʻau ʻē aʻe, e like me kekahi mau antibiotic a me diuretics, e hoʻonui paha i kāu mau pae BUN.
ʻO nā lāʻau i kuhikuhi pinepine ʻia e hoʻāla i kāu pae BUN e komo pū me:
- amphotericin B (AmBisome, Fungizone)
- carbamazepine (Tegretol)
- cephalosporins, kahi hui antibiotics
- furosemide (Lasix)
- methotrexate
- methyldopa
- rifampin (Rifadin)
- spironolactone (Aldactone)
- tetracycline (Sumycin)
- thiazide diuretics
- vancomycin (Vancocin)
E pono e haʻi aku i kāu kauka inā lawe ʻoe i kekahi o kēia mau lāʻau. E noʻonoʻo kāu kauka i kēia ʻike i ka nānā ʻana i kāu hopena hopena.
Pehea e hana ʻia ai kahi hōʻike BUN?
ʻO kahi hōʻike BUN kahi hōʻike maʻalahi e pili ana i ka lawe ʻana i kahi mea liʻiliʻi o ke koko.
Ma mua o ke kahakaha ʻana i ke koko, e hoʻomaʻemaʻe kahi ʻenehana i kahi o kou lima luna me kahi antiseptic. E nakinaki lākou i kahi kaula paʻa i kou lima, kahi e pehu ai kou mau uaua me ke koko. E hoʻokomo ka mea ʻenehana i kahi nila kele i loko o kahi aa a huki i ke koko i loko o kahi paipu e pili ana i ka nila. Hiki paha iā ʻoe ke ʻoluʻolu a hōʻoluʻolu i ka ʻeha ke hele ka nila.
Ke hōʻiliʻili lākou i ke koko e lawa, e hoʻoneʻe ka mea loea i ka nila a kau i kahi kaula ma luna o ka pūnaewele puncture. E hoʻouna lākou i kāu hāpana koko i kahi keʻena hoʻokolohua no ka hoʻāʻo ʻana. E ukali pū kāu kauka me ʻoe e kūkākūkā i nā hopena hōʻike.
He aha ke ʻano o nā hopena o kahi hōʻike BUN?
E ana ʻia nā hualoaʻa o kahi hōʻike BUN i nā milligrams no deciliter (mg / dL). Hoʻololi nā kumukūʻai BUN maʻamau i ka loli ma muli o ke kāne a me ka makahiki. He mea nui nō hoʻi e hoʻomaopopo he ʻokoʻa nā laulā o kēlā me kēia keʻena hoʻokolohua no ka mea maʻamau.
Ma ka laulaha, hāʻule nā pae BUN maʻamau i nā pae aʻe:
- kāne makua: 8 a 24 mg / dL
- nā wahine makua: 6 a 21 mg / dL
- nā keiki 1 a 17 mau makahiki: 7 a 20 mg / dL
ʻO nā pae BUN maʻamau no nā mākua ma luna o 60 mau kiʻekiʻe ma mua o nā pae maʻamau no nā mākua ma lalo o 60.
Hiki i nā pae BUN kiʻekiʻe ke hōʻike:
- maʻi maʻi puʻuwai
- puʻuwai puʻuwai kongestive
- he kuʻi puʻuwai hou loa
- kahe koko gastrointestinal
- hoʻomake wai
- pae protein kiʻekiʻe
- maʻi maʻi ʻōpū
- hakuʻala ʻole
- hoʻomake wai
- keakea i ke kahe urinary
- hoʻoluhi
- pīhoihoi
E hoʻomanaʻo i kekahi mau lāʻau, e like me kekahi mau antibiotic, hiki ke hoʻokiʻekiʻe i kāu mau pae BUN.
Hiki i nā pae BUN haʻahaʻa ke kuhikuhi i:
- hoka ʻole o ke ake
- hana maikaʻi ʻole
- ka nele nui o ka protein i ka papaʻai
- overhydration
Kaukaʻi ʻia i kāu hopena o ka hoʻāʻo, holo paha kāu kauka i nā hoʻokolohua ʻē aʻe e hōʻoia i kahi kuhi a hōʻoia i nā lāʻau lapaʻau. ʻO ka hydration kūpono ke ala kūpono loa e hoʻohaʻahaʻa i nā pae BUN. Hiki i kahi papaʻai protein haʻahaʻa ke kōkua i ka hoʻohaʻahaʻa i nā pae BUN. ʻAʻole e koi ʻia kahi lāʻau e hoʻohaʻahaʻa i nā pae BUN.
Eia nō naʻe, ʻaʻole pono ka pae BUN maʻamau he maʻi maʻi kou. ʻO kekahi mau mea, e like me ka make wai, hāpai keiki, kiʻekiʻe a haʻahaʻa paha o ka protein, steroid, a me nā ʻelemakule hiki ke hoʻopili i kāu mau pae me ka ʻole e hōʻike i kahi olakino olakino.
He aha nā pilikia o kahi hōʻike BUN?
Inā ʻaʻole ʻoe e ʻimi nei i kahi mālama olakino olakino, hiki iā ʻoe ke hoʻi maʻamau i kāu mau hana maʻamau ma hope o ka hōʻike ʻana i kahi hōʻike BUN. E haʻi i kāu kauka inā loaʻa ʻoe i ka maʻi koko a ke lawe nei ʻoe i kekahi mau lāʻau e like me ka mea lahilahi. Hiki iā ʻoe ke kahe i ke kahe ma mua o ka mea i manaʻo ʻia i ka wā o ka hoʻāʻo.
Nā hopena ʻē aʻe e pili ana me kahi hōʻike BUN e komo pū ana:
- kahe ana ka wai ma ka puncture
- ʻulupā ma ka pūnaewele puncture
- hōʻiliʻili o ke koko ma lalo o ka ʻili
- maʻi ma ka puncture kahua
I nā hihia kakaikahi, lilo nā poʻe i poʻomanaʻo a maʻule paha ma hope o ke kahe ʻana o ke koko. E hoʻomaopopo i kāu kauka inā ʻike ʻoe i nā hopena i manaʻo ʻole ʻia a hoʻolōʻihi ʻia paha ma hope o ka hoʻāʻo.
ʻO ka lawe lawe ʻana
ʻO kahi hōʻike BUN kahi hōʻike koko wikiwiki a maʻalahi hoʻi i hoʻohana pinepine ʻia e loiloi i ka hana o ka hakuʻala. Abnormally kiʻekiʻe a i ʻole haʻahaʻa pae BUN ʻaʻole pono ia he pilikia ʻoe me ka hana o ka hakuʻala. Inā kānalua kāu kauka ua loaʻa ʻoe i kahi maʻi puʻuwai a i ʻole ke olakino ʻē aʻe, e kauoha lākou i nā hoʻokolohua hou aku e hōʻoia i kahi hōʻoia a hoʻoholo i ke kumu.