Nā Hōʻaia Osmolality
Anter
- He aha nā hoʻokolohua osmolality?
- No ke aha lākou e hoʻohana ai?
- No ke aha e pono ai iaʻu kahi hōʻike osmolality?
- He aha ka hana ma kahi hōʻike osmolality?
- Pono wau e hana i kekahi mea e hoʻomākaukau ai no ka hoʻāʻo?
- Aia kekahi mau pilikia i nā hoʻokolohua osmolality?
- He aha ke ʻano o nā hopena?
- Aia kekahi mea ʻē aʻe e pono iaʻu e ʻike e pili ana i nā hoʻokolohua osmolality?
- Nā kūmole
He aha nā hoʻokolohua osmolality?
Ana nā hoʻokolohua Osmolality i ka nui o kekahi mau mea i ke koko, mimi, a i ʻole ka noho. Hoʻopili kēia i ka glucose (kō), urea (kahi huahana neoneo i hana ʻia i ke ake), a me kekahi mau electrolytes, e like me ka sodium, potassium, a me chloride. Uku uila nā electrolytes. Kōkua lākou i ka mālama ʻana i ka nui o nā wai i kou kino. Hiki i ka hoʻāʻo ke hōʻike inā he kaulike maikaʻi ʻole kāu o nā wai i kou kino. Hiki i ke kaulike wai maikaʻi ʻole ke kumu ʻia e nā ʻano ʻano like ʻole. Hoʻopili kēia i ka nui o ka paʻakai, ka maʻi kidney, nā maʻi puʻuwai, a me kekahi ʻano ʻona.
Nā inoa ʻē aʻe: osmolality serum, osmolality mimi osmolality, osmolality stool, osmotic gap
No ke aha lākou e hoʻohana ai?
Hiki ke hoʻohana ʻia nā hoʻokolohua Osmolality no nā kumu like ʻole. ʻO kahi hoʻāʻo osmolality koko, i ʻike ʻia ma ke ʻano he serum osmolality test, hoʻohana pinepine ʻia i:
- E hōʻoia i ke kaulike ma waena o ka wai a me kekahi mau kemika i ke koko.
- E ʻike inā ua moni ʻoe i kahi lāʻau make e like me ka antifreeze a i ʻole ka ʻānai ʻana i ka ʻalekohola
- Kōkua e hōʻoia i ka make wai, kahi ʻano e lilo ai ka nui o ka wai i kou kino
- Kōkua e hōʻoia i ka overhydration, kahi ʻano e mālama nui ai kou kino i ka wai
- Kōkua e hōʻoia i ka insipidus diabetes, kahi ʻano e hoʻopili i nā puʻupaʻa a hiki ke alakaʻi i ka make wai
I kekahi manawa ua hoʻāʻo ʻia ka plasma toto no ka osmolality. ʻO ke serum a me ka plasma nā ʻāpana ʻelua o ke koko. Loaʻa i ka Plasma nā mea e pili ana i nā huna koko a me kekahi mau protein. ʻO ke serum kahi wai piha i loaʻa ʻole kēia mau mea.
ʻO kahi hoʻāʻo osmolality mimi Hoʻohana pinepine ʻia me kahi hōʻike osmolality serum e nānā i ke koena o ke kino. Hoʻohana ʻia paha ka hoʻokolohua mimi e ʻike i ke kumu o ka hoʻonui a hoʻemi ʻana i ka urination.
ʻO kahi hoʻāʻo osmolality stool Hoʻohana pinepine ʻia e ʻike i ke kumu o ka maʻi diarrhea mau ʻole i hoʻokumu ʻia e ka maʻi bacteria a i ʻole ka maʻi parasite.
No ke aha e pono ai iaʻu kahi hōʻike osmolality?
Pono paha ʻoe i kahi osmolality serum a i ʻole hōʻoia urine osmolality inā loaʻa iā ʻoe nā ʻōuli o ke kaulike ʻole o ka wai, diabetes insipidus, a i ʻole kekahi ʻano lāʻau ʻona.
ʻO nā ʻōuli o ke kaulike ʻole o ka wai a me ka insipidus diabetes a like pū paha me
- Make wai loa (inā make wai)
- ʻO Nusea a me ka luaʻi
- ʻEha poʻo
- Huikau
- Ka luhi
- Ka hopu ʻana i nā maʻi
E ʻokoʻa nā ʻōuli o ka lāʻau make ma muli o ke ʻano o ka mea i ale ʻia, akā hiki ke hoʻopili ʻia:
- ʻO Nusea a me ka luaʻi
- ʻO Convulsions, kahi ʻano e hoʻoluliluli ʻole ai i kou mauʻiʻo
- Hanu paʻakikī
- ʻLelo lohi
Pono paha ʻoe i kahi osmolality mimi inā pilikia ʻoe i ka mimiki a i ʻole ka mimiki nui paha.
Pono ʻoe i kahi osmolality stool test inā loaʻa ʻoe i ka maʻi diarrhea mau i hiki ʻole ke wehewehe ʻia e kahi maʻi bacteria a i ʻole parasite a i ʻole kumu ʻē aʻe e like me ka hōʻino ʻana o ka ʻōpū.
He aha ka hana ma kahi hōʻike osmolality?
Ma kahi hoʻokolohua koko (osmolality serum a i ʻole osmolality plasma):
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.
Ma kahi hōʻike osmolality mimi:
Pono kāu mea mālama ola e ʻohiʻohi i kahi laʻana o kāu mimi. E loaʻa iā ʻoe kahi ipu e hōʻiliʻili i ka mimi a me nā ʻōkuhi kūikawā e ʻike pono he makehewa ka hāpana. Kāhea ʻia kēia mau ʻōkuhi ke "ʻano lawaiʻa hoʻomaʻemaʻe." Hoʻopili ke ʻano hoʻomaʻamaʻa hoʻomaʻemaʻe i kēia mau hana:
- E holoi i kou mau lima.
- E hoʻomaʻemaʻe i kou wahi genital me kahi pale hoʻomaʻemaʻe i hāʻawi ʻia iā ʻoe e kāu mea hāʻawi. Pono nā kāne e holoi i ka piko o kā lākou peni. E wehe nā wahine i kā lākou labia a hoʻomaʻemaʻe mai mua a hope.
- Hoʻomaka e mimi i loko o ka lua.
- E hoʻoneʻe i ka ipu hōʻiliʻili ma lalo o kāu kahawai.
- E hōʻiliʻili ma kahi o hoʻokahi auneke a i ʻole ʻelua mau mimi i loko o ka ipu, i loaʻa nā māka e hōʻike ai i nā nui.
- Pau ka mimi i loko o ka lua.
- E hoʻihoʻi i ka ipu laʻana i kāu mea mālama ola.
Ma kahi hōʻike osmolality stool:
Pono ʻoe e hoʻolako i kahi laulau o ka noho. E hāʻawi kāu mea hāʻawi iā ʻoe i nā ʻōlelo kikoʻī pehea e ʻohiʻohi a hoʻouna ai i kāu hāpana. Hiki i kāu mau kuhikuhi ke hoʻopili i kēia mau mea:
- E hoʻokomo i nā kāʻei lope a i ʻole ka hopena paha.
- E hōʻiliʻili a mālama i ka pahu i loko o kahi pahu kūikawā i hāʻawi ʻia iā ʻoe e kāu mea mālama ola a i kahi lab. Loaʻa iā ʻoe i kahi hāmeʻa a mea noi paha e kōkua iā ʻoe e hōʻiliʻili i kahi laʻana.
- E hōʻoia i ka hui ʻole ʻana o ka mimi, ka wai ʻauʻau, a me ka pepa lua paha me ka hāpana.
- E sila a hōʻailona i ka ipu.
- Wehe i nā mīkina lima a holoi i kou mau lima.
- E hoʻihoʻi i ka ipu i kāu mea mālama ola a i ʻole ka hale hana i ka wā hiki wawe. Inā manaʻo ʻoe he pilikia paha kāu i ka lawe ʻana i kāu hāpana i ka manawa, e kamaʻilio me kāu kauka olakino.
Pono wau e hana i kekahi mea e hoʻomākaukau ai no ka hoʻāʻo?
Pono ʻoe e hoʻokē ʻai (ʻaʻole ʻai a inu) no 6 mau hola ma mua o ka hoʻāʻo a palena paha i nā wai 12 a 14 mau hola ma mua o ka hoʻāʻo. E haʻi aku kāu mea mālama ola iā ʻoe inā aia kekahi ʻōlelo kūikawā e ukali ai.
Aia kekahi mau pilikia i nā hoʻokolohua osmolality?
ʻAʻohe liʻiliʻi loa i ka hōʻoia ʻana o ke koko. 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.
ʻAʻohe makaʻu i ka loaʻa ʻana o kahi mimi a i ʻole ka hoʻāʻo stool.
He aha ke ʻano o nā hopena?
Inā ʻaʻole maʻamau kāu mau hopena osmolality, manaʻo paha ia iā ʻoe kekahi o nā ʻano aʻe:
- ʻO Antifreeze a i ʻole kekahi ʻano lāʻau ʻona
- Dehydration a i ʻole overhydration
- Nui loa a liʻiliʻi paha ka paʻakai i loko o ke koko
- Insipidus diabetes
- Hahau
Inā ʻaʻole maʻamau kāu mau hopena osmolality, manaʻo paha ia aia iā ʻoe kekahi o nā kūlana aʻe:
- Dehydration a i ʻole overhydration
- Hewa puʻuwai
- Maʻi maʻi ate
- ʻO ka maʻi kīwī
Inā ʻaʻole maʻamau kāu hopena osmolality, manaʻo paha ia aia iā ʻoe kekahi o nā kūlana aʻe:
- ʻO ka palahī kūpilikiʻi, kahi ʻano i hoʻokumu ʻia e ka hoʻohana nui ʻana i nā laxatives
- ʻO Malabsorption, kahi ʻano e hoʻopili i kou hiki ke ʻeli a lawe i nā mea momona mai ka meaʻai
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 nā hoʻokolohua osmolality?
E kauoha paha kāu mea mālama ola i nā hoʻokolohua hou aʻe me a ma hope paha o kāu hōʻike osmolality. Pākuʻi ʻia kēia mau mea:
- Helu piha koko (CBC)
- Hōʻike urea nitrogen (BUN) hōʻike
- Hōʻoia glucose toto
- Panela uila
- Hōʻike koko Albumin
- Hōʻike koko koko kolohe Fecal (FOBT)
Nā kūmole
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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.