ʻO Chloride ka anion nui i loaʻa i loko o ka wai a me ke koko ma waho o nā pūnaewele. ʻO ka Anion ka ʻāpana hoʻopiʻi ʻino o kekahi mau mea e like me ka paʻakai papa (NaCl) ke hoʻoheheʻe ʻia i loko o ka wai. ʻaneʻane like ka hoʻopaʻa ʻana o nā ion chloride me ka wai o ke kanaka.
ʻO ke koena ion Chloride (Cl - ) ua hooponopono pono ia e ke kino. Hiki i nā hōʻemi nui o ka chloride ke loaʻa nā hopena pōʻino a make. Nalo maʻamau ka chloride i loko o ka mimi, ka hou, a me ka huna o ka ʻōpū. Hiki mai paha ka houhu nui, ka lua'i, a me ka pohō nui mai ke kino adrenal a me ka ma'i kīkī.
ma ka ʻatikala "he aha ka chlorine haʻahaʻa", "he aha ka chlorine kiʻekiʻe", "he aha nā kumu o ka chlorine kiʻekiʻe a me ka haʻahaʻa i loko o ke koko", "pehea ka mālama ʻana i ka chlorine haʻahaʻa a kiʻekiʻe i ke koko" nā kumuhana e like me
He aha ka Low Chlorine i loko o ke koko?
hypochloremiaʻO ia kahi imbalance electrolyte i loaʻa inā he haʻahaʻa ka chloride i loko o ke kino.
ʻO Chloride kahi electrolyte. E hoʻoponopono i ka nui o ka wai i loko o ke kino a me ke kaulike pH i loko o ka ʻōnaehana sodium ve potasiuma Hana pū me nā electrolytes ʻē aʻe e like me Hoʻohana pinepine ʻia ka Chloride e like me ka paʻakai papaʻaina (sodium chloride).
He aha nā hōʻailona o ka Chlorine haʻahaʻa?
Nā hōʻailona o ka hypochloremiaʻaʻole ʻike pinepine ʻia. Akā, he mau hōʻailona paha ia o nā imbalances electrolyte ʻē aʻe a i ʻole kahi kūlana e kumu ai ka hypochloremia.
Nā hōʻailona o ka haʻahaʻa chlorine penei:
– Ke poho wai
- maloʻo wai
– Nawaliwali a luhi paha
- Paʻakikī i ka hanu ʻana
- ʻO ka maʻi maʻi a i ʻole ka luaʻi ma muli o ka maloʻo
hypochloremiaHiki ke hele pū me ka hyponatremia, kahi haʻahaʻa o ka sodium i loko o ke koko.
Nā kumu o ka chlorine haʻahaʻa
No ka mea, hoʻoponopono ʻia nā pae electrolyte i loko o ke koko e nā puʻupaʻa, hypochloremia Hiki ke hoʻoulu ʻia kahi pilikia electrolyte, e like me ka pilikia me nā puʻupaʻa.
hypochloremia Hiki ke kumu ia ma muli o kekahi o kēia mau kūlana:
– ʻAʻole naʻau paʻa
- ʻO ka maʻi maʻi lōʻihi a i ʻole ka luaʻi
– emphysema ʻo ka maʻi ʻulaʻula mau e like me
- Metabolic alkalosis ke kiʻekiʻe ka pH koko ma mua o ka maʻamau
Laxative, diureticsʻO kekahi ʻano lāʻau lapaʻau, e like me corticosteroids a me bicarbonates hypochloremiahiki ke kumu.
Hypochloremia a me Chemotherapy
hypochloremia, Hiki ke hopena ma muli o ka mālama ʻana i ka chemotherapy me nā imbalances electrolyte ʻē aʻe. ʻO nā hopena ʻaoʻao o ka chemotherapy penei:
Hiki i kēia mau hopena ʻaoʻao ke kōkua i ka lilo ʻana o ka wai. Pau ka wai ma ka luaʻi ʻana a me ka maʻi maʻi ʻaʻole kaulike electrolyteka mea hiki ke alakai.
Pehea e ʻike ʻia ai ka Hypochloremia?
E hana ke kauka i ka ho'āʻo koko e nānā i ka pae chloride hypochloremiahiki ke hoʻomaopopo.
ʻO ka nui o ka chloride i loko o ke koko e ana ʻia ma ke ʻano he ʻike - ka nui o ka chloride i nā milliequivalents (mEq) (L) no ka lita.
Aia ma lalo nā pae kuhikuhi maʻamau no ke koko chloride. Nā waiwai ma lalo o ka pae kuhikuhi kūpono hypochloremiahiki ke hōʻike:
Nā mākua: 98–106 mEq/L
Nā keiki: 90-110 mEq/L
Nā pēpē hānau hou: 96-106 mEq/L
ʻO nā pēpē mua: 95-110 mEq/L
Lapaʻau Hypochloremia
E hana ke kauka e mālama i ka pilikia kumu e hoʻomaka ai i ke kaulike electrolyte.
hypochloremia Inā ma muli o ka lāʻau lapaʻau, hiki i ke kauka ke hoʻololi i ka nui. hypochloremia Inā ma muli o nā pilikia me nā puʻupaʻa a i ʻole kahi maʻi endocrine, e kuhikuhi ke kauka iā ʻoe i kahi loea.
Hiki iā ʻoe ke loaʻa i nā wai intravenous (IV), e like me ka wai paʻakai maʻamau, e lawe i nā electrolytes i nā pae maʻamau.
Hiki i ke kauka ke kauoha i ka ho'āʻo mau i kāu mau pae electrolyte no ka nānā ʻana.
hypochloremia Inā ʻoluʻolu, hiki ke hoʻoponopono ʻia i kekahi manawa me ka hoʻololi ʻana i ka meaʻai.
He aha ka Hyperchloremia?
hyperchloremiaʻo ia ka helu ʻole electrolyte i loaʻa i ka nui o ka chloride i loko o ke koko.
ʻO Chlorine kahi electrolyte koʻikoʻi nona ke kuleana no ka mālama ʻana i ke koena acid-base (pH) i loko o ke kino, hoʻoponopono i nā wai a me ka hoʻouna ʻana i nā manaʻo nerve.
He kuleana koʻikoʻi nā puʻupaʻa i ka hoʻoponopono chlorine i loko o ke kino, no laila he pilikia ka electrolyte imbalance i kēia mau kino.
Eia kekahi, hiki i nā puʻupaʻa ke mālama i ko lākou koena chloride hiki ke hoʻopili ʻia e nā maʻi ʻē aʻe, e like me ka maʻi maʻi a i ʻole dehydration nui.
He aha nā hōʻailona o ka High Chlorine?
hyperchloremiaʻO nā hōʻailona e hōʻike ana i ka shingles ma muli o ke kumu kumu o ka pae kiʻekiʻe o ka chloride. ʻO ka pinepine kēia he acidosis, ka ʻakika nui o ke koko. Nā hōʻailona o ka hyperchloremia hiki ke komo:
- Ka luhi
– nāwaliwali o ka ʻiʻo
– makewai loa
– Māloʻo nā mucous membrane
- Ka maʻi kiʻekiʻe
i kekahi poe nā hōʻailona o ka hyperchloremia ʻaʻole maopopo. ʻAʻole ʻike ʻia kēia i kekahi manawa a hiki i ka hoʻāʻo koko maʻamau.
He aha nā kumu o ka Chlorine kiʻekiʻe i ke koko?
E like me ka sodium, potassium, a me nā mea electrolytes ʻē aʻe, ua hoʻoponopono pono ʻia ka neʻe o ka chlorine i loko o ko mākou kino e nā puʻupaʻa.
ʻO nā puʻupaʻa he ʻelua ʻano ʻano pīni ma lalo pono o ka iwi iwi ʻaoʻao ma kēlā ʻaoʻao kēia ʻaoʻao o ka iwi kuamoʻo. ʻO lākou ke kuleana no ka kānana ʻana i ke koko a me ka mālama ʻana i kona haku mele ʻana, kahi e hōʻoia ai i ka hana pono o ke kino.
hyperchloremiaHiki ke ki'eki'e ke ki'eki'e o ka chlorine i loko o ke koko. hyperchloremiaNui nā ala e hiki ai ke hana. Aia kēia mau mea:
- ʻO ka lawe nui ʻana i ka wai paʻakai i ka wā o ka haukapila, e like me ka wā o kahi ʻoki
- ka maʻi maʻi nui
– ʻO ka maʻi maʻi maʻi ʻehaʻeha a i ʻole
- ʻai ʻana i ka wai paʻakai
- Kiʻekiʻe loa o ka paʻakai ʻai
- ʻO ka lāʻau make bromide mai nā lāʻau lapaʻau i loaʻa i ka bromide
- Loaʻa ka ʻakika a i ʻole metabolic acidosis i ka wā e hoʻopau ʻole ai nā puʻupaʻa i ka waika mai ke kino a i ka wā e lawe nui ai ke kino i ka waikawa.
– Respiratory alkalosis, he maʻi i loaʻa ke emi loa ka nui o ka carbon dioxide i loko o ke koko (no ka laʻana, i ka wā e hyperventilating ke kanaka)
Hoʻohana lōʻihi i nā lāʻau i kapa ʻia ʻo carbonic anhydrase inhibitors, hoʻohana ʻia e mālama i ka glaucoma a me nā maʻi ʻē aʻe.
He aha ka Hyperchloremic Acidosis?
Hiki mai ka hyperchloremic acidosis, a i ʻole hyperchloremic metabolic acidosis, i ka wā i lilo ai ka bicarbonate (alkaline) i mea ʻawaʻawa loa ka pH koena o ke koko (metabolic acidosis).
I ka pane, ke kino hyperchloremiaHoʻopili ia i ka chlorine, hana I ka hyperchloremic acidosis, nalowale ke kino i ke kumu nui a paʻa paha ka nui o ka waikawa.
ʻO kahi kumu i kapa ʻia ʻo sodium bicarbonate e kōkua i ka mālama ʻana i ke koko ma kahi pH kūʻole. ʻO ka nalowale o ka sodium bicarbonate hiki ke kumu:
- ka maʻi maʻi nui
- Ka hoʻohana mau ʻana i nā laxatives
- Proximal renal tubular acidosis, ʻo ia hoʻi, ʻaʻole hiki i nā puʻupaʻa ke hoʻihoʻi i ka bicarbonate mai ka mimi.
- Hoʻohana lōʻihi i ka carbonic anhydrase inhibitors i ka mālama ʻana i ka glaucoma, e like me ka acetazolamide
– Poino o ka puu
ʻO nā kumu o ka nui o ka waika i hāʻawi ʻia i ke koko, penei:
- ʻO ka ʻai ʻana i ka ammonium chlorine, hydrochloric acid a i ʻole nā paʻakai acidifying ʻē aʻe (i kekahi manawa loaʻa i loko o nā hopena i hoʻohana ʻia no ka hānai intravenous)
- ʻO kekahi ʻano o ka acidosis tubular renal
- Nui loa ka lawe ʻana i ka wai paʻakai ma ka haukapila
Pehea e ʻike ʻia ai ka Hyperchloremia?
hyperchloremia Hoʻomaʻamaʻa pinepine ʻia me kahi hoʻāʻo i ʻike ʻia he hoʻāʻo koko chloride. ʻO kēia hoʻāʻo maʻamau he ʻāpana o ka panel metabolic nui a ke kauka e kauoha ai.
ʻO kahi pānaʻi metabolic e ana i nā pae o nā electrolytes like ʻole i ke koko:
- ʻO ke kalapona kalapona a i ʻole ka bicarbonate
– Klorida
– Potauma
- ʻO ka sodium
Aia nā pae chlorine maʻamau no nā pākeke ma ka laulā o 98–107 mEq/L. Inā hōʻike kāu hōʻike i kahi pae chlorine i ʻoi aku ma mua o 107 mEq/L, hyperchloremia ʻo ia hoʻi aia.
I kēia hihia, hiki i ke kauka ke hoʻāʻo i ka mimi no ke kiʻekiʻe o ka chlorine a me ke kō koko e ʻike inā he maʻi maʻi ʻoe. Hiki i ka mimi maʻalahi ke kōkua i ka ʻike ʻana i nā pilikia me nā puʻupaʻa.
Lapaʻau Hyperchloremia
hyperchloremia ʻO ka mālama ʻana no kēia ma muli o ke kumu o ke ʻano:
- No ka wai maloʻo, e hoʻopili ʻia ka hydration.
- Inā ua lawe nui ʻoe i ka paʻakai, hoʻopau ʻia ka hāʻawi ʻana i ka paʻakai a hiki i kou ola ʻana.
- Inā pilikia kāu mau lāʻau, hiki i kāu kauka ke hoʻololi a hoʻōki paha i ka lāʻau.
- No ka pilikia puʻupaʻa, e kuhikuhi paha kahi nephrologist iā ʻoe i ke kauka loea i ke ola kino. Inā he koʻikoʻi kou maʻi, pono paha ka dialysis e kānana i ke koko ma kahi o nā puʻupaʻa.
- Hiki ke mālama ʻia ka hyperchloremic metabolic acidosis me kahi kumu i kapa ʻia ka sodium bicarbonate.
ʻO ka poʻe me ka hyperchloremiapono e mālama i kou kino i ka wai. E hōʻalo i ka caffeine a me ka waiʻona, no ka mea hiki i kēia mau mea ke hōʻino i ka wai.
He aha nā pilikia o ka Hyperchloremia?
ma ke kino chlorine keuhiki ke pilikia loa ma muli o ka pilina me ke kiʻekiʻe o ka waika maʻamau i loko o ke koko. Inā ʻaʻole mālama koke ʻia, hiki ke alakaʻi i:
- Pōhaku ʻāʻī
- Ke kaohi ʻana i ka hiki ke ho'ōla inā ʻeha ʻeha
- ʻAʻole ʻāʻī
- pilikia naʻau
- Nā pilikia o ka ʻiʻo
– Pilikia iwi
– koma
- Make
Pehea e pale aku ai i ka Hyperchloremia?
hyperchloremia, ʻoi aku ʻO ka maʻi o Addison Inā he maʻi maʻi e like me hyperchloremia ʻO kekahi mau hoʻolālā e hiki ke kōkua i ka poʻe i pilikia i ka hoʻomohala ʻana i ka maʻi diabetes penei:
- hyperchloremiaE kamaʻilio me ke kauka e pili ana i nā lāʻau lapaʻau e hiki ai ke hoʻoulu
- hyperchloremiaʻO nā hopena o nā lāʻau lapaʻau e hiki ke hana No ka laʻana, ke manaʻo ke kanaka i ka dehydrated, hiki iā ia ke inu hou i ka wai.
- ʻAi ʻana i ka meaʻai kaulike a pale aku i nā kapu meaʻai nui loa.
- Ka lawe ʻana i nā lāʻau maʻi diabetes e like me ka ʻōlelo a ke kauka.
I nā kānaka olakino hyperchloremia he kakaikahi loa. ʻO ka inu ʻana i ka wai a me ka pale ʻana i ka nui o ka paʻakai hiki ke pale i kēia imbalance electrolyte.
