Hyperchloremia thiab Hypochloremia yog dab tsi, Lawv Kho Li Cas?

Chloride yog lub ntsiab anion pom nyob rau hauv cov kua thiab cov ntshav sab nraum lub hlwb. Anion yog qhov cuam tshuam tsis zoo ntawm qee yam khoom xws li cov lus ntsev (NaCl) thaum yaj hauv cov kua. Seawater muaj yuav luag tib qhov concentration ntawm chloride ions raws li tib neeg cov kua dej.

Chloride ion tshuav nyiaj li cas (Cl - ) zoo tswj los ntawm lub cev. Kev txo qis hauv cov tshuaj chloride tuaj yeem ua rau muaj kev phom sij thiab ua rau tuag taus. Chloride feem ntau poob rau hauv cov zis, tawm hws, thiab plab zais zis. Kev tawm hws ntau dhau, ntuav, thiab ntau dhau los ntawm cov qog adrenal thiab kab mob raum tuaj yeem tshwm sim.

nyob rau hauv tsab xov xwm "Dab tsi yog cov tshuaj chlorine tsawg", "dab tsi yog cov tshuaj chlorine siab", "dab tsi ua rau cov tshuaj chlorine siab thiab qis hauv cov ntshav", "kev kho cov tshuaj chlorine qis thiab siab hauv cov ntshav li cas" cov ncauj lus xws li

Low chlorine hauv cov ntshav yog dab tsi?

hypochloremiayog ib qho kev tsis txaus ntawm electrolyte uas tshwm sim thaum muaj cov tshuaj chloride tsawg hauv lub cev.

Chloride yog ib qho electrolyte. Txhawm rau tswj cov kua dej hauv lub cev thiab pH sib npaug hauv lub cev sodium ve poov tshuaj Ua haujlwm nrog lwm cov electrolytes xws li Cov tshuaj chloride feem ntau yog siv los ua cov ntsev ntsev (sodium chloride).

Cov tsos mob ntawm Low Chlorine yog dab tsi?

Cov tsos mob ntawm hypochloremiafeem ntau tsis pom. Hloov chaw, lawv yuav yog cov tsos mob ntawm lwm yam electrolyte imbalances lossis ib qho mob uas ua rau hypochloremia.

Cov tsos mob ntawm cov tshuaj chlorine tsawg yog raws li nram no:

- Dej poob

- lub cev qhuav dej

– qaug zog los yog qaug zog

- Ua pa nyuaj

- Mob plab lossis ntuav los ntawm lub cev qhuav dej

hypochloremiatuaj yeem nrog hyponatremia, uas yog qhov tsawg ntawm sodium hauv cov ntshav.

Ua rau Low Chlorine

Txij li cov qib electrolyte hauv cov ntshav tau tswj hwm los ntawm ob lub raum, hypochloremia Ib qho electrolyte tsis txaus, xws li teeb meem nrog raum, tuaj yeem tshwm sim. 

hypochloremia Nws kuj tuaj yeem tshwm sim los ntawm ib qho ntawm cov xwm txheej hauv qab no:

- Congestive plawv tsis ua hauj lwm

– Ntev ntev raws plab lossis ntuav

- emphysema mob ntsws mob xws li

- Metabolic alkalosis thaum ntshav pH siab dua li qub

Laxative, tshuaj diureticsQee hom tshuaj, xws li corticosteroids thiab bicarbonates, kuj yog hypochloremiatej zaum yuav ua rau.

Hypochloremia thiab Chemotherapy

hypochloremia, Nws tuaj yeem tshwm sim los ntawm kev kho tshuaj khomob nrog rau lwm yam electrolyte imbalances. Cov kev mob tshwm sim ntawm chemotherapy yog raws li nram no:

- ntuav ntuav lossis raws plab

- Exude

- Hluav taws

Cov kev mob tshwm sim no tuaj yeem ua rau poob dej. Cov kua dej los ntawm ntuav thiab raws plab electrolyte imbalancedab tsi tuaj yeem ua tau.

Yuav kuaj Hypochloremia li cas?

Tus kws kho mob yuav kuaj ntshav kom kuaj cov tshuaj chloride hypochloremiatuaj yeem kuaj tau. 

Tus nqi ntawm cov tshuaj chloride hauv cov ntshav yog ntsuas raws li qhov concentration - cov tshuaj chloride hauv milliequivalents (mEq) (L) ib liter.

Hauv qab no yog cov kev siv ib txwm siv rau cov ntshav chloride. Cov nqi qis hauv qab qhov tsim nyog siv ntau yam hypochloremiatuaj yeem qhia:

Cov neeg laus: 98-106 mEq/L

Cov menyuam yaus: 90-110 mEq/L

Cov me nyuam yug tshiab: 96-106 mEq/L

Cov me nyuam ntxov ntxov: 95-110 mEq/L

Kev Kho Mob Hypochloremia

Tus kws kho mob yuav ua hauj lwm los kho qhov teeb meem hauv qab uas ua rau cov electrolyte tsis txaus.

hypochloremia Yog tias nws tshwm sim los ntawm kev siv tshuaj, tus kws kho mob tuaj yeem kho qhov koob tshuaj. hypochloremia Yog tias nws yog vim muaj teeb meem nrog raum lossis kab mob endocrine, tus kws kho mob yuav xa koj mus rau tus kws kho mob tshwj xeeb.

Koj tuaj yeem tau txais cov kua dej hauv cov hlab ntsha (IV), xws li cov kua ntsev ib txwm, coj cov electrolytes mus rau qib qub.

Tus kws kho mob kuj tseem yuav xaj kom kuaj koj cov qib electrolyte tsis tu ncua rau kev soj ntsuam lub hom phiaj.

hypochloremia Yog tias mob me, qee zaum nws tuaj yeem kho nrog kev hloov pauv kev noj haus.

Hyperchloremia yog dab tsi?

hyperchloremiayog ib qho electrolyte imbalance uas tshwm sim thaum muaj chloride ntau dhau hauv cov ntshav.

Chlorine yog ib qho tseem ceeb electrolyte uas yog lub luag hauj lwm rau kev tswj cov acid-base (pH) sib npaug hauv lub cev, tswj cov kua dej thiab xa cov hlab ntsha impulses.

Lub raum ua lub luag haujlwm tseem ceeb hauv kev tswj cov tshuaj chlorine hauv lub cev, yog li electrolyte tsis txaus yog teeb meem nrog cov kabmob no.

Tsis tas li ntawd, lub raum muaj peev xwm tswj tau lawv cov chloride sib npaug tuaj yeem cuam tshuam los ntawm lwm yam mob, xws li ntshav qab zib lossis lub cev qhuav dej hnyav.

Cov tsos mob ntawm High Chlorine yog dab tsi?

hyperchloremiaCov tsos mob uas qhia tau tias mob shingles feem ntau yog vim qhov tshwm sim ntawm cov tshuaj chloride siab. Feem ntau qhov no yog acidosis, ntau acidity ntawm cov ntshav. Cov tsos mob ntawm hyperchloremia tej zaum yuav muaj xws li:

- Kev nkees

- cov leeg tsis muaj zog

- nqhis dej heev

- Qhuav mucous daim nyias nyias

- Mob ntshav siab

hauv qee tus neeg Cov tsos mob ntawm hyperchloremia tsis muaj pov thawj. Qhov no qee zaum mus tsis tau kuaj kom txog thaum kuaj ntshav niaj hnub.

Dab tsi yog qhov ua rau muaj chlorine siab hauv cov ntshav?

Zoo li sodium, potassium, thiab lwm yam electrolytes, qhov concentration ntawm chlorine hauv peb lub cev yog ua tib zoo tswj los ntawm ob lub raum.

Lub raum yog ob lub noob taum zoo li lub cev nyob hauv qab ntawm lub tawb tawb ntawm ob sab ntawm tus txha nraub qaum. Lawv yog lub luag hauj lwm rau lim cov ntshav thiab ua kom nws muaj pes tsawg leeg ruaj khov, uas ua kom lub cev ua haujlwm zoo.

hyperchloremiatshwm sim thaum cov tshuaj chlorine hauv cov ntshav siab dhau lawm. hyperchloremiaMuaj ntau txoj hauv kev uas nws tuaj yeem tshwm sim. Cov no suav nrog:

- Noj cov kua ntsev ntau dhau thaum nyob hauv tsev kho mob, xws li thaum phais

– mob raws plab heev

- Mob raum los yog mob raum

- Kev haus dej ntsev

- Kev noj ntsev ntau heev

- Bromide lom los ntawm cov tshuaj muaj bromide

- Lub raum lossis metabolic acidosis tshwm sim thaum lub raum tsis tshem cov kua qaub ntawm lub cev lossis thaum lub cev siv cov kua qaub ntau dhau.

- Ua pa alkalosis, ib qho mob uas tshwm sim thaum cov pa roj carbon dioxide hauv cov ntshav qis dhau (piv txwv li, thaum tus neeg mob hyperventilating)

Kev siv tshuaj ntev ntev hu ua carbonic anhydrase inhibitors, siv los kho glaucoma thiab lwm yam kab mob.

Hyperchloremic Acidosis yog dab tsi?

Hyperchloremic acidosis, lossis hyperchloremic metabolic acidosis, tshwm sim thaum poob ntawm bicarbonate (alkaline) ua rau pH sib npaug hauv cov ntshav acidic (metabolic acidosis).

Hauv kev teb, lub cev hyperchloremiaNws clings rau chlorine, ua rau Hauv hyperchloremic acidosis, lub cev poob ntau dhau los yog khaws cov kua qaub ntau dhau.

Lub hauv paus hu ua sodium bicarbonate pab khaws cov ntshav ntawm pH nruab nrab. Kev poob ntawm sodium bicarbonate tuaj yeem ua rau:

– mob raws plab heev

- Kev siv cov tshuaj laxative ntev ntev

- Proximal lub raum tubular acidosis, uas txhais tau hais tias lub raum tsis tuaj yeem nqus tau bicarbonate los ntawm cov zis.

- Kev siv ntev ntev ntawm carbonic anhydrase inhibitors hauv kev kho mob glaucoma, xws li acetazolamide

- mob raum

Qhov ua tau ntawm cov kua qaub ntau dhau mus rau cov ntshav muaj xws li:

- Kev poob qis ntawm ammonium chlorine, hydrochloric acid los yog lwm yam acidifying ntsev (qee zaum pom muaj nyob rau hauv cov kev daws teeb meem siv rau kev pub mis)

- Qee hom mob raum tubular acidosis

– Kev noj ntsev ntau dhau hauv tsev kho mob

Yuav kuaj Hyperchloremia li cas?

hyperchloremia Nws feem ntau yog kuaj nrog ib qho kev sim hu ua chloride ntshav kuaj. Qhov kev sim no feem ntau yog ib feem ntawm lub vaj huam sib luag loj dua uas tus kws kho mob tuaj yeem xaj.

Lub vaj huam sib luag metabolic ntsuas cov qib ntawm ntau yam electrolytes hauv cov ntshav:

- Cov pa roj carbon dioxide lossis bicarbonate

- Cov tshuaj chloride

- Potassium

- Sodium

Cov tshuaj chlorine ib txwm rau cov neeg laus yog nyob rau hauv thaj tsam ntawm 98–107 mEq / L. Yog tias koj qhov kev kuaj pom muaj cov tshuaj chlorine siab dua 107 mEq / L, hyperchloremia txhais tau tias muaj.

Hauv qhov no, tus kws kho mob kuj tseem tuaj yeem kuaj cov zis rau cov tshuaj chlorine thiab ntshav qab zib kom pom tias koj muaj ntshav qab zib. Ib qho yooj yim urinalysis tuaj yeem pab txheeb xyuas cov teeb meem ntawm lub raum.

Kev kho mob hyperchloremia

hyperchloremia Kev kho rau qhov no yuav nyob ntawm qhov ua rau ntawm tus mob:

- Rau lub cev qhuav dej, kev kho mob yuav suav nrog hydration.

- Yog tias koj noj saline ntau dhau lawm, cov khoom noj ntsev yuav tsum nres kom txog thaum koj rov zoo.

- Yog tias koj cov tshuaj ua rau muaj teeb meem, koj tus kws kho mob yuav hloov lossis tso tseg cov tshuaj.

- Rau qhov teeb meem ntawm lub raum, tus kws kho mob nephrologist yuav xa koj mus rau tus kws kho mob tshwj xeeb hauv lub raum noj qab haus huv. Yog tias koj tus mob hnyav heev, kev lim ntshav yuav tsum tau lim cov ntshav es tsis txhob siv lub raum.

- Hyperchloremic metabolic acidosis tuaj yeem kho nrog lub hauv paus hu ua sodium bicarbonate.

Cov neeg uas muaj hyperchloremiayuav tsum ua kom koj lub cev hydrated. Tsis txhob haus caffeine thiab cawv, vim tias cov no tuaj yeem ua rau lub cev qhuav dej tsis zoo.

Dab tsi yog qhov teeb meem ntawm Hyperchloremia?

hauv lub cev chlorine ntau dhautuaj yeem ua rau muaj kev phom sij heev vim muaj kev sib txuas nrog ntau dua li cov kua qaub hauv cov ntshav. Yog tias tsis kho sai, nws tuaj yeem ua rau:

- Lub raum pob zeb

- Inhibiting lub peev xwm los kho yog mob raum

- raum tsis ua hauj lwm

– teeb meem plawv

- Cov teeb meem nqaij leeg

– Cov teeb meem pob txha

- coma

- Kev tuag

Yuav Tiv Thaiv Hyperchloremia li cas?

hyperchloremia, tshwj xeeb Addison tus kab mob Yog nws tshwm sim los ntawm kev kho mob zoo li hyperchloremia Qee cov tswv yim uas yuav pab tau rau cov neeg muaj kev pheej hmoo ntawm kev tsim ntshav qab zib muaj xws li:

- hyperchloremiaTham nrog kws kho mob txog cov tshuaj uas yuav ua rau

- hyperchloremiaCov teebmeem ntawm cov tshuaj uas tuaj yeem ua rau Piv txwv li, thaum tus neeg xav tias lub cev qhuav dej, lawv yuav haus dej ntau dua.

- Noj zaub mov kom zoo thiab tsis txhob noj zaub mov ntau dhau.

- Noj cov tshuaj ntshav qab zib raws li kws kho mob tau sau tseg.

Hauv cov neeg noj qab haus huv hyperchloremia nws tsis tshua muaj heev. Haus dej txaus thiab tsis txhob noj ntsev ntau tuaj yeem tiv thaiv qhov tsis txaus ntawm electrolyte.