Chii chinonzi Hyperchloremia uye Hypochloremia, Vanorapwa Sei?

Chloride ndiyo anion huru inowanikwa mumvura neropa kunze kwemasero. Anion ndicho chikamu chinopomerwa zvakaipa chezvimwe zvinhu zvakaita semunyu wetafura (NaCl) kana wanyungudutswa mumvura. Mvura yegungwa ine chiyero chakafanana chekloride ions semvura yevanhu.

Chloride ion chiyero (Cl - ) anodzorwa zvakanyanya nemuviri. Kuderedza kukuru kwekloridi kunogona kuva nemigumisiro inokuvadza uye inouraya. Chloride inowanzorasika muweti, dikita, uye mudumbu. Kudikitira zvakanyanya, kurutsa, uye kurasikirwa zvakanyanya kubva kuadrenal gland uye chirwere cheitsvo zvinogona kuitika.

muchinyorwa "chii chiri pasi chlorine", "chii chiri high chlorine", "ndezvipi zvikonzero zvekukwira uye kuderera kweklorini muropa", "kurapwa kweklorine yakaderera uye yakakwirira muropa sei" misoro yakadai

Chii chinonzi Low Chlorine muRopa?

hypochloremiakusaenzana kwe electrolyte kunoitika kana paine huwandu hwakaderera hwekloridi mumuviri.

Chloride inonzi electrolyte. Kugadzirisa huwandu hwemvura mumuviri uye pH chiyero muhurongwa yavaibvisa ve potasium Inoshanda nemamwe ma electrolyte akadai Chloride inonyanya kudyiwa semunyu wetafura (sodium chloride).

Ndezvipi Zviratidzo zveLow Chlorine?

Zviratidzo zve hypochloremiakazhinji hazvionekwi. Pane kudaro, vanogona kunge vari zviratidzo zvekumwe kusaenzana kwe electrolyte kana mamiriro anokonzera hypochloremia.

Zviratidzo zvepasi chlorine zviri sezvinotevera:

– Kurasikirwa kwemvura

– kupera mvura mumuviri

– Kushaya simba kana kuneta

- Kuoma kufema

- Manyoka kana kurutsa kunokonzerwa nekushaya mvura mumuviri

hypochloremiainogona kuperekedza hyponatremia, iyo yakaderera huwandu hwesodium muropa.

Zvikonzero zveLow Chlorine

Sezvo mazinga e electrolyte muropa achidzorwa neitsvo, hypochloremia Kusaenzana kwe electrolyte, senge dambudziko neitsvo, inogona kukonzerwa. 

hypochloremia Inogonawo kukonzerwa nechero yeanotevera mamiriro:

– Congestive heart failure

– Kuramba vachiita manyoka kana kurutsa

- emphysema chirwere chemapapu chisingaperi se

-Metabolic alkalosis kana ropa pH rakakwira kupfuura zvakajairika

Laxative, diureticsMamwe marudzi emishonga, akadai secorticosteroids uye bicarbonates, ariwo hypochloremiazvinogona kukonzera.

Hypochloremia uye Chemotherapy

hypochloremia, Inogona kukonzerwa nekurapa chemotherapy pamwe nekumwe kusaenzana kwe electrolyte. Migumisiro ye chemotherapy ndeyotevera:

– Kurutsa kana kuita manyoka kwenguva refu

- Enda

- Moto

Migumisiro iyi inogona kukonzera kurasikirwa kwemvura. Kurasikirwa nemvura kuburikidza nekurutsa uye manyoka electrolyte kusaenzanachii chinogona kutungamirira.

Hypochloremia Inowanikwa Sei?

Chiremba achaongorora ropa kuti atarise mwero wechloride hypochloremiaanogona kuongorora. 

Huwandu hwe chloride muropa hunoyerwa seconcentration - huwandu hwechloride mumamilliequivalents (mEq) (L) parita.

Pazasi pane zvakajairwa zvirevo zveropa chloride. Values ​​pazasi yakakodzera referensi renji hypochloremiainogona kuratidza:

Vakuru: 98–106 mEq/L

Vana: 90-110 mEq/L

Vacheche vachangozvarwa: 96-106 mEq/L

Vana vasati vasvika: 95-110 mEq/L

Hypochloremia Kurapa

Chiremba achashanda kurapa dambudziko riripo rinokonzera kusaenzana kwe electrolyte.

hypochloremia Kana inokonzerwa nemishonga, chiremba anogona kugadzirisa chirwere. hypochloremia Kana iri nekuda kwezvinetso neitsvo kana chirwere che endocrine, chiremba achakuendesa kune nyanzvi.

Iwe unogona kugamuchira intravenous (IV) zvinwiwa, seyakajairwa saline solution, kuunza maelectrolyte kumazinga akajairika.

Chiremba anogonawo kuraira kuongororwa nguva dzose kwemazinga ako e electrolyte nekuda kwekutarisa.

hypochloremia Kana iri nyoro, dzimwe nguva inogona kugadziriswa nekuchinja kwekudya.

Chii chinonzi Hyperchloremia?

hyperchloremiakusaenzana kwe electrolyte kunoitika kana chloride yakawandisa muropa.

Chlorine yakakosha electrolyte iyo inotarisira kuchengetedza iyo acid-base (pH) chiyero mumuviri, kudzora zvinwiwa uye kutumira nerve impulses.

Itsvo dzinoita basa rakakosha mukugadzirisa chlorine mumuviri, saka kusaenzana kwe electrolyte idambudziko nenhengo idzi.

Zvakare, kugona kweitsvo kuchengetedza chloride yadzo inogona kukanganiswa nemamwe mamiriro, akadai seshuga kana kupera simba kwemvura.

Ndezvipi Zviratidzo zveHigh Chlorine?

hyperchloremiaZviratidzo zvinoratidza shingles zvinowanzokonzerwa nechikonzero chinokonzera chepamusoro chloride level. Kazhinji kazhinji iyi iacidosis, iyo yakawandisa acidity yeropa. Zviratidzo zve hyperchloremia zvinogona kusanganisira:

- Kuneta

- kushaya simba kwetsandanyama

– nyota yakanyanyisa

- Dry mucous membranes

- Hypertension

mune vamwe vanhu zviratidzo zve hyperchloremia hazvisi pachena. Izvi dzimwe nguva hazvionekwe kutozosvikira pakuongororwa ropa kwenguva dzose.

Ndezvipi Zvinokonzera High Chlorine muRopa?

Kufanana nesodium, potasium, uye mamwe electrolytes, kuwanda kweklorini mumuviri wedu kunonyatso kudzorwa neitsvo.

Itsvo inhengo mbiri dzakaita sebhinzi dziri pazasi pembabvu kumativi ese emuzongoza. Ivo vane basa rekusefa ropa uye kuchengetedza kuumbwa kwaro kwakagadzikana, izvo zvinoita kuti muviri ushande zvakanaka.

hyperchloremiaInoitika kana chlorine muropa ichikwira zvakanyanya. hyperchloremiaPane nzira dzakawanda dzazvinogona kuitika nadzo. Izvi zvinosanganisira:

-Kutora saline solution yakawandisa uri muchipatara, senge panguva yekuvhiyiwa

– manyoka akanyanya

- Chirwere chisingaperi kana cheitsvo

- Kunwa mvura yemunyu

- Kunyanya kudyiwa kwemunyu wekudya

- Bromide poisoning kubva kumishonga ine bromide

- Itsvo kana metabolic acidosis inoitika kana itsvo dzikasabvisa asidhi kubva mumuviri kana kana muviri watora acid yakawandisa.

-Kufema alkalosis, mamiriro ezvinhu anoitika kana huwandu hwekabhoni dhayokisaidhi muropa hwakanyanya kuderera (semuenzaniso, kana munhu ari hyperventilating)

Kushandiswa kwenguva refu kwemishonga inonzi carbonic anhydrase inhibitors, inoshandiswa kurapa glaucoma nezvimwe zvirwere.

Chii chinonzi Hyperchloremic Acidosis?

Hyperchloremic acidosis, kana hyperchloremic metabolic acidosis, inoitika apo kurasikirwa kwebicarbonate (alkaline) kunoita kuti pH yakaenzana muropa iwedzere kuwanda (metabolic acidosis).

Mukupindura, muviri hyperchloremiaInonamatira kuklorini, inokonzera Mu hyperchloremic acidosis, muviri unogona kurasikirwa nehwaro yakawandisa kana kuchengetedza yakawandisa asidhi.

Chigadziko chinodaidzwa kuti sodium bicarbonate chinobatsira kuchengetedza ropa parinorerekera pH. Kurasikirwa kwe sodium bicarbonate kunogona kukonzera:

– manyoka akanyanya

-Kushandisa laxative nguva dzose

- Proximal renal tubular acidosis, zvinoreva kuti itsvo hadzikwanise kutorazve bicarbonate kubva muweti.

-Kushandiswa kwenguva refu kwecarbonic anhydrase inhibitors mukurapa glaucoma, senge acetazolamide.

– Kukuvara kweitsvo

Zvikonzero zvinogoneka zveasidhi yakawandisa kuendeswa kuropa zvinosanganisira:

-Kupinzwa netsaona kweammonium chlorine, hydrochloric acid kana imwe acidifying munyu (dzimwe nguva inowanikwa mumishonga inoshandiswa pakudyisa mutsinga)

- Mamwe marudzi erenal tubular acidosis

- Yakawandisa saline solution kunwa muchipatara

Hyperchloremia Inowanikwa Sei?

hyperchloremia Iyo inowanzoonekwa ine bvunzo inozivikanwa seye chloride yeropa test. Muedzo uyu unowanzo chikamu chepaneru hombe yemetabolism iyo chiremba anogona kuraira.

A metabolic panel inoyera mazinga ema electrolyte akasiyana muropa:

- Carbon dioxide kana bicarbonate

- Chloride

- Potassium

- Sodium

Zvakajairika mazinga echlorine kuvanhu vakuru ari pakati pe98–107 mEq/L. Kana bvunzo yako ichiratidza mwero wechlorine wakakwira kupfuura 107 mEq/L, hyperchloremia zvinoreva kuti pane.

Muchiitiko ichi, chiremba anogonawo kuedza weti yeklorini uye mazinga eshuga yeropa kuti aone kana une chirwere cheshuga. A simple urinalysis inogona kubatsira kuona matambudziko neitsvo.

Hyperchloremia Kurapa

hyperchloremia Kurapa kweizvi kuchaenderana nechikonzero chechirwere ichi:

-Kubvisa mvura mumuviri, kurapwa kuchasanganisira hydration.

- Kana watora saline yakawandisa, kupihwa kwesaline kunomiswa kusvika wapora.

- Kana mishonga yako iri kukonzera matambudziko, chiremba wako anogona kuchinja kana kumisa mishonga.

- Kune dambudziko reitsvo, chiremba wenephrologist angangokuendesa kuna chiremba anorapa hutano hweitsvo. Kana mamiriro ako akanyanya, dialysis inogona kudiwa kusefa ropa panzvimbo yeitsvo.

- Hyperchloremic metabolic acidosis inogona kurapwa ne base inonzi sodium bicarbonate.

Avo vane hyperchloremiaunofanira kuchengeta muviri wako usina mvura. Dzivisa caffeine uye doro, sezvo izvi zvinogona kuita kuti kupera kwemvura kuwedzere.

Ndezvipi Zvinetso zveHyperchloremia?

mumuviri kuwanda kwekloriniinogona kuva nengozi zvikuru nekuda kwekubatana nepamusoro pane yakajairika asidhi muropa. Kana isina kurapwa nekukurumidza, inogona kutungamirira kune:

- Kidney ibwe

- Kudzivisa kukwanisa kuporesa kana kukuvara kweitsvo

- Kidney kukundikana

- matambudziko emoyo

– Matambudziko etsandanyama

- Matambudziko emapfupa

-koma

- Rufu

Nzira yekudzivirira sei hyperchloremia?

hyperchloremia, kunyanya Chirwere cheAdisonison Kana zvichikonzerwa nechirwere chechirwere chakadai hyperchloremia Dzimwe nzira dzinogona kubatsira kune vanhu vari panjodzi yekubatwa nechirwere cheshuga dzinosanganisira:

- hyperchloremiaKutaura nachiremba nezvemishonga inogona kukonzera

- hyperchloremiaMigumisiro yemishonga inogona kukonzera Semuenzaniso, kana munhu achinzwa kupera mvura mumuviri, anogona kunwa mvura yakawanda.

- Kudya chikafu chine mwero uye kudzivirira zvakanyanya kurambidzwa chikafu.

– Kunwa mishonga yechirwere cheshuga sezvakarayirwa nachiremba.

Muvanhu vane hutano hyperchloremia hazviwanzoitiki. Kunwa mvura yakakwana uye kudzivirira kunwa munyu wakawandisa kunogona kudzivirira kusaenzana kwe electrolyte uku.