Ukuhlolwa kwegazi kwe-CO2

I-CO2 yisikhutha. Lo mbhalo ukhuluma ngokuhlolwa kwelabhorethri ukukala inani le-carbon dioxide engxenyeni engamanzi yegazi lakho, ebizwa nge-serum.

Emzimbeni, iningi le-CO2 lisesimweni sento ebizwa nge-bicarbonate (HCO3-).Ngakho-ke, ukuhlolwa kwegazi le-CO2 kuyisilinganiso sezinga lakho le-bicarbonate yegazi.

Kudingeka isampula yegazi. Isikhathi esiningi igazi likhishwa emthanjeni ongaphakathi endololwaneni noma ngemuva kwesandla.

Imithi eminingi ingaphazamisa imiphumela yokuhlolwa kwegazi.

• Umhlinzeki wakho wezokunakekelwa kwempilo uzokutshela uma kudingeka uyeke ukuthatha noma yimiphi imithi ngaphambi kokwenza lokhu kuhlolwa.
• UNGAYIMISI noma ushintshe imithi yakho ngaphandle kokukhuluma nomhlinzeki wakho kuqala.

Ungase uzwe ubuhlungu obuncane noma isitinyela lapho kufakwa inaliti. Ungase futhi uzizwe ushaywa yisiza ngemuva kokukhishwa kwegazi.

Ukuhlolwa kwe-CO2 kuvame ukwenziwa njengengxenye ye-electrolyte noma iphaneli eyisisekelo ye-metabolic. Izinguquko ezingeni lakho le-CO2 zingahle ziphakamise ukuthi ulahlekelwa noma ugcina uketshezi. Lokhu kungadala ukungalingani kuma-electrolyte omzimba wakho.

Amazinga e-CO2 egazini athinteka ukusebenza kwezinso namaphaphu. Izinso zisiza ukugcina amazinga ejwayelekile e-bicarbonate.

Ububanzi obujwayelekile ngama-milliequivalents angama-23 kuya kwangu-29 ngelitha (mEq / L) noma ngama-millimole angama-23 kuye kwangama-29 ngelitha (mmol / L).

Ububanzi bamanani ajwayelekile bungahluka kancane phakathi kwamalabhorethri ahlukene. Khuluma nomhlinzeki wakho mayelana nencazelo yemiphumela yakho ethile yokuhlolwa.

Isibonelo esingenhla sikhombisa ububanzi bemilinganiso ejwayelekile yemiphumela yalezi zivivinyo. Amanye ama-laboratories asebenzisa izilinganiso ezahlukahlukene noma angahlola izinhlobo ezahlukene.

Amazinga angajwayelekile kungenzeka ngenxa yezinkinga ezilandelayo.

Amazinga aphansi kunokujwayelekile:

• Isifo i-Addison
• Uhudo
• Ubuthi be-ethylene glycol
• I-Ketoacidosis
• Isifo sezinso
• I-Lactic acidosis
• I-Metabolic acidosis
• Ubuthi beMethanol
• I-renal tubosis acid; kude
• I-renal tubosis acid; proximal
• I-alkalosis yokuphefumula (inxephezelwe)
• Ubuthi be-salicylate (njenge-aspirin overdose)
• Ukuphambukisa kwesibeletho

Amazinga aphezulu kunokujwayelekile:

• Isifo seBartter
• I-Cushing syndrome
• I-Hyperaldosteronism
• I-alkalosis yomzimba
• I-acidosis yokuphefumula (inxephezelwe)
• Ukuhlanza

IDelirium nayo ingashintsha amazinga e-bicarbonate.

Ukuhlolwa kweBicarbonate; HCO3-; Ukuhlolwa kwe-Carbon dioxide; TCO2; Ingqikithi ye-CO2; Isivivinyo se-CO2 - i-serum; I-Acidosis - CO2; I-Alkalosis - CO2

I-Ring T, i-Acid-base physiology nokuxilongwa kwezifo. Ku: Ronco C, Bellomo R, Kellum JA, Ricci Z, abahleli. Ukunakekelwa Okubalulekile I-Nephrology. 3rd ed. IPhiladelphia, PA: Elsevier; 2019: isahluko 65.

Seifter JL. Izinkinga ze-acid-base. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-25. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 118.