Ukuhlolwa kwegazi le-Sodium

Ukuhlolwa kwegazi le-sodium kukala ukugxila kwe-sodium egazini.

Isodium nayo ingalinganiswa kusetshenziswa ukuhlolwa komchamo.

Kudingeka isampula yegazi.

Umhlinzeki wakho wezokunakekelwa kwempilo angakutshela ukuthi uyeke ukuthatha imishanguzo okwesikhashana engathinta ukuhlolwa. Lokhu kufaka phakathi:

• Imithi elwa namagciwane
• Izidambisi
• Eminye imithi yomfutho wegazi ophezulu
• ILithium
• Izidakamizwa ezingezona ukuvuvukala (ama-NSAID)
• Amaphilisi wamanzi (isisu)

Ungayeki ukuthatha noma imuphi umuthi ngaphambi kokukhuluma nomhlinzeki wakho.

Lapho inaliti ifakwa ukudonsa igazi, abanye abantu bezwa ubuhlungu obulinganiselayo. Abanye bazizwa beshaywa noma betinyelwa kuphela. Ngemuva kwalokho, kungahle kube nokushaywa okuthile noma ukulinyazeka okuncane. Lokhu maduzane kuyaphela.

Isodiyamu yinto edinga umzimba ukuthi isebenze kahle. Isodium itholakala ekudleni okuningi. Uhlobo oluvame kakhulu lwe-sodium yi-sodium chloride, okuwusawoti wasetafuleni.

Lokhu kuhlolwa kuvame ukwenziwa njengengxenye ye-electrolyte noma ukuhlolwa kwegazi okuyisisekelo kwe-metabolic.

Izinga legazi lakho le-sodium limele ibhalansi phakathi kwe-sodium namanzi ekudleni naseziphuzweni oziphuzayo kanye nenani lomchamo wakho. Inani elincane lilahleka ngesitokisi nomjuluko.

Izinto eziningi zingathinta leli bhalansi. Umhlinzeki wakho anga-oda lolu vivinyo uma:

• Ngibe nokulimala muva nje, ukuhlinzwa, noma ukugula okungathi sína
• Sebenzisa amanani amakhulu noma amancane kasawoti noma oketshezi
• Thola uketshezi olufakwa emithanjeni (IV)
• Thatha izidakamizwa (amaphilisi amanzi) noma eminye imithi ethile, kufaka phakathi i-hormone aldosterone

Ububanzi obujwayelekile bamazinga egazi le-sodium yi-135 kuya ku-145 milliequivalents ilitha ngalinye (mEq / L).

Ububanzi bamanani ajwayelekile bungahluka kancane phakathi kwamalabhorethri ahlukene. Amanye amalebhu asebenzisa izilinganiso ezahlukahlukene noma avivinye amasampula ahlukile. Khuluma nomhlinzeki wakho mayelana nencazelo yemiphumela yakho ethile yokuhlolwa.

Izinga le-sodium elingajwayelekile lingaba ngenxa yezimo eziningi ezahlukahlukene.

Izinga eliphakeme kunelejwayelekile le-sodium libizwa nge-hypernatremia. Kungahle kube ngenxa:

• Izinkinga zezindlala ze-Adrenal ezifana neCushing syndrome noma i-hyperaldosteronism
• Isifo sikashukela insipidus (uhlobo lwesifo sikashukela lapho izinso zingakwazi ukonga amanzi)
• Ukwanda kokulahleka koketshezi ngenxa yokujuluka okweqile, isifo sohudo, noma ukusha
  
• Usawoti omningi noma i-sodium bicarbonate ekudleni
• Ukusetshenziswa kwemithi ethile, kufaka phakathi i-corticosteroids, i-laxatives, i-lithium, nemithi efana ne-ibuprofen noma i-naproxen

Ngaphansi kwezinga le-sodium evamile kuthiwa yi-hyponatremia. Kungahle kube ngenxa:

• Izindlala ze-Adrenal azenzi ngokwanele ngamahomoni azo (Isifo i-Addison)
• I-buildup emchameni womkhiqizo odoti ovela ekuqhekekeni kwamafutha (ketonuria)
• Izinga likashukela egazini eliphakeme (hyperglycemia)
• Ilever ephezulu yegazi le-triglyceride (hypertriglyceridemia)
• Khuphula inani lamanzi omzimba abonwa kulabo abanesifo senhliziyo, izifo ezithile zezinso, noma isifo sokuqina kwesibindi
• Ukwanda kokulahlekelwa kuketshezi emzimbeni, ukuhlanza, noma isifo sohudo
• I-Syndrome ye-antidiuretic hormone secretion (i-antidiuretic hormone ikhishwa endaweni engajwayelekile emzimbeni)
• Kuningi kakhulu kwe-hormone vasopressin
• Indlala yegilo engasebenzi kahle (hypothyroidism)
• Ukusetshenziswa kwemithi efana ne-diuretics (amaphilisi amanzi), i-morphine, kanye ne-serotonin reuptake inhibitor (SSRI) ye-anti-depressants

Kunengozi encane kakhulu ethintekayo ekuthatheni igazi lakho. Imithambo nemithambo yegazi kuyahluka ngosayizi komunye umuntu kuya kolunye uhlangothi lomzimba kuya kolunye. Ukuthatha igazi kwabanye abantu kungaba nzima kakhulu ukwedlula kwabanye.

Ezinye izingozi ezihambisana nokudonswa igazi zincane kepha zingafaka:

• Ukopha ngokweqile
• Ukubhoboza okuningi ukuthola imithambo
• Ukuquleka noma uzizwe unekhanda elincane
• I-hematoma (ukuqoqwa kwegazi ngaphansi kwesikhumba)
• Ukutheleleka (ingozi encane noma kunini lapho isikhumba siphukile)

I-serum sodium; Sodium - serum

• Ukuhlolwa kwegazi

I-Al-Awqati Q. Ukuphazamiseka kwesodium namanzi. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 108.

I-Oh MS, i-Briefel G. Ukuhlolwa kokusebenza kwezinso, amanzi, ama-electrolyte, ne-acid-base balance. Ku: McPherson RA, Pincus MR, abahleli. UHenry’s Clinical Diagnosis and Management by Laboratory Methods. Umhla ka-23. IPhiladelphia, PA: Elsevier; I-2017: isahluko 14.