Ukuhlolwa kwegazi le-Ammonia

Ukuhlolwa kwe-ammonia kukala izinga le-ammonia kusampula yegazi.

Kudingeka isampula yegazi.

Umhlinzeki wakho wezokunakekelwa kwempilo angakucela ukuthi uyeke ukuthatha imishanguzo ethile engathinta imiphumela yokuhlolwa. Lokhu kufaka phakathi:

• Utshwala
• I-Acetazolamide
• Ama-barbiturates
• Izidakamizwa
• Izidakamizwa
• I-Valproic acid

Akufanele ubheme ngaphambi kokuba kudonswe igazi lakho.

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

I-Ammonia (NH3) ikhiqizwa ngamaseli kuwo wonke umzimba, ikakhulukazi amathumbu, isibindi nezinso. Iningi le-ammonia ekhiqizwa emzimbeni lisetshenziswa yisibindi ukukhiqiza i-urea. I-Urea nayo ingumkhiqizo odoti, kepha ayinabuthi kangako kune-ammonia. I-ammonia inobuthi ikakhulukazi ebuchosheni. Kungadala ukudideka, amandla aphansi, futhi kwesinye isikhathi ikhoma.

Lokhu kuhlolwa kungenziwa uma unayo, noma umhlinzeki wakho ecabanga ukuthi unaso, isimo esingadala ukwakheka okunobuthi kwe-ammonia. Isetshenziswa kakhulu ukuxilonga nokuqapha i-hepatic encephalopathy, isifo esibi sesibindi.

Ububanzi obujwayelekile bungu-15 kuye ku-45 µ / dL (11 kuye ku-32 µmol / L).

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

Imiphumela engajwayelekile ingasho ukuthi unyuse amazinga e-ammonia egazini lakho. Lokhu kungenzeka ngenxa yanoma yikuphi okulandelayo:

• Ukopha emathunjini (GI) ukopha, imvamisa kupheshana eliphezulu le-GI
• Izifo zofuzo zomjikelezo we-urea
• Ukushisa komzimba okuphezulu (hyperthermia)
• Isifo sezinso
• Ukuhluleka kwesibindi
• Izinga eliphansi le-potassium yegazi (kubantu abanesifo sesibindi)
• Ukudla komzali (ukondla ngomthambo)
• I-Reye syndrome
• Ubuthi be-salicylate
• Ukuzikhandla okukhulu kwemisipha
• I-Ureterosigmoidostomy (inqubo yokwakha kabusha umgudu wezifo ezithile)
• Ukutheleleka ngomgudu womchamo ngamagciwane abizwa ngokuthi Ama-Proteus mirabilis

Ukudla okunamaprotheni amaningi nakho kungakhuphula izinga le-ammonia yegazi.

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

I-serum ammonia; I-Encephalopathy - i-ammonia; I-cirrhosis - i-ammonia; Ukuhluleka kwesibindi - i-ammonia

• Ukuhlolwa kwegazi

IChernecky CC, iBerger BJ. I-Ammonia (NH3) - igazi nomchamo. Ku: IChernecky CC, iBerger BJ, ama-eds. Ukuhlolwa Kwelabhoratri Nezinqubo Zokuxilonga. Umhlaka 6. ISt Louis, MO: Elsevier Saunders; 2013: 126-127.

I-Nevah MI, i-Fallon MB. I-hepatic encephalopathy, i-hepatorenal syndrome, i-hepatopulmonary syndrome, nezinye izinkinga zesistimu yesifo sesibindi. Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. ISleisenger neFordtran's Gastrointestinal and Liver Disease: IPathophysiology / Diagnosis / Management. Umhlaka 10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 94.

UPincus MR, u-Tierno PM, uGleeson E, uBowne WB, uBluth MH. Ukuhlolwa kokusebenza kwesibindi. Ku: McPherson RA, Pincus MR, abahleli. UHenry’s Clinical Diagnosis and Management by Laboratory Methods. Umhla ka-23. ISt Louis, MO: Elsevier; I-2017: isahluko 21.