Ukuhlolwa kwe-pH yomchamo

Ukuhlolwa komchamo we-pH kukala izinga le-asidi emchameni.

Ngemuva kokunikeza isampula yomchamo, ihlolwa khona manjalo. Umhlinzeki wezokunakekelwa kwempilo usebenzisa idipiki eyenziwe ngephedi ezwela umbala. Ukuguqulwa kombala ku-dipstick kutshela umhlinzeki izinga le-asidi emchameni wakho.

Umhlinzeki wakho angakutshela ukuthi uyeke ukuthatha imithi ethile engathinta imiphumela yokuhlolwa. Lokhu kungafaka:

• I-Acetazolamide
• I-ammonium chloride
• I-Methenamine mandelate
• I-potassium citrate
• I-bicarbonate yesodium
• I-Thiazide isisu

Ungayeki ukuthatha noma imuphi umuthi ngaphambi kokukhuluma nomhlinzeki wakho.

Yidla ukudla okujwayelekile, okulinganiselayo izinsuku ezimbalwa ngaphambi kokuhlolwa. Qaphela ukuthi:

• Ukudla okunezithelo, imifino, noma imikhiqizo yobisi engeyona ushizi kungakhuphula umchamo wakho i-pH.
• Ukudla okunenhlanzi eningi, imikhiqizo yenyama, noma ushizi kunganciphisa umchamo wakho i-pH.

Ukuhlolwa kuhilela ukuchama okuvamile kuphela. Akukho ukungakhululeki.

Umhlinzeki wakho anga-oda lokhu kuhlolwa ukuze kubhekwe izinguquko kumazinga wakho we-acid yomchamo. Kungenziwa ukubona ukuthi ngabe:

• Basengozini yamatshe ezinso. Izinhlobo ezahlukahlukene zamatshe zingakha kuye ngokuthi umchamo wakho u-asidi kangakanani.
• Yiba nesimo se-metabolic, njenge-renal tubular acidosis.
• Udinga ukuthatha imithi ethile ukwelapha izifo ezithinta umchamo. Eminye imishanguzo isebenza kangcono lapho umchamo une-asidi noma i-non-acidic (alkaline).

Amanani ajwayelekile asukela ku-pH 4.6 kuye ku-8.0.

Izibonelo ezingenhla yizilinganiso ezijwayelekile zemiphumela yalezi zivivinyo. 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.

I-pH ephezulu yomchamo kungenzeka ukuthi ingenxa yokuthi:

• Izinso ezingasusi kahle ama-asidi (i-kidney tubular acidosis, eyaziwa nangokuthi i-renal tubular acidosis)
• Ukuhluleka kwezinso
• Ukumpompa isisu (ukuncela esiswini)
• Ukutheleleka ngomgudu womchamo
• Ukuhlanza

Umchamo ophansi pH kungenzeka ukuthi ungenxa yokuthi:

• I-ketoacidosis yesifo sikashukela
• Uhudo
• I-asidi eningi emzimbeni wamanzi (i-metabolic acidosis), efana ne-ketoacidosis yesifo sikashukela
• Indlala

Azikho izingozi ngalokhu kuhlolwa.

pH - umchamo

• Umgudu womchamo wabesifazane
• Ukuhlolwa komchamo we-PH
• Umgudu womchamo wabesilisa

UBushinsky DA. Amatshe ezinso. Ku: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, abahleli. Incwadi kaWilliams ye-Endocrinology. Umhlaka 14. IPhiladelphia, PA: Elsevier; 2020: isahluko 32.

I-DuBose TD. Ukuphazamiseka kwebhalansi ye-acid-base. Ku: Skorecki K, Chertow GM, Marsden PA, Taal MW, Yu ASL, ama-eds. IBrenner neRector's The Kidney. Umhlaka 10. IPhiladelphia, PA: Elsevier; 2016: isahluko 17.

UFogazzi GB, Garigali G. Urinalysis. Ku: Feehally J, Floege J, Tonelli M, Johnson RJ, abahleli. I-Nephrology Yomtholampilo Ephelele. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2019: isahluko 4.

URiley RS, uMcPherson RA. Ukuhlolwa okuyisisekelo komchamo. Ku: McPherson RA, Pincus MR, abahleli. UHenry’s Clinical Diagnosis and Management by Laboratory Methods. Umhla ka-23. ISt Louis, MO: Elsevier; 2017: isahluko 28.