Ukuhlolwa kwe-chlorine - umchamo

Ukuhlolwa komchamo we-chloride kukala inani le-chloride kumthamo othile womchamo.

Ngemuva kokunikeza isampula yomchamo, iyahlolwa ebhodini. Uma kudingeka, umhlinzeki wezempilo angakucela ukuthi ulande umchamo wakho ekhaya isikhathi esingamahora angama-24. Umhlinzeki wakho uzokutshela ukuthi ungakwenza kanjani lokhu. Landela imiyalo ngqo ukuze imiphumela inembile.

Umhlinzeki wakho uzokucela ukuthi uyeke ukuthatha imishanguzo okwesikhashana engathinta imiphumela yokuhlolwa. Tshela umhlinzeki wakho ngayo yonke imithi oyiphuzayo, kufaka phakathi:

• I-Acetazolamide
• Ama-Corticosteroids
• Izidakamizwa ezingezona ukuvuvukala (ama-NSAID)
• Amaphilisi wamanzi (imithi yokwelapha)

Ungayeki ukuthatha noma imuphi umuthi ngaphambi kokukhuluma nomhlinzeki wakho.

Ukuhlolwa kuhilela ukuchama okuvamile kuphela. Akukho ukungakhululeki.

Umhlinzeki wakho anga-oda lokhu kuhlolwa uma unezimpawu zesimo esithinta uketshezi lomzimba noma ibhalansi ye-acid-base.

Ububanzi obujwayelekile bungu-110 kuya ku-250 mEq ngosuku eqoqweni lamahora angama-24. Leli banga lincike enanini likasawoti noketshezi olithathayo.

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 yomphumela wakho wokuhlolwa okhethekile.

Izinga eliphakeme kune-urine chloride level lingahle libe ngenxa ye:

• Umsebenzi ophansi wezindlala ze-adrenal
• Ukuvuvukala kwezinso okuholela ekulahlekelweni kukasawoti (nephropathy yokulahlekelwa usawoti)
• Ukwehla kwe-potassium (egazini noma emzimbeni)
• Ukukhiqizwa kwenani elikhulu kakhulu lomchamo (i-polyuria)
• Usawoti omningi ekudleni

Ukwehla kwezinga le-urine chloride kungaba ngenxa:

• Umzimba ophethe usawoti omningi (ukugcinwa kwe-sodium)
• I-Cushing syndrome
• Ukunciphisa usawoti
• Ukulahlekelwa kuketshezi okwenzeka ngohudo, ukuhlanza, ukujuluka nokuncela esiswini
• Isifo semfihlo esingalungile se-ADH (SIADH)

Azikho izingozi ngalokhu kuhlolwa.

I-chloride yomchamo

• Umgudu womchamo wabesifazane
• Umgudu womchamo wabesilisa

USegal A, uGennari FJ. I-alkalosis yomzimba. Ku: Ronco C, Bellomo R, Kellum JA, Ricci Z, abahleli. Ukunakekelwa Okubalulekile I-Nephrology. 3rd ed. IPhiladelphia, PA: Elsevier; 2019: isahluko 13.

UTolwani AJ, Saha MK, Wille KM. I-Metabolic acidosis ne-alkalosis. Ku: Vincent JL, Abraham E, Moore FA, Kochanek PM, Fink MP, ama-eds. Incwadi Yokunakekelwa Okubalulekile. Umhla wesi-7. IPhiladelphia, PA: Elsevier Saunders; I-2017: isahluko 104.