Ukukhishwa kwe-sodium

Ukukhishwa okwehlukanisiwe kwe-sodium inani likasawoti (i-sodium) elishiya umzimba ngomchamo uma kuqhathaniswa nenani elihlungiwe futhi labuyiselwa kabusha izinso.

Ukukhishwa kwe-Fractional of sodium (FENa) akusona isivivinyo. Esikhundleni salokho kubalwa kususelwa ekugxileni kwe-sodium ne-creatinine egazini nasemchameni. Ukuhlolwa komchamo namakhemikhali egazi kuyadingeka ukwenza lokhu kubalwa.

Amasampula egazi nomchamo aqoqwa ngasikhathi sinye futhi athunyelwe elebhu. Lapho, bahlolelwa amazinga kasawoti (i-sodium) nama-creatinine. I-Creatinine ingumkhiqizo wemfucuza wamakhemikhali we-creatine. I-Creatine yikhemikhali elenziwe ngumzimba futhi lisetshenziselwa ukunikezela amandla ikakhulukazi emisipheni.

Yidla ukudla kwakho okujwayelekile ngosawoti ojwayelekile, ngaphandle kwalapho uqondiswe ngenye indlela ngumhlinzeki wakho wezokunakekelwa kwempilo.

Uma kudingeka, ungatshelwa ukuthi uyeke okwesikhashana imithi ephazamisa imiphumela yokuhlolwa. Isibonelo, eminye imithi yokwelapha isisu (amaphilisi amanzi) ingathinta imiphumela yokuhlolwa.

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.

Ukuhlolwa kuvame ukwenzelwa abantu abagula kakhulu abanezifo zezinso ezinzima. Ukuhlolwa kusiza ekutholeni ukuthi ukwehla kokukhiqizwa komchamo kungenxa yokwehla kokugeleza kwegazi kuye ezinso noma ekulimaleni kwezinso uqobo.

Ukuhumusha okunengqondo kokuhlolwa kungenziwa kuphela lapho ivolumu yakho yomchamo yehle yaya ngaphansi kuka-500 ml / ngosuku.

I-FENa engaphansi kuka-1% ikhombisa ukwehla kwegazi eliya ezinso. Lokhu kungenzeka ngokulimala kwezinso ngenxa yokwehla kwamanzi emzimbeni noma ukwehluleka kwenhliziyo.

I-FENa ephakeme kuno-1% iphakamisa ukulimala kwezinso uqobo.

Azikho izingozi ngesampula yomchamo.

Kunengozi encane 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 zokudonswa igazi zincane, kepha zingafaka:

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

FE sodium; I-FENa

UParikh CR, uKoyner JL. Ama-biomarkers ezifweni ezinzima nezingapheliyo zezinso. Ku: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, ama-eds. IBrenner neRector's The Kidney. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2020: isahluko 27.

I-Polonsky TS, iBakris GL. Ukuguqulwa kokusebenza kwezinso okuhambisana nokuhluleka kwenhliziyo. Ku: Felker GM, Mann DL, eds. Ukwehluleka Kwenhliziyo: Umngane Wezifo Zenhliziyo zeBraunwald. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2020: isahluko 15.