Ukuhlolwa komchamo we-Osmolality

Ukuhlolwa komchamo we-osmolality kukala ukugxila kwezinhlayiya emchameni.

I-Osmolality nayo ingalinganiswa kusetshenziswa ukuhlolwa kwegazi.

Isampula yomchamo wokubamba ehlanzekile iyadingeka. Indlela yokubamba ehlanzekile isetshenziselwa ukuvimbela amagciwane avela endondeni noma esithweni sangasese ekungeneni kusampula yomchamo. Ukuqoqa umchamo wakho, umhlinzeki wezokunakekelwa kwempilo angakunika ikhithi ekhethekile yokubamba ehlanzekile equkethe isisombululo sokuhlanza kanye nokusula okuyinyumba. Landela imiyalo ngqo.

Umhlinzeki wakho angakutshela ukuthi udinga ukukhawulela ukungenisa kwakho uketshezi amahora ayi-12 kuye kwangama-14 ngaphambi kokuhlolwa.

Umhlinzeki wakho uzokucela ukuthi uyeke ukuthatha imishanguzo okwesikhashana engathinta imiphumela yokuhlolwa. Qiniseka ukuthi utshela umhlinzeki wakho ngayo yonke imithi oyiphuzayo, kufaka phakathi i-dextran ne-sucrose. Ungayeki ukuthatha noma imuphi umuthi ngaphambi kokukhuluma nomhlinzeki wakho.

Ezinye izinto zingathinta nemiphumela yokuhlolwa. Tshela umhlinzeki wakho uma kamuva nje:

• Unanoma yiluphi uhlobo lwe-anesthesia yokuhlinzwa.
• Kutholwe udayi we-intravenous (medium medium) wokuhlolwa kwe-imaging njenge-CT noma i-MRI scan.
• Amakhambi asetshenzisiwe noma amakhambi emvelo, ikakhulukazi amakhambi amaShayina.

Ukuhlolwa kuhilela ukuchama okuvamile. Akukho ukungakhululeki.

Lokhu kuhlolwa kusiza ukuhlola ibhalansi yamanzi emzimbeni wakho kanye nokuhlungwa komchamo.

I-Osmolality isilinganiso esilingana ngqo sokuhlushwa komchamo kunokuhlolwa komandla womchamo othize.

Amanani ajwayelekile angokulandelayo:

• Isibonelo esingahleliwe: 50 kuya ku-1200 mOsm / kg (50 kuya ku-1200 mmol / kg)
• Ukuvinjelwa oketshezi okwehora eli-12 kuya kwele-14: Okukhulu kunama-850 mOsm / kg (850 mmol / kg)

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.

Imiphumela engajwayelekile ikhonjiswa kanjena:

Izilinganiso eziphakeme kunokujwayelekile zingaveza:

• Izindlala ze-Adrenal azivezi amahomoni anele (i-Addison isifo)
• Ukwehluleka kwenhliziyo
• Izinga eliphakeme le-sodium egazini
• Ukulahlekelwa uketshezi lomzimba (ukoma)
• Ukuncipha komthambo wezinso (i-renal artery stenosis)
• Ukushaqeka
• Ushukela (ushukela) emchameni
• Isifo semfihlo esingalungile se-ADH (SIADH)

Izilinganiso ezingaphansi kunezilinganiso ezijwayelekile zingakhombisa:

• Ukulimala kumaseli we-kidney tubule (renal tubular necrosis)
• Isifo sikashukela insipidus
• Ukuphuza uketshezi oluningi
• Ukuhluleka kwezinso
• Izinga eliphansi le-sodium egazini
• Ukutheleleka okukhulu kwezinso (pyelonephritis)

Azikho izingozi ngalokhu kuhlolwa.

• Ukuhlolwa kwe-Osmolality
• Umgudu womchamo wabesifazane
• Umgudu womchamo wabesilisa
• Umchamo we-Osmolality - uchungechunge

UBerl T, uSands JM. Ukuphazamiseka kwemetabolism yamanzi. Ku: Feehally J, Floege J, Tonelli M, Johnson RJ, abahleli. I-Nephrology Yomtholampilo Ephelele. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2019: isahluko 8.

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. ISt Louis, MO: Elsevier; I-2017: isahluko 14.