Ukuhlolwa komchamo we-Creatinine

Ukuhlolwa komchamo we-creatinine kukala inani le-creatinine emchameni. Lokhu kuhlolwa kwenziwa ukuze kubonakale ukuthi izinso zakho zisebenza kahle kangakanani.

I-Creatinine nayo ingalinganiswa ngokuhlolwa kwegazi.

Ngemuva kokunikeza isampula yomchamo, iyahlolwa ebhodini. Uma kudingeka, udokotela wakho angakucela ukuthi uqoqe umchamo wakho ekhaya ngaphezu kwamahora angama-24. Umhlinzeki wakho wezempilo uzokutshela ukuthi ungakwenza kanjani lokhu. Landela imiyalo ngqo ukuze imiphumela inembile.

Umhlinzeki wakho angakutshela ukuthi uyeke ukuthatha imithi ethile okwesikhashana engathinta imiphumela yokuhlolwa. Qiniseka ukuthi utshela umhlinzeki wakho ngayo yonke imithi oyiphuzayo. Lokhu kufaka phakathi:

• Ama-antibiotic afana ne-cefoxitin noma i-trimethoprim
• I-Cimetidine

Ungayeki ukuthatha noma imuphi umuthi ngaphambi kokukhuluma nomhlinzeki wakho.

Ukuhlolwa kuhilela ukuchama okuvamile kuphela. Akukho ukungakhululeki.

I-Creatinine ingumkhiqizo wemfucuza wamakhemikhali we-creatine. I-Creatine iyikhemikhali elenziwa ngumzimba ukunikezela ngamandla, ikakhulukazi emisipheni.

Lokhu kuhlolwa kwenziwa ukuze kubonakale ukuthi izinso zakho zisebenza kahle kangakanani. I-Creatinine isuswa ngumzimba ngokuphelele ngezinso. Uma ukusebenza kwezinso kungavamile, izinga le-creatinine emcimbini wakho liyancipha.

Lokhu kuhlolwa kungasetshenziselwa okulandelayo:

• Ukuhlola ukuthi izinso zisebenza kahle kangakanani
• Njengengxenye yesivivinyo se-creatinine clearance
• Ukunikeza imininingwane ngamanye amakhemikhali asemchameni, njenge-albumin noma i-protein

Amanani we-urine creatinine (iqoqo lama-urine lamahora angama-24) angasuka ku-500 kuye ku-2000 mg / ngosuku (4,420 kuye ku-17,680 mmol / ngosuku). Imiphumela incike ebudaleni bakho kanye nenani lesisindo somzimba esinciphile.

Enye indlela yokuveza ibanga elijwayelekile lemiphumela yokuhlolwa yile:

• 14 kuya ku-26 mg ngekhilogremu lomzimba ngosuku ngabesilisa (123.8 kuye ku-229.8 µmol / kg / ngosuku)
• 11 kuya ku-20 mg ngekg yesisindo somzimba ngosuku kwabesifazane (97.2 kuye ku-176.8 µmol / kg / ngosuku)

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

Imiphumela engajwayelekile yomchamo creatinine ingabangelwa noma ikuphi kokulandelayo:

• Ukudla okuphezulu kwenyama
• Izinkinga zezinso, njengokulimala kwamangqamuzana e-tubule
• Ukuhluleka kwezinso
• Ukugeleza kwegazi okuncane kakhulu kuya ezinso, okwenza umonakalo kumayunithi wokuhlunga
• Ukutheleleka kwezinso (pyelonephritis)
• Ukwephuka kwemisipha (i-rhabdomyolysis), noma ukulahleka kwezicubu zemisipha (myasthenia gravis)
• Ukuvinjelwa komgudu womchamo

Azikho izingozi ngalokhu kuhlolwa.

Ukuhlolwa komchamo we-urine

• Umgudu womchamo wabesifazane
• Umgudu womchamo wabesilisa
• Ukuhlolwa kwe-Creatinine
• Ukuhlolwa komchamo we-Creatinine

I-Landry DW, iBazari H. Indlela eya esigulini esinesifo so-renal. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 106.

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.