Ukuhlolwa kokulayisha kwe-acid (pH)

I-acid loading test (pH) ilinganisa ikhono lezinso lokuthumela i-asidi emchameni lapho kune-asidi eningi egazini. Lokhu kuhlolwa kufaka phakathi kokubili ukuhlolwa kwegazi nokuhlolwa komchamo.

Ngaphambi kokuhlolwa, uzodinga ukuthatha umuthi obizwa nge-ammonium chloride izinsuku ezintathu. Landela imiyalo ncamashi yokuthi ungayithatha kanjani ukuze uqinisekise umphumela onembile.

Amasampula omchamo negazi ayathathwa.

Umhlinzeki wakho wokunakekelwa kwezempilo uzokutshela ukuthi uthathe amaphilisi we-ammonium chloride ngomlomo izinsuku ezintathu ngaphambi kokuhlolwa.

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 komchamo kubandakanya kuphela ukuchama okujwayelekile, futhi akukho ukungakhululeki.

Lokhu kuhlolwa kwenziwa ukuze kubonakale ukuthi izinso zakho zilawula kahle kangakanani ibhalansi yomzimba ye-acid-base.

Umchamo one-pH engaphansi kuka-5.3 ujwayelekile.

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.

Isifo esivame kakhulu esihambisana nomphumela ongajwayelekile yi-renal tubular acidosis.

Azikho izingozi ngokunikeza isampula 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 ezihambisana nokudonswa igazi zincane, kepha zingafaka:

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

I-renal tubular acidosis - isivivinyo sokulayisha i-asidi

• Umgudu womchamo wabesifazane
• Umgudu womchamo wabesilisa

I-Dixon BP. I-acidosis tubular yezinso. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Incwadi kaNelson Yezingane. Umhlaka 21. IPhiladelphia, PA: Elsevier; 2020: isahluko 547.

U-Edelstein CL. Ama-biomarkers ngokulimala kanzima kwezinso. Ku: Edelstein CL, ed. Ama-Biomarkers weSifo Sezinso. Okwesibili. IPhiladelphia, PA: Elsevier; 2017: isahluko 6.