Ukuhlolwa kwe-Osmolality

-Delile

• Yini ukuhlolwa kwe-osmolality?
• Zisetshenziselwani?
• Kungani ngidinga ukuhlolwa kwe-osmolality?
• Kwenzekani ngesikhathi sokuhlolwa kwe-osmolality?
• Ngabe kukhona engizodinga ukukwenza ukulungiselela isivivinyo?
• Ngabe kukhona ubungozi ekuhlolweni kwe-osmolality?
• Isho ukuthini imiphumela?
• Ngabe kukhona okunye engidinga ukukwazi mayelana nokuhlolwa kwe-osmolality?
• Izinkomba

Yini ukuhlolwa kwe-osmolality?

Ukuhlolwa kwe-Osmolality kukala inani lezinto ezithile egazini, emchameni noma esitulweni. Lokhu kufaka phakathi i-glucose (ushukela), i-urea (umkhiqizo odoti owenziwe esibindini), nama-electrolyte amaningana, njenge-sodium, i-potassium ne-chloride. Ama-electrolyte amaminerali afakwe ngogesi. Zisiza ukulawula inani loketshezi emzimbeni wakho. Ukuhlolwa kungakhombisa ukuthi ngabe unamanzi alinganayo angenampilo emzimbeni wakho. Ukulinganisela okungenamsoco oketshezi kungabangelwa izimo eziningi ezahlukahlukene. Lokhu kubandakanya ukufaka usawoti ngokweqile, isifo sezinso, isifo senhliziyo, kanye nezinye izinhlobo zobuthi.

Amanye amagama: i-serum osmolality, i-plasma osmolality urine osmolality, i-stool osmolality, i-osmotic gap

Zisetshenziselwani?

Ukuhlolwa kwe-Osmolality kungasetshenziselwa izizathu ezahlukahlukene. Ukuhlolwa kwegazi osmolality, eyaziwa nangokuthi i-serum osmolality test, isetshenziswa kakhulu uku:

• Hlola ibhalansi phakathi kwamanzi namakhemikhali athile egazini.
• Thola ukuthi ngabe ugwinyile ushevu onjenge-antifreeze noma uhlikihla utshwala
• Siza ukuxilonga ukoma, isimo lapho umzimba wakho ulahlekelwa khona uketshezi oluningi
• Siza ukuxilonga ukuphelelwa ngamanzi emzimbeni, isimo lapho umzimba wakho ugcina khona uketshezi oluningi
• Siza ukuxilonga isifo sikashukela i-insipidus, isimo esithinta izinso futhi esingaholela ekuphelelweni amanzi emzimbeni

Kwesinye isikhathi i-plasma yegazi ibuye ihlolwe i-osmolality. I-serum ne-plasma zombili izingxenye zegazi. I-Plasma iqukethe izinto ezibandakanya amangqamuzana egazi namaprotheni athile. I-Serum iwuketshezi olucacile olungenazo lezi zinto.

Ukuhlolwa kokuchama komchamo ivame ukusetshenziswa kanye nokuhlolwa kwe-serum osmolality ukuhlola ibhalansi yomzimba womzimba. Ukuhlolwa komchamo kungasetshenziselwa ukuthola isizathu sokunyuka noma ukwehla kokuchama.

Ukuhlolwa kwe-stool osmolality kuvame ukusetshenziselwa ukuthola isizathu sohudo olungapheli olungabangelwa ukutheleleka kwamagciwane noma okuyisidlakudla.

Kungani ngidinga ukuhlolwa kwe-osmolality?

Ungadinga i-serum osmolality noma umchamo osmolality test uma unezimpawu zokungalingani koketshezi, isifo sikashukela insipidus, noma izinhlobo ezithile zobuthi.

Izimpawu zokungalingani koketshezi kanye nesifo sikashukela insipidus ziyefana futhi zingafaka:

• Ukoma ngokweqile (uma kuphelile emzimbeni)
• Isicanucanu nokuhlanza
• Ubuhlungu bekhanda
• Ukudideka
• Ukukhathala
• Ukuquleka

Izimpawu zobuthi zizohluka ngokuya ngohlobo lwento egwinyiwe, kepha ingafaka:

• Isicanucanu nokuhlanza
• Ukudlikizela, isimo esidala ukuqhaqhazela okungalawuleki kwemisipha yakho
• Kunzima ukuphefumula
• Inkulumo eshisiwe

Ungadinga futhi i-osmolality yomchamo uma unenkinga yokuchama noma uchama kakhulu.

Ungadinga ukuhlolwa kwe-stool osmolality uma unesifo sohudo esingelapheki esingachazwa ngokutheleleka ngamagciwane noma okuyisibungu noma esinye isizathu njengokulimala kwamathumbu.

Kwenzekani ngesikhathi sokuhlolwa kwe-osmolality?

Ngesikhathi sokuhlolwa kwegazi (i-serum osmolality noma i-plasma osmolality):

Uchwepheshe wezempilo uzothatha isampula yegazi emthanjeni osengalweni yakho, esebenzisa inaliti encane. Ngemuva kokuthi kufakwe inaliti, kuzoqoqwa inani elincane legazi kufakwe ithubhu yokuhlola noma isitsha. Ungase uzizwe uluma kancane lapho inaliti ingena noma iphuma. Lokhu ngokuvamile kuthatha imizuzu engaphansi kwemihlanu.

Ngesikhathi sokuhlolwa komchamo wokuchama:

Umhlinzeki wakho wokunakekelwa kwezempilo uzodinga ukuqoqa isampula yomchamo wakho. Uzothola isitsha sokuqoqa umchamo kanye nemiyalelo ekhethekile ukuze uqiniseke ukuthi isampuli ayinyumba. Le miyalo ivame ukubizwa ngokuthi "indlela yokubamba ehlanzekile." Indlela yokubamba ehlanzekile ifaka izinyathelo ezilandelayo:

• Geza izandla zakho.
• Hlanza isitho sakho sangasese ngephedi yokuhlanza oyinikezwe ngumhlinzeki wakho. Abesilisa kufanele basule ichopho lepipi labo. Abesifazane kufanele bavule amalebula abo futhi bahlanze kusuka ngaphambili kuya emuva.
• Qala ukuchama ungene endlini encane.
• Hambisa isitsha sokuqoqa ngaphansi kokusakaza kwakho komchamo.
• Qoqa okungenani i-ounce noma amabili umchamo ungene esitsheni, okufanele ube nomaka okhombisa amanani.
• Qeda ukuchama ungene endlini encane.
• Buyisela isitsha sesampula kumhlinzeki wakho wezokunakekelwa kwempilo.

Ngesikhathi sokuhlolwa kwe-stool osmolality:

Uzodinga ukuhlinzeka ngesampula yendle. Umhlinzeki wakho uzokunikeza imiyalo ethile yokuthi uqoqa kanjani futhi uthumele kanjani isampula lakho. Imiyalo yakho ingafaka okulandelayo:

• Gqoka iiglavu zenjoloba noma ze-latex.
• Qoqa bese ugcina indle esitsheni esikhethekile osinikezwe umhlinzeki wakho wezokunakekelwa kwempilo noma ilebhu. Ungathola idivayisi noma okufaka isicelo ukukusiza uqoqe isampula.
• Qiniseka ukuthi awukho umchamo, amanzi asendlini yangasese, noma iphepha langasese elihlangana nesampula.
• Faka uphawu bese ubeka ilebula esitsheni.
• Susa amagilavu ​​bese ugeza izandla zakho.
• Buyisela isitsha kumhlinzeki wakho wezokunakekelwa kwempilo noma ebhodini ngokushesha okukhulu. Uma ucabanga ukuthi ungaba nenkinga yokuletha isampula yakho ngesikhathi, khuluma nomhlinzeki wakho wezokunakekelwa kwempilo.

Ngabe kukhona engizodinga ukukwenza ukulungiselela isivivinyo?

Ungadinga ukuzila ukudla (ungadli noma uphuze) amahora ayisithupha ngaphambi kokuhlolwa noma ukhawulele uketshezi amahora ayi-12 kuye kwayi-14 ngaphambi kokuhlolwa. Umhlinzeki wakho wezokunakekelwa kwempilo uzokwazisa uma ngabe kukhona imiyalelo ekhethekile ongayilandela.

Ngabe kukhona ubungozi ekuhlolweni kwe-osmolality?

Kunengozi encane kakhulu yokuhlolwa kwegazi. Ungaba nobuhlungu obuncane noma ukulimaza lapho kufakwe khona inaliti, kepha izimpawu eziningi ziyaphela ngokushesha.

Ayikho ingozi yokuhlolwa umchamo noma indle.

Isho ukuthini imiphumela?

Uma imiphumela yakho ye-serum osmolality ibingajwayelekile, kungasho ukuthi unenye yalezi zimo ezilandelayo:

• I-Antifreeze noma olunye uhlobo lobuthi
• Ukwehla kwamanzi emzimbeni noma ukoma ngokweqile
• Usawoti omningi noma omncane egazini
• Isifo sikashukela insipidus
• Unhlangothi

Uma imiphumela yakho ye-osmolality yomchamo ibingajwayelekile, kungasho ukuthi unenye yalezi zimo ezilandelayo:

• Ukwehla kwamanzi emzimbeni noma ukoma ngokweqile
• Ukwehluleka kwenhliziyo
• Isifo sesibindi
• Isifo sezinso

Uma imiphumela yakho ye-stool osmolality ibingajwayelekile, kungasho ukuthi unenye yalezi zimo ezilandelayo:

• Uhudo lweqiniso, isimo esidalwa ukusetshenziswa ngokweqile kwama-laxatives
• I-Malabsorption, isimo esithinta ikhono lakho lokugaya nokudla izakhamzimba ekudleni

Uma unemibuzo ngemiphumela yakho, khuluma nomhlinzeki wakho wezokunakekelwa kwempilo.

Funda kabanzi mayelana nokuhlolwa kwelabhorethri, ububanzi bezinkomba, nemiphumela yokuqonda.

Ngabe kukhona okunye engidinga ukukwazi mayelana nokuhlolwa kwe-osmolality?

Umhlinzeki wakho wezokunakekelwa kwempilo anga-oda izivivinyo eziningi kanye noma ngemuva kokuhlolwa kwakho kwe-osmolality. Lokhu kungafaka:

• Qedela ukubalwa kwegazi (CBC)
• Ukuhlolwa kwegazi urea nitrogen (BUN)
• Ukuhlolwa kweglucose yegazi
• Iphaneli ye-Electrolyte
• Ukuhlolwa kwegazi le-albhamu
• Ukuhlolwa kwegazi lomlingo we-Fecal (FOBT)

Izinkomba

1. I-Clinical Lab Manger [i-Intanethi]. IMenenja Yezokwelapha Yezokwelapha; c2020. Osmolality; [kucashunwe ngo-2020 Eph 30]; [cishe izikrini ezi-3]. Kutholakala ku: http://www.clinlabnavigator.com/osmolality.html
2. Ukuhlolwa Kwelebhu Ku-inthanethi [i-Intanethi]. IWashington DC: I-American Association for Clinical Chemistry; c2001-2020. Igazi i-Urea Nitrogen (BUN); [kubuyekezwe ngo-2020 Jan 31; kukhonjiwe ngo-2020 Jun 4]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://labtestsonline.org/tests/blood-urea-nitrogen-bun
3. Ukuhlolwa Kwelebhu Ku-inthanethi [i-Intanethi]. IWashington DC: I-American Association for Clinical Chemistry; c2001-2020. I-Malabsorption; [kubuyekezwe i-2019 Nov 11; kukhonjiwe ngo-2020 Eph 30]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://labtestsonline.org/conditions/malabsorption
4. Ukuhlolwa Kwelebhu Ku-inthanethi [i-Intanethi]. IWashington DC: I-American Association for Clinical Chemistry; c2001-2020. Osmolality kanye ne-Osmolal Gap; [kubuyekezwe i-2019 Nov 20; kukhonjiwe ngo-2020 Eph 30]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://labtestsonline.org/tests/osmolality-and-osmolal-gap
5. I-LOINC [Inthanethi]. I-Regenstrief Institute, Inc .; c1994-2020. I-Osmolality yeSerum noma iPlasma; [kucashunwe ngo-2020 Eph 30]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://loinc.org/2692-2
6. IMayo Clinic Laboratories [i-Intanethi]. IMayo Foundation for Medical Education and Research; c1995-2020. I-ID Yokuhlola: I-CPAVP: I-Copeptin proAVP, iPlasma: Yomtholampilo neTolikayo; [kucashunwe ngo-2020 Eph 30]; [cishe izikrini ezi-4]. Kutholakala kusuka: https://www.mayocliniclabs.com/test-catalog/Clinical+and+Interpretive/603599
7. IMayo Clinic Laboratories [i-Intanethi]. IMayo Foundation for Medical Education and Research; c1995-2020. I-ID Yokuhlola: I-CPAVP: I-Copeptin proAVP, iPlasma: Isifanekiso; [kucashunwe ngo-2020 Eph 30]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.mayocliniclabs.com/test-catalog/Specimen/603599
8. Uhlobo Lokuthengwa Kwamakhasimende we-Merck [Internet]. IKenilworth (NJ): IMerck & Co, Inc .; c2020. Ukweqisa emzimbeni; [kubuyekezwe i-2019 Jan; kukhonjiwe ngo-2020 Eph 30]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.merckmanuals.com/home/hormonal-and-metabolic-disorders/water-balance/overhydration
9. Isikhungo Somdlavuza Kazwelonke [i-Inthanethi]. I-Bethesda (MD): UMnyango Wezempilo kanye Nezinsizakalo Zabantu e-U.S. Isichazamazwi seNCI Semigomo Yomdlavuza: ukudlikizela; [kucashunwe ngo-2020 Meyi 4]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.cancer.gov/publications/dictionaries/cancer-terms/def/convulsion
10. Isikhungo Somdlavuza Kazwelonke [i-Inthanethi]. I-Bethesda (MD): UMnyango Wezempilo kanye Nezinsizakalo Zabantu e-U.S. I-NCI Dictionary Yemigomo Yomdlavuza: i-plasma; [kucashunwe ngo-2020 Eph 30]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.cancer.gov/publications/dictionaries/cancer-terms/search?contains=false&q=plasma
11. Isikhungo Somdlavuza Kazwelonke [i-Inthanethi]. I-Bethesda (MD): UMnyango Wezempilo kanye Nezinsizakalo Zabantu e-U.S. Isichazamazwi seNCI Semigomo Yomdlavuza: i-serum; [kucashunwe ngo-2020 Eph 30]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.cancer.gov/publications/dictionaries/cancer-terms/search?contains=false&q=serum
12. I-National Heart, Lung, ne-Blood Institute [i-Intanethi]. I-Bethesda (MD): UMnyango Wezempilo kanye Nezinsizakalo Zabantu e-U.S. Ukuhlolwa Kwegazi; [kucashunwe ngo-2020 Eph 30]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.nhlbi.nih.gov/health-topics/blood-tests
13. Impilo ye-UF: University of Florida Health [Internet]. IGainesville (FL): Inyuvesi yaseFlorida Impilo; c2020. Ubuthi be-Ethanol: Ukubuka konke; [kubuyekezwe ngo-2020 Eph 30; kucashunwe ngo-2020 Eph 30]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://ufhealth.org/ethanol-poisoning
14. Impilo ye-UF: University of Florida Health [Internet]. IGainesville (FL): Inyuvesi yaseFlorida Impilo; c2020. Ubuthi be-Ethylene glycol: Sibutsetelo; [kubuyekezwe ngo-2020 Eph 30; kucashunwe ngo-2020 Eph 30]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://ufhealth.org/ethylene-glycol-poisoning
15. Impilo ye-UF: University of Florida Health [Internet]. IGainesville (FL): Inyuvesi yaseFlorida Impilo; c2020. I-Methanol poisoning: Ukubuka konke; [kubuyekezwe ngo-2020 Eph 30; kukhonjiwe ngo-2020 Eph 30]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://ufhealth.org/methanol-poisoning
16. Impilo ye-UF: University of Florida Health [Internet]. IGainesville (FL): Inyuvesi yaseFlorida Impilo; c2020. Ukuhlolwa kwegazi kwe-Osmolality: Ukubuka konke; [kubuyekezwe ngo-2020 Eph 30; kucashunwe ngo-2020 Eph 30]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://ufhealth.org/osmolality-blood-test
17. Impilo ye-UF: University of Florida Health [Internet]. IGainesville (FL): Inyuvesi yaseFlorida Impilo; c2020. Ukuhlolwa komchamo we-Osmolality: Ukubuka konke; [kubuyekezwe ngo-2020 Eph 30; kukhonjiwe ngo-2020 Eph 30]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://ufhealth.org/osmolality-urine-test
18. I-University of Rochester Medical Center [i-Inthanethi]. URochester (NY): Isikhungo Sezokwelapha sase-University of Rochester; c2020. I-Health Encyclopedia: Ama-Electrolyte [acashunwe ngo-2020 Eph 30]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid=electrolytes
19. I-University of Rochester Medical Center [i-Inthanethi]. URochester (NY): Isikhungo Sezokwelapha sase-University of Rochester; c2020. I-Health Encyclopedia: Osmolality (Igazi); [kucashunwe ngo-2020 Eph 30]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid=osmolality_blood
20. I-University of Rochester Medical Center [i-Inthanethi]. URochester (NY): Isikhungo Sezokwelapha sase-University of Rochester; c2020. I-Health Encyclopedia: Osmolality (iStool); [kucashunwe ngo-2020 Eph 30]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid=osmolality_stool
21. I-University of Rochester Medical Center [i-Inthanethi]. URochester (NY): Isikhungo Sezokwelapha sase-University of Rochester; c2020. I-Health Encyclopedia: Osmolality (Umchamo); [kucashunwe ngo-2020 Eph 30]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid=osmolality_urine
22. I-UW Health [Inthanethi]. UMadison (WI): Izibhedlela zase-University of Wisconsin kanye neGunya Lemitholampilo; c2020. Imininingwane Yezempilo: I-Serum Osmolality: Imiphumela [ivuselelwe i-2019 Jul 28; kukhonjiwe ngo-2020 Eph 30]; [cishe izikrini eziyi-8]. Kutholakala kusuka: https://www.uwhealth.org/health/topic/medicaltest/serum-osmolality/hw203418.html#hw203430
23. I-UW Health [Inthanethi]. UMadison (WI): Izibhedlela zase-University of Wisconsin kanye neGunya Lemitholampilo; c2020. Imininingwane Yezempilo: I-Serum Osmolality: Ukubuka konke kokuhlolwa; [kubuyekezwe i-2019 Jul 28; kukhonjiwe ngo-2020 Eph 30]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://www.uwhealth.org/health/topic/medicaltest/serum-osmolality/hw203418.html
24. I-UW Health [Inthanethi]. UMadison (WI): Izibhedlela zase-University of Wisconsin kanye neGunya Lemitholampilo; c2020. Imininingwane Yezempilo: I-Serum Osmolality: Kungani Yenziwa; [kubuyekezwe i-2019 Jul 28; kukhonjiwe ngo-2020 Eph 30]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.uwhealth.org/health/topic/medicaltest/serum-osmolality/hw203418.html#hw203425
25. I-UW Health [Inthanethi]. UMadison (WI): Izibhedlela zase-University of Wisconsin kanye neGunya Lemitholampilo; c2020. Imininingwane Yezempilo: Ukuhlaziywa Kwezihlalo: Kwenziwa Kanjani; [kubuyekezwe ngo-2019 Dec 8; kukhonjiwe ngo-2020 Eph 30]; [cishe izikrini ezi-4]. Kutholakala kusuka: https://www.uwhealth.org/health/topic/medicaltest/stool-analysis/aa80714.html#tp16701
26. I-UW Health [Inthanethi]. UMadison (WI): Izibhedlela zase-University of Wisconsin kanye neGunya Lemitholampilo; c2020. Imininingwane Yezempilo: Ukuhlolwa Komchamo: Kwenziwa Kanjani; [kubuyekezwe ngo-2019 Dec 8; kukhonjiwe ngo-2020 Eph 30]; [cishe izikrini ezi-4]. Kutholakala kusuka: https://www.uwhealth.org/health/topic/medicaltest/urine-test/hw6580.html#hw6624

Imininingwane ekulesi siza akufanele isetshenziswe esikhundleni sezokunakekelwa kwezokwelapha noma iseluleko. Xhumana nomhlinzeki wezempilo uma unemibuzo ngempilo yakho.