Teko ea chloride - mali

Chloride ke mofuta oa electrolyte. E sebetsa le li-electrolyte tse ling tse kang potasiamo, sodium le carbon dioxide (CO2). Lintho tsena li thusa ho boloka botsitso bo nepahetseng ba maro a 'mele le ho boloka botsitso ba' mele-acid.

Sengoloa sena se bua ka tlhahlobo ea laboratori e sebelisitsoeng ho metha bongata ba chloride e karolong ea mokelikeli (serum) ea mali.

Ho hlokahala sampole ea mali. Boholo ba nako mali a huloa mothapong o kahare ho setsoe kapa morao letsohong.

Meriana e mengata e ka kena-kenana le sephetho sa liteko tsa mali.

• Mofani oa hao oa tlhokomelo ea bophelo o tla u joetsa haeba ho hlokahala hore u khaotse ho noa meriana efe kapa efe pele u etsa tlhahlobo ena.
• O SE KE WA emisa kapa oa fetola meriana ea hau ntle le ho bua le mofani oa hau pele.

U kanna oa ba le teko ena haeba u na le matšoao a hore mokelikeli oa 'mele oa hao kapa acid-base balance ea ferekana.

Teko ena hangata e laeloa ka liteko tse ling tsa mali, joalo ka karolo ea mantlha kapa e phethahetseng ea metabolic.

Mofuta o tloaelehileng o tloaelehileng ke li-milliequivalents tse 96 ho isa ho tse 106 ka litara (mEq / L) kapa li-millimole tse 96 ho isa ho tse 106 litha e le nngwe (millimol / L)

Mekhahlelo e tloaelehileng ea boleng e ka fapana hanyane hara lilaboratori tse fapaneng. Bua le mofani oa hau ka moelelo oa sephetho sa hau sa liteko.

Mohlala o kaholimo o bonts'a mefuta e tloaelehileng ea litekanyo bakeng sa liphetho tsa liteko tsena. Li laboratori tse ling li sebelisa litekanyo tse fapaneng kapa li ka leka mefuta e fapaneng.

Tekanyo ea chloride e fetang e tloaelehileng e bitsoa hyperchloremia. E kanna ea ba ka lebaka la:

• Lefu la Addison
• Carbonic anhydrase inhibitors (e sebelisetsoang ho phekola glaucoma)
• Letšollo
• Metabolic acidosis
• Phefumoloho ea alkalosis (e lefelletsoe)
• Renal tubular acidosis

Boemo bo tlase ho feta bo tloaelehileng ba chloride bo bitsoa hypochloremia. E kanna ea ba ka lebaka la:

• Lefu la Bartter
• Chesa
• Ho hloleha ha pelo ha pelo
• Ho felloa ke metsi 'meleng
• Ho fufuleloa ho feteletseng
• Hyperaldosteronism
• Metaboliki ea alkalosis
• Acid ea phefumoloho (e lefelletsoe)
• Syndrome ea li-diuretic hormone secretion e sa nepahalang (SIADH)
• Ho hlatsa

Teko ena e kanna ea etsoa ho thusa ho tsoa kapa ho fumana:

• Multiple endocrine neoplasia (MEN) II
• Matšoao a mantlha a hyperparathyroidism

Teko ea serum ea chloride

• Teko ea mali

Giavarina D. Biochemistry ea mali: ho lekanya li-electrolyte tse kholo tsa plasma. Ka: Ronco C, Bellomo R, Kellum JA, Ricci Z, bahlophisi. Tlhokomelo e Bohlokoa Nephrology. 3rd ed. Philadelphia, PA: Elsevier; 2019: khaolo ea 54.

Seifter JR. Mathata a acid-base. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: khaolo ea 118.

Tolwani AJ, Saha MK, Wille KM. Metabolic acidosis le alkalosis. Ka: Vincent JL, Abraham E, Moore FA, Tonakholo ea Kochanek, MP ea Fink, eds. Buka ea sengolo ea Tlhokomelo e Bohlokoa. La 7th. Philadelphia, PA: Elsevier; 2017: khaolo ea 104.