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Teko ea maemo a ammonia ke eng?

Teko ena e lekanya boemo ba ammonia maling a hau. Ammonia, e tsejoang hape e le NH3, ke sehlahisoa se entsoeng ke 'mele oa hau nakong ea tšilo ea protheine. Ka tloaelo, ammonia e sebetsoa sebeteng, moo e fetoloang hore e be sehlahisoa se seng se bitsoang urea. Urea e fetisoa 'meleng ka har'a moroto.

Haeba 'mele oa hau o sitoa ho sebetsana kapa ho felisa ammonia, ea bokellana maling. Maemo a phahameng a ammonia maling a ka lebisa mathateng a tebileng a bophelo bo botle, ho kenyelletsa le ho senyeha ha boko, ho akheha esita le lefu.

Maemo a phahameng a ammonia maling hangata a bakoa ke lefu la sebete. Lisosa tse ling li kenyelletsa ho hloleha ha liphio le mathata a liphatsa tsa lefutso.

Mabitso a mang: Teko ea NH3, tlhahlobo ea mali ea ammonia, serum ammonia, ammonia; lero la mali

E sebelisetsoa eng?

Teko ea maemo a ammonia e ka sebelisoa ho fumana le / kapa ho lekola maemo a bakang maemo a phahameng a ammonia. Tsena li kenyelletsa:

  • Boloetse ba lefu la sebete, boemo bo etsahalang ha sebete se kula haholo kapa se senyehile ho sebetsa ammonia hantle. Lefu lena, ammonia e haella maling ebe e ea bokong. E ka baka pherekano, ho ferekana maikutlo, ho akheha, esita le lefu.
  • Lefu la Reye, boemo bo tebileng 'me ka linako tse ling bo bolaeang bo bakang tšenyo sebeteng le bokong. E ama haholo-holo bana le bacha ba hlaphoheloang ke tšoaetso ea vaerase e kang khoko ea sefuba kapa ntaramane mme ba nkile aspirin ho alafa mafu a bona. Lebaka la Reye syndrome ha le tsejoe. Empa ka lebaka la kotsi, bana le bacha ha baa lokela ho noa aspirin ntle le haeba e khothalelitsoe ke mofani oa tlhokomelo ea bophelo.
  • Mathata a potoloho ea Urea, Likoli tse sa tloaelehang tsa liphatsa tsa lefutso tse amang matla a 'mele a ho fetola ammonia ho ea urea.

Teko e kanna ea sebelisoa ho lekola katleho ea kalafo ea lefu la sebete kapa ho hloleha ha liphio.


Hobaneng ha ke hloka tlhahlobo ea maemo a ammonia?

U kanna oa hloka teko ena haeba u na le lefu la sebete 'me u bonts'a matšoao a lefu la boko. Matšoao a kenyelletsa:

  • Pherekano
  • Ho robala haholo
  • Ho ferekana, boemo ba ho ferekanngoa ka nako, sebaka le / kapa tikoloho ea hau
  • Feto-fetoha
  • Ho thothomela ka letsoho

Ngoana oa hau a ka hloka tlhahlobo ena haeba a e-na le matšoao a Reye syndrome. Tsena li kenyelletsa:

  • Ho hlatsa
  • Ho robala
  • Ho teneha
  • Ho oa

Lesea la hao le sa tsoa tsoaloa le ka hloka tlhahlobo ena haeba a e-na le matšoao a boletsoeng ka holimo. Matšoao a tšoanang e ka ba sesupo sa lefu la potoloho ea urea.

Ho etsahalang nakong ea liteko tsa ammonia?

Ngaka ea tlhokomelo ea bophelo e tla nka sampole ea mali mothapong o letsohong la hao, e sebelisa nale e nyane. Kamora hore nalete e kenngoe, ho tla bokelloa mali a manyane ka har'a pompo ea liteko. U ka ikutloa u hlaba hanyane ha nale e kena kapa e tsoa. Hangata hona ho nka nako e ka tlase ho metsotso e mehlano.


Ho leka lesea le sa tsoa tsoaloa, mofani oa tlhokomelo ea bophelo o tla hloekisa serethe sa ngoana oa hau ka joala ebe o phunya serethe ka nale e nyane. Mofani oa thepa o tla bokella marotholi a 'maloa a mali ebe o beha bandage setšeng.

Na ke tla hloka ho etsa eng kapa eng ho itokisetsa tlhahlobo?

Ha ua lokela ho ikoetlisa kapa ho tsuba lisakerete lihora tse ka bang robeli pele ho tlhahlobo ea ammonia.

Masea ha a hloke litokisetso tse khethehileng pele ho tlhahlobo.

Na ho na le likotsi tsa tlhahlobo?

Ho na le kotsi e nyane haholo ea ho etsa tlhahlobo ea mali. Uena kapa ngoana oa hau le kanna la ba le bohloko bo fokolang kapa ho longoa moo nale e kentsoeng teng, empa matšoao a mangata a fela kapele.

Liphetho li bolelang?

Haeba liphetho tsa hau li bonts'a maemo a phahameng a ammonia maling, e kanna ea ba sesupo sa se seng sa maemo a latelang:

  • Maloetse a sebete, a kang ho thatafala ha sebete kapa lefu la sebete
  • Boloetse ba lefu la sebete
  • Lefu la liphio kapa ho hloleha ha liphio

Ho bana le bacha, e kanna ea ba sesupo sa Reye syndrome.

Ho masea, maemo a phahameng a ammonia e kanna ea ba sesupo sa lefu la lefutso la potoloho ea urea kapa boemo bo bitsoang lefu la hemolytic la lesea le sa tsoa tsoaloa. Boloetse bona bo etsahala ha mme a hlahisa li-antibodies liseleng tsa mali tsa lesea la hae.


Haeba liphetho tsa hau li ne li sa tloaeleha, mofani oa hao oa tlhokomelo ea bophelo o tla hloka ho odara liteko tse ling ho fumana lebaka la maemo a hau a phahameng a ammonia. Morero oa hau oa kalafo o tla itšetleha ka tlhahlobo ea hau e khethehileng.

Haeba u na le lipotso mabapi le liphetho tsa hau, bua le mofani oa tlhokomelo ea bophelo.

Ithute haholoanyane ka liteko tsa laboratori, libaka tsa litšupiso, le liphetho tsa kutloisiso.

Na ho na le eng kapa eng eo ke hlokang ho e tseba ka tlhahlobo ea maemo a ammonia?

Bafani ba bang ba tlhokomelo ea bophelo ba nahana hore mali a tsoang mothapong a ka fana ka leseli la bohlokoa ka ammonia ho fapana le mali a tsoang mothapong. Ho fumana sampole ea mali a arterial, mofani oa thepa o tla kenya sering ka mothapong o letsohong la hao, bokong ba litsoeng, kapa sebakeng sa bolulo. Mokhoa ona oa ho etsa liteko ha o sebelisoe khafetsa.

Litšupiso

  1. Mokhatlo oa American Liver. [Inthanete]. New York: American Liver Foundation; c2017. Ho lemoha Hepatic Encephalopathy; [e qotsitsoeng ka la 9 Phupu 17]; [hoo e ka bang li-skrini tse 4]. E fumaneha ho tsoa ho: https://liverfoundation.org/for-patients/about-the-liver/diseases-of-the-liver/hepatic-encephalopathy/diagnosing-hepatic-encephalopathy/#what-are-the-symptoms
  2. Hinkle J, Cheever K. Brunner & Suddarth's Handbook ea Liteko tsa Laboraro le Tlhatlhobo. 2nd Ed, mosa. Philadelphia: Wolters Kluwer Bophelo, Lippincott Williams & Wilkins; c2014. Ammonia, Lero la mali; leq. 40.
  3. Liteko tsa Lab Marang-rang [Inthaneteng]. Washington DC; Mokhatlo oa Amerika oa Clinical Chemistry; c2001–2019. Ammonia [e ntlafalitsoeng 2019 Jun 5; e qotsitsoeng ka la 9 Phupu 10]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://labtestsonline.org/tests/ammonia
  4. Phetolelo ea Merck Manual Consumer [Inthanete]. Kenilworth (NJ): Merck & Co., Inc .; c2019. Hepatic Encephalopathy [e ntlafalitsoeng ka 2018 Mots'eanong; e qotsitsoeng ka la 9 Phupu 10]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://www.merckmanuals.com/home/liver-and-gallbladder-disorders/manifestations-of-liver-disease/hepatic-encephalopathy?query=ammonia
  5. Mokhatlo oa Naha oa Kankere [Inthanete]. Bethesda (MD): Lefapha la Bophelo le Litšebeletso tsa Botho la U.S. Bukana ea Kankere ea Kankere ea Kankere ea NCI: ho ferekana; [e qotsitsoeng ka la 9 Phupu 17]; [hoo e ka bang li-skrini tse 4]. E fumaneha ho tsoa ho: https://www.cancer.gov/publications/dictionaries/cancer-terms/def/disorientation
  6. National Heart, Lung, le Setsi sa Mali [Internet]. Bethesda (MD): Lefapha la Bophelo le Litšebeletso tsa Botho la U.S. Liteko tsa Mali [e bontšitsoeng ka la 9 Phupu 10]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.nhlbi.nih.gov/health-topics/blood-tests
  7. Monghalilorlor EW. Ho hlahloba masea a sa tsoa tsoaloa bakeng sa mathata a potoloho ea urea. Lingaka tsa bana [Inthanete]. 1981 Sep [e qotsitsoeng ka la 9 Phupu 10]; 68 (3): 453-7. E fumaneha ho tsoa ho: https://pediatrics.aappublications.org/content/68/3/453.long
  8. NIH Laeborari ea Naha ea Bongaka ea NIH U.S. Bethesda (MD): Lefapha la Bophelo le Litšebeletso tsa Botho la U.S. Ho hlahloba masea a sa tsoa tsoaloa ho etsoa joang ?; 2019 Phupu 9 [e qotsitsoeng ka la 9 Phupu 10]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://ghr.nlm.nih.gov/primer/newbornscreening/nbsprocedure
  9. Bophelo ba UF: Univesithi ea Florida Health [Marang-rang]. Gainesville (FL): Univesithi ea Florida Health; c2019. Teko ea mali ea Ammonia: Kakaretso [e ntlafalitsoeng 2019 Jul 10; e qotsitsoeng ka la 9 Phupu 10]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://ufhealth.org/ammonia-blood-test
  10. Setsi sa Bongaka sa Rochester [Internet]. Rochester (NY): Setsi sa Bongaka sa Univesithi ea Rochester; c2019. Health Encyclopedia: Ammonia [e qotsitsoeng ka la 9 Phupu 10]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://www.urmc.rochester.edu/encyclopedia/content.aspx?ContentTypeID=167&ContentID=ammonia
  11. Bophelo ba UW [Marang-rang]. Madison (WI): Univesithi ea Wisconsin Lipetlele le Bolaoli ba Litleliniki; c2019. Tlhahisoleseling ea Bophelo: Ammonia: E etsoa joang [e ntlafalitsoe 2018 Jun 25; e qotsitsoeng ka la 9 Phupu 10]; [li-skrini tse ka bang 5]. E fumaneha ho tsoa ho: https://www.uwhealth.org/health/topic/medicaltest/ammonia/hw1768.html#hw1781
  12. Bophelo ba UW [Marang-rang]. Madison (WI): Univesithi ea Wisconsin Lipetlele le Bolaoli ba Litleliniki; c2019. Tlhahisoleseling ea Bophelo: Ammonia: U ka Itokisetsa Joang [ntlafalitsoeng 2018 Jun 25; e qotsitsoeng ka la 9 Phupu 10]; [hoo e ka bang li-skrini tse 4]. E fumaneha ho tsoa ho: https://www.uwhealth.org/health/topic/medicaltest/ammonia/hw1768.html#hw1779
  13. Bophelo ba UW [Marang-rang]. Madison (WI): Univesithi ea Wisconsin Lipetlele le Bolaoli ba Litleliniki; c2019. Tlhahisoleseling ea Bophelo: Ammonia: Liphetho [tse ntlafalitsoeng 2018 Jun 25; e qotsitsoeng ka la 9 Phupu 10]; [li-skrini tse ka bang 8]. E fumaneha ho tsoa ho: https://www.uwhealth.org/health/topic/medicaltest/ammonia/hw1768.html#hw1792
  14. Bophelo ba UW [Marang-rang]. Madison (WI): Univesithi ea Wisconsin Lipetlele le Bolaoli ba Litleliniki; c2019. Tlhahisoleseling ea Bophelo: Ammonia: Kakaretso ea Teko [e ntlafalitsoeng 2018 Jun 25; e qotsitsoeng ka la 9 Phupu 10]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://www.uwhealth.org/health/topic/medicaltest/ammonia/hw1768.html#hw1771
  15. Bophelo ba UW [Marang-rang]. Madison (WI): Univesithi ea Wisconsin Lipetlele le Bolaoli ba Litleliniki; c2019. Tlhahisoleseling ea Bophelo: Ammonia: Hobaneng ha e etsoa [e ntlafalitsoe 2018 Jun 25; e qotsitsoeng ka la 9 Phupu 10]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.uwhealth.org/health/topic/medicaltest/ammonia/hw1768.html#hw1774

Tlhahisoleseling e fumanehang sebakeng sena sa marang-rang ha ea lokela ho sebelisoa ho nka sebaka sa tlhokomelo ea bongaka le likeletso. Ikopanye le mofani oa tlhokomelo ea bophelo haeba u na le lipotso ka bophelo ba hau.

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