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Litaba

Lekhalo la mali la anion ke eng?

Lekhalo la mali la anion ke tsela ea ho lekola maemo a asiti maling a hau. Teko e ipapisitse le liphetho tsa tlhahlobo e 'ngoe ea mali e bitsoang phanele ea electrolyte. Li-electrolyte ke liminerale tse nang le motlakase tse thusang ho laola botsitso ba lik'hemik'hale 'meleng oa hau tse bitsoang liasiti le metheo. Tse ling tsa liminerale tsena li na le tefo e ntle ea motlakase. Ba bang ba na le tefiso e mpe ea motlakase. Lekhalo la anion ke tekanyo ea phapang-kapa lekhalo-lipakeng tsa li-electrolyte tse lefelloeng hampe le tse nang le litefiso tse ntle.Haeba lekhalo la anion le phahame haholo kapa le le tlase haholo, e kanna ea ba sesupo sa lefu la matšoafo, liphio kapa litsamaiso tse ling tsa setho.

Mabitso a mang: Serum anion gap

E sebelisetsoa eng?

Lekhalo la mali la anion le sebelisoa ho bonts'a hore na mali a hau a na le ho se leka-lekane ha li-electrolyte kapa acid e ngata haholo kapa e sa lekanang. Asiti e ngata haholo maling e bitsoa acidosis. Haeba mali a hao a se na asiti e lekaneng, u ka ba le boemo bo bitsoang alkalosis.


Hobaneng ha ke hloka tlhahlobo ea mali ea anion gap?

Mofani oa hao oa tlhokomelo ea bophelo a ka be a laetse tlhahlobo ea mali ea anion haeba u na le matšoao a ho se lekalekane maemong a asiti ea mali. Matšoao ana a kenyeletsa:

  • Phefumoloho e khutšoanyane
  • Ho hlatsa
  • Ho otla ha pelo ho sa tloaelehang
  • Pherekano

Ho etsahala'ng nakong ea tlhahlobo ea mali ea anion gap?

Teko ea lekhalo la anion e nkuoe ho tsoa liphellong tsa phanele ea electrolyte, e leng teko ea mali. Nakong ea tlhahlobo ea mali, setsebi sa tlhokomelo ea bophelo se sebelisa nale e nyane ho nka sampole ea mali mothapong o letsohong la hao. Kamora hore nalete e kenngoe, ho tla bokelloa mali a manyane ka har'a tube 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.

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

Ha o hloke litokisetso tse khethehileng bakeng sa tlhahlobo ea mali ea anion gap. Haeba mofani oa hao oa tlhokomelo ea bophelo le eena a laetse liteko tse ling tsa mali, ho ka 'na ha hlokahala hore u itime lijo (u se ke ua ja kapa ua noa) lihora tse' maloa pele ho tlhahlobo. Mofani oa hao oa tlhokomelo ea bophelo o tla u tsebisa haeba ho na le litaelo tse khethehileng tseo u lokelang ho li latela.


Na ho na le likotsi tsa tlhahlobo?

Ho na le kotsi e nyane haholo ea ho ba le teko ena. U kanna oa ba le mahlaba a fokolang kapa ho longoa moo nale e kentsoeng teng, empa matšoao a mangata a fela kapele.

Liphetho li bolelang?

Haeba liphetho tsa hau li bontša lekhalo le phahameng la anion, o kanna oa ba le acidosis, e bolelang ho phahama ho feta maemo a tloaelehileng a asiti maling. Acidosis e kanna ea ba sesupo sa ho felloa ke metsi 'meleng, letshollo, kapa ho ikoetlisa haholo. E kanna ea supa boemo bo tebileng haholo joalo ka lefu la liphio kapa lefu la tsoekere.

Haeba sephetho sa hau se bontša lekhalo le tlase la anion, ho ka bolela hore o na le boemo bo tlase ba albin, protheine maling. Low albumin e ka supa mathata a liphio, lefu la pelo, kapa mefuta e meng ea mofetše. Kaha liphetho tse tlase tsa lekhalo la anion li sa tloaeleha, ho hlahlojoa hangata ho etsoa ho netefatsa hore liphetho li nepahetse. Bua le mofani oa tlhokomelo ea bophelo ho ithuta hore na liphetho tsa hau li bolelang.

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 mabapi le tlhahlobo ea mali ea anion gap?

Lekhalo la mali la anion le ka fana ka tlhaiso-leseling ea bohlokoa mabapi le acid le botsitso ba mali maling a hau. Empa ho na le liphetho tse fapaneng tse tloaelehileng, ka hona mofani oa tlhokomelo ea bophelo a ka khothaletsa liteko tse ling ho etsa tlhahlobo.


Litšupiso

  1. ChemoCare.com [Inthanete]. Cleveland (OH): ChemoCare.com; c2002-2017. Hypoalbuminemia (Low Albumin) [e qotsitsoeng ka 2017 Feb 1]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: http://chemocare.com/chemotherapy/side-effects/hypoalbuminemia-low-albumin.aspx
  2. Bopaki bo Ikemetseng ba Bongaka [Inthanete]. EBM Consult, LLC; Teko ea Lab: Lekhalo la Anion; [e qotsitsoeng 2017 Feb 1]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: http://www.ebmconsult.com/articles/lab-test-anion-gap
  3. Galla J. Metabolic Alkalosis. Litaba tsa Mokhatlo oa Amerika oa Nephrology [Marang-rang]. 2000 Feb 1 [e qotsitsoeng ka 2017 Feb 1]; 11 (2): 369-75. E fumaneha ho tsoa ho: http://jasn.asnjournals.org/content/11/2/369.full
  4. Kraut JA, Madias N. Serum Anion Gap: Ts'ebeliso ea eona le Meeli ho Kalafo ea Bongaka. Clinical Journal ea American Society of Nephrology [Marang-rang]. 2007 Jan [e qotsitsoeng ka 2017 Feb 1]; 2 (1): 162–74. E fumaneha ho tsoa ho: http://cjasn.asnjournals.org/content/2/1/162.full.pdf
  5. Kraut JA, Nagami GT. Lekhalo la serum anion tekong ea mathata a acid-base: Ke meeli efe mme na katleho ea eona e ka ntlafatsoa ?; Clinical Journal ea American Society of Nephrology [Marang-rang]. 2013 Nov [e qotsitsoeng ka 2017 Feb 1]; 8 (11): 2018-24. E fumaneha ho tsoa ho: https://www.ncbi.nlm.nih.gov/pubmed/23833313
  6. Liteko tsa Lab Marang-rang [Inthaneteng]. Washington DC: Mokhatlo oa Amerika oa Clinical Chemistry; c2001–2017. Li-electrolyte; [e ntlafalitsoeng ka la 2015 Phato 2; e qotsitsoeng ka 2017 Feb1]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://labtestsonline.org/understanding/analytes/electrolytes/tab/test
  7. Lolekha PH, Vanavanan S, Lolekha S. Ntlafatso ea boleng ba lekhalo la anion litlhahlobong tsa bongaka le tlhahlobo ea laboratori. Clinica Chimica Acta [Inthanete]. 2001 Mots'eanong [e qotsitsoeng 2016 Nov 16]; 307 (1-22): 33-6. E fumaneha ho tsoa ho: https://www.ncbi.nlm.nih.gov/pubmed/11369334
  8. Merck Manuals [Inthanete]. Kenilworth (NJ): Merck & Co., Inc .; c2016. Mofuta oa Bareki: Kakaretso ea Balance-Base Balance; [e ntlafalitsoeng ka 2016 Mots'eanong; e qotsitsoeng ka 2017 Feb 1]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://www.merckmanuals.com/home/hormonal-and-metabolic-disorders/acid-base-balance/overview-of-acid-base-balance
  9. Libuka tsa Merck: Phetolelo ea Professional [Internet]. Kenilworth (NJ): Merck & Co., Inc .; c2016. Mathata a Acid-Base; [e qotsitsoeng 2017 Feb 1]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: http://www.merckmanuals.com/professional/endocrine-and-metabolic-disorders/acid-base-regulation-and-disorders/acid-base-disorders
  10. National Heart, Lung, le Setsi sa Mali [Internet]. Bethesda (MD): Lefapha la Bophelo le Litšebeletso tsa Botho la U.S. Mefuta ea Liteko tsa Mali; [e ntlafalitsoeng 2012 Jan 6; e qotsitsoeng ka 2017 Feb 1]; [hoo e ka bang li-skrini tse 4]. E fumaneha ho tsoa ho: https://www.nhlbi.nih.gov/health-topics/blood-tests#Types
  11. National Heart, Lung, le Setsi sa Mali [Internet]. Bethesda (MD): Lefapha la Bophelo le Litšebeletso tsa Botho la U.S. Likotsi Tsa Liteko Tsa Mali ke Life ?; [e ntlafalitsoeng 2012 Jan 6; e qotsitsoeng ka 2017 Feb 1]; [li-skrini tse ka bang 5]. E fumaneha ho tsoa ho: https://www.nhlbi.nih.gov/health-topics/blood-tests#Risk-Factors
  12. National Heart, Lung, le Setsi sa Mali [Internet]. Bethesda (MD): Lefapha la Bophelo le Litšebeletso tsa Botho la U.S. Seo u ka se lebellang ka liteko tsa mali; [e ntlafalitsoeng 2012 Jan 6; e qotsitsoeng ka 2017 Jan 31]; [hoo e ka bang li-skrini tse 4]. E fumaneha ho tsoa ho: https://www.nhlbi.nih.gov/health-topics/blood-tests
  13. Setsi sa Bongaka sa Rochester [Internet]. Rochester (NY): Setsi sa Bongaka sa Univesithi ea Rochester; c2017. Health Encyclopedia: Lekhalo la Anion (Mali); [e qotsitsoeng 2017 Feb 1]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid;=anion_gap_blood

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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