BUN (Nitrogen ea Mali Urea)

Litaba

• Teko ea BUN (mali urea nitrogen) ke eng?
• E sebelisetsoa eng?
• Hobaneng ha ke hloka tlhahlobo ea BUN?
• Ho etsahalang nakong ea tlhahlobo ea BUN?
• Na ke tla hloka ho etsa eng kapa eng ho itokisetsa tlhahlobo?
• Na ho na le likotsi tsa tlhahlobo?
• Liphetho li bolelang?
• Na ho na le eng kapa eng eo ke hlokang ho e tseba ka tlhahlobo ea BUN?
• Litšupiso

Teko ea BUN (mali urea nitrogen) ke eng?

BUN, kapa tlhahlobo ea naetrojene ea mali, e ka fana ka tlhaiso-leseling ea bohlokoa mabapi le ts'ebetso ea hau ea liphio. Mosebetsi oa mantlha oa liphio tsa hau ke ho tlosa litšila le mokelikeli o eketsehileng 'meleng oa hau. Haeba u na le lefu la liphio, litšila tsena li ka ipokellela mali 'me li ka baka mathata a tebileng a bophelo bo botle, ho kenyeletsoa khatello e phahameng ea mali, phokolo ea mali le lefu la pelo.

Teko e lekanya boholo ba naetrojene ea urea maling a hau. Urea naetrojene ke e 'ngoe ea litšila tse tlositsoeng maling a hau ke liphio tsa hau. Ho phahama ho feta maemo a tloaelehileng a BUN e kanna ea ba sesupo sa hore liphio tsa hau ha li sebetse hantle.

Batho ba nang le lefu la pele la liphio ba kanna ba se be le matšoao. Teko ea BUN e ka thusa ho sibolla mathata a liphio qalong ha kalafo e ka sebetsa hantle.

Mabitso a mang bakeng sa teko ea BUN: Urea nitrogen test, serum BUN

E sebelisetsoa eng?

Teko ea BUN hangata ke karolo ea liteko tse bitsoang phanele ea metabolic, mme e ka sebelisoa ho thusa ho fumana kapa ho lekola lefu la liphio kapa lefu.

Hobaneng ha ke hloka tlhahlobo ea BUN?

Mofani oa hao oa tlhokomelo ea bophelo a ka laela tlhahlobo ea BUN e le karolo ea tlhahlobo e tloaelehileng kapa haeba u le kotsing ea liphio kapa u le kotsing ea ho e fumana. Le ha lefu la pele la liphio hangata le se na matšoao kapa matšoao, lintlha tse ling li ka u beha kotsing e kholo. Tsena li kenyelletsa:

• Nalane ea lelapa ea mathata a liphio
• Lefu la tsoekere
• Khatello ea mali e phahameng
• Lefu la pelo

Ho phaella moo, litekanyetso tsa hau tsa BUN li ka hlahlojoa haeba u e-na le matšoao a lefu la liphio hamorao, tse kang:

• Ho hloka ho ea hlapela (ho ntša metsi) khafetsa kapa khafetsa
• Ho hlohlona
• Mokhathala o iphetang
• Ho ruruha matsohong, maotong kapa maotong
• Maqhubu a mesifa
• Mathata a ho robala

Ho etsahalang nakong ea tlhahlobo ea BUN?

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.

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

Ha o hloke litokisetso tse khethehileng bakeng sa tlhahlobo ea BUN. 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 etsa tlhahlobo ea mali. 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?

Maemo a tloaelehileng a BUN a ka fapana, empa ka kakaretso boemo bo phahameng ba mali urea naetrojene ke sesupo sa hore liphio tsa hau ha li sebetse hantle. Leha ho le joalo, liphetho tse sa tloaelehang ha se kamehla li supang hore u na le boemo ba bongaka bo hlokang kalafo. Litekanyetso tse phahameng ho feta tse tloaelehileng tsa BUN le tsona li ka bakoa ke ho felloa ke metsi 'meleng, ho chesa, meriana e itseng, phepo e phahameng ea protheine, kapa lintlha tse ling, ho kenyeletsoa le lilemo tsa hau. Maemo a BUN a atisa ho eketseha ha u ntse u tsofala. Ho ithuta hore na liphetho tsa hau li bolelang, 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 BUN?

Teko ea BUN ke mofuta o le mong feela oa tekanyo ea ts'ebetso ea liphio. Haeba mofani oa tlhokomelo ea bophelo a belaela hore o na le lefu la liphio, ho ka buelloa liteko tse ling. Tsena li ka kenyelletsa tekanyo ea creatinine, e leng sehlahisoa se seng sa litšila se tlhotliloeng ke liphio tsa hau, le tlhahlobo e bitsoang GFR (Glomerular Filtration Rate), e lekanyetsang hore na liphio tsa hau li sefa mali hantle hakae.

Litšupiso

1. Liteko tsa Lab Marang-rang [Inthaneteng]. Washington DC: Mokhatlo oa Amerika oa Clinical Chemistry; c2001–2019. Naetrojene ea mali ea Urea; [e ntlafalitsoeng 2018 Dec 19; e qotsitsoeng ka la 2019 Pherekhong 27]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://labtestsonline.org/tests/blood-urea-nitrogen-bun
2. Mosebetsi oa Lyman JL. Mali urogen naetrojene le creatinine. Emerg Med Clin Leboea Am [Inthanete]. 1986 Mots'eanong 4 [e qotsitsoeng ka 2017 Pherekhong 30]; 4 (2): 223–33. E fumaneha ho tsoa ho: https://www.ncbi.nlm.nih.gov/pubmed/3516645
3. Mayo Clinic [Inthaneteng]. Motheo oa Mayo oa Thuto ea Bongaka le Patlisiso; c1998-2017. Teko ea mali ea Urea Nitrogen (BUN): Kakaretso; 2016 Jul 2 [e qotsitsoeng ka 2017 Jan 30]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: http://www.mayoclinic.org/tests-procedures/blood-urea-nitrogen/home/ovc-20211239
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8. 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 30]; [li-skrini tse ka bang 5]. E fumaneha ho tsoa ho: https://www.nhlbi.nih.gov/health/health-topics/topics/bdt/with
9. Setsi sa Naha sa Lefu la Ts'oaetso le Mafu a Ts'oaetso le Liphio [Inthanete]. Bethesda (MD): Lefapha la Bophelo le Litšebeletso tsa Botho la U.S. Motheo oa Mafu a Liphio; [e ntlafalitsoeng 2012 Mar 1; e qotsitsoeng ka 2017 Jan 30]; [tse ka bang li-skrini tse 7]. E fumaneha ho: https://www.niddk.nih.gov/health-information/health-communication-programs/nkdep/learn/causes-kidney-disease/kidney-disease-basics/pages/kidney-disease-basics.aspx
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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.