Mankhwala Ena a Arthritis Angachititse Dzira Toxicity
Ntchito ya impso imaphatikizapo kuchotsa zinyalala zamagazi kuchokera m'magazi, kuyendetsa bwino madzi mu thupi, ndi kusunga acidity / alkalinity ya madzi. Mayeso onse a magazi ndi mkodzo angathe kudziwa ngati impso zikugwira bwino ntchito. Mayeso a magazi omwe amayesa ntchito ya impso amalamulidwa nthawi zambiri pamodzi ndi mayesero a ntchito ya chiwindi kuti ayang'ane odwala omwe akudwala mankhwala ena a nyamakazi.
Kachilombo ka impso ndi zotsatira za mankhwala ena a nyamakazi . Matenda a impso omwe amayamba pogwiritsa ntchito mankhwala a nyamakazi si achilendo, koma akhoza kuchitika. Madokotala akhoza nthawi zonse kupanga mayesero kuti ayang'ane zotsatira za mankhwala ena pa impso, kuwunika kwa mavuto a impso kapena zolakwika ndi ntchito ya impso.
Mayesero a Magazi a Impso Ntchito
BUN (Magazi a Urea) amapanga magazi omwe amayesa ntchito ya impso. Urea ndi mankhwala a mapuloteni ndipo amapangidwa m'chiwindi. Urea imasankhidwa kuchokera m'magazi ndi impso ndikuchotsedwa mu mkodzo.
Mankhwala a nyamakazi ndi gout mankhwala omwe angapangitse miyeso ya BUN monga:
- allopurinol
- NSAIDs
- methotrexate
- aspirin yapamwamba
- Tylenol / acetaminophen
Kutuluka kwa m'mimba , komwe kungakhale mbali yaikulu ya NSAID, kungayambitse kukwera kwa BUN.
- BUN mitundu yosiyanasiyana ndi 7-20 mg / dl
Seramu creatinine ndiyeso la magazi lomwe limagwiritsidwanso ntchito poyesa ntchito ya impso.
Creatinine ndizochokera kwa Mlengi zomwe zimakhudzidwa ndi minofu ya mphamvu yamagetsi. Mlingo wochepa wa thupi mu thupi umatembenuzidwa kukhala creativeinine tsiku ndi tsiku. Creatinine, zowonongeka zamagetsi kuchokera ku kutembenuka, zimasankhidwa kuchokera m'magazi ndi impso ndikupitilira mu mkodzo.
Magazi a creatinine amakhala otetezeka ndi impso. Magulu a Creatinine m'magazi amakhala okwera ngati ntchito ya impso ili yovuta. Ngakhale kuti usinkhu ndi umayi zimakhudza makhalidwe abwino a creatinine, kulemera kwa magazi a personininin ya magazi kumapanga kuyesa kwa BUN pofuna kuyesa mavuto a impso.
- Serum creatinine nthawi zonse ndi 0.8-1.2 mg / dl (amuna) ndipo 0,6-0.9 mg / dl (akazi).
Mayesero a Mitsempha kwa Impso Ntchito
Kugwiritsira ntchito mankhwalawa ndi njira zosavuta kwambiri za minofu zomwe zimagwiritsidwa ntchito poyang'ana mavuto a impso. Mankhwala osavuta amatha kudziwa kuti pali shuga, mapulotini, ketoni, kapena bilirubin mumkodzo, komanso acidity kapena alkalinity mkodzo - zonsezi ndi zizindikiro za mavuto a impso. Maonekedwe a mkodzo nthawi zonse amadziwika ndi urinalysis. Matenda osadziwika amatha kupezeka ngati microscopically.
Kuchokera kwa Urea ndi mayeso omwe amagwiritsa ntchito ndondomeko ya magazi kuti azindikire mlingo wa urea womwe ulipo m'magazi ndi zitsanzo ziwiri za mkodzo, wachiwiri amasonkhanitsidwa ola limodzi pambuyo pa oyambirira mkodzo. Mayesowa amadziwika kuti urea amawonetsedwa bwanji ndi impso mu mkodzo.
- Urea yamtunduwu ndi 64-99 ml / min
Chizindikiro cha Creatinine , chomwe chimayesedwa ngati ml / min, chimayerekezera mlingo wa creatinine m'kodzo ndi mlingo wa creatinine m'magazi, kawirikawiri umakhala woyerekeza ndi mayeso a maminiti 24 ndi mchere womwe umatengedwa kumapeto kwa maola 24 .
Monga tafotokozera kale, creatinine imapezeka m'mayendedwe abwino a plasma. Pamene kulenga kumasankhidwa, sikubwezeretsanso ndipo imakhala yosungidwa ndi impso. Chilolezo cha creatinine chimagwiritsidwa ntchito poyesa kuchuluka kwa fungo la glomerular, kuyesa kwapadera kwa ntchito ya impso.
- Chombo cha Creatinine chokwanira / mkodzo wamakono kwa akuluakulu
Osmolality ya mitsempha ndiyeso ya mitsempha yamtendere chifukwa cha chiwerengero cha tinthu timene timathetsa mu mkodzo. Kuyesedwa mu milliosmols / makilogalamu.
- Mitsinje yachibadwa ya osmolality ndi 50 mpaka 1400 m / kg (random) kapena kuposa 850mOsm / kg kwa maola 12 mpaka 14 oletsa madzi.
Mayeso a mapuloteni a mitsempha ndi mkota wokwanira maola 24.
- Zachibadwa = zitsanzozo zikhale zosakwana kapena zofanana ndi 150 mg mapuloteni.
Matenda Osalimba Amayambitsa Matenda a Impso
Mayesero aliwonse omwe amapezeka kuti ali osiyana ndi omwe ali ndi zizindikiro za mavuto omwe angakhale nawo a impso. Inu, pamodzi ndi dokotala wanu, muyenera kusankha ngati mankhwala anu a nyamakazi akuyambitsa vuto . Kusiya kapena kusintha mankhwala kungakhale njira yabwino yotsatira, yomwe ingathandize kuthetsa mavuto a impso.
Zindikirani: Zonsezi zonse zimadalira pa labotale ndi njira yogwiritsira ntchito kuyesa
Zotsatira:
Kufufuza Kachipatala Ndi Njira Zamagetsi, Todd-Sanford, edition la 15, 1974.