Kev kuaj ntshav ntawm Ammonia

Kev kuaj ntshav ntawm ammonia ntsuas txog qib ntawm ammonia hauv cov ntshav ua piv txwv.

Xav tau cov ntshav ntxiv.

Koj tus kws kho mob yuav hais kom koj tsum tsis txhob noj qee yam tshuaj uas yuav cuam tshuam rau cov txiaj ntsig sim kev tshwm sim. Cov no suav nrog:

• Cawv
• Tshuaj Acetazolamide
• Barbiturates
• Kev tshuaj ntsuab
• Narcotics
• Valproic acid

Koj yuav tsum tsis txhob haus luam yeeb ua ntej koj cov ntshav tawm mus.

Thaum cov koob tau tso rau hauv cov ntshav, qee cov neeg hnov ​​mob me ntsis. Lwm tus ho hnov ​​tus mob lossis ceg tawv xwb. Tom qab ntawd, tej zaum yuav muaj qee qhov thos lossis me me sib duav. Tsis ntev no ploj mus.

Ammonia (NH3) yog tsim los ntawm cov hlwb thoob plaws lub cev, tshwj xeeb cov hnyuv, siab, thiab raum. Feem ntau ntawm ammonia tsim nyob rau hauv lub cev siv los ntawm daim siab ua haujlwm los ua urea. Urea kuj tseem yog cov khoom pov tseg, tab sis nws yog tshuaj lom tsawg dua li ammonia. Ammonia tshwj xeeb yog lom rau lub hlwb. Nws tuaj yeem ua rau tsis meej pem, lub zog qis, thiab qee zaum coma.

Qhov kev ntsuas no tuaj yeem ua yog tias koj muaj, lossis koj tus kws kho mob xav tias koj muaj, ib qho kev mob uas yuav ua rau muaj tshuaj ammonia lom rau. Nws feem ntau siv los kuaj thiab saib xyuas hepatic encephalopathy, daim siab mob siab.

Qhov ib txwm ua tau yog 15 mus rau 45 µ / dL (11 txog 32 µmol / L).

Cov kab ke tus nqi yuav txawv me ntsis ntawm ntau lub chaw soj nstuam. Qee qhov kuaj pom siv cov kev ntsuas sib txawv lossis sim cov qauv sib txawv. Tham nrog koj tus kws kho mob txog cov ntsiab lus ntawm koj cov kev kuaj sim.

Qhov tshwm sim tsis zoo yuav txhais tau tias koj tau nce qib ammonia hauv koj cov ntshav. Qhov no tuaj yeem yog vim ib qho hauv qab no:

• Mob plab zom mov (GI) los ntshav, feem ntau nyob rau sab saud GI
• Cov kab mob caj ces ntawm urea voj voog
• Siab lub cev kub (hyperthermia)
• Mob raum
• Daim siab ua haujlwm
• Cov ntshav poov tshuaj theem qis (hauv cov neeg muaj kab mob siab)
• Niam txiv kev noj haus (khoom noj los ntawm leeg ntshav)
• Tus Mob Reye Syndrome
• Salicylate lom
• Kev tshem tawm cov leeg mob hnyav
• Ureterosigmoidostomy (ib txoj kev los tsim kho lub leeg tso zis hauv qee qhov mob)
• Mob txeeb zig muaj tus kab mob hu ua Proteus mirabilis

Kev noj zaub mov muaj protein ntau kuj tseem tuaj yeem nce qib ntshav ammonia.

Qhov koj yuav tau noj koj cov ntshav tsawg tsawg yuav muaj feem tsawg. Cov leeg thiab cov hlab ntsha sib txawv raws li ib tug neeg mus rau lwm qhov thiab ntawm ib sab ntawm lub cev mus rau lwm qhov. Noj ntshav los ntawm qee tus neeg yuav nyuaj dua li lwm tus.

Lwm yam kev phom sij los cuam tshuam nrog kev kos ntshav me ntsis, tab sis yuav suav nrog:

• Los ntshav ntau
• Tsaus muag lossis hnov ​​nkaus lub teeb
• Ntau cov punctures los nrhiav cov leeg ntshav
• Hematoma (ntshav ntau nyob hauv qab daim tawv nqaij)
• Kev kis tus kab mob (muaj kev pheej hmoo me me txhua lub sijhawm ntawm daim tawv tawg)

Ntshav dej ammonia; Encephalopathy - ammonia; Kab mob ntsws - ammonia; Daim siab ua haujlwm - ammonia

• Kuaj ntshav

Chernecky CC, Berger BJ. Ammonia (NH3) - ntshav thiab zis. Hauv: Chernecky CC, Berger BJ, eds. Kev kuaj thiab kuaj mobCov. 6 tus ed. St Louis, MO: Elsevier Saunders; Xyoo 2013: 126-127.

Nevah MI, Fallon MB. Hepatic encephalopathy, kab mob siab hepatorenal syndrome, kab mob siab hepatopulmonary, thiab lwm yam kab mob ntawm lub siab. Hauv: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger thiab Fordtran's Gastrointestinal thiab Kab Mob Qog: Kab Mob Rau Ib Tus Mob / Tshuaj Ntsuam Xyuas / TswjCov. 10 tus ed. Philadelphia, PA: Elsevier Saunders; 2016: tshooj 94.

Pincus MR, Tierno PM, Gleeson E, Bowne WB, Bluth MH. Kev soj ntsuam ntawm lub siab ua haujlwm. Hauv: McPherson RA, Pincus MR, eds. Henry's Kev Kuaj Mob thiab Kev Tswj Xyuas los ntawm Laboratory Txoj KevCov. 23rd ed. St Louis, MO: Elsevier; 2017: chap 21.