Tshuaj Ntshav Anion Gap
Zoo Siab
- Anion qhov sib txawv kuaj ntshav yog dab tsi?
- Nws siv rau dab tsi?
- Vim li cas kuv thiaj yuav tsum kuaj ntshav anion sib txawv?
- Ua li cas thaum tso ntshav kuaj anion sib txawv?
- Kuv puas yuav tau ua ib yam dab tsi txhawm rau npaj rau qhov kev xeem?
- Puas muaj kev pheej hmoo rau kev kuaj?
- Cov txiaj ntsig li cas?
- Puas muaj lwm yam ntxiv uas kuv xav paub txog kev kuaj ntshav anion sib txawv?
- Ua tim khawv
Anion qhov sib txawv kuaj ntshav yog dab tsi?
Kev kuaj ntshav anion gap yog ib txoj kev los kuaj xyuas theem ntawm cov kua qaub hauv koj cov ntshav. Kev ntsuam xyuas yog los ntawm cov txiaj ntsig ntawm lwm qhov kev kuaj ntshav hu ua electrolyte panel. Cov khoom siv hluav taws xob yog cov khoom siv hluav taws xob uas pab tswj cov tshuaj lom hauv koj lub cev hu ua cov kua qaub thiab cov hauv paus. Qee yam ntawm cov pob zeb hauv av muaj lub zog them nqi hluav taws xob. Lwm tus muaj hluav taws xob tsis zoo. Cov cim anion yog qhov ntsuas ntawm qhov sib txawv-lossis sib txawv-nruab nrab ntawm cov tsis zoo thiab cov roj teeb hluav taws xob zoo.Yog tias qhov tsis sib haum siab siab yog qhov siab dhau lossis qis dhau, nws yuav yog qhov qhia ntawm qhov tsis txaus siab hauv koj lub ntsws, lub raum, lossis lwm lub nruab nrog cev.
Lwm lub npe: Serum anion gap
Nws siv rau dab tsi?
Kev kuaj ntshav anion gap raug siv los qhia seb koj cov ntshav puas tsis txaus ntawm cov roj ntsha lossis ntau dhau lossis tsis txaus cov kua qaub. Ntau dhau acid nyob rau hauv cov ntshav yog hu ua acidosis. Yog tias koj cov ntshav tsis muaj cov kua qaub txaus, tej zaum koj yuav muaj qhov mob hu ua alkalosis.
Vim li cas kuv thiaj yuav tsum kuaj ntshav anion sib txawv?
Koj tus kws kho mob yuav tau hais kom kuaj ntshav seb nws puas txawv txav yog tias koj muaj cov cim ntawm kev tsis txaus siab hauv koj cov qib acid acid. Cov phiajcim no suav nrog:
- Ua tsis taus pa
- Ntuav
- Lub plawv dhia tsis zoo
- Tsis meej pem
Ua li cas thaum tso ntshav kuaj anion sib txawv?
Kev ntsuam xyuas qhov sib txawv anion yog tshwm sim los ntawm kev soj ntsuam ntawm lub ntsuas hluav taws xob, uas yog ntsuas ntshav. Lub sijhawm kuaj ntshav, tus kws saib xyuas kev noj qab haus huv siv rab koob me me los kuaj ntshav ntawm txoj hlab ntshav hauv koj txhais caj npab. Tom qab cov koob raug tso nkag, cov ntshav me me yuav raug sau rau hauv kev sim ntsuas. Koj tuaj yeem hnov me ntsis thaum cov koob nkag mus lossis tawm. Qhov no feem ntau yuav siv sijhawm tsawg dua tsib feeb.
Kuv puas yuav tau ua ib yam dab tsi txhawm rau npaj rau qhov kev xeem?
Koj tsis tas yuav muaj kev npaj tshwj xeeb txog kev kuaj ntshav sib txawv. Yog tias koj tus kws kho mob tau hais kom kuaj ntshav ntxiv, koj yuav tsum yoo mov (tsis txhob noj los yog haus) ntau teev ua ntej ntsuas. Koj tus kws kho mob yuav qhia rau koj paub yog tias nws muaj lus qhia tshwj xeeb ua raws.
Puas muaj kev pheej hmoo rau kev kuaj?
Nws yuav muaj feem tsawg uas yuav muaj qhov kev ntsuas no. Koj yuav muaj mob me lossis doog ntshav ntawm qhov chaw tso rab koob, tab sis feem ntau cov tsos mob ploj mus sai.
Cov txiaj ntsig li cas?
Yog tias koj cov txiaj ntsig pom tau qhia qhov sib txawv siab, koj yuav muaj cov mob acidosis, uas txhais tau tias siab dua qib li cov kua qaub nyob hauv cov ntshav. Acidosis yuav yog ib qho cim ntawm lub cev qhuav dej, raws plab, lossis qoj ib ce ntau dhau. Nws kuj tseem tuaj yeem qhia tus mob hnyav dua li mob raum lossis ntshav qab zib.
Yog tias koj cov txiaj ntsig pom tau tias nws tsis tshua muaj qhov tsis txaus, nws yuav txhais tau tias koj muaj qib albumin tsawg, cov protein nyob hauv cov ntshav. Cov tshuaj tiv thaiv qis (albumin) tsawg yuav qhia tau tias muaj teeb meem lub raum, mob plawv, lossis qee yam mob qog noj ntshav. Txij li thaum qis anion kis tau tshwm sim tsis tshua muaj tshwm sim, rov kuaj dua yog ua ntau kom ntseeg tau tias cov txiaj ntsig tau raug. Tham nrog koj tus kws kho mob kom paub koj cov txiaj ntsig kev txhais tau li cas.
Kawm paub ntau ntxiv txog cov kev sim hauv chaw soj ntsuam, cov chaw siv ntsuas, thiab nkag siab cov txiaj ntsig tau.
Puas muaj lwm yam ntxiv uas kuv xav paub txog kev kuaj ntshav anion sib txawv?
Kev kuaj ntshav sib txawv hauv cov ntshav tuaj yeem qhia cov ntaub ntawv tseem ceeb txog cov kua qaub thiab lub hauv paus nyob hauv koj cov ntshav. Tab sis muaj ntau cov ntsiab lus ntawm cov txiaj ntsig ib txwm, yog li koj tus kws kho mob yuav pom zoo kom kuaj ntxiv los ua kev kuaj mob.
Ua tim khawv
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- Lolekha PH, Vanavanan S, Lolekha S. Hloov tshiab ntawm tus nqi ntawm anion qhov sib txawv hauv kev kuaj mob thiab kuaj ntsuas. Clinica Chimica Acta [Is Taws Nem]. 2001 Tsib Hlis [muab tawm 2016 Nov 16]; 307 (1–2): 33–6. Muaj los ntawm: https://www.ncbi.nlm.nih.gov/pubmed/11369334
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- Teb Chaws Lub Plawv, Lub Ntsws, thiab Koom Haum Ntshav [Internet]. Bethesda (MD): Asmeskas Lub Chaw Haujlwm Saib Xyuas Kev Noj Qab Haus Huv thiab Tib Neeg; Hom ntshav kuaj; [kho tshiab 2012 Jan 6; raug nplua 2017 Feb 1]; [txog 4 ntxaij]. Muaj los ntawm: https://www.nhlbi.nih.gov/health-topics/blood-tests#Types
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- University of Rochester Medical Center [Internet]. Rochester (NY): Tsev kawm qib siab Rochester Medical Center; c2017. Txoj Kev Noj Qab Nyob Zoo Encyclopedia: Anion Gap (Ntshav); [hais tawm 2017 Feb 1]; [txog 2 ntxaij]. Muaj los ntawm: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid ;=anion_gap_blood
Cov ntaub ntawv ntawm lub xaib no yuav tsum tsis txhob siv los hloov chaw kho mob lossis tswv yim kho mob. Hu rau kws kho mob yog tias koj muaj lus nug txog koj txoj kev noj qab haus huv.