Tijaabada koloriin - dhiig

Chloride waa nooc ka mid ah koronto. Waxay la shaqeysaa elektrolytyada kale sida potassium, sodium, iyo carbon dioxide (CO2). Waxyaabahani waxay gacan ka geystaan ​​sidii loo ilaalin lahaa dheelitirka saxda ah ee dheecaannada jirka iyo in la ilaaliyo dheelitirka asiidhka iyo saldhigga jirka.

Maqaalkani wuxuu ku saabsan yahay baaritaanka shaybaarka ee loo adeegsado in lagu cabbiro xaddiga chloride ee qaybta dheecaanka (dhiigga) ee dhiigga.

Sambal dhiig ayaa loo baahan yahay. Inta badan dhiigga waxaa laga soo qaataa xididka ku yaal gudaha xusulka ama dhabarka gacanta.

Daawooyin badan ayaa faragelin kara natiijooyinka baaritaanka dhiigga.

• Bixiyahaaga daryeelka caafimaad ayaa kuu sheegi doona haddii aad u baahan tahay inaad joojiso qaadashada wax daawo ah ka hor baaritaankaan.
• HA JOOJIN ama ha beddelin dawooyinkaaga adiga oo aan marka hore la hadlin takhtarkaaga.

Waxaa laga yaabaa inaad baaritaankaan sameyso haddii aad leedahay calaamado muujinaya in heerka dareeraha jirkaaga ama dheelitirka aashitada-asalka ay dhibsan tahay.

Baadhitaankan badanaa waxaa lagu dalbadaa baadhitaano kale oo dhiig ah, sida guddi dheef-shiid kiimikaad aasaasi ah ama dhammaystiran.

Xaddiga caadiga ah ee caadiga ah waa 96 illaa 106 milliequivalents halkii litir (mEq / L) ama 96 ilaa 106 millimoles halkii litir (millimol / L).

Heerarka qiimaha caadiga ahi way ku kala duwanaan karaan shaybaarada kala duwan. Kala hadal adeeg bixiyahaaga macnaha natiijooyinka baaritaankaaga gaarka ah.

Tusaalaha kore wuxuu muujinayaa qiyaasta cabirka guud ee natiijooyinka imtixaanadan. Shaybaarada qaarkood waxay isticmaalaan cabbiro kala duwan ama waxay tijaabin karaan tijaabooyin kala duwan.

Heer ka-caadi ah heerka chloride waxaa loo yaqaan 'hyperchloremia'. Waxaa laga yaabaa inay sabab u tahay:

• Cudurka Addison
• Kahortagayaasha anhydrase ee kahortagayaasha ah (waxaa lagu daaweyn jiray glaucoma)
• Shuban
• Acid acidosis
• Alkalosis neefsasho (magdhow ah)
• Kondhiidhoon aan caadi ahayn

Heerka ka hooseeya-caadiga ah ee chloride waxaa loo yaqaan hypochloremia. Waxaa laga yaabaa inay sabab u tahay:

• Cudurka Bartter
• Gubasho
• Wadnaha oo hawl gab ah
• Fuuqbax
• Dhidid badan
• Hyperaldosteronism
• Alkalosis metabolic
• Asiidh neefsashada (magdhow)
• Cilladda dheecaanka hoormoonka dareeraha ee aan habboonayn (SIADH)
• Matagid

Tijaabadani waxaa sidoo kale loo samayn karaa si ay uga caawiso ka saarida ama ogaanshaha:

• Neoplasia endocrine badan (MEN) II
• Astaamaha 'hyperparathyroidism'

Tijaabada serum chloride

• Baaritaanka dhiigga

Giavarina D. Biochemistry dhiigga: cabbiraadda korantada waaweyn ee plasma. Gudaha: Ronco C, Bellomo R, Kellum JA, Ricci Z, eds. Daryeelka Xasaasiga ah ee Nefrolojiga. 3aad ed. Philadelphia, PA: Elsevier; 2019: cutubka 54.

Seifter JR. Ciladaha ku dhaca Acid-base. Gudaha: Goldman L, Schafer AI, eds. Daawada Goldman-Cecil. 25aad. Philadelphia, PA: Elsevier Saunders; 2016: cutubka 118.

Tolwani AJ, Saha MK, Wille KM. Acid acidosis iyo alkalosis. Gudaha: Vincent JL, Abraham E, Moore FA, Kochanek PM, MP Fink, eds. Buugga waxbarashada ee daryeelka halista ah. 7aad ed. Philadelphia, PA: Elsevier; 2017: cutubka 104.