Heerarka Amooniya

Qanacsan

• Waa maxay tijaabada heerarka ammonia?
• Maxaa loo adeegsadaa?
• Maxaan ugu baahanahay baaritaanka heerarka ammonia?
• Maxaa dhacaya inta lagu jiro baaritaanka heerarka ammonia?
• Ma u baahanahay inaan sameeyo wax walba si aan ugu diyaargaroobo imtixaanka?
• Ma jiraan wax khatar ah oo imtaxaanku leeyahay?
• Maxay natiijooyinka ka dhigan yihiin?
• Ma jiraan wax kale oo aan u baahanahay inaan ka ogaado baaritaanka heerarka ammonia?
• Tixraacyo

Waa maxay tijaabada heerarka ammonia?

Tijaabadani waxay cabireysaa heerka ammonia ee dhiigaaga. Amonia, oo sidoo kale loo yaqaan NH3, waa shey qashin ah oo jirkaagu sameeyo inta lagu guda jiro dheefshiidka borotiinka. Caadi ahaan, ammonia waxaa lagu farsameeyaa beerka, halkaas oo loogu badalo shey kale oo qashin ah oo la yiraahdo urea. Urea waxaa lagu gudbiyaa jirka kaadi ahaan.

Haddii jirkaaga uusan shaqeyn karin ama baabi’in karin ammonia, wuxuu ku sii kordhaa dhiigga. Heerarka sare ee ammonia ee dhiiga waxay u horseedi karaan dhibaatooyin caafimaad oo halis ah, oo ay ku jiraan dhaawaca maskaxda, miyir beel, iyo xitaa dhimasho.

Heerarka sare ee ammonia ee dhiiga inta badan waxaa sababa cudurka beerka. Sababaha kale waxaa ka mid ah kelyaha oo shaqeynaya iyo cilladaha hidde-wadeyaasha.

Magacyada kale: baaritaanka NH3, baaritaanka dhiigga ammonia, serum ammonia, ammonia; plasma

Maxaa loo adeegsadaa?

Tijaabada heerarka ammonia ayaa loo isticmaali karaa in lagu baaro iyo / ama loola socdo xaaladaha sababa heerarka ammonia ee sareeya. Kuwaas waxaa ka mid ah:

• Cudurka Cagaarshowga, xaalad dhacda marka beerku aad u xanuunsado ama waxyeello u geysto si habboon u ammonia. Cilladaan, ammonia waxay ku soo baxdaa dhiiga waxayna u safraysaa maskaxda. Waxay sababi kartaa jahwareer, jahwareer, miyir beel, iyo xitaa dhimasho.
• Reye syndrome, xaalad halis ah oo mararka qaar geeri sababa oo waxyeelo u geysta beerka iyo maskaxda. Waxay inta badan ku dhacdaa carruurta iyo dhalinyarada ka soo kabanaysa infekshannada fayraska sida busbuska ama hargabka waxayna qaateen asbiriin si ay u daweeyaan cudurradooda. Sababta Reye syndrome lama yaqaan. Laakiin halista darteed, carruurta iyo dhalinyarada ma qaadan karaan asbiriin haddii uusan si gaar ah ugu talin bixiyahaaga daryeelka caafimaad.
• Cilladaha wareegga Urea, cilladaha hidde-wadaha dhifka ah ee saameeya awoodda jirka ee beddelka ammonia urea.

Baaritaanka waxaa sidoo kale loo isticmaali karaa in lagula socdo waxtarka daaweynta cudurka beerka ama kalyaha oo shaqeynaya.

Maxaan ugu baahanahay baaritaanka heerarka ammonia?

Waxaad u baahan kartaa baaritaankaan haddii aad qabto cudur beerka ah oo aad muujineyso astaamo cillad maskaxeed. Calaamadaha waxaa ka mid ah:

• Jahwareer
• Hurdo badan
• Jaahwareer, xaaladda jahwareerka waqtiga, goobta, iyo / ama hareerahaaga
• Niyad jabka
• Dhul gariir

Canugaaga waxaa laga yaabaa inuu u baahdo baaritaankaan haddii isagu ama iyadu ay leeyihiin astaamo Reye syndrome. Kuwaas waxaa ka mid ah:

• Matagid
• Hurdo
• Xanaaq
• Suuxdin

Ilmahaaga dhasha ah ayaa laga yaabaa inuu u baahdo baaritaankaan haddii uu isagu ama iyadu leeyahay astaamaha kor ku xusan. Astaamo isku mid ah ayaa laga yaabaa inay calaamad u yihiin cilladda wareegga kaadi mareenka.

Maxaa dhacaya inta lagu jiro baaritaanka heerarka ammonia?

Xirfadlaha daryeelka caafimaadka ayaa tijaabo dhiig ka qaadi doona xididka gacantaada, isagoo isticmaalaya cirbad yar. Kaddib cirbada la geliyo, qadar yar oo dhiig ah ayaa lagu ururin doonaa tuubada baaritaanka ama fijaan. Waxaa laga yaabaa inaad dareento xoog wax yar ah markii irbadda ay soo galayso ama ay ka baxeyso. Tani badanaa waxay qaadataa in ka yar shan daqiiqo.

Si loo tijaabiyo ilmaha dhasha ah, daryeel caafimaad ayaa ku nadiifin doona ciribta canuggaaga aalkolo wuxuuna ciribta ciribta ku durayaa irbad yar. Bixiyuhu wuxuu ururin doonaa dhawr dhibcood oo dhiig ah oo uu faashad ku rido goobta.

Ma u baahanahay inaan sameeyo wax walba si aan ugu diyaargaroobo imtixaanka?

Waa inaadan jimicsi sameyn ama sigaar cabbin ilaa sideed saacadood kahor baaritaanka ammonia.

Ilmuhu uma baahna wax diyaargarow gaar ah baaritaanka ka hor.

Ma jiraan wax khatar ah oo imtaxaanku leeyahay?

Khatar aad u yar baa jirta in dhiig lagaa qaado. Adiga ama ilmahaaga waxaa laga yaabaa inaad xanuun yar ama nabar ku yeeshaan barta irbadda lagu muday, laakiin astaamaha badankood si dhakhso leh ayey u baxaan.

Maxay natiijooyinka ka dhigan yihiin?

Haddii natiijooyinkaagu muujiyaan heerarka ammonia ee dhiigga ku jira, waxay calaamad u noqon kartaa mid ka mid ah xaaladaha soo socda:

• Cudurada beerka, sida cirrhosis ama cagaarshow
• Cudurka Cagaarshowga
• Cudurka kilyaha ama kalyaha oo hawl gab

Carruurta iyo dhalinyarada, waxay calaamad u noqon kartaa Reye syndrome.

Dhallaanka, heerarka sare ee ammonia waxay astaan ​​u noqon karaan cudur hidde ah oo ku dhaca wareegga kaadi mareenka ama xaalad loo yaqaan hemolytic disease ee ilmaha dhasha ah. Cilladaan waxay dhacdaa marka hooyadu sameyso unugyada difaaca jirka unugyada dhiiga ee cunugeeda.

Haddii natiijooyinkaagu aysan caadi ahayn, daryeel caafimaad bixiyahaagu wuxuu u baahan doonaa inuu dalbado baaritaanno dheeri ah si loo ogaado sababta heerka sare ee ammonia. Qorshahaaga daaweynta wuxuu ku xirnaan doonaa cudurkaaga gaarka ah.

Haddii aad su'aalo ka qabtid natiijooyinkaaga, la hadal daryeel caafimaad bixiyahaaga.

Wax badan ka baro baaritaanka shaybaarka, kala duwanaanshaha tixraaca, iyo fahamka natiijooyinka.

Ma jiraan wax kale oo aan u baahanahay inaan ka ogaado baaritaanka heerarka ammonia?

Qaar ka mid ah bixiyeyaasha daryeelka caafimaadka waxay u maleynayaan in dhiiga halbowlaha laga yaabo inuu bixiyo macluumaad waxtar leh oo ku saabsan ammonia marka loo eego dhiigga xididka. Si loo helo saamiga dhiigga halbowlaha, adeeg-bixiye ayaa cirbad ku ridi doona halbowlaha curcurka gacanta, suxulka suuxdinta, ama aagga gumaarka. Qaabkan tijaabada badanaa looma isticmaalo.

Tixraacyo

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4. Nooca Merck Manual Consumer Version [Internet]. Kenilworth (NJ): Merck & Co., Inc.; c2019. Cudurka Cudurka Cagaarshowga [cusbooneysiiyay 2018 Meey; daliishaday 2019 Jul 10]; [ilaa 2 shaashad]. Waxaa laga heli karaa: https://www.merckmanuals.com/home/liver-and-gallbladder-disorders/manifestations-of-liver-disease/hepatic-encephalopathy?query=ammonia
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7. Naylor EW. Baaritaanka dhallaanka ee cilladaha wareegga kaadi mareenka. Dhakhaatiirta carruurta [Internetka]. 1981 Sep [daliishaday 2019 Jul 10]; 68 (3): 453-7. Waxaa laga heli karaa: https://pediatrics.aappublications.org/content/68/3/453.long
8. NIH Maktabadda Qaranka ee Caafimaadka: Tixraaca Hoyga Guryaha [Internet]. Bethesda (MD): Waaxda Caafimaadka iyo Adeegyada Aadanaha ee Mareykanka; Sidee loo sameeyaa baaritaanka ilmaha dhashay ?; 2019 Jul 9 [daliishaday 2019 Jul 10]; [ilaa 3 shaashad]. Waxaa laga heli karaa: https://ghr.nlm.nih.gov/primer/newbornscreening/nbsprocedure
9. Caafimaadka UF: Jaamacadda Florida Health [Internet]. Gainesville (FL): Jaamacadda Florida Caafimaadka; c2019. Baadhitaanka dhiigga ammonia: Dulmarka guud [updated 2019 Jul 10; daliishaday 2019 Jul 10]; [ilaa 2 shaashad]. Waxaa laga heli karaa: https://ufhealth.org/ammonia-blood-test
10. Jaamacadda Rochester Medical Center [Internet]. Rochester (NY): Jaamacadda Rochester Medical Center; c2019. Encyclopedia Caafimaadka: Amonia [xigasho 2019 Jul 10]; [ilaa 2 shaashad]. Waxaa laga heli karaa: https://www.urmc.rochester.edu/encyclopedia/content.aspx?ContentTypeID=167&ContentID=ammonia
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12. Caafimaadka UW [Internetka]. Madison (WI): Jaamacadda Wisconsin Isbitaalada iyo Maamulka Rugta; c2019. Macluumaadka Caafimaadka: Amonia: Sida Loo Diyaariyo [cusboonaysiiyay 2018 Jun 25; daliishaday 2019 Jul 10]; [ilaa 4 shaashadood]. Waxaa laga heli karaa: https://www.uwhealth.org/health/topic/medicaltest/ammonia/hw1768.html#hw1779
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Macluumaadka ku yaal boggan waa in aan loo isticmaalin beddel daryeel caafimaad oo xirfad leh ama talo. La xiriir bixiye daryeel caafimaad haddii aad su'aalo ka qabtid caafimaadkaaga.