Tijaabooyinka Osmolality

Qanacsan

• Waa maxay tijaabooyinka 'osmolality'?
• Maxaa loo adeegsadaa?
• Maxaan ugu baahanahay tijaabada 'osmolality'?
• Maxaa dhacaya inta lagu jiro baaritaanka 'osmolality'?
• Ma u baahanahay inaan sameeyo wax walba si aan ugu diyaargaroobo imtixaanka?
• Ma jiraan wax khatar ah oo ku imaan kara tijaabooyinka 'osmolality'?
• Maxay natiijooyinka ka dhigan yihiin?
• Ma jiraan wax kale oo aan u baahanahay inaan ka ogaado imtixaannada 'osmolality'?
• Tixraacyo

Waa maxay tijaabooyinka 'osmolality'?

Tijaabooyinka 'Osmolality' ayaa lagu cabiraa xaddiga maaddooyinka qaarkood ee ku jira dhiigga, kaadida, ama saxarada. Kuwaas waxaa ka mid ah gulukoos (sonkor), HOL (wax soo saarka wasakhda ah ee lagu sameeyo beerka), iyo dhowr elektarolayt ah, sida sodium, potassium, iyo chloride. Electrolytes waa macdan koronto ku shaqeeya. Waxay kaa caawinayaan xakameynta xaddiga cabitaannada jirkaaga ku jira. Tijaabadu waxay muujin kartaa inaad dheelitirnaan caafimaad aan caafimaad qabin ku hayso jirkaaga. Isku dheelitirka dareeraha aan caafimaadka qabin waxaa sababi kara xaalado badan oo kala duwan. Kuwaas waxaa ka mid ah qaadashada milixda ee xad-dhaafka ah, cudurka kalyaha, wadne xanuun, iyo noocyada sunta qaarkood.

Magacyada kale: osmolality serum, plasma osmolality kaadida osmolality, osmolality saxarada, osmotic gap

Maxaa loo adeegsadaa?

Imtixaanada 'Osmolality' waxaa loo isticmaali karaa sababo kala duwan awgood. Baadhitaan dhiig osmolality ah, oo sidoo kale loo yaqaan 'serum osmolality test', ayaa inta badan loo isticmaalaa:

• Hubi isku dheelitirka biyaha iyo kiimikooyinka qaarkood ee dhiigga ku jira.
• Ogow haddii aad liqday sun sida qaboojiyaha ama aalkolada la xoqay
• Ka caawi baaritaanka fuuqbaxa, xaalad ah in jirkaaga uu dheecaan badan ka baxo
• Ka caawi baaritaanka fuuq-baxa, xaalad jirkaagu ku hayo dheecaan badan
• Caawinta baaritaanka cudurka sonkorowga insipidus, xaalad saameyn ku yeelata kelyaha una horseedi kara fuuqbax

Mararka qaar plasma dhiig ayaa sidoo kale laga baaraa osmolality. Serum iyo plasma labaduba waa qaybo ka mid ah dhiigga. Plasma waxaa ku jira maaddooyin ay ku jiraan unugyada dhiigga iyo borotiinno qaarkood. Serum waa dheecaan cad oo aan ku jirin maadooyinkan.

Baadhitaanka kaadida 'osmolality' waxaa badanaa loo isticmaalaa iyadoo la raacayo serum osmolality test si loo hubiyo dheelitirka dareeraha jirka. Tijaabada kaadida ayaa sidoo kale loo isticmaali karaa in lagu ogaado sababta kaadida u kordhay ama u yaraatay.

Tijaabada 'osmolality' saxarada waxaa badanaa loo isticmaalaa in lagu ogaado sababta shuban-biyoodka joogtada ah ee uusan keenin infekshan bakteeriya ama dulin.

Maxaan ugu baahanahay tijaabada 'osmolality'?

Waxaad u baahan kartaa baaritaanka dhiigga osmolality ama kaadida 'osmolality test' haddii aad leedahay calaamado dheellitirnaan la'aanta dheecaanka, sonkorowga 'insipidus', ama noocyada sumowga qaarkood.

Calaamadaha isku dheelitir la'aanta dareeraha iyo sonkorowga insipidus waa isku mid waxaana ka mid noqon kara:

• Haraad xad dhaaf ah (haddii fuuqbaxan)
• Lalabbo iyo matag
• Madax xanuun
• Jahwareer
• Daal
• Suuxdin

Calaamadaha sumowga way ka duwanaan doonaan iyadoo ku xiran nooca walaxda la liqay, laakiin waxaa ka mid noqon kara:

• Lalabbo iyo matag
• Kala gariirid, xaalad sababa ruxitaanka murqahaaga oo aan la xakamayn karin
• Neefsashada oo ku adkaata
• Hadal dabacsan

Waxa kale oo laga yaabaa inaad u baahato kaadida 'osmolality' haddii aad dhib ku qabto kaadida ama aad u kaadiysid.

Waxaad u baahan kartaa baaritaanka saxarada 'osmolality' haddii aad leedahay shuban joogto ah oo aan lagu sharxi karin bakteeriyada ama infekshanka noolaha ama sababo kale sida dhaawaca mindhicirka.

Maxaa dhacaya inta lagu jiro baaritaanka 'osmolality'?

Inta lagu jiro baaritaanka dhiigga (serum osmolality ama plasma osmolality):

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.

Inta lagu jiro kaadida baaritaanka osmolality:

Bixiyaha xanaanada caafimaadkaaga ayaa u baahan doona inuu kaa qaado tijaabada kaadidaada. Waxaad heli doontaa weel aad ku ururiso kaadida iyo tilmaamo gaar ah si aad u hubiso in shaybaarku nadiif yahay. Tilmaamahan waxaa badanaa loo yaqaan "habka nadiifinta nadiifka ah." Habka qabashada nadiifka ah waxaa ku jira talaabooyinka soo socda:

• Xiritaanka fayruus.
• Ku nadiifi xubintaada taranka marada nadiifinta ee uu ku siiyo bixiyahaaga. Ragga waa inay masaxaan caarada guska. Haweenku waa inay furaan faruuryaha xubinta taranka oo ay nadiifiyaan xagga hore iyo gadaal.
• Ku billow inaad ku kaadiso musqusha.
• U wareeji weelka aruurinta kaadida.
• Ku ururi ugu yaraan wiqiyad ama laba kaadi oo weelka ah, oo ay tahay inay lahaadaan calaamado muujinaya cadadka.
• Ku dhammee kaadida musqusha.
• Ku soo celi weelka muunada daryeel caafimaad bixiyahaaga.

Inta lagu jiro baaritaanka osmolality saxarada:

Waxaad u baahan doontaa inaad bixiso saxaro saxaro ah. Bixiyahaagu wuxuu ku siin doonaa tilmaamo qaas ah oo ku saabsan sida loo ururiyo loona diro tusaalahaaga. Tilmaamahaaga waxaa ka mid noqon kara kuwa soo socda:

• Gasho labo gacmood oo gacmo gashi ama cinjir
• Ku ururi oo ku xaji saxarada weel gaar ah oo uu ku siiyo bixiyahaaga daryeelka caafimaad ama sheybaarka. Waxaad heli kartaa qalab ama qalab wax ku caawiya sidii aad u ururin lahayd saamiga.
• Hubso in kaadi, biyo musqusha, ama warqada musqusha aysan ku dhex milmin sambalka.
• Xir oo calaamadee weelka.
• Gacmo gashi iska saar gacmahaagana dhaq.
• Weelka ugu soo celi bixiyahaaga daryeelka caafimaadka ama shaybaarka sida ugu dhakhsaha badan ee suurtogalka ah. Haddii aad u malaynayso inaad dhibaato kala kulanto bixinta saamigaaga waqtigiisa, la hadal daryeel caafimaad bixiyahaaga.

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

Waxaa laga yaabaa inaad u baahato inaad soonto (aanad cunin ama cabin) 6 saacadood baaritaanka ka hor ama aad xaddiddo cabitaannada 12 illaa 14 saacadood baaritaanka ka hor. Bixiyaha xanaanada caafimaadkaaga ayaa kula socodsiin doona hadii ay jiraan tilmaamo gaar ah oo la raaco.

Ma jiraan wax khatar ah oo ku imaan kara tijaabooyinka 'osmolality'?

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

Khatar maleh inaad yeelato kaadi ama baaritaanka saxarada.

Maxay natiijooyinka ka dhigan yihiin?

Haddii natiijooyinkaaga dhiigga osmolality-ka uusan caadi ahayn, waxay noqon kartaa inaad leedahay mid ka mid ah xaaladaha soo socda:

• Qaboojiye ama nooc kale oo sun ah
• Fuuqbax ama fuuqbax
• Milix aad u badan ama aad u yar oo dhiigga ku jira
• Sonkorowga insipidus
• Faalig

Haddii kaadidaada natiijada osmolality-ka aysan caadi ahayn, waxay noqon kartaa inaad leedahay mid ka mid ah xaaladaha soo socda:

• Fuuqbax ama fuuqbax
• Wadne istaag
• Cudurka beerka
• Cudurka kilyaha

Haddii natiijooyinkaaga saxaro osmolality uusan caadi ahayn, waxay noqon kartaa inaad leedahay mid ka mid ah xaaladaha soo socda:

• Cudurka shubanka ee loo yaqaan 'Factorious shuban', waa xaalad ay sababtay isticmaalka dawooyinka caloosha jilciya ee loo isticmaalo dawooyinka caloosha jilciya
• Malabsorption, xaalad saameyn ku yeelata awoodaada inaad shiidato kana qaadato nafaqooyinka cuntada

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 imtixaannada 'osmolality'?

Bixiyaha xanaanada caafimaadkaaga ayaa laga yaabaa inuu dalbado baaritaano dheeri ah oo la socdo ama kadib baaritaankaaga osmolality. Kuwaas waxaa ka mid noqon kara:

• Tirinta dhiigga oo dhameystiran (CBC)
• Tijaabada dhiigga urea nitrogen (BUN)
• Tijaabada gulukooska dhiigga
• Guddi koronto
• Baaritaanka dhiigga Albumin
• Baadhitaanka dhiigga saxarada ee saxarada (FOBT)

Tixraacyo

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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.