Osmolality yeropa bvunzo

Osmolality muyedzo unoyera kuyera kwechero chemakemikari zvikamu zvinowanikwa mune inoyerera chikamu cheropa.

Osmolality inogona zvakare kuyerwa neyero weti.

Muenzaniso weropa unodiwa.

Tevera chero mirayiridzo kubva kumubatsiri wako wezvehutano nezve kusadya usati waedzwa. Mupi wako anogona kukuudza kuti umbomira kutora chero mishonga inogona kukanganisa mhedzisiro yekuedzwa. Mishonga yakadaro inogona kusanganisira mapiritsi emvura (diuretics).

Kana tsono ikaiswa kukweva ropa, vamwe vanhu vanonzwa kurwadziwa zvine mwero. Vamwe vanongonzwa kubaya kana kuruma. Mushure meizvozvo, panogona kuve nekurohwa kana kupwanya zvishoma. Izvi zvinokurumidza kuenda.

Muedzo uyu unobatsira kutarisa muyero wemvura yemuviri wako. Chiremba wako anogona kuraira iyi bvunzo kana iwe uine zviratidzo zvechero yeizvi zvinotevera:

• Low sodium (hyponatremia) kana kurasikirwa nemvura
• Chepfu kubva kuzvinhu zvinokuvadza senge ethanol, methanol, kana ethylene glycol
• Matambudziko kuburitsa weti

Mune vanhu vane hutano, apo osmolality muropa inova yakakwira, muviri unoburitsa antidiuretic hormone (ADH).

Iyi hormone inokonzeresa itsvo kudzosera mvura. Izvi zvinoguma mune yakawanda yakanyanyisa weti. Mvura yakadzorerwa zvakare inodurura ropa. Izvi zvinobvumira osmolality yeropa kuti idzokere kune yakajairwa.

Ropa rakaderera osmolality rinodzvinyirira ADH. Izvi zvinoderedza kuwanda kwemvura itsvo reabsorb. Svina weti inopfuudzwa kuti ibvise iyo yakawandisa mvura, iyo inowedzera osmolality yeropa kudzokera kune yakajairwa.

Maitiro akajairwa anotangira pa 275 kusvika 295 mOsm / kg (275 kusvika 295 mmol / kg).

Zvakajairika kukosha masenduru anogona kusiyana zvishoma pakati pemarabhoritari akasiyana. Mamwe marabhu anoshandisa zviyero zvakasiyana kana kuyedza akasiyana sampuli. Taura nemupi wako nezve zvinorehwa nemimwe miedzo yako.

Iyo yepamusoro kupfuura yakajairwa nhanho inogona kunge iri nekuda kwe:

• Chirwere cheshuga insipidus
• Yakakwira shuga yeropa (hyperglycemia)
• Yepamusoro mwero wezvinhu zvine nitrogen marara muropa (uremia)
• Yakakwira sodium level (hypernatremia)
• Stroke kana kushungurudzika kwemusoro zvichikonzera kudzikira kweADH kuchengetedzwa
• Kurasikirwa kwemvura (kupera mvura mumuviri)

Kuderera pane zvakajairwa mazinga kungave kuri nekuda kwe:

• ADH kunyanyisa
• Adrenal gland isiri kushanda zvakajairika
• Mamiriro akabatanidzwa nekenza yemapapu (zvichikonzera chirwere chisina kukodzera ADH kugadzirwa, kana SIADH)
• Kunwa mvura yakawandisa kana mvura
• Yakaderera sodium chikamu (hyponatremia)
• SIADH, mamiriro umo muviri unoita zvakawandisa ADH
• Underactive thyroid gland (hypothyroidism)

Pane njodzi shoma inosanganisirwa nekutorwa kweropa rako. Tsinga uye tsinga zvinosiyana muhukuru kubva kune mumwe murwere kuenda kune mumwe uye kubva kune rimwe divi remuviri kuenda kune rimwe. Kutora ropa kubva kune vamwe vanhu kunogona kunge kwakaoma kupfuura kubva kune vamwe.

Dzimwe njodzi dzinosangana nekutorwa kweropa idiki asi dzinogona kusanganisira:

• Kuwedzera kubuda ropa
• Kufenda kana kunzwa kushaya musoro
• Akawanda punctures ekutsvaga mutsinga
• Hematoma (ropa rinoungana pasi peganda)
• Utachiona (hushoma njodzi chero nguva ganda parinovhunika)

• Kuongorora ropa

Ah MS, Briefel G. Kuongororwa kweiyo renal basa, mvura, electrolyte, uye acid-base chiyero. Mune: McPherson RA, Pincus MR, eds. Henry's Clinical Diagnosis uye Management nemaLabhoritari Maitiro. 23rd ed. St Louis, MO: Elsevier; 2017: chitsiko 14.

Verbalis JG. Kukanganiswa kwemvura yakaringana. Mune: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, eds. Brenner uye Rector Iyo Itsvo. 11th ed. Philadelphia, PA: Elsevier; 2020: chits. 15.