Chloride bvunzo - ropa

Chloride rudzi rwe electrolyte. Inoshanda nemamwe ma electrolyte akadai se potassium, sodium, uye carbon dioxide (CO2). Izvi zvinhu zvinobatsira kuchengetedza muyero wakakodzera wemvura yemuviri uye kuchengetedza muviri weasidhi-base chiyero.

Chinyorwa ichi chiri pamusoro pebvunzo dzevarabhoritari dzinoshandiswa kuyera huwandu hwechloride muchikamu chemvura (serum) cheropa

Muenzaniso weropa unodiwa. Kazhinji yenguva ropa rinotorwa kubva mutsinga iri mukati megokora kana kuseri kweruoko.

Mishonga yakawanda inogona kukanganisa mitezo yeropa.

• Anokuchengetedza hutano anokuudza kana uchifanira kurega kutora chero mishonga usati waongororwa.
• Usamise kana kushandura mishonga yako usati wataura nemupi wako kutanga.

Unogona kuve nemuyedzo uyu kana uine zviratidzo zvekuti mwero wemuviri wako wemvura kana acid-base balance inovhiringidzwa.

Iyi bvunzo inowanzo kurairwa pamwe nekumwe kuongororwa kweropa, senge yakakosha kana yakazara metabolic pani.

Yakajairika renji ndeye 96 kusvika 106 milliequivalents pa litre (mEq / L) kana 96 kusvika 106 millimoles pa litre (millimol / L).

Zvakajairika kukosha masenduru anogona kusiyana zvishoma pakati pemarabhoritari akasiyana. Taura nemupi wako nezve zvinorehwa nemimwe miedzo yako.

Muenzaniso uri pamusoro unoratidza yakajairwa chiyero renji yemhedzisiro yeiyi bvunzo. Mamwe marabhoritari anoshandisa zviyero zvakasiyana kana anogona kuyedza mienzaniso dzakasiyana.

Iyo yakakura-kupfuura-yakajairwa nhanho yekloride inonzi hyperchloremia. Inogona kunge iri nekuda kwe:

• Addison chirwere
• Carbonic anhydrase inhibitors (inoshandiswa kurapa glaucoma)
• Manyoka
• Metabolic acidosis
• Kufuridzira alkalosis (yakabhadharwa)
• Renal tubular acidosis

Iyo yakaderera-kupfuura-yakajairwa nhanho yekloride inonzi hypochloremia. Inogona kunge iri nekuda kwe:

• Bartter chirwere
• Kunopisa
• Kuunganidzwa kwemoyo kukundikana
• Kupera mvura mumuviri
• Kuwedzera kudikitira
• Hyperaldosteronism
• Metabolic alkalosis
• Kufuridzira acidosis (yakabhadharwa)
• Syndrome isina kukodzera diuretic hormone secretion (SIADH)
• Kusvipa

Uyu muedzo unogonawo kuitwa kuti ubatsire kutonga kunze kana kuongorora:

• Akawanda endocrine neoplasia (MEN) II
• Chikuru hyperparathyroidism

Serum chloride bvunzo

• Kuongorora ropa

Giavarina D.Ropa biochemistry: kuyera yakakura plasma electrolyte. Muna: Ronco C, Bellomo R, Kellum JA, Ricci Z, eds. Kuchengetedza Kwakakosha Nephrology. 3rd ed. Philadelphia, PA: Elsevier; 2019: chitsuwa 54.

Seifter JR. Acid-base kusagadzikana. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 118.

Tolwani AJ, Saha MK, Wille KM. Metabolic acidosis uye alkalosis. Mune: Vincent JL, Abraham E, Moore FA, Kochanek PM, Fink MP, eds. Chinyorwa cheCritical Care. 7th ed. Philadelphia, PA: Elsevier; 2017: chits. 104.