Amoniya ropa bvunzo

Iyo ammonia bvunzo inoyera chiyero cheammonia mune yeropa sampuro.

Muenzaniso weropa unodiwa.

Mubatsiri wako wezvehutano anogona kukukumbira kuti urege kutora mimwe mishonga inogona kukanganisa mhedzisiro. Izvi zvinosanganisira:

• Doro
• Acetazolamide
• Barbiturates
• Diuretics
• Narcotics
• Valproic asidhi

Iwe haufanire kuputa ropa rako risati radhonzwa.

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

Ammonia (NH3) inogadzirwa nemaseru mumuviri wese, kunyanya ura, chiropa, neitsvo. Mazhinji eammonia anogadzirwa mumuviri anoshandiswa nechiropa kuburitsa urea. Urea zvakare chigadzirwa chemarara, asi chakanyanya kushoma chepfu kupfuura ammonia. Amoniya inonyanya kutyisa kuuropi. Inogona kukonzera nyonganiso, yakaderera simba, uye dzimwe nguva coma.

Muedzo uyu unogona kuitwa kana iwe uine, kana mupi wako achifunga kuti iwe unayo, mamiriro anogona kukonzeresa chepfu kuvaka kweammonia. Iyo inowanzo shandiswa kuongorora uye kuongorora hepatic encephalopathy, chirwere chakakomba chechiropa.

Iyo yakajairwa renji iri 15 kusvika 45 µ / dL (11 kusvika 32 µmol / L).

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

Mhedzisiro isina kujairika inogona kureva kuti iwe wawedzera huwandu hweammonia muropa rako. Izvi zvinogona kukonzerwa nechero yeanotevera:

• Gastrointestinal (GI) kubuda ropa, kazhinji mune yepamusoro GI turakiti
• Zvirwere zvegenetic zveiyo urea kutenderera
• Kupisa kwemuviri muviri (hyperthermia)
• Chirwere cheitsvo
• Chiropa kutadza
• Low blood potassium level (mune vanhu vane chirwere chechiropa)
• Parenteral chikafu (chikafu nemutsipa)
• Reye chirwere
• Salicylate chepfu
• Kuomesesa mhasuru
• Ureterosigmoidostomy (maitiro ekugadzirisa zvekare urineti mune zvimwe zvirwere)
• Urinary turakiti hutachiona hutachiona hunodaidzwa Proteus mirabilis

Kudya-kweprotein chikafu kunogona zvakare kusimudza iyo yeropa ammonia level.

Pane njodzi shoma mukutorwa kweropa rako. Tsinga uye tsinga zvinosiyana muhukuru kubva kumunhu 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)

Serum ammonia; Encephalopathy - ammonia; Cirrhosis - ammonia; Chiropa kutadza - ammonia

• Kuongorora ropa

Chernecky CC, Berger BJ. Amoniya (NH3) - ropa uye weti. Mune: Chernecky CC, Berger BJ, eds. Rabhoritari Kuyedza uye Maitiro Ekuongorora. 6th ed. St Louis, MO: Elsevier Saunders; 2013: 126-127.

Nevah MI, Kudonha MB. Hepatic encephalopathy, hepatorenal syndrome, hepatopulmonary syndrome, uye mamwe maratidziro echirwere chechiropa. Muna: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger uye Fordtran's Gastrointestinal uye Chirwere Chirwere: Pathophysiology / Diagnosis / Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 94.

Pincus MR, Tierno PM, Gleeson E, Bowne WB, Bluth MH. Kuongorora kwechiropa basa. Mune: McPherson RA, Pincus MR, eds. Henry's Clinical Diagnosis uye Management nemaLabhoritari Maitiro. 23rd ed. St Louis, MO: Elsevier; 2017: chitsiko 21.