Yuav Ua Li Cas Nkag Siab Cov Lus Qhia Ntawm Lub Raum Ua Haujlwm?

Hu rau: emily.li@wecistanche.com

Feem ntau, peb kuajlub raummuaj nuj nqi, feem ntau suav nrog ntshav urea nitrogen, ntshav creatinine, uric acid, sodium thiab potassium, thiab lwm yam ntsuas electrolyte, qhov tseem ceeb ntawm cov ntsuas no nce lossis txo qis li cas?

Yuav txhais li cas peb lub raum kom nkag siab, cov hauv qab no yog cov kev paub tseem ceeb:

Hauvlub raummuaj nuj nqixeem tsab ntawv ceeb toom, los soj ntsuam seb puas muaj teeb meem nroglub raummuaj nuj nqi, ob qhov ntsuas tseem ceeb tshaj plaws yog ntshav urea nitrogen thiab ntshav creatinine:

1. Urea nitrogen:

Urea nitrogen yog cov khoom tseem ceeb kawg ntawm tib neeg cov proteinmetabolism. Nws yog synthesized nyob rau hauv daim siab thiab excreted los ntawm lub raum. Tus nqi ib txwm yog 2.86-7.14mmol/L.

2. Creatinine:

Creatinine yog muab los ntawm cov metabolism hauv creatine hauv cov leeg pob txha thiab kev noj cov nqaij hauv cov khoom noj. Nws raug tso tawm mus rau hauv kev ncig ntawm tus nqi tsis tu ncua, thiab creatinine tuaj yeem lim dej dawb los ntawm glomerulus yam tsis tau rov qab nqus thiab metabolized los ntawm ob lub raum. Kev kuaj xyuas cov ntshav creatinine yog ib txoj hauv kev tseem ceeb uas feem ntau siv los nkag siab txog lub raum ua haujlwm.

Cov tsev kho mob sib txawv muaj cov qauv ntsuas sib txawv rau qhov ib txwm muaj ntawm cov ntshav creatinine. Feem ntau hais lus, tus nqi ntawm cov ntshav creatinine tuaj yeem raug xa mus rau raws li hauv qab no: 53-106 μmol / L rau txiv neej; 44-97 μmol / L rau cov poj niam; 24.9-69.7 μmol/L rau cov menyuam yaus.

Thaum ob qhov ntsuas no nce, nws tuaj yeem txiav txim siab tias muaj teeb meem nrog rau lub raum ua haujlwm, xws li mob hnyav.raumraug moblos yog mob raum tsis ua haujlwm.

Txawm li cas los xij, ob qho tib si kuj muaj qhov tsis txaus thaum ntsuas peblub raum muaj nuj nqi. Piv txwv li, nyob rau theem pib ntawm lub raum ua haujlwm, ntshav urea nitrogen thiab ntshav creatinine yuav tsis tas yuav nce ntxiv, thiab lawv tau yooj yim cuam tshuam los ntawm lwm yam, tshwj xeeb tshaj yog cov ntshav urea nitrogen. Piv txwv li, nws kuj yog ib qho kev nce ntxiv tom qab noj zaub mov muaj protein ntau, plab hnyuv los ntshav, kis kab mob, lub cev qhuav dej, qhov ncauj.tshuaj hormones, thiab lwm yam tshuaj.

Yog li ntawd, kev kho mob, ob qhov ntsuas no yuav tsum tau txheeb xyuas ua ke nrog cov xwm txheej tshwj xeeb. Raws li tus neeg mob lossis cov neeg hauv tsev neeg, peb tsis tuaj yeem ntxhov siab thiab poob kev ntseeg siab hauv kev kho kab mob sai li sai tau thaum peb pom qhov nce hauv cov ntshav creatinine.

Cistanche zoo heev rau lub raum ua haujlwm

Qhov taw qhia tseeb tshaj plaws los cuam tshuam rau lub raum ua haujlwm yog glomerular filtration rate (GFR), uas yog lub peev xwm ntawm lub raum kom dhau ntshav ntshav ib feeb. Tus nqi ib txwm yog li 100ml / min. Cov ntaub ntawv sib raug rau 100 ntsiab lus, thiab lub raum ua haujlwm ntawm cov neeg ib txwm yuav tsum yog tsawg kawg yog 90 ntsiab lus).

Hauv kev siv tshuaj kho mob, cov ntshav creatinine tshem tawm feem ntau yog siv los kwv yees qhov glomerular pom tus nqi (kwv yees GFR, eGFR): tam sim no muaj ob hom qauv muaj: Cockcroft-Gault formula thiab MDRD (Hloov Kho Kev Noj Qab Haus Huv Hauv Lub Raum Kab Mob) Qhov kawg yog feem ntau siv thiab raug.

Hais txog kev suav cov glomerular filtration rate, koj tsuas yog yuav tsum paub koj cov ntshav creatinine, hnub nyoog, thiab qhov hnyav, thiab koj tuaj yeem paub nws los ntawm kev nqa cov qauv saum toj no. Tau kawg, txoj hauv kev yooj yim dua yog tshawb nrhiav glomerular pom tus nqi online thiab xam nws online. Sau peb qhov tseem ceeb uas tau hais los saum no, koj tuaj yeem tau txais qhov loj ntawm glomerular pom tus nqi.

Tam sim no, ntau lub tsev kho mob kuj muab kev kwv yees ntawm glomerular filtration rate thaum ntsuaslub raummuaj nuj nqi. Yog li ntawd, tus neeg mob uas mob ntevraumkab mob, thaum kuaj xyuas lawv lub raum ua haujlwm, yuav tsum tsom rau qhov muaj nuj nqis no. Thaum eGFR qis dua 90ml / min, Nco ntsoov nug tus kws kho mob nephrologist kom ntsuas tag nrho seb puas muaj teeb meem rau lub raum! Thiab yog tias eGFR tsawg dua 15ml / min, nws txhais tau tias uremia, lub raum ua haujlwm tsuas yog 15 feem pua ​​​​ntawm lub raum ua haujlwm qub, thiab kev kho mob ntshav qab zib yog xav tau kom sai li sai tau.

3. Uric acid:

Uric acid yog cov khoom kawg ntawm purine metabolism hauv peb lub cev, thiab 2/3 ntawm uric acid raug tso tawm los ntawm peb.lub raum. Yog li ntawd, thaumraummuaj nuj nqiKev poob qis, uric acid kuj tuaj yeem nce ntxiv, tsis yog vim peb noj ntau cov khoom noj purine ntau dhau.

Yog tias uric acid nce siab hauv kev tshuaj xyuas lub cev, thiab tom qab kev tshuaj ntsuam xyuas txuas ntxiv yog siab dua 480 μmol / L, qhov ua rau qhov nce yuav tsum tau tshawb nrhiav. Vim tias feem ntau, asymptomatic hyperuricemia tsis xav tau tshuaj.

4. Electrolyte:

Feem ntau suav nrog Sodium (Na), Potassium (K), Chlorine (Cl).

Feem ntau ntawm sodium: 135-145mmol/L.

Qhov ntau npaum li cas ntawm cov poov tshuaj: yog 3.5-5.5 mmol / L.

Cov tshuaj chlorine ib txwm muaj: yog 98 ~ 106 mmol / L.

Cov electrolytes no tseem ceeb heev rau kev tswj lub neej ua haujlwm. Piv txwv li, sodium yog lub ntsiab zoo ion ion nyob rau hauv lub extracellular kua, uas yuav tswj tau cov dej thiab osmotic siab nyob rau hauv lub cev. Tsis tas li ntawd, cov piam thaj metabolism thiab kev siv cov pa oxygen kuj xav tau kev koom tes ntawm sodium. Sodium, potassium, thiab chlorine yog tag nrho cov khoom me me, uas tuaj yeem raug tso tawm los ntawm ob lub raum nyob rau hauv ib txwm muaj xwm txheej los tswj kev ruaj ntseg ntawm electrolytes hauv lub cev.

Thaum muaj teeb meem ntawm lub raum ua haujlwm, electrolyte tsis txaus tuaj yeem tshwm sim, xws li hyperkalemia, uas yog ib qho mob tseem ceeb hauv tib neeg lub cev. Cov poov tshuaj siab yuav inhibit lub plawv cov leeg thiab txo qis myocardial nro, ua rau lub plawv nres thiab tuag sai sai!

Thaum kawg, dab tsi yuav tsum tau piav qhia rau koj yog tias cov txiaj ntsig ntawm cov ntsuas saum toj no yuav txawv txhua lub sijhawm, feem ntau hloov pauv hauv qee qhov ntau, thiab qee zaum nws tseem ceeb dua los saib lawv cov kev hloov pauv ntau dua li qhov muag tsis pom ntawm tus nqi. ib qho point. qhov tseem ceeb.