Chloride test - toto

Chloride o se ituaiga o electrolyte. E galue ma isi electrolytes pei o potassium, sodium, ma carbon dioxide (CO2). O nei vailaʻau fesoasoani i le faʻatulagaina lelei o paleni o le tino vai ma faʻatumau le paleni o le tino oona-faʻavae.

Lenei tusitusiga e uiga i le suʻesuʻega suʻesuʻega faʻaaogaina e fua ai le aofaʻi o chloride i le suavai vaega (serum) o le toto.

E manaʻomia se faʻataʻitaʻiga ole toto. Ole tele ole taimi ole toto e toso mai le uaua o loʻo tu i totonu ole tulilima poʻo tua ole lima.

Tele vailaʻau e mafai ona faʻalavelave ile iʻuga ole suʻega ole toto.

• O le a taʻu atu e lau fomaʻi pe a manaʻomia lou taofia le toe inu o se vailaʻau ae e te leʻi faia lenei suʻega.
• Aua neʻi tuʻu pe suia au vailaʻau e aunoa ma le talanoa muamua i lau tautua.

Oe ono maua lenei faʻataʻitaʻiga pe a fai e i ai au faʻailoga o lou tino vai poʻo le acid-base paleni ua faʻalavelaveina.

O lenei suʻega e masani ona okaina ma isi suʻega toto, e pei o le faʻavae poʻo le lautele metabolic panel.

O se tulaga masani masani e 96 i le 106 milliequivalents i le lita (mEq / L) poʻo le 96 i le 106 millimoles i le lita (millimol / L).

E masani ona fesuisuiaʻi vaega eseese o tau masani ile falefaigaluega eseese. Talanoa i lau tautua e uiga i le uiga o au faʻapitoa suʻega iʻuga.

O le faʻataʻitaʻiga i luga o loʻo faʻaalia ai le lautele o fuataga fua mo iʻuga mo nei suʻega. O nisi potu suesue e faʻaaoga eseese fuataga pe ono suʻesuʻeina faʻataʻitaʻi eseese.

O le maualuga-sili atu nai lo le masani tulaga o le chloride e taʻua o le hyperchloremia. Atonu e mafua mai i:

• Faʻamaʻi Addison
• Carbonic anhydrase inhibitors (faʻaaogaina e togafitia ai le glaucoma)
• Manava tata
• Metabolic acidosis
• Alkalosis manava (taui)
• Acidosis tubular renal

O le maualalo-nai lo-masani tulaga o le chloride e taʻua o le hypochloremia. Atonu e mafua mai i:

• Bartter syndrome
• Burns
• Faʻalavelaveina fatu fatu
• Faʻamaligiina
• Ua afu tele
• Hyperaldosteronism
• Metabolic alkalosis
• Respiratory acidosis (taui)
• Syndrome o le le talafeagai diuretic hormone faʻalilolilo (SIADH)
• Talosaga

Lenei suʻega ono mafai foi ona faia e fesoasoani faʻateʻa eseʻese pe faʻamaonia:

• Tele endocrine neoplasia (MEN) II
• Peraimeri hyperparathyroidism

Suega chloride serum

• Tofotofoga toto

Giavarina D. Blood biochemistry: fuaina tele electrolytes plasma. I: Ronco C, Bellomo R, Kellum JA, Ricci Z, eds. Faʻataʻiga Faʻataʻiga Nephrology. 3rd ed. Filatelefia, PA: Elsevier; 2019: chap 54.

Seifter JR. Faʻaletonu oona-faʻavae. I totonu: Goldman L, Schafer AI, eds. Faʻafomaʻi Goldman-Cecil. 25th lomiga. Filatelefaia, PA: Elsevier Saunders; 2016: mata 118.

Tolwani AJ, Saha MK, Wille KM. Metabolic acidosis ma alkalosis. I totonu: Vincent J-L, Abraham E, Moore FA, Kochanek PM, Fink MP, eds. Tusitusiga o Tausiga Taua. 7th ed. Filatelefia, PA: Elsevier; 2017: chap 104