Suʻega pH faʻataʻitaʻiga

O le suʻega pH faʻataʻitaʻiga e fua ai le maualuga o le acid i miaga.

A maeʻa ona e avatua se faʻataʻitaʻi o le mimi, ona faʻataʻitaʻia loa lea. E faʻaaoga e le tausi soifua maloloina le dipstick e faia i le lanu-maʻi lelei pad. O le lanu suia i luga o le dipstick taʻuina atu i le kamupani tuʻuina atu le tulaga o le acid i lou miaga.

E ono taʻu atu e lau kamupani ia te oe e taofi le toe inuina o vailaʻau e ono aʻafia ai iʻuga o le suʻega. E ono aofia ai:

• Acetazolamide
• Ammonium chloride
• Methenamine mandelate
• Potasiuma citrate
• Sodium bicarbonate
• Thiazide diuretic

Aua neʻi taofia le toe inuina o se vailaʻau ae e te leʻi talanoa i lau tautua.

Taumafa i se mea masani, paleni meaʻai mo ni nai aso ae le i faia le suʻega. Manatua:

• Ole taumafataga maualuga i fualaʻau, fualaʻau, poʻo mea e le o sisi sisi susu e mafai ona faʻateleina ai lou miaga pH.
• O le taumafataga maualuga i iʻa, aano o manu fasi, poʻo sisi e mafai ona faʻaititia ai lou miaga pH.

O le suʻega e aofia ai na o le urination masani. E leai se faʻaletonu.

E ono faʻatonuina e lau tautua lenei suʻega e siaki ai ni suiga i le maualuga o le suka acid. E mafai ona fai e vaʻai pe oe:

• E i se tulaga lamatia o fatugaʻo maʻa. Eseese ituaiga maʻa e mafai ona fausia faʻamoemoeina i le acidic o lou miaga.
• Maua se metabolic tulaga, e pei o renal tubular acidosis.
• Manaʻomia e inu ni vailaʻau e togafitia ai siama urinary tract. O nisi vailaʻau e sili atu le aoga pe a o le mimi o acidic pe leai-acidic (alkaline).

O fua masani masani e amata mai le pH 4.6 i le 8.0.

O faʻataʻitaʻiga i luga e masani ona fuaina mo iuga o nei suʻega. E masani ona fesuisuiaʻi vaega eseese o tau masani ile falefaigaluega eseese. O nisi fale suesue faʻaaoga eseese fuataga pe tofotofoina eseese faʻataʻitaʻiga. Talanoa i lau tautua e uiga i le uiga o au faʻapitoa suʻega iʻuga.

Ole maualuga maualuga ole pH atonu e mafua mai ile:

• Fatugaʻo e le aveʻesea lelei acid (fatuga tubular acidosis, lauiloa foi o renal tubular acidosis)
• Le manuia fatugaʻo
• Paʻu o le manava (faʻasusu manava)
• Faamaʻi pipisi auala
• Talosaga

E maualalo le miaga pH e mafua mai i:

• Ketoacidosis suka
• Manava tata
• Tele acid i totonu o le tino vai (metabolic acidosis), pei o le maʻisuka ketoacidosis
• Matelaina

E leai ni lamatiaga i lenei suʻega.

pH - miaga

• Tamaʻi ala urinary
• Suʻega a le PH
• Tahi auala urinary

Bushinsky DA. Maʻa fatugaʻo. I: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. Williams Tusitusiga o Endocrinology. 14th lomiga. Filatelefia, PA: Elsevier; 2020: chap 32.

DuBose TD. Faʻaletonu o le paleni o le acid-base. I: Skorecki K, Chertow GM, Marsden PA, Taal MW, Yu ASL, eds. Brenner ma Rector's Le Fatugaʻo. 10 ed. Filatelefia, PA: Elsevier; 2016: mata 17.

Fogazzi GB, Garigali G. Urinalysis. I le: Feehally J, Floege J, Tonelli M, Johnson RJ, eds. Faʻamatalaga auʻiliʻi. 6th ed. Filatelefia, PA: Elsevier; 2019: chap 4.

Riley RS, McPherson RA. Suʻega masani ole miaga. I totonu: McPherson RA, Pincus MR, eds. Henry's Clinical Diagnosis and Management e le Laboratory Metotia. 23rd ed. St Louis, MO: Elsevier; 2017: mata 28.