Osmolality Tofotofoga
Anotusi
- O a suʻega osmolality?
- O a mea e faʻaaoga ai latou?
- Aisea ou te manaʻomia ai se osmolality test?
- O le a le mea e tupu i le taimi o le osmolality test?
- Mata e tatau ona ou faia se mea e sauniuni ai mo le suʻega?
- E i ai ni lamatiaga i osmolality tofotofoga?
- O le a le uiga o faʻaiuga?
- E i ai se isi mea e tatau ona ou iloa e uiga osmolality tofotofoga?
- Faʻamatalaga
O a suʻega osmolality?
Osmolality suʻesuʻega fuaina le aofaʻi o nisi o mea i le toto, miaga, po o faʻataʻavalega. E aofia ai ma suka (suka), urea (o oloa gaosi na faia i le ate), ma le tele o eletise, pei o le sodium, potassium, ma le chloride. O eletise o loʻo faʻaaoga eletise. Latou te fesoasoani e faʻatonutonu le aofaʻi o vai i lou tino. O le suʻega e mafai ona faʻaalia ai pe e iai se paleni paleni o le vai i lou tino. Ole paleni paleni le maloloina e mafai ona mafua mai i le tele o tuutuuga eseʻese. E aofia ai le soona inu i masima, maʻi fatu, faʻamaʻi fatu, ma nisi ituaiga o 'ona.
Isi igoa: serum osmolality, plasma osmolality urine osmolality, osmolality o nofoa, osmotic gap
O a mea e faʻaaoga ai latou?
Osmolality tofotofoga mafai ona faʻaaogaina mo eseese o mafuaaga. O se suʻega osmolality toto, e faʻaigoaina foʻi o le serum osmolality test, e masani ona faʻaaoga e:
- Siaki le paleni i le va o le vai ma nisi vailaʻau i le toto.
- Saili pe na e foloina se mea oona e pei o le antifreeze poʻo le oloina o le 'ava malosi
- Fesoasoani e faʻailo le faʻamago, o se tulaga e tele ai le vai e leiloa i lou tino
- Fesoasoani e faʻamaonia le faʻamautinoa o le tino, o se tulaga e taofia ai e lou tino le tele o vai
- Fesoasoani e faʻailoaina le maʻisuka insipidus, o se tulaga e aʻafia ai fatugaʻo ma mafai ai ona faʻamamaina i le tino
O isi taimi e faʻataʻitaʻia ai foi le toto o le toto mo le osmolality. O le serum ma le plasma o vaega uma ia o le toto. Plasma aofia ai vailaʻau aofia ai toto sela ma nisi polotini. Serum o se manino suavai e le o aofia ai nei vailaʻau.
O se suʻega osmolality suʻega e masani ona faʻaogaina faʻatasi ma le serum osmolality test e siaki ai le paleni vai o le tino. E mafai foi ona faʻaaoga le suʻega ole mimi e suʻe ai le mafuaʻaga ua faʻateleina pe ua faʻaititia ai le urination.
O se faʻataʻitaʻiga osmolality faʻataʻitaʻiga e masani ona faʻaaogaina e suʻe ai le mafuaʻaga o le manava manava le tumau e le mafua mai i siama siama poʻo siama.
Aisea ou te manaʻomia ai se osmolality test?
Oe ono manaʻomia se serum osmolality poʻo urine osmolality suʻega pe a fai oe maua faʻailoga o le le faʻapaleni suavai, maʻisuka insipidus, poʻo ni ituaiga oona.
Faʻailoga o le vai le paleni ma maʻisuka insipidus e tutusa ma ono aofia ai:
- Ova le fiainu (pe a fai ua leai se vai i le tino)
- Faanoi ma puaʻi
- Tigā ulu
- Le mautonu
- Le lavava
- Faoa faamalosi
Faʻailoga o le oona o le a ese faʻamoemoeina i le ituaiga o le vailaʻau na folo, ae ono aofia ai:
- Faanoi ma puaʻi
- Taupulega, o se tulaga e mafua ai le luluina o ou maso
- Faigata manava
- Tautalaga lemu
Oe ono manaʻomia foʻi se urm osmolality peʻa iai sau faʻalavelave i le urosa pe ua tele foʻi lou faʻamemea.
Oe ono manaʻomia se faʻataʻavale osmolality suʻega peʻa fai oe maua i le manava manava tata e le mafai ona faʻamatalaina e se siama poʻo siama faʻamaʻi poʻo seisi mafuaʻaga pei o le manava faʻaleagaina.
O le a le mea e tupu i le taimi o le osmolality test?
I le taimi o le suʻega toto (serum osmolality poʻo osmolality plasma):
O le polofesa mo le soifua maloloina o le a ave se toto faʻataʻitaʻiga mai se uaua i lou lima, faʻaaoga ai se tamaʻi nila. A maeʻa ona tuʻu i totonu le nila, o le a faʻaputuputuina se vaega laʻititi o le toto i totonu o se faʻamaoniga poʻo se ipu. Atonu e te lagonaina sina tiga pe a alu le nila i totonu pe fafo. Lenei masani ona alu ifo i lalo o le lima minute.
I le taimi o le urine osmolality test:
E manaʻomia e lau tausi soifua maloloina le aoina o se faʻataʻitaʻiga o lau miaga. Oe o le a mauaina se atigipusa e faʻaputuputu le miaga ma faʻapitoa faʻatonuga e mautinoa ai o le faʻataʻitaʻiga e leai se aoga. O nei faʻatonuga e masani ona taʻua ole "mama mama metotia." O le mama puʻe metotia aofia ai laʻasaga nei:
- Fufulu ou lima.
- Faʻamama lou itutino tino i se faʻamama na tuʻuina atu ia te oe e lau tautua. E tatau i tamaloloa ona solo le pito o latou pene. Tamaʻitaʻi e tatau ona tatalaina a latou labia ma mama mai luma i tua.
- Amata ona mimigi i totonu o le faletaele.
- Faʻasuʻe le container container i lalo o lou vaitafe.
- Aoina a itiiti mai o le aunese poʻo le lua o miaga i totonu o le koneteina, lea e tatau ona i ai faʻailoga e faʻailoa ai le aofaʻi.
- Faʻauma urination i totonu o le faletaele.
- Faʻafoʻi le container container i lau fomaʻi tausi soifua.
I le taimi o le osmolality stool tofotofoga:
E te manaʻomia le tuʻuina mai o se faʻataʻitaʻiga faʻataʻitaʻi. O lau tautua o le a tuʻuina atu ia te oe faʻatonuga faʻapitoa i le auala e aoina ai ma lafo mai i lau faʻataʻitaʻiga. O au faʻatonuga e ono aofia ai mea nei:
- Faʻamau i totigilima paʻu poʻo le totigi.
- Faʻaputuputu ma teu le nofoa i se pusa faʻapitoa na tuʻuina atu ia te oe e lau fomaʻi poʻo le fale suʻesuʻe. Oe ono maua se masini poʻo se applicator e fesoasoani ia oe aoina le faʻataʻitaʻiga.
- Ia mautinoa e leai se miaga, vai vai, poʻo se pepa faletaele e palu faatasi ma le faʻataʻitaʻiga.
- Faamau ma faailoga le koneteina.
- Aveese totini lima ma mulumulu ou lima.
- Faʻafoʻi le koneteina i lau soifua maloloina poʻo le fale suʻesuʻe i se taimi vave e mafai ai. Afai e te manatu o loʻo ia oe se faʻafitauli i le tilivaina o au faʻataʻitaʻiga i le taimi, talanoa i lau fomaʻi tausi soifua.
Mata e tatau ona ou faia se mea e sauniuni ai mo le suʻega?
Atonu e manaʻomia le anapogi (aua le 'ai pe inu) mo le 6 itula ao le i faia le suʻega pe faʻatapulaʻa vai 12 i le 14 itula ae leʻi faia le suʻega. O le a faʻailoa atu e lau tausi soifua maloloina oe iai ni faʻatonuga faʻapitoa e mulimuli ai.
E i ai ni lamatiaga i osmolality tofotofoga?
E laʻititi lava le aʻafia ile faia ole suʻega ile toto. E i ai sina tiga poʻo se tiga i le mea na tuu ai le nila, ae o le tele o faʻailoga e vave ona alu ese.
E i ai le lamatiaga i le faia o se urine poʻo faʻataʻitaʻiga suʻega.
O le a le uiga o faʻaiuga?
Afai o lau serum osmolality iʻuga e le masani ai, atonu o lona uiga o loʻo ia oe se tasi o tulaga nei:
- Antifreeze poʻo isi ituaiga oona
- Faʻamaligiina o le tino poʻo le soona inu tele
- Ova pe tele foi masima i le toto
- Maʻi suka insipidus
- Pa
Afai o lau miaga osmolality iʻuga e le masani ai, atonu o lona uiga o loʻo ia oe se tasi o tulaga nei:
- Faʻamaligiina poʻo overhydration
- Le lava le fatu
- Maʻi ole ate
- Faamai fatugao
Afai o lau nofoa osmolality iʻuga e le masani ai, atonu o lona uiga o loʻo ia oe se tasi o tulaga nei:
- Matuia manava tatā, o se tulaga mafua mai i le soona inu o le laxatives
- Malabsorption, o se tulaga e aʻafia ai lou mafai e faʻalaʻau ma ave i totonu meaʻai lelei mai meaʻai
A iai ni au fesili e uiga i au iʻuga, talanoa i lau fomaʻi.
Aʻoaʻo atili e uiga i suʻesuʻega falesuesue, vaitau o faʻasino, ma malamalamaaga i iʻuga
E i ai se isi mea e tatau ona ou iloa e uiga osmolality tofotofoga?
E ono okaina e lau tausi soifua maloloina nisi suʻega faʻatasi ma pe pe a maeʻa lau osmolality test. E ono aofia ai:
- Faitau atoa le toto (CBC)
- Tofotofoga urea nitrogen (BUN) suʻega
- Toto suka suka
- Vaega eletise
- Suʻega toto ole albumin
- Faʻataʻitaʻiga toto faataulaʻitu Fecal (FOBT)
Faʻamatalaga
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- Lab Tofotofoga lugalaina [Initaneti]. Washington D.C .: American Association mo Vailaʻau Togafitiga; c2001–2020. Malabsorption; [faʻafouina 2019 Nov 11; taʻua 2020 Apr 30]; [pe a ma le 2 pupuni] Avanoa mai: https://labtestsonline.org/conditions/malabsorption
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O faʻamatalaga i luga o lenei 'upega tafaʻilagi e le tatau ona faʻaaogaina e fai ma sui o fomaʻi faʻapitoa togafitiga poʻo fautuaga. Faʻafesoʻotaʻi le au tausi soifua pe a iai ni au fesili e uiga i lou soifua maloloina.