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Tuhinga O Mua: 20 Hepetema 2021
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Toka Te Manawa

He aha nga whakamātautau ohorere?

Ko nga whakamatautau Osmolality te whanganga i te nui o etahi matū i roto i te toto, te mimi, te kumete ranei. Kei roto i enei ko te huka (huka), urea (he hua ururua i hangaia i te ate), me etahi electrolytes, penei i te konutai, te pāhare pāporo, me te pūhaumomona Ko nga electrolytes he kohuke hiko. Ka awhina ratau ki te aukati i te rahi o te wai i to tinana. Ka taea e te whakamatautau te whakaatu mena he toenga hauora o te wai i to tinana. He maha nga rereketanga rereke ka puta mai i te waipiro waipiro kore hauora. Ko etahi o enei ko te kohi nui i te tote, ko te mate tākihi, ko te mate manawa, me etahi momo paihana.

Ko etahi ingoa: osmolality serum, osmolality plasma osmolality urine, osmolality stool, osmotic gap

Hei aha ma raatau?

Ka taea te whakamahi i nga whakamatautau taatai ​​mo nga momo momo take. He whakamatau whakaheke toto, e mohiotia ana ano ko te whakamātautau osmolality serum, he maha tonu te whakamahi ki:

  • Tirohia te toenga i waenga i te wai me etahi matū o te toto.
  • Tirohia mēnā kua horomia e koe he paitini pēnei i te antifreeze, te inu waipiro ranei
  • Awhina ki te taatai ​​i te maroke, he ahuatanga e ngaro ai te wai o to tinana
  • Awhina ki te taatai ​​i te haurangi nui, he ahua e pupuri nui ai te wai i to tinana
  • Awhina ki te taatai ​​i te mate huka insipidus, he ahuatanga e pa ana ki nga whatukuhu, ka mate pea te maroke

I etahi wa ka whakamatautauhia hoki te toto toto mo te whakahekeheke. Ko te serum me te plasma nga waahanga e rua o te toto. Kei roto i te Plasma nga matū tae atu ki nga pūtau toto me etahi pūmua. Ko te serum he wai maamaa kaore i roto enei matū.


He whakamatau whakahekeheke mimi he maha nga wa e whakamahia ana me te taatai ​​serum osmolality hei tirotiro i te toenga wai o te tinana. Ka whakamahia pea te whakamatautau mimi kia kitea ai te take i nui ai, i heke ai ranei te mimi.

He whakamātautau osmolality kumete ka whakamahia noa kia kitea ai te take o te koretake o te korere e kore nei na te mate kitakita, te paru ranei.

He aha i hiahiatia ai e au he whakamatau whakahekeheke?

Akene he hiahia koe mo te osmolality serum me te whakamātautau ranei i te mimi mēnā he tohu o te koretake o te wai, te mate huka insipidus, etahi momo paihana ranei.

He rite nga tohu o te koretake o te wai me te insipidus mate huka a ka uru pea ki:

  • Matewai nui (ki te maroke)
  • Te whakapairuaki me te ruaki
  • Ānini
  • Raruraru
  • Ngenge
  • Pakihaki

Ko nga tohu o te paitini ka rereke i runga i te momo o te kai i horomia, engari ka uru pea ki:

  • Te whakapairuaki me te ruaki
  • Te wiriwiri, he ahuatanga e kore ai e taea te pehi i o uaua
  • Te uaua o te manawa
  • Korero puhoi

Akene ka hiahia pea koe ki te whakaheke i te mimi mēnā ka raru koe i te mimi kei te mimi rawa ranei.


Ka hiahia pea koe ki te taatai ​​osmolality whakamātautau mena he mate koretake koe kaore e taea te whakamaarama e te mate kitakita, te werau ranei, tetahi atu take penei ranei i te kino o te puku.

He aha te mahi i te wa o te whakamatau takirua?

I te wa o te whakamatautau toto (osmolality serum ranei osmolality plasma):

Ka tangohia e tetahi tohunga ngaio hauora tetahi tauira toto mai i te uaua i roto i to ringa, ma te whakamahi i te ngira iti. Whai muri i te kuhunga o te ngira, ka kohia he toto iti ki roto i te ipuipu, ipu ranei. Akene he iti to ngau ka puta te ngira ki waho ka puta atu ranei. Ko te tikanga ka iti ake i te rima meneti tenei.

I te wa e whakamātautau ana i te ohmolality urine:

Me kohikohi e to kaiwhakaora hauora to tauira mimi. Ka whiwhi koe i tetahi ipu hei kohikohi i te mimi me nga tohutohu motuhake kia mohio kei te horihori te tauira. Ko enei tohutohu ka kiia ko te "tikanga hopu ma." Ko nga tikanga e whai ake nei ko te mahere hopu ma:

  • Horoia o ringaringa.
  • Whakapai i to rohe taapiri me te papa horoi i hoatu e to kaiwhakarato ki a koe. Me horoi e nga tane te pito o a ratou ure. Me whakatuwhera nga waahine e nga waahine, kia ma ki mua mai i muri.
  • Me tiimata ki te mimi ki roto i te wharepaku.
  • Nekehia te ipu kohinga i raro i to awa mimi.
  • Kohikohia i te iti rawa te hekere e rua ranei o te mimi ki roto i te ipu, kia whai tohu ki te tohu i te nui.
  • Whakamutua te mimi ki roto i te wharepaku.
  • Whakahokihia te ipu ipu ki to kaiwhakaora hauora.

I te wa o te whakamātautau osmolality tarai:


Me whakarato e koe he tauira taahi. Ka hoatu e to kaiwhakarato he tohutohu motuhake mo koe ki te kohikohi me te tuku i to tauira. Ko enei tohutohu ka uru mai ki enei:

  • Whakanohoia he karapu karapu raima ranei.
  • Kohikohia ka penapena i te tuumomo ki tetahi ipu motuhake i hoatuhia e to kaiwhakaora hauora, o te whare taiwhanga ranei ki a koe. Ka whiwhi pea koe i tetahi taputapu, i tetahi kaitono ranei hei awhina i a koe ki te kohi tauira.
  • Kia mahara kia kaua e mimi, wai wharepaku, tetahi pepa wharepaku ranei e ranu ki te tauira.
  • Hiritia ka tapa i te ipu.
  • Tangohia nga karapu ka horoi i o ringaringa.
  • Whakahokihia te ipu ki to kaiwhakarato hauora, ki to whare taiwhanga ranei i te wa e taea ai. Mena ki a koe kei te raru koe ki te tuku i to tauira i te wa tika, korero atu ki to kaiwhakarato hauora.

Me mahi e au tetahi mea hei whakareri mo te whakamatautau?

Akene me nohopuku koe (kaua e kai, kia inu ranei) mo nga haora e 6 i mua o te whakamatau, kia iti ranei te waipiro 12 ki te 14 haora i mua o te whakamatautau. Ka whakamohio atu to kaiwhakarato hauora ki a koe mena he tohutohu motuhake hei whai.

He raru pea mo nga whakamatau whakahekeheke?

He iti noa te tuponotanga ka tirohia o toto. Ka mamae pea koe, ka maru ranei koe i te waahi i maka ai te ngira, engari ko te nuinga o nga tohu ka tere wawe.

Kaore he raru o te mimi, o te kumete ranei hei whakamatautau.

He aha te tikanga o nga hua?

Mena kaore i te noa nga hua o te osmolality serum, ko te tikanga kei i a koe tetahi o nga tikanga e whai ake nei:

  • Antifreeze he momo momo paihana ranei
  • Matewai nui rawa ranei
  • He nui rawa, he iti ranei te tote i roto i te toto
  • Insipidus mate huka
  • Pakaru

Mena kaore i maarama nga hua o to mimi, ko te tikanga kei i a koe tetahi o nga tikanga e whai ake nei:

  • Matewai nui rawa ranei
  • Ngakau ngakau
  • Te mate ate
  • Te mate tākihi

Mena kaore i te noa nga hua o te osmolality, ko te tikanga kei a koe tetahi o nga tikanga e whai ake nei:

  • Ko te koretake o te mate koretake, he ahuatanga na te nui o te inu rehu
  • Malabsorption, he ahuatanga e pa ana ki to kaha ki te kohi me te tango i nga kai totika mai i te kai

Mena he paatai ​​taau mo o hua, korero ki to kaiwhakarato hauora.

Ako atu mo nga whakamatautau taiwhanga, awhe tohutoro, me te maarama ki nga hua.

He mea ano me mohio au mo nga whakamatau taatai?

Ka tono pea to kaiwhakarato hauora kia nui ake ano nga whakamatautau me to taatai ​​i muri i to whakamaatautau. Kei roto hoki i enei:

  • Tatauranga toto oti (CBC)
  • Te whakamātautau hauota urea toto (BUN)
  • Whakamatautau glucose toto
  • Paewhiri Hiko
  • Whakamatau toto Albumin
  • Whakamatautau toto tipuri kiko (FOBT)

Tohutoro

  1. Manger Lab Manger [Ipurangi]. Kaiwhakahaere Reipa Hauora; c2020. Takirua; [whakahuahia 2020 Apr 30]; [tata ki te 3 nga mata]. Wātea mai i: http://www.clinlabnavigator.com/osmolality.html
  2. Nga Whakamatautau Reipa Aipurangi [Ipurangi]. Washington D.C .: American Association mo te Haumanu Haumanu; c2001–2020. Toto Urea Nitrogen (BUN); [whakahoutia 2020 Hanuere 31; whakahuahia 2020 Jun 4]; [tata ki te 2 nga mata]. Wātea mai i: https://labtestsonline.org/tests/blood-urea-nitrogen-bun
  3. Nga Whakamatautau Reipa Aipurangi [Ipurangi]. Washington D.C .: American Association mo te Haumanu Haumanu; c2001–2020. Malabsorption; [whakahoutia 2019 Nov 11; whakahuahia 2020 Apr 30]; [tata ki te 2 nga mata]. Wātea mai i: https://labtestsonline.org/conditions/malabsorption
  4. Nga Whakamatautau Reipa Aipurangi [Ipurangi]. Washington D.C .: American Association mo te Haumanu Haumanu; c2001–2020. Osmolality me Osmolal Gap; [whakahoutia 2019 Nov 20; whakahuahia 2020 Apr 30]; [tata ki te 2 nga mata]. Wātea mai i: https://labtestsonline.org/tests/osmolality-and-osmolal-gap
  5. LOINC [Ipurangi]. Regenstrief Institute, Inc.; c1994–2020. Osmolality o Serum Plasma ranei; [whakahuahia 2020 Apr 30]; [tata ki te 3 nga mata]. Wātea mai i: https://loinc.org/2692-2
  6. Mayo Clinic Laboratories [Ipurangi]. Mayo Foundation mo te Whakaakoranga Hauora me te Rangahau; c1995–2020. ID Whakamatautau: CPAVP: Copeptin proAVP, Plasma: Haumanu me te Whakamamaori; [whakahuahia 2020 Apr 30]; [e 4 pea nga mata]. Wātea mai i: https://www.mayocliniclabs.com/test-catalog/Clinical+and+Interpretive/603599
  7. Mayo Clinic Laboratories [Ipurangi]. Mayo Foundation mo te Whakaakoranga Hauora me te Rangahau; c1995–2020. ID Whakamatautau: CPAVP: Copeptin proAVP, Plasma: Tauira; [whakahuahia 2020 Apr 30]; [tata ki te 3 nga mata]. Wātea mai i: https://www.mayocliniclabs.com/test-catalog/Specimen/603599
  8. Merck Manual Kaihoko Putanga [Ipurangi]. Kenilworth (NJ): Merck & Co., Inc. c2020. Overhydration; [whakahoutia 2019 Hanu; whakahuahia 2020 Apr 30]; [tata ki te 3 nga mata]. Wātea mai i: https://www.merckmanuals.com/home/hormonal-and-metabolic-disorder/water-balance/overhydration
  9. National Cancer Institute [Ipurangi]. Bethesda (MD): Te Tari Hauora me nga Ratonga Tangata a U.S. NCI Papakupu mo nga Tikanga Mate Mate: haurangi; [whakahua 2020 Mei 4]; [tata ki te 3 nga mata]. Wātea mai i: https://www.cancer.gov/publications/dictionaries/cancer-terms/def/convulsion
  10. National Cancer Institute [Ipurangi]. Bethesda (MD): Te Tari Hauora me nga Ratonga Tangata a U.S. NCI Papakupu mo nga Tikanga Mate Mate: plasma; [whakahuahia 2020 Apr 30]; [tata ki te 3 nga mata]. Wātea mai i: https://www.cancer.gov/publications/dictionaries/cancer-terms/search?contains=false&q=plasma
  11. National Cancer Institute [Ipurangi]. Bethesda (MD): Te Tari Hauora me nga Ratonga Tangata a U.S. NCI Papakupu mo nga Tikanga Mate Mate: serum; [whakahuahia 2020 Apr 30]; [tata ki te 3 nga mata]. Wātea mai i: https://www.cancer.gov/publications/dictionaries/cancer-terms/search?contains=false&q=serum
  12. National Heart, Lung, and Blood Institute [Ipurangi]. Bethesda (MD): Te Tari Hauora me nga Ratonga Tangata a U.S. Nga Whakamatau Toto; [whakahuahia 2020 Apr 30]; [tata ki te 3 nga mata]. Wātea mai i: https://www.nhlbi.nih.gov/health-topics/blood-tests
  13. Hauora UF: Te Whare Waananga o Florida Hauora [Ipurangi]. Gainesville (FL): Te Whare Waananga o Florida Hauora; c2020. Paitini Ethanol: Tirohanga Katoa; [whakahoutia 2020 Apr 30; whakahuahia 2020 Apr 30]; [tata ki te 2 nga mata]. Wātea mai i: https://ufhealth.org/ethanol-poisoning
  14. Hauora UF: Te Whare Waananga o Florida Hauora [Ipurangi]. Gainesville (FL): Te Whare Waananga o Florida Hauora; c2020. Te paitini o te Ethylene glycol: Tirohanga; [whakahoutia 2020 Apr 30; whakahuahia 2020 Apr 30]; [tata ki te 2 nga mata]. Wātea mai i: https://ufhealth.org/ethylene-glycol-poisoning
  15. Hauora UF: Te Whare Waananga o Florida Hauora [Ipurangi]. Gainesville (FL): Te Whare Waananga o Florida Hauora; c2020. Paihana Methanol: Tirohanga Katoa; [whakahoutia 2020 Apr 30; whakahuahia 2020 Apr 30]; [tata ki te 2 nga mata]. Wātea mai i: https://ufhealth.org/methanol-poisoning
  16. Hauora UF: Te Whare Waananga o Florida Hauora [Ipurangi]. Gainesville (FL): Te Whare Waananga o Florida Hauora; c2020. Whakamatautau toto whakahekeheke: Tirohanga Katoa; [whakahoutia 2020 Apr 30; whakahuahia 2020 Apr 30]; [tata ki te 2 nga mata]. Wātea mai i: https://ufhealth.org/osmolality-blood-test
  17. Hauora UF: Te Whare Waananga o Florida Hauora [Ipurangi]. Gainesville (FL): Te Whare Waananga o Florida Hauora; c2020. Whakamatau i te urine mimi: Tirohanga; [whakahoutia 2020 Apr 30; whakahuahia 2020 Apr 30]; [tata ki te 2 nga mata]. Wātea mai i: https://ufhealth.org/osmolality-urine-test
  18. Whare Wananga o Rochester Medical Center [Ipurangi]. Rochester (NY): Whare Wananga o Rochester Medical Center; c2020. Encyclopedia Hauora: Electrolytes [whakahua i te 2020 Apr 30]; [tata ki te 2 nga mata]. Wātea mai i: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid=electrolytes
  19. Whare Wananga o Rochester Medical Center [Ipurangi]. Rochester (NY): Whare Wananga o Rochester Medical Center; c2020. Encyclopedia Hauora: Osmolality (Toto); [whakahuahia 2020 Apr 30]; [tata ki te 2 nga mata]. Wātea mai i: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid=osmolality_blood
  20. Whare Wananga o Rochester Medical Center [Ipurangi]. Rochester (NY): Whare Wananga o Rochester Medical Center; c2020. Encyclopedia Hauora: Osmolality (Stool); [whakahuahia 2020 Apr 30]; [tata ki te 2 nga mata]. Wātea mai i: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid=osmolality_stool
  21. Whare Wananga o Rochester Medical Center [Ipurangi]. Rochester (NY): Whare Wananga o Rochester Medical Center; c2020. Encyclopedia Hauora: Osmolality (Urine); [whakahuahia 2020 Apr 30]; [tata ki te 2 nga mata]. Wātea mai i: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid=osmolality_urine
  22. Hauora UW [Ipurangi]. Madison (WI): Te Whare Waananga o Wisconsin Whare Hauora me te Mana Haumanu; c2020. Korero Hauora: Serum Osmolality: Hua [whakahoutia 2019 Jul 28; whakahuahia 2020 Apr 30]; [tata ki te 8 nga mata]. Wātea mai i: https://www.uwhealth.org/health/topic/medicaltest/serum-osmolality/hw203418.html#hw203430
  23. Hauora UW [Ipurangi]. Madison (WI): Te Whare Waananga o Wisconsin Whare Hauora me te Mana Haumanu; c2020. He Korero Hauora: Tauwehe Serum: Tirohanga Tirohanga; [whakahoutia 2019 Jul 28; whakahuahia 2020 Apr 30]; [tata ki te 2 nga mata]. Wātea mai i: https://www.uwhealth.org/health/topic/medicaltest/serum-osmolality/hw203418.html
  24. Hauora UW [Ipurangi]. Madison (WI): Te Whare Waananga o Wisconsin Whare Hauora me te Mana Haumanu; c2020. He Korero Hauora: Serum Osmolality: Te Take Ka Whakamutua; [whakahoutia 2019 Jul 28; whakahuahia 2020 Apr 30]; [tata ki te 3 nga mata]. Wātea mai i: https://www.uwhealth.org/health/topic/medicaltest/serum-osmolality/hw203418.html#hw203425
  25. Hauora UW [Ipurangi]. Madison (WI): Te Whare Waananga o Wisconsin Whare Hauora me te Mana Haumanu; c2020. Nga Korero Hauora: Te Taha Tae: Pehea Te Mahi; [whakahoutia 2019 Hakihea 8; whakahuahia 2020 Apr 30]; [e 4 pea nga mata]. Wātea mai i: https://www.uwhealth.org/health/topic/medicaltest/stool-analysis/aa80714.html#tp16701
  26. Hauora UW [Ipurangi]. Madison (WI): Te Whare Waananga o Wisconsin Whare Hauora me te Mana Haumanu; c2020. Korero Hauora: Whakamaatau Urino: Pehea Te Mahi; [whakahoutia 2019 Hakihea 8; whakahuahia 2020 Apr 30]; [e 4 pea nga mata]. Wātea mai i: https://www.uwhealth.org/health/topic/medicaltest/urine-test/hw6580.html#hw6624

Ko nga korero kei tenei papaanga kaua e whakamahia hei whakakapi mo te tiaki ngaio ngaio, tohutohu ranei. Whakapa atu ki te kaiwhakarato hauora mena he paatai ​​taau mo to hauora.

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