Residual senitrogen muropa kemisitiri

Varwere vakawanda vanofarira mubvunzo - chii nemakemikari omuviri ropa, uyewo residual senitrogen, decoding miedzo ropa. Nemakemikari assays vari zvinowanzoshandiswa nechirwere, vanobatsira kuziva zvakakomba zvirwere, zvakadai sechirwere cheshuga, kenza namamota, anemias siyana, uye nguva kutora matanho ari kurapwa. residual senitrogen chipo ari urea, creatinine, amino acids, indikane. pamwero Its zvinogonawo kuratidza chero Kumwe kuchinja kunotanga ari mumuviri womunhu.

Nemakemikari kuongorora ropa

Kuratidzwa Kuongorora nokukanganisika Zvinoumba ropa kunoita refu mwero mukana kuziva tanga kuchinja-siyana mune nyama uye nhengo dzomuviri. Kugadzirira nemakemikari omuviri akaita saizvozvo sezvinoita kana achitora miedzo ropa. Kudzidza ropa yatorwa kubva cubital tsinga. Zvinokosha zvinodiwa ndiwo:

• kuvapo mapuroteni;
• nitrogenous chakapatsanurwa - zororo senitrogen, creatinine, urea, inorganic yeimwe;
• bilirubin;
• Hazvizivikanwi mafuta muviri.

The residual ropa senitrogen - chii?

Patinoita ropa inoongorora nokukanganisika parameters kungoonekwa munyika zvachose ropa zviri zvinhu izvo zvinosanganisira senitrogen, chete pashure ose mapurotini kare zvikaramba. Huwandu mashoko anonzi residual ropa senitrogen. Zvakanyorwa, nhamba iyi chete mushure dzadzimwa mapuroteni, nokuti ivo vari muviri womunhu une zvikuru senitrogen. Saka tsunga BUN, amino acids, creatinine, indican, uric acid, amoniya. It ingasanganisira senitrogen uye vamwe vasiri mapuroteni zvinhu chakangomuka: peptides, bilirubin nezvimwe yeimwe. Data kuongorora pamusoro residual senitrogen anopa pfungwa hutano murwere, anoratidza chisingaperi zvirwere kazhinji chokuita nezvinetso deducing uye mupise mashandiro anoita neitsvo. Kazhinji residual senitrogen - kubva 14.3 kusvika 28.5 mmol / fő. Wedzero kuti kunoitika pamusoro nechokumashure:

• polycystic;
• chisingaperi renal chirwere;
• hydronephrosis;
• matombo ari ureter;
• tuberculous itsvo kukuvara.

Diagnostics

Sezvo residual mharidzo kusvikira senitrogen anopinda nokukanganisika pachisara kugadzirira rinoitwa aaisitaura mazano sezvo vasati wakurukura vamwe zvinoriumba nechirwere. For zvabuda neyakarurama zvinokosha kuchengeta nhamba mitemo panguva ropa nemakemikari omuviri:

•, uye kuti kokutanga Kana uine kutora apiwa pachisara zviri nani kuzviita chete murabhoritari. Sezvo vose zvavo chirwere rabhoritari kuongorora, zvakasiyana gadziriro kuongorora mhinduro.
• A ropa yokuenzanisira zvabviswa cubital tsinga, zvichida pamusana munwe, kana pasina kuwana tsinga kana kukuvaradzwa.
• Mufambiro kuongorora anofanira kuva usina chawadya, kwete asingasviki 9-12 maawa pashure rokupedzisira kudya. Unogona kunwa mvura, asi hapana gasi.
• The yakanaka yokuti ropa muunganidzwa anoonekwa kuti 7-10 am.
ari kuongorora • Mazuva matatu asati nani kuchengeta madyiro, unofanira chete kubvisa mafuta, Spicy uye zvakakangwa.
• Nokufamba kwemazuva matatu, kuti asava zvemitambo, kunyanya kana vari chokuita kuzara muviri.
• Kana iwe kuti aedzwe kuti residual ropa senitrogen, nemakemikari omuviri kunoda kubviswa kurapwa. Papfungwa iyi, kupinda chiremba kunodiwa kuti kukurukurwa.
• Pane zvabuda zvingaita kunetseka, kufunganya, saka kanenge hafu yeawa pamberi ivhu kugara musingamhanyi-mhanyi.
Kana kugadzirira kudzidza nezvezvinhu zvipenyu akapfuura nemazvo, muedzo zvabuda zvichava rakanyatsorurama. Decoding vanofanira chete kubata kuchipatara. Zviratidzi kazhinji-chinja hama kuti mureza, saka vanogona vakazvimiririra zvichishandurwa nepasipo.

Normal residual senitrogen muropa

Normal kuverengwa residual ropa senitrogen wakakodzera nemifananidzo kubva 14.3 kusvika 26.8 mmol / l. Zvinofanira kucherechedzwa kuti kubuda chinoratidza kusvikira 30-36 mmol / L haina kubatwa pakarepo somunhu nokuratidzwa zvokurwara. Residual senitrogen iri shoma zvikuru pane mwero inogona kusimuka pakushandisa senitrogen tubhokisi zvokudya, zvokudya chando panguva kudyisa, aine dhefisiti kuti mamwe zvinhu. Vashambire uye kunogona kuitika asati aberekwa, pashure kurovedza amplification zvemitambo uye nokuda kwezvimwe zvikonzero. Ndokusaka nokuda chokuendesa ivhu ropa kemisitiri anofanira kunyatsogadzirira. Kana kuongorora zvinoshamisa angawedzeredza kana understate inoenzanirana uye nokudaro aiva nekodzero kugadzirira pamberi ropa zvakabudiswa, ichi zvingaratidza anoverengeka nezvirwere muviri.

Mune senitrogen residual chakapatsanurwa zvinosanganisira:

• urea senitrogen (kubva 46-60%);
• creatine (2.5-2.7%);
• amino senitrogen (25%);
• uric asidhi (4%);
• creatinine (2,6-7,5%);
• nezvimwewo mapuroteni muviri.

Residual senitrogen - ndiwo musiyano pakati residual senitrogen uye urea senitrogen. Pano, vakasununguka chakapatsanurwa vakasununguka amino acids.

pathologies

Kuna residual senitrogen pathologies dzinosanganisira:

• hyperasotemia - kana pachiyero residual senitrogen muropa hahusvikirwi;
• gipoazotemiya - residual senitrogen muropa yakaderera.

Gipoazotemiya inonyanyoshandiswa kuchengetwa musimba yakaderera kana zvisingawanzoitiki nguva panguva yepamuviri.

Hyperasotemia akakamurwa firimu uye chengetedzo.

Kana chengetedzo hyperasotemia kutyorwa kuitika renal excretory basa, muchiitiko ichi chirwere renal kukundikana. The chikuru Zvikonzero zviri chengetedzo hyperasotemia ndivo zvirwere zvinotevera:

• glomerulonephritis;
• pyelonephritis;
• hydronephrosis kana renal tiibhii;
• polycystic;
• nephropathy panguva pamuviri;
• neBP kukura cheitsvo;
• Kuwanikwa zvoutachiona kana zvemaziso zvipingamupinyi kuti water drainage kuti weti (mabwe, jecha, nyanyisa kana benign growths mu itsvo, Urinary turakiti).

The kugadzirwa hyperasotemia

The yakawedzera residual ropa senitrogen zvingaratidza firimu hyperasotemia kana pamwe pathological ezvinhu chirwere endogenous kudhaka. Zvinonzi vakacherechedzawo pamwe kwenguva refu kunetseka vari postoperative munguva. Notes produktsionnaja hyperasotemia mu zvirwere kuti kuitika nefivha, kana paine mberi disintegration pamusoro rinenge ichi zvinosanganisira zvirwere: diphtheria, typhus, nezvitsvuku fivha, lobar mabayo. Kurimwa hyperasotemia inozivikanwa nokuwedzera residual senitrogen paakati kubvira pazuva chirwere wokutanga uye kusvikira munguva ichangopfuura kuratidzwa akakwidziridzwa tembiricha.

The hama zvingaitika kana vangadikitira, clots ropa, uye kunonyengedza manyoka, kana akapwanya muviri mvura nechiyero.

Mixed hyperasotemia

Pane nguva apo wakawedzera residual senitrogen uye yakavhenganiswa hyperasotemia kutsunga. It rinowanzoberekera kana muchetura zvine chepfu: dichloroethane, mekuri munyu, dzimwe ngozi yeimwe. The chikonzero kungava kukuvara chokuita kwenguva refu compression kuti munyama. Muzviitiko zvakadaro, mashoko immobilization anogona kuitika renal zvinyama, sezvamakaropafadzwa chengetedzo hyperasotemia rinotanga productional. At inonyanya pavaipfuura hyperasotemia residual senitrogen mune zvimwe zviitiko akapfuudza mwero maviri nguva. Vakanyorwa zviratidzo zvakadaro Muzviitiko, renal kubatanidzwa.

residual senitrogen zviratidzi vari inflated kwete chete cheitsvo. Addison nehosha (vasingadzoreki adrenal basa) sezvo dzemunharaunda vari kupfuura. Izvi kunoitika uye kana mwoyo nokukundikana, anopisa anokudzwa regiravhiti, pamwe nemvura, pasi zvikuru zvinokonzerwa noutachiona, kuzvidya mwoyo uye gastric kubuda ropa.

kupodzwa

Kubvisa zviratidzo dzakanaka residual senitrogen angava nguva kuwana chikonzero ichi. Nokuti mamwe marapirwo chiremba vanofanira kugadza zvinoverengeka dzokuwedzera zvidzidzo, migumisiro iyo zvakanzi akapedzisa kumisa zvakarurama zvokuongorora uye varayire anodiwa nemishonga kana zvimwe kurapwa. Nokufamba kwenguva kuona chirwere uye kuporesa izvozvo, unofanira nenguva kupfuura rokuongorora uye zvakaitika zvose miedzo. Kana akawanikwa upi zvokurwara, zvakarurama kurapwa haangaiti nounhu matambudziko, enda kusembura chirwere uye chirwere chimiro.