Nyocha amonia

Nnwale amonia na-atụle ogo amonia na ọbara.

Achọrọ nlebara ọbara.

Onye na-ahụ maka ahụike gị nwere ike ịrịọ gị ka ị kwụsị ị certainụ ọgwụ ụfọdụ nwere ike imetụta nsonaazụ ule. Ndị a gụnyere:

• Mmanya na-aba n'anya
• Acetazolamide
• Barbiturates
• Diurek
• Ọgwụ ọjọọ
• Valproic acid

Ikwesighi ị smokeụ sịga tupu agbatị ọbara gị.

Mgbe etinyere agịga ahụ iji see ọbara, ụfọdụ ndị na-enwe oke mgbu. Ndị ọzọ na-eche nanị ịpị ma ọ bụ gbaa. Mgbe nke ahụ gasịrị, enwere ike ịkụ ọkpọ ma ọ bụ merụọ ahụ obere. Nke a ga - apụ n'anya.

Amonia (NH3) na - emepụta mkpụrụ ndụ n’ime ahụ dum, ọkachasị eriri afọ, imeju, na akụrụ. Otutu ammonia emeputara n’ime ahu ka imeju jiri eweputa urea. Urea bụkwa ihe na-abaghị uru, mana ọ na-egbu egbu karịa ammonia. Amonia bụ nsi na-egbu ụbụrụ. O nwere ike ịkpata ọgba aghara, ume dị ala, na mgbe ụfọdụ coma.

Enwere ike ime ule a ma ọ bụrụ na ịnwere, ma ọ bụ onye na-eweta gị chere na ị nwere, ọnọdụ nwere ike ibute nsị ammonia na-egbu egbu. A na-ejikarị ya iji chọpụta ma nyochaa hepatic encephalopathy, ọrịa imeju siri ike.

Rangedị nkịtị bụ 15 ka 45 µ / dL (11 ruo 32 olmol / L).

Usoro ntanetị dị iche iche nwere ike ịdịtụ iche n'etiti ụlọ nyocha dị iche iche. Lafọdụ labs na-eji nha dị iche iche ma ọ bụ nwee ike nwalee ụdị dị iche iche. Gwa onye na - enye gị ọrụ gbasara ihe nyocha gị pụtara.

Nsonaazụ na-adịghị mma nwere ike ịpụta na ị mụbara ogo amonia na ọbara gị. Nke a nwere ike ịbụ n'ihi nke ọ bụla n'ime ihe ndị a:

• Ọrịa afọ (GI) ọbara ọgbụgba, na-abụkarị akụkụ GI elu
• Mkpụrụ ndụ ihe nketa nke urea okirikiri
• Akwa ahu di elu (hyperthermia)
• Ọrịa akụrụ
• Ọkpụkpụ imeju
• Ọbara dị ala n'ọbara (na ndị nwere ọrịa imeju)
• Nri nne na nna (nri na-edozi ahụ)
• Ọrịa Reye
• Nsi nnu nnu
• Mgbalị siri ike
• Ureterosigmoidostomy (usoro iji wughachi urinary tract na oria ufodu)
• Urinary tract ọrịa na nje bacteria na-akpọ Proteus mirabilis

Nri protein dị elu nwekwara ike ibuli ọkwa amonia ọbara.

E nwechaghị ihe egwu na ịnara ọbara gị. Akwara na akwara na-adịgasị iche site na otu onye gaa na onye ọzọ na site n'otu akụkụ nke ahụ gaa na nke ọzọ. Nara ụfọdụ ndị mmadụ nwere ike isi ike karịa ndị ọzọ.

Ihe ize ndụ ndị ọzọ metụtara ịmịnye ọbara dị ntakịrị, mana nwere ike ịgụnye:

• Ọbara ọgbụgba
• Da mba ma ọ bụ inwe isi ọkụ
• Otutu punctures chọta veins
• Hematoma (ọbara na-agbakọta n'okpuru anụ ahụ)
• Ofufe Ọrịa (ntakịrị ihe egwu oge ọ bụla anụ ahụ agbajiri)

Ọbara amonia; Encephalopathy - amonia; Cirrhosis - amonia; Imeju imeju - amonia

• Nnwale ọbara

Chernecky CC, Berger BJ. Amonia (NH3) - ọbara na mmamịrị. Na: Chernecky CC, Berger BJ, eds. Nnwale Laboratory na Usoro Nyocha. Nke isii. St Louis, MO: Elsevier Saunders; 2013: 126-127.

Nevah MI, Fallon MB. Hepatic encephalopathy, ọrịa hepatorenal, ọrịa hepatopulmonary, na nsogbu ndị ọzọ usoro nke ọrịa imeju. Na: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger na Ọrịa Cancer nke Fordtran na Ọrịa Imeju: Pathophysiology / Diagnosis / Management. Nke iri. Philadelphia, PA: Elsevier Saunders; 2016: isi 94.

Pincus MR, Tierno PM, Gleeson E, Bowne WB, Bluth MH. Nyocha nke ọrụ imeju. Na: McPherson RA, Pincus MR, eds. Henry’s Clinical Diagnosis and Management site na Labozọ Laboratory. 23 nke ed. St Louis, MO: Elsevier; 2017: isi 21.