Incazelo ye-Creatinine
I-Creatinine ingumkhiqizo owenziwe lapho imisipha isebenzisa amandla. Emisipha, i-creatine isetshenziselwa ukukhiqiza amandla okwenza imisipha kanye ne-creinine ingenye yama-molecule aphumela. I-Creatinine ivame ukucwiliswa egazini ngezinso futhi igxile emcinini.
Ukuhlolwa kwegazi ku-Creatinine
Umzimba udala inani elihlala njalo le-creatinine.
Ukubuyiswa kwemisipha okungu-2% we-creatine yabo ku-creatinine usuku ngalunye. Umzimba uncike ekusebenzeni kwezinso ezinhle ukuwuhlunga emcinini. Ngokusebenza kahle kwezinso, amazinga egazi we-creatinine kufanele abe ngohla oluqhubekayo. Ibanga evamile le-serum creatinine liyi-0.7 kuya ku-1.3 mg / dL lamadoda kanye no-0.6 kuya ku-1.1 mg / dL kwabesifazane., Ngezigaba ezijwayelekile ezihlukile ebhodini kuya kubhabhu.
Amazinga e-Creatinine egazini angasetshenziselwa ukuhlola i-kidney metabolism futhi ayingxenye yezivivinyo ezijwayelekile zokuhlola ukusebenza komzimba. Izinga le-serum creatinine livame ukuhlolwa kanye nezinga legazi le-urea nitrogen (BUN), kanti isilinganiso esiphakathi kwabo siqhathaniswa. Zomi zombili ziyizinto ezilahlekile zeprotheni umzimba futhi ziphakanyisiwe uma izinso zingasebenzi kahle. Isilinganiso esiphakathi kwabo siphezulu ekuphelelweni kwamanzi, ukuphuma kwamathumbu emathunjini, nokuhluleka kwezinso. Kodwa akuyona into eqondile futhi kuyisici kuphela ekuxilongweni.
Ezinye izivivinyo zegazi ezivame ukugijima njengengxenye yephaneli yomsebenzi we-renal yi-electrolytes (i-sodium, i-potassium, i-chloride, i-bicarbonate), i-glucose, i-phosphorus, i-albin, ne-calcium. Imiphumela yazo zonke lezi zingaveza ukuthi izinso ziyasebenza kanjani.
Ingabe Kufanele Ngikhathazeke Uma Udokotela Wami Eyalela I-Creatinine Test?
I-Creatinine ingenye yezivivinyo ezivame ukufakwa kuphaneli le-Chem 7, kanye ne-electrolytes, i-glucose, ne-BUN.
Iphaneli eliyisisekelo elingokomzimba noma i-Chem 8 lifanayo, nge-addition calcium. Lezi zendiza zivame ukugijima njengezivivinyo zokuhlolwa kwezempilo njengengxenye yokuhlola futhi ukuqapha iziguli ezingaphansi kwanoma yiluphi ukunakekelwa kwezokwelapha. Akufanele kube yimbangela ekhethekile yokukhathazeka ukubona lezi panel ziyalwe. Iphaneli yomsebenzi wokuqothulwa komzimba ingabuyekezwa ngokumane nje ukuhlinzekela ukuhlola okunzulu okubanzi kunoma yiziphi izinkinga ezingabonakali.
Izakhi ze-Creatinine ku-Diabetes
Enye yezinkinga zesifo sikashukela sohlobo lwe-2 yisimonakalo sezinso esingabangela ukwehluleka kwezinso . Lapho izinso ziqala ukuhluleka, i-creatinine ikhiqiza egazini. Odokotela bazobuka amazinga e-creatinine ngokucophelela ukuze banqume ukuthi ziningi kangakanani umsebenzi izinso. Izinga elijwayelekile lokudala i-creatinine Ngokuvamile njengoba inombolo ikhuphuka ngaphezu kwe-1.2 mg / dl, ikhombisa ukuthi umsebenzi wezinso wehla. Amazinga e-Creatinine atholakala ngokuhlolwa kwegazi okulula.
Ukuhlolwa kwe-Clearinine Clearance
Lokhu kuhlola kwenziwa futhi ukuhlola umsebenzi wezinso nokuthi igazi ligeleza kangakanani izinso nokuthi i-glomeruli esezinso ziyasebenza kanjani ukuhlunga igazi. Uma isampula yamahreni angu-24 isampula futhi isampula yegazi nayo idonselwa ekupheleni kwesikhathi sokuqoqa. Kumele uthathe i-jug (noma ezimbili) ekhaya futhi uqoqe wonke umchamo wakho amahora angu-24 bese uyibuyisela ebhokisithri ukuze uhlolwe.
Umthamo womchamo usetshenziselwa ukubala imvume yokudaliwe, ngakho-ke inani lomchamo olikhiqizayo emahoreni angu-24 yingxenye ebalulekile yokuhlolwa. Ukuhlushwa kwe-creatinine emcimbini kulinganiswa kanye nokuhlushwa egazini. Konke ndawonye kusetshenziselwa ukuthola isamba sokuvunywa kwe-creinine.
Ukuncipha kwesilinganiso sokukhishwa kwe-creatinine kusho ukuthi i-creatinine encane iyasuswa ngezinso. Uma i-blood creatinine iphinde iphezulu, lokhu kubonisa inkinga ngokusebenza kwezinso kanye / noma ukugeleza kwegazi kuya ezinso.
Amanani avamile angase ahluke ebhodini kuya kubhubhu, kodwa lokhu kubanzi jikelele:
- Amadoda: 97 kuya ku-137 ml / min.
- Owesifazane: 88 kuya ku-128 ml / min.
Imithombo:
I-Creatinine Blood Test, i-MedlinePlus, i-US National Library of Medicine.
Ukuhlolwa kwe-Clearinine Clearance. I-MedlinePlus. Ilabhulali Kazwelonke Yezokwelapha yase-US.