Nnyocha ọbara sitere na biochemical bụ usoro nyocha ọgwụ na-enye gị ohere inyocha ọnọdụ ahụike nke onye ọrịa site na ọnụnọ na itinye uche ụfọdụ ihe na plasma na sel ọbara.
Onyinye ọbara chọrọ nkwadebe na idebe iwu dị mfe.
Gịnị bụ akụkụ nke nnwale ọbara banyere mmiri dị na ala.
Ọkachamara nwere ike ịkọ ọgwụ biochemistry abụọ maka ebumnuche iji guzobe nyocha ikpeazụ, yana ebumnuche mgbochi, iji mata ọnọdụ akụkụ ahụ na sistemụ mmadụ.
N’ezie, site n’enyemaka nke ọmụmụ ihe a, ọ ga-ekwe omume ikpebi ihe karịrị ihe ngosi 200 (ihe nyocha) nke ga - enyere dọkịta aka inweta echiche zuru ezu banyere ọrụ nke akụkụ ahụ onye ọrịa, usoro nke metabolic, na ịzu oke nke inye vitamin, macro- na microelements.
Dabere na nchoputa nke mbu, enwere ike ikenye ntule na nyocha nke isi, ma obu ihe omumu banyere ihe banyere ndu.
Ihe ndị gosipụtara isi gụnyere:
- mkpokọta protein;
- bilirubin (izugbe, na-agbanwe);
- cholesterol zuru ezu;
- ọbara glucose;
- electrolytes ọbara (potassium, sodium, calcium, magnesium);
- enzymes na-arụ ọrụ n'ime imeju (AlAT, AsAT);
- urea
- creatinine.
Kedu ka esi nye nyocha ahụ?
Iji duzie nnwale ọbara maka ihe ndị dị ndụ, a na - ewere ihe sitere na akwara. Iji mee nke a, mgbe ijidesiri aka aka na mpaghara aka aka ahụ, akwara (ọ na-abụkarị ọnya ahụ) na-apịa ya, ma biomateri na-abanye na sirinji, wee banye n'ime tube ule.
Mgbe ahụ, a na-eziga tubes ahụ n'ụlọ nyocha, ebe a na-eme nnyocha na ngwa ọrụ pụrụ iche dị elu. Na ụbọchị ole na ole ị nwere ike nwetaworị nsonaazụ rụchara. Ma, obughi ihe nile di nfe.
Otutu ihe gosiputara ihe omumu nke ihe omimi ala ala bu otutu ihe nke ime na nke mpụga na-emetụta, yabụ iji nweta ezigbo nsonaazụ, ịkwadebe nke ọma maka nyocha dị mkpa.
Kedu ihe nhazi algorithm maka nyocha ọbara biochemical? Tụlee isi ihe.
Na ukpọk afo ma ọ bụ?
A na-eme nlele ọbara maka nyocha n’uche n’afọ efu. Nke a bụ n'ihi na ịta ọkwa plasma nke ụfọdụ ogige (glucose, bilirubin, creatinine, cholesterol) nwere ike ịdị iche na nnukwu mgbe nri gachara.
Na mgbakwunye, mgbe ị risịrị nri, a na-etinye nri dị n'ụdị chylomicron n'ime ọbara, nke na-eme ka ọ bụrụ igwe ojii na nke na-adịghị mma maka nyocha.
Agbanyeghị, ọ dị mkpa ịmara na agụụ ga-agụ gị agụụ tupu ịmịcha ọbara maka ihe na-erughị awa 24, ma ọ bụghị ya nsonaazụ ya nwekwara ike ịbụ ụgha. N’ime onye agụụ na- agụ ihe karịrị awa iri anọ na asatọ, ọkwa plasma bilirubin na-awụli elu. Na mgbe awa 72 gasịkwara, enwere ike ịrịda glucose na mmụba n'otu oge na uric na abụba abụba.
Kedu ihe ewepu na nri tupu nyocha ahụ?
Ekwesịrị icheta na ihe mejupụtara nri aewere nwere ike inwe mmetụta dị omimi na ntinye nke ụkpụrụ nchekwa ndụ bara ụba. Ya mere, iji nweta nsonaazụ na-enweghị njehie, a ga-ahụrịrị iwu ndị a.
Bọchị ole na ole tupu nyocha ahụ, ọ dị mkpa wezuga abụba abụba, eghe, nri na-ekpo ọkụ, nri ngwa ngwa, ihe ọholicụholicụ na-egbu egbu na nri. Mgbe ị na-enyocha ọdịnaya nke uric acid, ịkwesịrị iwepu anụ, azụ, offal, kọfị, tii na menu. Mgbe ị na-ekpebi ọkwa nke bilirubin - ascorbic acid, oranges, carrots.
A na-atụ aro iri nri abalị dị obere tupu abalị ahụ agafee. N'ụtụtụ nke ụbọchị nyocha, ị nwere ike ị drinkụ mmiri naanị carbon. Ma mgbe ị na-atụle ọkwa glucose ọbara n'ụtụtụ, ọ ka mma ịhapụ ehicha ezé gị, yana iji asacha ọnụ, ebe ọ bụ na ha nwere ike ịnwe ihe na-atọ ụtọ.
Kedu oge m ga-eji nwalee?
A na-enyocha nnwale maka kemịkalị n'ụtụtụ, na etiti oge site na awa 7 ruo 10.
Nke a bụ n'ihi eziokwu ahụ bụ na ihe ndị mejupụtara ihe ndị dị ndụ nwere ike ịgbanwe n’okpuru mmetụta nke usoro ndụ mmadụ kwa ụbọchị. Ma ụkpụrụ iwu ahụike ka egosipụtara maka ụtụtụ n'ụtụtụ.
N'ọnọdụ ọnọdụ mberede, a na-anara ọbara maka nyocha n'agbanyeghị oge ehihie ma ọ bụ abalị. Agbanyeghị, iji chịkwaa ihe ngosipụta na-agbanwe agbanwe, ọ dị mma ịmụgharị n'otu oge ahụ.
Mmetụta ọgwụ
Medicationsakingụ ọgwụ nwere ike imetụta ọnụọgụ ọdịnaya n'ime akụrụngwa nke ọmụmụ nyocha.
Nke a bụ n'ihi mmetụta nke ọgwụ na ahụike ma ọ bụ usoro pathophysiological na ahụ mmadụ (mmetụta ọgwụgwọ ahụ n'ezie ma ọ bụ mmeghachi omume ọjọọ), ma ọ bụ mmetụta nke ọgwụ ahụ na mmeghachi nke kemịkal a rụrụ iji gosipụta uru nke nyocha ahụ (ihe nnyonye anya). Dịka ọmụmaatụ, ọgwụ ụkwara na ọgwụ mgbochi nwere ike ịgha oke nke ọkwa kalsia ụgha, yana ascorbic acid na paracetamol nwere ike ịbawanye ọkwa glucose plasma.
Ya mere, mgbe ị na-akwadebe okenye ma ọ bụ nwatakịrị maka ọmụmụ ihe banyere mmiri ọgwụ, ọ dị mkpa ịhapụ iji ọgwụ eme ihe (ma ọ bụrụ na enyeghị ha maka mkpa dị oke mkpa) tupu nchịkọta nke ọbara. Site na nhazi usoro nke nkwadebe dị mkpa, ọ dị mkpa ịgwa dọkịta banyere nke a ma soro ndụmọdụ ya maka nkwadebe maka nyocha.
Akwukwo vidio banyere nyocha ihe banyere ndu ahu na nkowa ya:
Ihe Na-akpata Esemokwu
Otu ihe abuo na-emetuta mgbanwe na nsonaazụ nyocha ụlọ nyocha:
- Laboratory na nyocha.
- Nko bio
Ihe nyocha nke nyocha nke ulo-akwukwo bilitere mgbe emebisi ihe algorithm maka ime nyocha na laabu. Ndị ọrịa enweghị ike ime ka ha metụta ihe na mkpochapu ha.
Ihe ndi ozo di iche banyere ndu ha gụnyere:
- physiological (mmega ahụ, nri);
- ihe gburugburu ụwa (ihu igwe, ihe mejupụtara nke mmiri na ala na mpaghara obibi oge afọ na ụbọchị);
- nnabata na nhazi nkwadebe maka nlele (iri, mmanya, ọgwụ, ị ,ụ sịga, nchekasị);
- Usoro nlele ọbara (Usoro iji aghụghọ, oge nke ụbọchị);
- ọnọdụ na oge nke biomaterial njem gaa laabu.
Ya mere, izizi nke nsonaazụ ya dabere na nkwadebe nke onye ọrịa maka nnwale ọbara biochemical, nke bụ isi okwu maka nchọpụta nchọpụta nke ọma, ọgwụgwọ ziri ezi yana nsonaazụ dị mma nke ọrịa ahụ.
