Creatinineʻae

Ma ke kālā no lapaau, i ka manawa "ʻae", a ho he laupaʻi anakahi holo hoomaemae kekahi liluwelo fluids. Ka hoʻohana 'ana i kēia anakahi i me ka nui loa hoʻolaulā aku mākou hoomaopopo ana o na pharmacokinetics a me pharmacodynamics o kēia mau mea a me nā waiwai.

Ke'ōlelo mai, no ka laʻana, creatinineʻae ua nānā 'hoʻohana PalekanaEND_LINK ho'āʻo ma Reberga-Toreeva. Ua mea waiwai 'ana i kumumanaʻo i loko o keia ina he mea hiki e hooholo i ka kānana like me ka endogenously synthesized waiwai a me ka lako, mai ka waho (no ka laau a me na ano). Manao ai ua hana ma ka helu ana i ka pinepine 'kānana (glomeruli) o ka wai koko kala ana mai o ka ua waiwai. Ka mooolelo ua paʻa i loko o ka paʻa manawa (ka hapanui - ka lā).

Olelo ana o ka creatinine, e hoʻolohe i ka mea e wehe ia mai ke kino meaʻano nui ku pono i ke kānana ha awina o nā puʻupaʻa. Ma muli o kēia, e like me ka creatinineʻae kōmi makemake e nui i loko o ka loiloi 'ana o kaʻaʻa puʻuwai glomerular kānana functioning. It E e kaulana i keia huahelu ua wehewehe aku i wale i ka iaea ooieoeiiaeuiiai nona iho o ka Kānana'ōnaehana, akā, i kekahi hoʻohuikau'ē aʻe o ke kanaka a me nā loko nenoai. Hoʻololi 'ilalo, creatinineʻae, a hiki e hōʻike ana i lawa ponoʻole koko i nā puʻupaʻa (atherosclerosis, a me kaʻoi huʻi a me ka? Acaeoey - thromboembolism).

I ka uku o ka emi o kaʻaʻa puʻuwai aayoaeuiinoe ia lŘlŘ ma hope o nā makahiki he kanahā. Hoemi glomerular kānana uku o ka 1% no ka makahiki. Ma hope o nā makahiki he kanaono, ua hoemiia iki wikiwiki i ka nui o ka ha awina (mau loli i kuhikuhi e pili ana me ka poe oo hoi o ka meaola). Naʻe, ka mea e e kaulana i kekahi hoikeana o ia ka loli ua i ike no ka mea, i ka kūpuna ua ka meheu o ia a pau metabolic keʻano o ka hanaʻana, a me ka hoʻololi kemikala o endogenous creatinine.

I ka hoomakaukau ana no ka hāpana Rehberg mea pono, e hookaawale ia i ka hoʻohana 'ana i kekahi ai' i mea e loli i ke ala o ke ao (ai ' "Cortisol" "Furosemide", "Corticotropin", "Methylprednisolone," "Thyroxine" a me na mea e ae).

E kau i ka hāpana o ka mimi mea hōʻikeʻikeʻuʻuku ua hana, e like me ke koko hoao ana ma luna o ka awelika kiʻekiʻe o ka wai koko creatinine.

Mawaena o na nāʻikepili no ka hoʻopaʻa 'ana i hana: endocrine pathology, ka auhau o kaʻaʻa puʻuwai ooieoeiiaeuiiai haʻawina, e like me ka helu o ka hopena o physical haʻawina.

Ke kaumaha ma muli o ka nui o ka ho'ēmiʻana i kaʻae hoakaka i kēia mau 'ole' ē aʻe '.

• 30 ml / min / m2, a he 1,7 - emi ma kaʻaʻa puʻuwai hana ma ka lōpū;
• 30-15 ml / min / m2 1,7 - imua o kaʻaʻa puʻuwai 'ole (a compensated subcompensated degere);
• <15 ml / min / m2 1,7 -ʻaʻa puʻuwai ole decompensation pae.

He nui no ka maopopo i ka iaea ooieoeiiaeuiiai nona iho o ke kānana'ōnaehana hoʻoholoʻaʻa puʻuwaiʻae o creatinine, ka uku o ka i loko o hāpana Reberga Hōʻike maʻamau puʻupaʻa.

Eia naʻe, mai kekahi mai e alakai i ka loli o ke anakahi (e laʻa me, maʻi pyelonephritis).

creatinine pae i loko o ke koko hilinaʻi nui ma luna o ka ha awina o kona endogenous hoʻololi kemikala, a ma luna o kona uku o urinary excretion. He nui e ike i keia huahelu hilinaʻi nui ole wale ma ka ha awina o ke kānana'ōnaehana, akā, i ka māmā a me ka leo o ka reabsorption o 'ona i loko o ke kahua o iniiaiie mimi.

Penei, Ke Reberga hāpana (i maopopo ai i ka creatinineʻae) lawa e huli laha ana i loko o PalekanaEND_LINK lapaau. A pololei pilina ma waena o kaʻae a me nā konāhua kuleana pili i hoʻolako kiʻekiʻe PalekanaEND_LINK manaʻo nui ina hana.