Creatinine ndi chinthu chamtengo wapatali cha thupi, chopezeka chifukwa cha phosphate reaction (minofu ya metabolism). Kuchokera kwa creatinine kumachitika pamene mukukonza, kotero mkodzo wa creatinine mlingo ndi chizindikiro chofunikira cha ntchito ya impso. Impso za munthu wathanzi, wa zaka 20 mpaka 30, zimatha kusungira creatinine mu mkodzo kuchokera m'magazi mwa pafupifupi pafupifupi 125 ml pa mphindi. Chizindikiro ichi chimatchedwa ufulu wa creatinine ndipo kawirikawiri amakhala kuyambira 80 mpaka 150 ml / m.
Creatinine
Popeza kuti mawonekedwe a maselo amadalira mtundu uliwonse wa minofu ya minofu, mlingo wa creatinine m'magazi ndi wosiyana kwa akazi ndi amuna. Mwa amuna, chifukwa cha kapangidwe kake, chilengedwe cha creatinine m'mayesero a magazi ndi kawiri konse. Kuwonjezera pamenepo, minofu ya munthu wamba, sasintha mwamsanga, kotero chizindikiro ichi nthawi zonse ndi chofunika. Kwa mwamuna wachikulire, mlingo wa creatinine uli pakati pa 74.0 mpaka 110.0 μmol / L. Malinga ndi msinkhu, msinkhu uwu ukhoza kusinthasintha (kwa anyamata kapena kuchita masewera), ndi pansi (amuna akulu omwe ali ndi kunenepa kwambiri kapena matenda a mitsempha).
Kwa amayi ambiri omwe ali ndi zaka zambiri, mlingo wa creatinine m'magazi umakhala pakati pa 44.0 ndi 80.0 μmol / l. Kusintha kwake kungayambitse mapuloteni (kuwonjezera), komanso ma trimester oyambirira a mimba (kuchepa).
Pofufuza kafukufuku wa magazi m'thupi mwa ana osapitirira chaka chimodzi, creatinine imakhala yotalikira 45.0 mpaka 100, 0 μmol / L. Atatha msinkhu wa chaka, chizindikiro ichi chimayamba kuchepa. Ndipo ali ndi zaka 14, mlingo wa creatinine wa mwanayo ndi 27 - 62 μmol / l.
Kuphatikiza pa zifukwa zomwe tazitchula kale, kusintha kwa chiwerengero cha creatinine kungazindikiridwe ndi zakudya zamasamba, njala, ndi kutaya madzi m'thupi. Kuchuluka kwa zilonda za khungu, kutsekula kwa m'mimba , necrosis ya minofu chifukwa cha kupsyinjika kwa nthawi yaitali kumasinthiranso chiwerengero cha creatinine.
Komanso, zifukwa zina zingakhudze chikhalidwe ichi:
- kulemera;
- mpikisano;
- kukhalapo kwa kutupa ndi matenda aakulu, ndi zina zotero.
Kuwonjezera pa kulenga m'magazi, kuchuluka kwake mu mkodzo kumakhalanso ndi zikhalidwe zake. Kwa akazi, creatinine mu mkodzo ndi 0.8 mpaka 1.8 magalamu kapena 7.1 mpaka 15.9 mmol. Mndandanda wamphongo ndi wamtali ndipo umakhala mu 1.0 mpaka 2.0 magalamu (8.8 mpaka 17.7 mmol).
Kodi ndingayese bwanji kulenga creatinine?
Kuti mudziwe zambiri zomwe zilipo mu creatinine, ndipo motero khalidwe la impso, kuyesa magazi ndi mkodzo nthawi zambiri limaperekedwa. Kuti mudziwe zambiri zodalirika chifukwa cha kusanthula, muyenera kukonzekera. Kuti muchite izi, kwa maola 36-48 musanayambe magazi:
- Lekani ntchito yogwira ntchito.
- Pewani zakudya zamapuloteni (osati magalamu 200).
- Pambuyo pokambirana ndi dokotala, pewani kugwiritsa ntchito mankhwala omwe ali ndi cortisol , corticotropin, thyroxine.
Kuyezetsa magazi kumachitidwa m'mimba yopanda kanthu, i.es. Kuchokera nthawi ya chakudya chomaliza kufikira kusonkhanitsa magazi ayenera kudutsa maola 9.
Kuti muphunzire mlingo wa creatinine ndi chilolezo chake mu mkodzo, muyenera kusonkhanitsa mlingo wake tsiku ndi tsiku. Pachifukwachi, kawirikawiri, chidebe chopanda pulasitiki chokhala ndi ma lita 4-5 amagwiritsidwa ntchito. mkodzo wonse uyenera kukhala mu chidebe chomwecho. Malamulo okhuta mkodzo:
- Yambani kusonkhanitsa nkhanizi ziyenera kukhala kuchokera ku chikhotsedwe chachiwiri cha chikhodzodzo mutadzuka.
- Zigawo zimagwiritsidwa ntchito kwathunthu.
- Kusunga chidebecho pofufuza, gwiritsani ntchito malo ozizira, mwachitsanzo, firiji.
- Patsiku, kumwa mowa wambiri kumalimbikitsa (ndizofunika kupatula teas, khofi, timadziti).
- Gawo lotsiriza la mkodzo likhale m'mawa mwake, mwamsanga mutadzuka.
- Mukataya chikhodzodzo, yesetsani kuchiyeretsa, musakhale ndi zina zotenga zakunja, monga ndowe, tsitsi, ndi zina.
Pankhani ya kusamba, kukonzanso mkodzo kuyenera kubwereranso tsiku lina.