π “NSS” αាαូαៅαេα ៅαាSΓ©rum/Solution physiologique, α េαុα’ីαិαααិααααោαα្αុα[Na+]~140mEq/L αែαាαាα[Na+]αα់αៅ154mEq/Lαៅαិα?π€π
α ាα់α្αើααី…
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NSS αាα្αាααៃNaClααាαα្αុααឹααែααាααំα ាα់NaCl=154mEq/Lαៃαឹαα៏αាαα័ααាαាα[Na+]=154mEq/Lαៃαឹααែαα¬α’ាα αា: π¦πWater [Na+]=154mEq/L។
*αាαូαៅααិαααើαα ូαα ិα្αα ៅαួααូαុαα្αុα(Solution)αូα αា NSS,LR,Dextrose…αាαាαេα៉ូα(Serum),αាαα្αើαាα្ααេះα’ាα α្αើα²αាαα័α្αα ្αα‘ំ(αិαេααេααិαាααាα់αα្α័αឹαααាααាαុααα់αាα,α្αោះαាααាαេαិαាααី”αេα៉ូα”α្αុααាααេαំαៅαα់αាααាαុαាααៃαាααោαααα េααូααោαិαាαាααិαα្αូαេα’៊ីααៃαំαααាα។
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αើα’្αីαាα’α្αα័ααៃ[Na+]= (135-145)mEq/Lαែαα²αោαLaboratoire?π¬
αៅαេααើααូααាαα’្αααំαឺαួααីα(Tube)π§ͺαាαα័ααាαើααααំαាααាααាំαα្αុα/αាំααូαπ©Έπαៅα²αα្αីαិαោαα៍។α៏α៉ុα្αែαំα ាα់αូα្αូα[Na+]αែαα²αααិααិααែααា[Na+]αែααៀααឹααាααាំααូααោះαេ។
παំα ាα់αូα្αូααα្ααា[Na+]αាααី(135-145)mEq/l។α ំαួααេះα្αូααាαα²αោαLaboratoire αែαα ៅαា Plasmatic [Na+] (αំα ាα់αូα្αូααែαααាαα្αុααាααាαុαំαាααាPlasma) αោααឺααិαាα[Na+]αែααៀααៅαឹαPlasma។
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αើα’្αីαាα្αាα្αា(Plasma)?α’្αីαាαឹααៃα្αាα្αា(Plasma water)π¦ ?
αុααិαាααα់α្αាα្αា α ាំαាα ់α្αូααិαាααីαាααាαុααិα(Composition of whole blood)៖
αាααាំααូαπ©Έ(Whole blood)π€§α្αុααូα៖ αោαិαា(αោαិαាαាαα αោαិαាαាαα្αα α α្αាαែα) α្αូαេα’៊ីα(α្αូαេα’៊ីα αំαααាα+αិααំαααាα) αីαីα α’េα‘ិα α្αូαីα្α αឹα។
αើαើααααោαិαាα េααីWhole bloodαោះαើααឹαααួααាα α្αាα្αា(Plasma)αែαα្αុααែ α្αូαេα’៊ីα(αំαααាα+αិααំαααាα) αីαីα α’េα‘ិα α្αូαីα្α αិα αឹα។
α ើααើαើααα α្αូαេα’៊ីααំαααាα(Clotting Proteins)α េααីα្αាα្αា αោះαើααាα αេα៉ូα(Serum) αែαα្αុααែ α្αូαេα’៊ីααិααំαααាα(Non-clotting proteins) αីαីα α’េα‘ិα α្αូαីα្α αិα αឹα។
α ើααើαើααααα្ααៀααូα α្αូαេα’៊ីααិααំαααាα αិα αីαីα α េααីαេα៉ូα αោះαើααឹααាααូαុαα្αុαα ុαα្αោααឺαៅαα់αែ α’េα‘ិα α្αូαីα្α αិα αឹα αែα៉ុα្αោះ។αើαα ៅαាαា Plasma water π¦ αែααា Real* Physiological solution α្αុαα្αα័α្αα’ូα្αូα‘ាαីαេ។
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αើαាααឹαα៉ុα្αាααៅα្αុαα្αាα្αា?
αាααα្ααាαាαូαៅαឹααៅα្αុαα្αាα្αាαាαα្ααាα93%។
αេះαាαα័ααាαាα់αំα ាα់αៅαាααាαុαែαα្αិααៅα្αុαα្αាα្αា αេααααាαៀααៅαឹααឹαα្αុαα្αាα្αា(Plasma water)αំα ាα់αាαឹααើαα‘ើα។
πα§αាα αα៍αាα់α្αែα αំα ាα់αូα្αូααα្ααា[Na+](Plasmatic Na)=143mEq/Lαោះαំα ាα់αូα្αូααៀααៅαឹααឹα(Water Na)αឺ~154mEq/L។
π€π(α្αα់αេះαាαα័ααា143mEq/LαៃNaααាαα្αុα100%αៃα្αាα្αាαឹααើαα‘ើααៅ154mEq/L(143៖0.93)αេααៀααឹααាααាαុαំαាααាαឹα(Plasma water π¦)αែααាααែ93%αៃα្αាα្αា។
π©αាα(1)αិα(4) Our destination is achieved ✅
⚠️αα្αាα់:
-α’α្αααα្αាα់αែαាα្αឹα្αីα្α’ែααាαPhysiologyαែα៉ុα្αោះ αិααែααាαα្αោαាαα្αុααាαα្αាαាαα¬αាααែαាំαេα្ααាα្α្αα‘ើα។
-α’α្ααααាαោααំαិαHypothesis αោααឺαៅαាααាααំα’ៀααិααα្αិααួαα ំαួα α្αោះαិααាααាααិαោαα៍α¬αាαα្αើα’α្αេαα ្αាα់αាα់αាαួααោះαេ។
-αោααំαααៃα’α្αααα្αាα់αែαα្α ាααូα αោααំαិααំαាα់(αាαα្αោα⤵️) αាαα’ាα αាααិα αិααាααំαាα្ααែα៉ុα្αោះ។
πααុααោααំαិααំαាα់៖
α‘/NSSαាα្αាααៃNaClαិααឹα αោះ[Na+]=154mEq/L αា[Na+] water π¦
α’/ Normal serum [Na+]~143mEq/L
α£/Normal water plasma(serum)[Na+]~154mEq/l (α្αៀαα្αាα់)✅
α€/NSSα្αៀαα្αាα់αៅαឹαwater plasma*αែααិααែαៅαើ α’េα‘ិα α្αូαីα្ααិααឹα, so it’s the Real* Physiological solution π
ππ️παំαៅαោα
-Guyton and Hall textbook of medical physiology 13th
-The fluid,electrolyte and acid-base companion
-AMreport VA Boston *
-Les troubles hydro-Γ©lectrolytiques faciles
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