Qhov sib txawv tseem ceeb ntawm Creatinine Clearance thiab GFR yog nyob ntawm hom kev ntsuas uas pab txheeb xyuas txhua qhov ntsuas. Kev tshuaj ntsuam xyuas creatinine clearance tshwm sim los ntawm kev kuaj zis thaum GFR tsom xam tshwm sim los ntawm kev kuaj ntshav.
Lub raum kev noj qab haus huv nyob ntawm qhov ua tau zoo thiab qhov tseeb ntawm lub raum ua haujlwm. Yog li ntawd, peb kauj ruam tseem ceeb ntawm kev tsim cov zis yog qhov tseem ceeb rau lub raum noj qab haus huv. Peb cov kauj ruam tseem ceeb yog ultrafiltration, xaiv reabsorption, thiab tubular secretion. Ultrafiltration tshwm sim hauv glomerulus, thiab ob qho tib si creatinine tshem tawm thiab GFR cuam tshuam rau kev ua haujlwm ntawm cov txheej txheem ultrafiltration.
Creatinine Clearance yog dab tsi?
Creatinine yog cov khoom pov tseg uas tshwm sim los ntawm cov txheej txheem ua kom cov leeg nqaij puas. Ultrafiltration lim creatinine rau hauv cov zis thaum lub sij hawm tso zis ntau lawm hauv ob lub raum thiab tsis muaj reabsorption ntawm creatinine rau hauv cov hlab ntsha. Creatinine tshem tawm yog cov ntshav lim los ntawm ob lub raum hauv txhua feeb txhawm rau ua kom cov ntshav tsis muaj creatinine. Hauv cov poj niam noj qab haus huv, creatinine tshem tawm yog li 95 mL ib feeb. Hauv cov txiv neej noj qab haus huv, creatinine tshem tawm yog 120 mL ib feeb. Yog li ntawd, peb lub raum ua rau 95-120 ml ntawm cov ntshav dawb los ntawm creatinine ib feeb.
Daim duab 01: Creatinine
Lub luag haujlwm tseem ceeb ntawm kev kuaj creatinine tshem tawm yog los twv seb lub raum ua haujlwm. Yog li, creatinine clearance qib qhia lub raum lub peev xwm los lim cov ntshav thiab kev ua haujlwm ntawm cov txheej txheem ultrafiltration hauv kev tsim cov zis. Ib qho kev kuaj zis yooj yim qhia txog kev tshem tawm creatinine. Txhawm rau ua qhov kev sim no, cov zis ntawm tus neeg yuav tsum tau sau rau 24 teev dhau los. Tom qab ntawd, nws tuaj yeem kwv yees qib ntawm creatinine tam sim no hauv cov zis. Txij li thaum nws yog ib qho tsim nyog los sau cov zis rau 24 teev, qhov kev ntsuam xyuas tuaj yeem ua tsis yooj yim. Tab sis, nws yog ib qho tseem ceeb rau kev kuaj xyuas qee lub raum.
GFR yog dab tsi?
Glomerular Filtration Rate (GFR) yog tus nqi uas cov ntshav hla lub glomerulus thaum lub sij hawm ultrafiltration. Thaum lub sij hawm glomerular filtration, tag nrho cov ntshav cov ntsiab lus tshwj tsis yog cov qe ntshav raug lim mus rau hauv tubular network ntawm nephron ntawm Bowman's capsule. Lub filtration yuav siv sij hawm qhov chaw raws li ib tug siab gradient. Lub glomerular filtration tshwm sim hauv nephron thaum tsim cov zis. Yog li, glomerular filtration test txiav txim siab ua haujlwm ntawm lub raum.
Daim duab 02: Glomerular Filtration
GFR kuaj yog ua los ntawm kev ntsuas ntshav. Cov ntshav creatinine qib txiav txim siab glomerular pom tus nqi. Ntxiv rau cov ntshav creatinine qib, tsis muaj hnub nyoog, haiv neeg, poj niam txiv neej, qhov siab thiab qhov hnyav cuam tshuam rau glomerular pom tus nqi.
Dab tsi zoo sib xws ntawm Creatinine Clearance thiab GFR?
- Ob leeg creatinine tshem tawm thiab GFR kwv yees qhov ua tau zoo ntawm cov txheej txheem ultrafiltration.
- Lawv ntsuas cov qib creatinine; txawm li cas los xij, qhov chaw txawv.
- Ob leeg kwv yees lub raum kev noj qab haus huv ntawm ib tus neeg.
- Ntxiv mus, lawv nyob ntawm yam xws li hnub nyoog, poj niam txiv neej, qhov hnyav, thiab lwm yam.
Qhov txawv ntawm Creatinine Clearance thiab GFR yog dab tsi?
Creatinine clearance test thiab GFR test yog ob qhov kev ntsuas los ntsuas qhov ua tau zoo ntawm ob lub raum thaum nws cov kauj ruam pom. Txawm li cas los xij, cov peev txheej ntawm ob qhov kev xeem sib txawv; Lub hauv paus ntawm creatinine tshem tawm yog cov zis kuaj thaum lub hauv paus ntawm GFR yog cov ntshav. Yog li, qhov no yog qhov sib txawv tseem ceeb ntawm creatinine tshem tawm thiab GFR.
Cov hauv qab no qhia txog qhov sib txawv ntawm Creatinine Clearance thiab GFR.
Summary – Creatinine Clearance vs GFR
Creatinine tshem tawm thiab GFR ntsuas kev ua haujlwm ntawm lub raum thaum lub sijhawm ultrafiltration. Creatinine yog tus cim ntsuas kev ua haujlwm ntawm lub raum. Hauv cov ntsiab lus no, creatinine tshem tawm yog cov ntshav lim los ntawm ob lub raum hauv txhua feeb txhawm rau ua kom cov ntshav tsis muaj creatinine. Hauv qhov sib piv, GFR ntsuas cov ntshav creatinine qib los txheeb xyuas qhov glomerular pom tus nqi. Hnub nyoog thiab poj niam txiv neej ua lub luag haujlwm tseem ceeb hauv kev txiav txim siab ob qho kev ntsuas. Yog li, qhov no qhia txog qhov sib txawv ntawm creatinine clearance thiab GFR.
