THEammoniyagwaji ne don auna adadinammoniya cikin jini.

Ammoniya tana taka rawa a ciki kula da pH amma abu ne mai guba wanda dole ne a canza shi da sauri kuma a kawar da shi. Idan yana da yawa (hyperammoniya), musamman mai guba ga kwakwalwa kuma yana iya haifar da rudani (cututtukan tabin hankali), kasala kuma wani lokacin ma har da suma.

Ƙirƙirar sa yana faruwa ne musamman a cikinhanjin ciki, amma kuma a matakin koda da tsoka. Detoxification yana faruwa ne a cikin hanta inda aka canza shi zuwa urea, sannan a cire shi ta wannan nau'i a cikin fitsari.

Kamar yadda wannan fili mai guba ne, yana da mahimmanci don yin gwajin ammonia lokacin da kuke zargin haɓakar haɓakar sa.

Likita na iya rubuta adadin sa:

• idan ya yi zargin a Ciwon hanta

• don gano musabbabin rashin sani ko canjin hali

• don gano abubuwan da ke haifar da suma (sai a rubuta shi tare da wasu gwaje-gwaje, kamar sukarin jini, tantance aikin hanta da koda, electrolytes)

• don saka idanu da tasiri na jiyya ga encephalopathy na hepatic (hargitsi na aikin tunani, aikin neuromuscular da sani wanda ke faruwa a sakamakon gazawar hanta na yau da kullun ko m)

Lura cewa likita na iya neman ammonia a cikin jariri idan ya yi fushi, ya yi amai, ko ya nuna gajiya sosai a kwanakin farko na haihuwarsa. Ana aiwatar da wannan adadin musamman a cikin yanayin asibiti.

Ƙaddamar da ammonia za a iya za'ayi ta hanyoyi daban-daban:

• by samfurin jini na jijiya, wanda aka yi a cikin jijiya na mata (a cikin maƙarƙashiya) ko radial artery (a cikin wuyan hannu)

• ta hanyar samfurin jini na venous, yawanci ana ɗauka a lanƙwasawa na gwiwar hannu, zai fi dacewa a kan komai a ciki

Ma'auni na al'ada ga ammonia a cikin manya suna tsakanin 10 zuwa 50 µmoles / L (micromoles per lita) a cikin jinin jijiya.

Wadannan dabi'u sun bambanta dangane da samfurin amma kuma akan dakin gwaje-gwaje da ke yin bincike. Sun yi ƙasa kaɗan a cikin jini na venous fiye da a cikin jinin jijiya. Hakanan suna iya bambanta ta hanyar jima'i kuma sun fi girma a jarirai.

Idan sakamakon ya nuna babban matakin ammonia (hyperammonemia), yana nufin cewa jiki ba zai iya karya shi sosai ba kuma ya kawar da shi. Ana iya haɗa babban ƙimar musamman tare da:

• ciwan hanta

• lalacewar hanta ko koda

• hypokalemia (ƙananan matakin potassium a cikin jini)

• ƙin zuciya

• zubar jini na ciki

• cutar cututtukan da ke shafar wasu sassa na sake zagayowar urea

• matsananciyar tsoka
• guba (maganin antiepileptic ko phalloid amanitis)

Za a iya ba da izinin rage cin abinci maras gina jiki (ƙananan nama da furotin) da jiyya (arginine, citrulline) da ke taimakawa wajen kawar da ammonia.