Hyperkalemic nguva nenguva kuoma mitezo

Hyperkalemic periodic kuoma mitezo (hyperPP) chirwere chinokonzera dzimwe nguva zvikamu zvekushaya simba kwemhasuru uye dzimwe nguva zvakakwirira kupfuura zvakajairika potasiamu muropa. Iro zita rekurapa repamusoro potaziyamu nhanho ndeye hyperkalemia.

HyperPP ndeimwe yeboka rematambudziko echisikigo anosanganisira hypokalemic periodic kuoma mitezo uye thyrotoxic periodic kupora.

HyperPP inoberekwa. Izvi zvinoreva kuti iripo pakuzvarwa. Muzviitiko zvakawanda, inopfuudzwa pasi kuburikidza nemhuri (nhaka) sechirwere chakakomba chinotyisa. Mune mamwe mazwi, mubereki mumwe chete ndiye anoda kupfuudza jeni rine chekuita neichi mamiriro kumwana wavo kuitira kuti mwana abatwe.

Dzimwe nguva, mamiriro acho anogona kunge ari mhedzisiro yedambudziko remajini risingagare nhaka.

Zvinotendwa kuti kusagadzikana kune hukama nematambudziko nenzira iyo muviri unodzora sosi uye potasiamu mazinga mumasero.

Njodzi zvinhu zvinosanganisira kuve nedzimwe nhengo dzemhuri dzine nguva nenguva yekuoma mitezo. Inobata varume nevakadzi zvakaenzana.

Zviratidzo zvinosanganisira kurwiswa kwemhasuru kushaya simba kana kurasikirwa kwekufamba kwemhasuru (kuoma mitezo) kunouya nekuenda. Iko kune yakajairwa mhasuru simba pakati pekurwiswa.

Kurwiswa kunowanzotanga muhudiki. Kakawanda sei kurwiswa kunoitika kunosiyana. Vamwe vanhu vanorwiswa kakawanda pazuva. Ivo kazhinji havana kuomarara zvakakwana zvekuda kurapwa. Vamwe vanhu vakabatanidza myotonia, umo mavanotadza kuzorodza mhasuru yavo mushure mekushandisa.

Iko kushaya simba kana kuoma mitezo:

• Kazhinji zvinowanzoitika pamafudzi, musana, nehudyu
• Inogona zvakare kusanganisira maoko nemakumbo, asi haigadzirise mhasuru dzemaziso nemhasuru zvinobatsira nekufema uye nekumedza
• Kazhinji zvinowanzoitika panguva yekuzorora mushure mekuita kana kurovedza muviri
• Zvinogona kuitika pakumuka
• Inoitika uye kudzima
• Kazhinji inotora maminetsi gumi neshanu kusvika paawa imwe, asi inogona kutora kusvika kuzuva rese

Zvinokanganisa zvinogona kusanganisira:

• Kudya yakakwira makabhohaidhiretsi kudya
• Zorora mushure mekurovedza muviri
• Kuratidzira kunotonhora
• Kurega kudya
  
• Kudya potassium-rich chikafu kana kutora mishonga ine potasium
• Kushungurudzika
  

Iye wekuchengetedza hutano anogona kufungidzira hyperPP zvichibva pane nhoroondo yemhuri yechirwere. Zvimwe zvinongedzo kune iyo kusagadzikana ndeye mhasuru kushaya simba zviratidzo zvinouya uye kuenda neyakajairwa kana yakakwira mhedzisiro yeiyo potassium bvunzo.

Pakati pekurwiswa, kuongororwa kwemuviri hakuratidze chero chinhu chisina kujairika. Munguva uye pakati pekurwiswa, potasiamu reropa inogona kuve yakajairika kana yakakwira.

Munguva yekurwiswa, mhasuru yekufungisisa yakadzikira kana isipo. Uye mhasuru dzinoenda dzichikamhina pane kugara dzakaomarara. Masumbu emhasuru padyo nemuviri, senge mapfudzi nehudyu, anobatanidzwa kakawanda kupfuura maoko nemakumbo.

Miedzo inogona kuitwa inosanganisira:

• Electrocardiogram (ECG), iyo inogona kunge isina kujairika panguva yekurwiswa
• Electromyography (EMG), iyo inowanzoitika pakati pekurwiswa uye kusanzwisisika panguva yekurwiswa
• Tsvina biopsy, iyo inogona kuratidza kusagadzikana

Mimwe bvunzo inogona kurairwa kutonga zvimwe zvikonzero.

Chinangwa chekurapa ndechekusunungura zviratidzo uye kudzivirira kumwe kurwiswa.

Kurwiswa hakuwanzo kuve kwakakomba zvakakwana zvekuti kungoda kurapwa kwechimbichimbi. Asi kusagadzikana kwemwoyo (moyo arrhythmias) kunogona kuitika panguva yekurwiswa, uko kunoda kurapwa nechimbichimbi. Kuderera kwemhasuru kunogona kuwedzera nekurwadziswa kwakadzokororwa, saka kurapwa kwekudzivirira kurwiswa kunofanira kuitika nekukurumidza sezvazvinogona.

Glucose kana mamwe makabhohaidhiretsi (mashuga) anopiwa panguva yekurwiswa anogona kudzikisira kuomarara kwezviratidzo. Calcium kana diuretics (mapiritsi emvura) ingangoda kupihwa kuburikidza netsinga kuti imise kurwiswa kamwe kamwe.

Dzimwe nguva, kurwiswa kunonyangarika gare gare muhupenyu pachavo. Asi kuramba uchirwiswa kunogona kutungamira mukusasimba kwemhasuru kusingaperi.

HyperPP inopindura zvakanaka pakurapwa. Kurapa kunogona kudzivirira, uye kunogona kutodzosera kumashure, kufambira mberi kwemhasuru kushaya simba.

Matambudziko ehutano anogona kunge ari nekuda kwehyppp anosanganisira:

• Itsvo mabwe (divi mhedzisiro yemushonga inoshandiswa kurapa mamiriro)
• Kusarongeka kwemoyo
• Tsvina kushaya simba iyo inoramba ichiwedzera kuwedzera

Fonera mupiki wako kana iwe kana mwana wako aine mhasuru kushaya simba kunouya nekuenda, kunyanya kana iwe uine nhengo dzemhuri dzine nguva nenguva yekufa mitezo.

Enda kuimba yekukurumidzira kana kufonera iyo yemuno emergency emergency (yakadai se911) kana ukapera simba kana uchinetseka kufema, kutaura, kana kumedza.

Mishonga acetazolamide uye thiazides inodzivirira kurwiswa kazhinji. Potasiamu yakaderera, kudya kwakanyanya kwehydrohydrate, uye kurovedza muviri kwakareruka kunogona kubatsira kudzivirira kurwiswa. Kudzivisa kutsanya, kuita basa rinonetesa, kana kutonhora kunotonhora zvakare kunogona kubatsira.

Periodic kuoma mitezo - hyperkalemic; Kuzivikanwa kwehyperkalemic nguva nenguva kuora mitezo; HyperKPP; HyperPP; Chirwere cheGamstorp; Potassium-inonzwisisika nguva nenguva kupora

• Tsandanyama atrophy

Amato AA. Kushungurudzika kwemhasuru yemhasuru. Mune: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology muClinical Dzidzira. 7th ed. Philadelphia, PA: Elsevier; 2016: chits. 110.

Kerchner GA, Ptácek LJ. Channelopathies: episodic uye magetsi kusagadzikana kwehurongwa hwetsinga. Mune: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SK, eds. Bradley's Neurology muClinical Dzidzira. 7th ed. Philadelphia, PA: Elsevier; 2016: chits. 99.

Moxley RT, Heatwole C. Channelopathies: myotonic kusagadzikana uye kupora nguva nenguva. Mune: Swaiman KF, Ashwal S, Ferriero DM, et al, eds. Swaiman's Pediatric Neurology: Misimboti uye Maitiro. 6th ed. Philadelphia, PA: Elsevier; 2017: chitsiko 151.