Yakaderera ropa sodium

Yakaderera ropa sodium ndiyo mamiriro ayo huwandu hwesodium muropa iri pasi pane zvakajairwa. Zita rekurapa remamiriro aya hyponatremia.

Sodium inowanikwa zvakanyanya mumuviri wemvura kunze kwemasero. Sodium ndiyo electrolyte (chicherwa). Izvo zvakakosha kwazvo mukuchengetedza BP.Sodium inodikanwa zvakare kuti tsinga, mhasuru, uye mamwe matishu emuviri zvishande nemazvo.

Kana huwandu hwesodium mune zvinwiwa kunze kwemasero inodonha pazasi peyakajairwa, mvura inofamba ichipinda mumasero kuyera iwo mazinga Izvi zvinoita kuti maseru azvimbe nemvura yakawandisa. Maseru ehuropi anonyanya kujeka kuzvimba, uye izvi zvinokonzeresa mazhinji ezviratidzo zveiyo yakaderera sodium.

Neropa rakaderera sodium (hyponatremia), kusaenzana kwemvura kune sodium kunokonzerwa neimwe yemamiriro matatu:

• Euvolemic hyponatremia - huwandu hwemvura yemuviri hunowedzera, asi iro remuviri we sodium inoramba yakadaro
• Hypervolemic hyponatremia - ese ari sodium uye emvura zvirimo mumuviri zvinowedzera, asi kuwana mvura kwakanyanya
• Hypovolemic hyponatremia - mvura uye sodium zvese zvakarasika kubva mumuviri, asi kurasikirwa kwesodium kwakakura

Low ropa sodium inogona kukonzerwa ne:

• Zvinopisa zvinokanganisa nzvimbo hombe yemuviri
• Manyoka
• Dauretic mishonga (mapiritsi emvura), ayo anowedzera weti kubuda uye kurasikirwa kwesodhidhi kuburikidza neweti
• Kutadza kwemoyo
• Zvirwere zveitsvo
• Chiropa cirrhosis
• Syndrome isina kukodzera antidiuretic hormone secretion (SIADH)
• Kudikitira
• Kusvipa

Zviratidzo zvakajairika zvinosanganisira:

• Kuvhiringidzika, kutsamwa, kusagadzikana
• Kugwinha
• Kuneta
• Kutemwa nemusoro
• Kupererwa nechido
• Tsvina kushaya simba, kutsemuka, kana kurwadza
• Nausea, kurutsa

Anopa hutano anozoongorora zvizere uye abvunze nezve zviratidzo zvako. Kuongororwa kweropa uye weti kuchaitwa.

Lab miedzo iyo inogona kusimbisa uye kubatsira kuongorora yakaderera sodium inosanganisira:

• Inonzwisisika metabolic pani (inosanganisira ropa sodium, yakajairwa renji iri 135 kusvika 145 mEq / L, kana 135 kusvika 145 mmol / L)
• Osmolality yeropa bvunzo
• Weti osmolality
• Urine sodium (yakajairika mwero iri 20 mEq / L mune yakasarudzika weti sampuro, uye 40 kusvika 220 mEq pazuva kweiyo 24-awa weti bvunzo)

Icho chinokonzera yakaderera sodium inofanirwa kuongororwa uye kurapwa. Kana gomarara riri iro rinokonzera mamiriro acho, ipapo radiation, chemotherapy, kana kuvhiyiwa kubvisa bundu kunogona kugadzirisa kusaenzana kwesodium.

Mamwe marapirwo anoenderana nerumwe rudzi rwehyponatremia.

Mishonga inogona kusanganisira:

• Mvura kuburikidza nemutsinga (IV)
• Mishonga yekubvisa zviratidzo
• Kukanganisa kudyiwa kwemvura

Mhedzisiro inoenderana nemamiriro ari kukonzera dambudziko. Yakaderera sodium iyo inoitika mumaawa asingasviki makumi mana nemasere (acute hyponatremia), ine njodzi kupfuura yakaderera sodium iyo inokura zvishoma nezvishoma nekufamba kwenguva. Kana mwero wesodium uchidonha zvishoma nezvishoma pamusoro pemazuva kana mavhiki (chisingaperi hyponatremia), maseru ehuropi ane nguva yekugadzirisa uye kuzvimba kungave kushoma.

Muzviitiko zvakakomba, yakaderera sodium inogona kutungamira ku:

• Kuderera kwekuziva, kuona zvisizvo kana coma
• Brain herniation
• Rufu

Kana mwero wemuviri wako uchidonha zvakanyanya, inogona kuve inotyisa hupenyu. Fonera waunopa ipapo ipapo kana uine zviratidzo zveichi chiitiko.

Kurapa iyo mamiriro ari kukonzera yakaderera sodium kunogona kubatsira.

Kana iwe ukatamba mitambo kana kuita chimwe chiitiko chine simba, inwa zvinwiwa zvakadai semadrinks emitambo ane maelectrolyte ekuchengetedza mwero wemuviri wako mune yakatarwa ine hutano.

Hyponatremia; Dilutional hyponatremia; Euvolemic hyponatremia; Hypervolemic hyponatremia; Hypovolemic hyponatremia

Dineen R, Hannon MJ, Thompson CJ. Hyponatremia uye hypernatremia. Muna: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Vakuru uye Chiremba. 7th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 112.

Diki M.Metabolic emergency. Muna: Cameron P, Jelinek G, Kelly AM, Brown A, Little M, eds. Chinyorwa cheVakuru Emergency Medicine. 4th ed. Philadelphia, PA: Elsevier; 2015: chikamu 12.