Yakakwira potasiamu nhanho

High potassium level idambudziko rekuti potasium muropa iri pamusoro kupfuura zvakajairwa. Zita rekurapa remamiriro aya hyperkalemia.

Potassium inodiwa kuti masero ashande zvakanaka. Iwe unowana potasium kuburikidza nechikafu. Itsvo dzinobvisa potasiamu yakawandisa kuburikidza neweti kuti irambe yakaringana chiyero cheichi chicherwa mumuviri.

Kana itsvo dzako dzisiri kushanda nemazvo, dzinogona kusakwanisa kubvisa huwandu hwakakodzera hwe potassium. Nekuda kweizvozvo, potasium inogona kuvaka muropa. Iyi buildup inogona zvakare kuve nekuda kwe:

• Chirwere cheAdisonison - Chirwere mune izvo zvipenga zveadrenal zvisingaite mahormone akakwana, zvichideredza itsvo 'kugona kubvisa potasium kubva mumuviri
• Inopisa pamusoro penzvimbo huru dzemuviri
• Imwe yeropa inoderedza mishonga, kazhinji angiotensin-inoshandura enzyme (ACE) inhibitors uye angiotensin receptor blockers
• Kukuvara kwemhasuru uye mamwe maseru kubva kune mamwe madhiragi emumugwagwa, kunwa doro zvisina mwero, kubatwa zvisina kurapwa
• Kukanganiswa kunokonzera masero eropa kuputika (hemolytic anemia)
• Kubuda ropa kwakanyanya kubva mudumbu kana ura
• Kutora imwe potasium, senge inotsiva munyu kana zvinowedzera
• Mamota

Iko kazhinji hakuna zviratidzo nehurefu hwakakwira hwe potassium. Kana zviratidzo zvikaitika, zvinogona kusanganisira:

• Kusvotwa kana kurutsa
• Kunetseka kufema
  
• Inononoka, isina kusimba, kana isina kujairika kupomba
• Kurwadziwa pachifuva
  
• Palpitations
  
• Kamwe kamwe kudonha, apo kurova kwemoyo kunononoka kana kutomira

Anopa hutano anoita bvunzo dzepanyama uye obvunza nezve zviratidzo zvako.

Miedzo inogona kurairwa inosanganisira:

• Electrocardiogram (ECG)
• Ropa potasiamu mwero

Wako mupi angangotarisa yako potassium eropa uye oita itsvo kuongororwa ropa nguva dzose kana iwe:

• Wakatemerwa kuwedzera potasium
• Iva nechirwere chenguva refu (chisingaperi) cheitsvo
• Tora mishonga yekurapa chirwere chemwoyo kana BP
• Shandisa zvinotsiva munyu

Iwe uchazoda kurapwa nechimbichimbi kana yako potasiamu yakanyanya kukwirira, kana kana uine zviratidzo zvengozi, senge shanduko muECG yako.

Emergency kurapwa kunogona kusanganisira:

• Calcium inopihwa mutsinga dzako (IV) kurapa mhasuru nemoyo zvinokwirisa zvepamusoro potasiamu mazinga
• Glucose uye insulin inopihwa mutsinga dzako (IV) kubatsira kudzikisa huwandu hwe potassium kwenguva yakareba zvakakwana kugadzirisa iyo chikonzero
• Itsvo dialysis kana yako itsvo basa iri murombo
• Mishonga inobatsira kubvisa potasium kubva mumatumbu isati yatorwa
• Sodium bicarbonate kana dambudziko racho richikonzerwa neacidosis
• Mamwe mapiritsi emvura (diuretics) ayo anowedzera kubuda kwe potassium neitsvo dzako

Shanduko mukudya kwako dzinogona kubatsira zvese kudzivirira uye kurapa yakakwira potasiamu mazinga. Iwe unogona kukumbirwa ku:

• Deredza kana kudzivirira asparagus, makotapeya, mbatatisi, matomatisi kana muto wemadomasi, squash yechando, manhanga, uye sipinashi yakabikwa
• Ganhurira kana kudzivirira maorenji uye jisi reorenji, nectarines, kiwifruit, mazambiringa akaomeswa, kana mimwe michero yakaomeswa, mabhanana, cantaloupe, honeydew, prunes, uye nectarines
• Ganhurira kana kudzivirira kutora zvinotsiva munyu kana iwe ukakumbirwa kutevera yakaderera-munyu chikafu

Mupi wako anogona kuita zvinotevera shanduko kumishonga yako:

• Deredza kana kumisa potasium zvinowedzera
• Mira kana shandura madosi emishonga yauri kutora, senge yechirwere chemoyo uye neBP
• Tora imwe mhando yemapiritsi emvura kuti uderedze potasium uye huwandu hwemvura kana uine chirwere chisingaperi cheitsvo

Tevedza zvinongedzo zvemupi wako kana uchitora mishonga yako:

• Usamire kana kutanga kutora mishonga usati watanga kutaura nemupi wako
• Tora mishonga yako nenguva
• Udza mupiki wako nezve chero mimwe mishonga, mavitamini, kana zvinowedzera zvauri kutora

Kana iyo mhaka ichizivikanwa, senge yakawandisa potasium mukudya, maonero akanaka kana dambudziko ragadziriswa. Muzviitiko zvakakomba kana izvo zvinoramba zviine njodzi, potasium yakawanda inogona kudzoka zvakare.

Zvinetso zvinogona kusanganisira:

• Moyo unongoerekana wamira kurova (kusungwa kwemoyo)
• Kushaya simba
• Itsvo kutadza

Fonera mupiki wako ipapo ipapo kana uchirutsa, kurova maronda, kushaya simba, kana kunetseka kufema, kana kana iwe uri kutora potasium yekuwedzera uye uine zviratidzo zvepamusoro potasium.

Hyperkalemia; Potassium - yakakwira; Yakakwira ropa potasium

• Kuongorora ropa

Gomo DB. Kukanganisika kweiyo potasiamu chiyero. Mune: Skorecki K, Chertow GM, Marsden PA, Taal MW, Yu ASL, eds. Brenner uye Rector Iyo Itsvo. 10th ed. Philadelphia, PA: Elsevier; 2016: chits.

Seifter JL. Matambudziko ePotassium. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chits. 109.