Bvunza iyo Nyanzvi: Kuziva uye Kurapa Hyperkalemia

Zvemukati

• 1. Ndezvipi zvinonyanya kukonzera hyperkalemia?
• 2. Ndeapi marapirwo anowanikwa kune hyperkalemia?
• 3. Ndezvipi zviratidzo zvekuyambira zvehyperkalemia?
• 4. Ndinoziva sei kuti ndine hyperkalemia ine simba?
• 5. Chii chandinofanira kusanganisira mukudya kwangu kubatsira kudzikisa potasium?
• 6. Ndezvipi zvekudya zvandinofanira kudzivisa?
• 7. Ndeipi njodzi dzekusarapwa hyperkalemia?
• 8. Pane here chero imwe shanduko yemararamiro yandingaite kudzivirira hyperkalemia?

1. Ndezvipi zvinonyanya kukonzera hyperkalemia?

Hyperkalemia inoitika kana huwandu hwe potassium muropa rako hwanyanya. Kune zvikonzero zvinoverengeka zvehyperkalemia, asi izvo zvitatu zvikonzero zvikuru ndezvi:

• kutora potasiamu yakawandisa
• kuchinja kwe potassium nekuda kwekurasikirwa neropa kana kupera mvura mumuviri
• kutadza kuburitsa potassium kuburikidza neitsvo dzako nemazvo nekuda kwechirwere cheitsvo

Kukwidziridzwa kwenhema kwe potassium kunowanzoonekwa pane zvabuda murabhor. Izvi zvinozivikanwa se pseudohyperkalemia. Kana mumwe munhu aine yakakwira potasiamu kuverenga, chiremba anozoiongorora kuti ave nechokwadi chekuti kukosha kwechokwadi.

Mimwe mishonga inogona kukwirisa potasiamu mazinga zvakare. Izvi zvinowanzo mumamiriro emumwe munhu ane chirwere chakakomba kana chisingaperi cheitsvo.

2. Ndeapi marapirwo anowanikwa kune hyperkalemia?

Pane nzira dzakasiyana dzekurapa kwe hyperkalemia. Kutanga, chiremba wako achave nechokwadi chekuti iyo hyperkalemia haina kukonzera chero shanduko yemoyo nekuita iwe kuti upinde EKG. Kana iwe ukaita isina kugadzikana yemoyo rhythm nekuda kweakakwira potaziyamu mazinga, ipapo chiremba wako anokupa iwe calcium calcium kurapa kudzikamisa moyo wako mutinhimira.

Kana pasina chero shanduko yemoyo, chiremba wako anogona kukupa insulin inoteverwa neiyo glucose infusion. Izvi zvinobatsira kudzikisa huwandu hwe potassium nekukurumidza.

Kutevera izvi, chiremba wako anogona kukurudzira mushonga kuti ubvise potasium kubva mumuviri wako. Sarudzo dzinosanganisira chiuno kana thiazide diuretic mishonga kana a cation exchanger mishonga. Iwo macation exchangers anowanikwa patiromer (Veltassa) kana sodium zirconium cyclosilicate (Lokelma).

3. Ndezvipi zviratidzo zvekuyambira zvehyperkalemia?

Iko kazhinji hakuna zviratidzo zvekuyambira zvehyperkalemia. Vanhu vane hunyoro kana kunyangwe zvine mwero hyperkalemia vanogona kunge vasina chero zviratidzo zvemamiriro acho.

Kana mumwe munhu aine shanduko yakakwana zvakakwana mumatanho avo e potassium, vanogona kusangana nekushaya simba kwemhasuru, kuneta, kana kusvotwa. Vanhu vanogona zvakare kuve nemoyo EKG shanduko inoratidza isina kujairika kurova kwemoyo, inozivikanwa se arrhythmia.

4. Ndinoziva sei kuti ndine hyperkalemia ine simba?

Kana iwe uine zvakanyanya hyperkalemia, zviratidzo zvinosanganisira mhasuru kushaya simba kana kupera mitezo uye kuderera kwetendon reflexes. Hyperkalemia inogona zvakare kukonzera kusagadzikana kwemwoyo. Kana hyperkalemia yako ichikonzera kushanduka kwemoyo, iwe unozogamuchira kurapwa ipapo ipapo kuti udzivise rhythm yemoyo inogona kutungamira mukusungwa kwemoyo.

5. Chii chandinofanira kusanganisira mukudya kwangu kubatsira kudzikisa potasium?

Kana iwe uine hyperkalemia, vanachiremba vanokuraira iwe kuti udzivise zvimwe zvekudya zvakakwirira mu potassium. Iwe unogona zvakare kuve nechokwadi chekunwa yakawanda mvura. Kushaya mvura mumuviri kunogona kuita kuti hyperkalemia iwedzere.

Iko hakuna chero chakatarwa chikafu chinozodzikisa yako potasium level, asi kune chikafu chine mashoma ezasi eepotassium. Semuenzaniso, maapuro, michero, cauliflower, mupunga, uye pasta zvese zviri pasi-potasium chikafu. Zvakadaro, zvakakosha kudzikamisa zvikamu zvako zvehukuru kana uchidya izvi zvekudya.

6. Ndezvipi zvekudya zvandinofanira kudzivisa?

Iwe unofanirwa kuve nechokwadi chekudzivirira chikafu chakazara mu potassium. Izvi zvinosanganisira michero yakadai semabhanana, kiwis, mango, cantaloupe, nemaorenji. Muriwo wakakwirisa mu potassium unosanganisira sipinashi, madomasi, mbatatisi, broccoli, beet, makotapeya, karoti, squash, uye mahara bhinzi.

Zvakare, michero yakaomeswa, gungwa, nzungu, uye nyama tsvuku zvakapfuma mu potassium. Chiremba wako anogona kukupa iwe runyorwa ruzere rweakakwira-potasium chikafu.

7. Ndeipi njodzi dzekusarapwa hyperkalemia?

Hyperkalemia iyo isina kurapwa zvakanaka inogona kukonzeresa yakakomba yemoyo arrythmia. Izvi zvinogona kutungamira mukusungwa kwemoyo uye kufa.

Kana chiremba wako akakuudza kuti yako lab zvabuda zvinoratidza hyperkalemia, iwe unofanirwa kurapwa kubva ipapo. Chiremba wako anoongorora ako potasium mazinga zvakare kutonga kunze pseudohyperkalemia. Asi kana iwe uine hyperkalemia, chiremba wako anoenderera nekurapa kuunza yako potasiamu mazinga pasi.

8. Pane here chero imwe shanduko yemararamiro yandingaite kudzivirira hyperkalemia?

Izvo zvinoitika zvehyperkalemia mukati mehuwandu hwevanhu zvakaderera. Vanhu vazhinji vanogona kudya chikafu chakapfuma mu potasium kana kuve pamishonga pasina yavo potasiamu mazinga ari kuwedzera. Vanhu vari panyatwa yehyperkalemia ndevaya vane chirwere cheitsvo chakanyanya kana chisingaperi.

Unogona kudzivirira chirwere cheitsvo nekutungamira mararamiro ane hutano. Izvi zvinosanganisira kudzora kuwedzerwa kweropa rako, kurovedza muviri, kudzivirira zvigadzirwa zvefodya, kudzikisira doro, uye kuchengetedza huremu hwakanaka.

Alana Biggers, MD, MPH, FACP, anodzidzira basa uye anobatsira purofesa wemishonga paUniversity of Illinois-Chicago (UIC) College of Medicine, kwaakatambira degree rake reMD. Iye zvakare ane Master of Veruzhinji Hutano mune chisingaperi chirwere epidemiology kubva kuTulane University Chikoro cheParuzhinji Hutano uye Tropical Mishonga uye akapedza hukama hweveruzhinji kuyanana kuCenters for Disease Control and Prevention (CDC). Dr.Biggers vane zvavanofarira mukutsvagisa kwehutano kusagadzikana uye parizvino vane NIH rubatsiro rwekutsvagisa chirwere cheshuga mellitus uye kurara.