Hyperkalaemia: chii, zviratidzo zvikuru uye kurapwa
Zvemukati
Hyperkalaemia, inonziwo hyperkalemia, inoenderana nekuwedzera kwehuwandu hwe potasium muropa, iine kusangana pamusoro pehuwandu hwehuwandu, huri pakati pe3.5 ne5.5 mEq / L.
Kuwedzera kwehuwandu hwe potassium muropa kunogona kukonzera kumwe kunetseka senge kushomeka kwemhasuru, shanduko mukurova kwemoyo uye kunetseka kufema.
Iyo yakakosha potasium muropa inogona kuve nezvakawanda zvikonzero, zvisinei zvinoitika zvakanyanya semhedzisiro yezvinetso zveitsvo, izvi imhaka yekuti itsvo dzinogadzirisa kupinda nekubuda kwe potassium mumasero. Kuwedzera kumatambudziko eitsvo, hyperkalaemia inogona kuitika nekuda kwehyperglycemia, congestive moyo kutadza kana metabolic acidosis.
Zviratidzo zvikuru
Kuwedzera kwehuwandu hwe potassium muropa kunogona kutungamira mukuonekwa kwezvimwe zviratidzo uye zviratidzo, izvo zvinogona kupedzisira zvoregeredzwa, senge:
- Kurwadziwa pachifuva;
- Shanduko mukurova kwemoyo;
- Unhu kana kugwinha kwekunzwa;
- Tsvina kushaya simba uye / kana kuora mitezo.
Uye zvakare, panogona kuve nekurutsa, kurutsa, kunetseka kufema uye kusagadzikana kwepfungwa. Kana achipa izvi zviratidzo, munhu wacho anofanira kutsvaga rubatsiro rwechiremba nekukurumidza sezvinobvira kuti aongorore ropa uye weti uye, kana zvichidikanwa, atange kurapwa kwakakodzera.
Iyo yakajairika potaziyamu yeropa iri pakati pe3.5 uye 5.5 mEq / L, nemitengo iri pamusoro pe5.5 mEq / L inoratidza hyperkalaemia. Ona zvimwe pamusoro pemazinga eropa potasium uye nei vangashandurwe.
Zvinogona kukonzera hyperkalaemia
Hyperkalaemia inogona kuitika semhedzisiro yemamiriro akati wandei, akadai se:
- Kushayikwa kwe insulini;
- Hyperglycemia;
- Metabolic acidosis;
- Zvirwere zvisingaperi;
- Chakakomba itsvo kutadza;
- Chisingaperi itsvo kutadza;
- Kuvhiringidzika kwemoyo kukundikana;
- Nephrotic chirwere;
- Cirrhosis.
Uye zvakare, kuwedzera kwehuwandu hwe potassium muropa kunogona kuitika nekuda kwekushandisa kwemimwe mishonga, mushure mekuisirwa ropa kana mushure mekurapwa nemwaranzi.
Kurapwa kunoitwa sei
Kurapa kwehyperkalemia kunoitwa zvichienderana nechikonzero chekuchinja, uye kushandiswa kwemishonga munzvimbo yechipatara kunogona kuratidzwa. Mhosva dzakakomba dzisarapwa nekukasira dzinogona kutungamira mukusungwa kwemoyo uye huropi kana zvimwe zvinokanganisa nhengo.
Kana potassium yakakwira muropa ichiitika nekuda kwekukundikana kweitsvo kana kushandiswa kwemishonga yakadai secalcium gluconate uye diuretics, semuenzaniso, hemodialysis inogona kuratidzwa.
Kudzivirira hyperkalaemia, mukuwedzera pakutora mishonga, zvakakosha kuti murwere ave netsika yekumedza munyu mushoma mukudya kwavo, achidzivirira zvinotsiva zvavo zvakaita semacube emwaka, ayo akapfuma mu potassium. Kana munhu aine kashoma kuwedzera mu potasium muropa, mushonga wakanaka wepamba kunwa mvura yakawanda uye kudzikisa kudyiwa kwezvikafu zvakapfuma mu potassium, senge nzungu, mabhanana uye mukaka. Ona rondedzero izere ye potassium sosi yekudya iwe yaunofanirwa kudzivirira.