Maitiro Ekudzikisa Yako Potasiamu Mazinga

Zvemukati

• Mhedziso
• Kurapa kwakanyanya hyperkalemia
• Chirwere hyperkalemia kurapwa
• Mhando dzemishonga
• Diuretics
• Potassium anosunga
• Kuchinja mishonga
• Kuchinja kwekudya
• Tora woenda nazvo

Mhedziso

Hyperkalemia zvinoreva kuti mwero we potassium muropa rako wakanyanya kukwirira.

High potassium inoitika kazhinji muvanhu vane chirwere chisingaperi cheitsvo (CKD). Izvi zvinodaro nekuti itsvo dzakanangana nekubvisa yakawandisa potasium uye mamwe ma electrolyte semunyu.

Zvimwe zvikonzero zve hyperkalemia zvinosanganisira:

• metabolic acidosis
• kushungurudzika
• mimwe mishonga

Hyperkalemia kazhinji haina chero zviratidzo.

Kuti uwane yako potasiamu mazinga, wako wekuchengeta hutano anopa kuraira kweropa. Sekureva kweNational Kidney Foundation, iyo potasiamu yeropa yakakwira kupfuura 5 mmol / L inoratidza hyperkalemia.

Kusarapwa hyperkalemia kunogona kutyisidzira hupenyu, zvichikonzera kusagadzikana kwemwoyo uye kunyange kutadza kwemoyo.

Izvo zvakakosha kuti uteedzere rairo yako yemubatsiri wezvehutano uye utore matanho ekudzikisa huwandu hwe potassium

Kurapa kwako kunoenderana ne:

• yako hyperkalemia yakanyanya sei
• inokurumidza sei kuuya
• chii chiri kukonzeresa

Heano nzira dzinoverengeka dzaunogona kudzikisa yako potaziyamu mazinga.

Kurapa kwakanyanya hyperkalemia

Acute hyperkalemia inokura pamusoro pemaawa mashoma kana zuva. Inyanzvi yezvokurapa inoda kurapwa muchipatara.

Kuchipatara, vanachiremba vako uye vanamukoti vachamhanya nemiedzo, kusanganisira iyo electrocardiogram yekutarisa moyo wako.

Kurapa kwako kunoenderana nechikonzero uye kuomarara kwehyperkalemia yako. Izvi zvinogona kusanganisira kubvisa potasium kubva muropa rako ine potassium binders, diuretics, kana mune zvakakomba kesi, dialysis.

Kurapa kunogona zvakare kusanganisira kushandisa musanganiswa weiyo intravenous insulin, pamwe neglucose, albuterol, uye sodium bicarbonate. Izvi zvinobatsira kufambisa potasium kubva muropa rako kuenda mumasero ako.

Inogona zvakare kubata metabolic acidosis, imwe yakajairika mamiriro inosanganisirwa neCKD, inoitika kana paine acid yakawanda muropa rako.

Chirwere hyperkalemia kurapwa

Chirwere hyperkalemia, iyo inokura mukati memavhiki kana mwedzi, inogona kugoneswa kunze kwechipatara.

Kurapa chisingaperi hyperkalemia kazhinji kunosanganisira shanduko pakudya kwako, shanduko kumushonga wako, kana kutanga mushonga senge potassium binders.

Iwe neako mupi wezvehutano unozonyatso tarisa ako potaziyamu mazinga.

Mhando dzemishonga

Diuretics uye potassium binders ndiwo maviri akajairika marudzi emishonga anogona kurapa hyperkalemia.

Diuretics

Diuretics inowedzera kuyerera kwemvura, sodium, uye mamwe maelectrolyte akafanana ne potassium kunze kwemuviri. Ivo chikamu chakajairika chekurapa kune zvese zvakanyanya uye zvisingaperi hyperkalemia. Diuretics inogona kudzora kuzvimba uye kudzikisa BP, asi inogona kukonzeresa kushaya mvura uye nezvimwe zvinokanganisa.

Potassium anosunga

Potassium binders anoshanda kurapa hyperkalemia nekuwedzera huwandu hwe potassium muviri wako unobuda kuburikidza nekufamba kwematumbu.

Kune akatiwandei marudzi e potassium binders ayo chiremba wako anogona kupa, senge:

• sodium polystyrene sulfonate (SPS)
• karusiyamu polystyrene sulfonate (CPS)
• mutariri (Veltassa)
• sodium zirconium cyclosilicate (Lokelma)

Patiromer uye sodium zirconium cyclosilicate maviri marapirwo matsva ekurapa kwehyperkalemia. Ose ari maviri anogona kuve anonyanya kushanda sarudzo kune vanhu vane chirwere chemwoyo kana chirwere cheshuga, sezvo vachigonesa kuenderera kushandiswa kwemimwe mishonga inogona kutungamira ku hyperkalemia.

Kuchinja mishonga

Mimwe mishonga inogona kukonzera hyperkalemia. Kuwedzera kweropa mishonga inozivikanwa se renin-angiotensin-aldosterone system (RAAS) inhibitors dzimwe nguva inotungamira kune yakakwira potasiamu mazinga.

Mimwe mishonga inosanganisirwa ne hyperkalemia inosanganisira:

• nonsteroidal anti-anogumbura zvinodhaka (NSAIDs)
• beta-blockers yeakakwira BP
• heparin, ropa rakaonda
• calcineurin inhibitors ye immunosuppressive therapy

Kutora potasiamu zvinowedzera zvinogona zvakare kutungamira kune yakakwira potasiamu mazinga.

Izvo zvakakosha kuti utaure nevatapi vako vezvehutano nezve chero nemishonga yese uye zvinowedzera zvaunotora kuti ubatsire kuziva chinokonzera hyperkalemia yako.

Izvi zvichavabvumidzawo kuti vape mazano akakodzera ekuderedza potasium yako.

Kana yako hyperkalemia ichikonzerwa nemushonga iwe waunotora izvozvi, wako mupi wezvehutano anogona kukurudzira kushandura kana kumisa iwo mushonga.

Kana, ivo vanogona kukurudzira dzimwe shanduko kuchikafu chako kana nzira yaunobika nayo. Kana shanduko yekudya ikasabatsira, vanogona kupa mushonga wehyperkalemia, senge potassium binders.

Kuchinja kwekudya

Hutano hwako hunopa hungakurudzira yakaderera potasium chikafu kuti utarise yako hyperkalemia.

Pane nzira mbiri dziri nyore dzekudzikisa huwandu hwe potassium yaunodya, iri:

• kudzivirira kana kudzikisira zvimwe zvakakwirira zve potassium chikafu
• kufashaidza zvimwe zvekudya usati wazvidya

Zvikafu zvepamusoro zve potassium zvekumisa kana kudzivirira zvinosanganisira:

• midzi miriwo yakadai sebeet uye beet magidhi, taro, parsnips, uye mbatatisi, yams, uye mbatatisi (kunze kwekunge yabikwa)
• mabhanana uye mapureni
• sipinashi
• avocado
• prunes uye prune muto
• mazambiringa akaomeswa
• mazuva
• madomasi akaomeswa nezuva kana akachena, kana matomatisi
• bhinzi (semabhinzi ezadzuki, bhinzi yeitsvo, nhokwe, soya, nezvimwewo)
• bran
• machipisi
• machipisi
• chokoreti
• nzungu
• yogati
• munyu zvinotsiva

High potassium zvinwiwa kudzikisira kana kudzivirira zvinosanganisira:

• kofi
• michero kana jisi remuriwo (kunyanya kushuvira michero uye majusi ekaroti)
• waini
• doro
• cider
• mukaka

Kubika zvimwe zvekudya kunogona kudzikisa huwandu hwepotasium mavari.

Semuenzaniso, mbatatisi, mbambaira, mbatatisi, uye sipinashi zvinogona kubikwa kana kubikwa zvishoma uye kudiridzwa. Ipapo, iwe unogona kuvagadzirira iwo maitiro aunowanzoita nekutsisa, kugova, kana kubheka ivo.

Chikafu chinobika chinobvisa imwe potasium. Zvisinei, dzivisa kudya mvura yawakabikira chikafu mukati, uko potassium ichasara.

Chiremba wako kana nyanzvi yezvokudya anokwanisa zvakare kukurudzira kuti udzivise zvinotsiva munyu, izvo zvinogadzirwa ne potassium chloride. Izvi zvinogona zvakare kuwedzera ako potaziyamu mazinga.

Tora woenda nazvo

Anopa hutano hwako anoshanda newe kuti uwane kurapwa kwakaringana kubata yako isingaperi hyperkalemia kana kukubatsira kuti udzivise chikamu chakakomba.

Kuchinja mushonga wako, kuyedza mushonga mutsva, kana kutevera yakaderera potasium chikafu kunogona kubatsira.