So ɛtɔ mmere bi a wote nka sɛ wo nipadua ayɛ mmerɛw ara kwa, wo nsa ne wo nan reyɛ ayɛ mmerɛw, wo ntini reyɛ ayɛ wo yaw? Ɛwom sɛ eyinom betumi ayɛ te sɛ nneɛma a ɛfata de, nanso ɛtɔ mmere bi a ebetumi ayɛ biribi a ɛho hia a ɛrekɔ so wɔ wo nipadua mu ho sɛnkyerɛnne. Ɛnnɛ yɛrebɛka tebea a ɛte saa biako ho asɛm, a ɛne potassium dodow a ɛba fam wɔ nipadua no mu, anaasɛ wɔ aduruyɛ mu no, hypokalemia .
Sɛ yɛbɛka no tiawa a, eyi yɛ potassium , ade a ɛsɛ sɛ ɛwɔ yɛn mogya mu a ɛso tew. Afei ebia woresusuw ho sɛ, ‘Dɛn ne potassium yi, so ɛho hia saa?’ Yiw, ɛho hia paa! Potassium ho hia na ama yɛn ntini ahorow no ayɛ adwuma yiye, ama yɛn nkwammoaa no anya aduannuru a ehia, na yɛn ntini ahorow no ayɛ adwuma yiye. Potassium ho hia titiriw ma yɛn koma nkwammoaa . Ɛboa nso ma wotumi siw mogya mmoroso so sɛnea ɛbɛyɛ a ɛrenkɔ soro dodo.
Dɛn nti na potassium so tew saa? (Nea ɛde ba) .
Nokwarem no, nneɛma pii wɔ hɔ a enti ebia potassium sua yɛn nipadua mu. Ɛtɔ mmere bi a ebetumi afi potassium a ɛboro so a ɛyera denam yɛn aduan mu nhyehyɛe so . Anaasɛ ebetumi nso ayɛ aduruyɛ mu tebea foforo ho sɛnkyerɛnne.
Dɛn ne ade titiriw a ɛma potassium sua?
Mpɛn pii no, nea ɛde potassium dodow a ɛba fam ba titiriw ne nnuru bi a wɔde sa tebea horow te sɛ komayare anaa mogya mmoroso . Titiriw no, diuretics , anaa "nsu mu nnuru" wɔ yɛn kasa mu, ma potassium a ɛboro so no fi nsu mu.
Dɛn ne ntease afoforo?
Wɔ ade titiriw a ɛde ba yi akyi no, nneɛma afoforo pii betumi ama potassium dodow akɔ fam.
- Ɔfe a ɛkɔ so .
- Nnuru a wɔde kum akisikuru a wɔtaa de di dwuma .
- Ɔyare a ɛma obi dwensɔ bere tenten .
- Magnesium dodow a ɛba fam wɔ nipadua no mu (hypomagnesemia).
- Nsã a wɔnom dodo .
- Fifiri a ɛboro so.
- Folic acid a enni nipadua mu.
- Acid a wɔfrɛ no ketones a ɛkɔ soro wɔ obi a ɔwɔ asikreyare (asikreyare ketoacidosis) mogya mu.
- Nnuru bi a wɔde sa ayamtu.
- Aduan pa a wonnya nni.
Ɛwom sɛ ɛntaa nsi de, nanso sɛ yɛannya potassium a ɛdɔɔso wɔ yɛn aduan mu a, saa tebea yi betumi aba.
Afei nso, adidi mu haw, asaabo mu yare, ne ayaresa tebea horow bi te sɛ `(Cushing yare)`, `(Gitelman yare)`, `(Liddle yare)`, `(Bartter yare)` betumi ama potassium dodow akɔ fam. Mmea taa nya saa tebea yi sen mmarima.
Dɛn ne eyi ho sɛnkyerɛnne? (Mpopoeɛ)
Mpɛn pii no, sɛnkyerɛnne ahorow no gyina sɛnea wo potassium dodow sua ne bere tenten a ɛba fam so. Sɛ ɛba fam kakra a, ebia worennya yare no ho sɛnkyerɛnne biara koraa. Nanso, hu sɛnkyerɛnne ahorow a edidi so yi.
| Nsɛnkyerɛnne no dodow | Nneɛma a wotumi hu |
|---|---|
| Hypokalemia a ɛnyɛ den |
|
| Hypokalemia a emu yɛ den |
|
Sɛ wo potassium dodow kɔ so sua bere tenten a, ebetumi aka w’asaabo nso. Ebia ebehia sɛ wotɔ wo ho mpɛn pii na wote nka sɛ sukɔm de wo kɛse.
Ɔkwan bɛn so na oduruyɛfo tumi hu saa tebea yi pɛpɛɛpɛ?
Sɛnea ɛbɛyɛ na woahu no yiye sɛ wowɔ saa tebea yi a, wo duruyɛfo bɛyɛ mogya mu nhwehwɛmu de ahwɛ sɛnea potassium dodow a ɛwɔ wo mogya mu no te. Wobetumi ayɛ eyi sɛ nipadua mu nneɛma a ɛsakra ho nhyehyɛe a ɛkɔ akyiri no fã. Eyi nso hwɛ sɛnea asaabo yɛ adwuma ne sɛnea electrolytes a ɛkari pɛ wɔ wo nipadua mu no te.
- Dodow a ɛfata: Potassium dodow a ɛfata ma ɔpanyin no yɛ milimoles 3.5 kosi 5.5 wɔ lita biara mu (3.5 - 5.5 mmol/L).
- Nneɛma a ɛba fam (Hypokalemia): Sɛ wo dodow no nnu 3.5 mmol/L , na ɛyɛ hypokalemia. Wobu 3.0-3.4 ntam sɛ ɛnyɛ den, nea ɛba fam 3.0 no, wobu no sɛ ɛyɛ nea ɛkɔ fam, na nea ɛba fam 2.5 mmol/L no , wobu no sɛ emu yɛ den.
Nea ɛbɛyɛ na woahu nea ɛde ba no, wo duruyɛfo no bebisa w’ayaresa ho abakɔsɛm, nnuru a wonom, ne sɛ ebia woafe anaa wo ho atɔ wo. Ebia wɔbɛyɛ nsu mu nhwehwɛmu nso de ahwɛ sɛ potassium wɔ wo nsu mu anaa. Sɛ wosusuw sɛ biribi a ɛnteɛ wɔ wo koma mu a, wobetumi ayɛ ECG (electrocardiogram) nhwehwɛmu .
Dɛn ne ayaresa a wɔde sa potassium a ɛba fam?
Sɛ wo tebea no mu nyɛ den a, wo duruyɛfo bɛtaa akyerɛw wo potassium nnuru a wɔnom.
Nanso, sɛ nea ɛde tebea yi ba ne yare foforo a, wo duruyɛfo no bɛsa. Sɛ nhwɛso no, sɛ potassium sua esiane nnuru a ɛma wo ho yɛ wo hyew nti a, wubetumi agyae saa aduru no nom na woadan akɔ aduru foforo so. Sɛ nhwɛsoɔ no, wobɛtumi de nnuru te sɛ `(ACE) inhibitors`, `(ARB)` anaa `(beta-blockers)` adi dwuma. Nanso, nnyae nnuru biara a wɔakyerɛw ama wo nom da a wo ne wo duruyɛfo nkasa.
Wɔ tebea horow bi a emu yɛ den mu no, ebia ɛho behia sɛ wɔde obi kɔ ayaresabea na wɔde potassium fa ntini mu (IV).
- Bere a potassium dodow so tew wɔ ɔkwan a ɛyɛ hu so no.
- Bere a dodow no nsan nkɔ sɛnea na ɛte kan wɔ nnuru a wɔnom no mu no.
- Bere a nneɛma bi a ɛnteɛ wɔ koma no bɔ mu no.
Sɛ wode potassium refa ntini mu a, ɛsɛ sɛ wohwɛ oduruyɛfo so bere nyinaa, efisɛ tebea bi a wɔfrɛ no hyperkalemia betumi ayɛ asiane na ama woayɛ mmerɛw.
So wobetumi asiw tebea yi ano? (Ayaresa a wɔde siw ano) .
Yiw, kodu baabi. Sɛ wofe anaasɛ wo ho ayɛ wo hyew a, nom nsu ne nsu pii . Sɛ saa tebea yi kɔ so bɛboro nna abien a, hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn. Sɛ wonom nsa a, to ano hye.
Ɔkwan a eye sen biara a wobɛfa so ayɛ eyi ne sɛ wubedi aduan a potassium pii wom. Ɔpanyin hia potassium miligram 2,600 kosi 3,400 da biara.
| Nnuan a potassium pii wom | Potassium dodow bɛyɛ (milligram) . |
|---|---|
| Aprikots a ayow, kuruwa 1⁄2 | 755 mg na ɛwɔ hɔ |
| Lentils a wɔanoa, kuruwa 1 | 731 mg na ɛwɔ hɔ |
| Acorn squash, a wɔayam, kuruwa 1 | 644 mg na ɛwɔ hɔ |
| Plums a ayow (Prunes), kuruwa 1⁄2 | 635 mg na ɛwɔ hɔ |
| Raisins, kuruwa 1⁄2 | 618 mg na ɛwɔ hɔ |
| Ɛmo a wɔanoa, core nkutoo, biako a ne kɛse yɛ mfinimfini | 610 mg na ɛwɔ hɔ |
| Orange nsu, kuruwa 1 | 496 mg na ɛwɔ hɔ |
| Banana, aduaba biako a ne kɛse yɛ mfinimfini | 422 mg na ɛwɔ hɔ |
Nkrasɛm a Wɔde Kɔ Fie
- Hypokalemia yɛ tebea a ɛma potassium dodow a ɛwɔ wo mogya mu no sua. Mfa eyi nyɛ hwee.
- Nnuru a ɛma obi ho yɛ hyew a wɔnom, ɔfe a ɛkɔ so daa, anaa akisikuru betumi ayɛ nea ɛde eyi ba titiriw.
- Eyi betumi afi sɛnkyerɛnne a ɛnyɛ den te sɛ mmerɛwyɛ ne ntini a ɛtwetwe so akosi sɛnkyerɛnne a emu yɛ den te sɛ koma a ɛbɔ denneennen so.
- Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, .Hwɛ hu sɛ wobɛkɔ wo duruyɛfo nkyɛn na woanya afotu. Mma w’ankasa nkɔ nnom potassium nnuru kɛkɛ.
- Sɛ wode nnuan a potassium pii wom (te sɛ banana, ɛmo, ne atoko) ka w’aduan ho a, ebetumi aboa ma woasiw tebea yi ano.
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