I kekahi manawa, manaʻo mākou ua luhi loa mākou, manaʻo mākou ʻaʻohe o mākou ikaika, ʻeha ko mākou mau ʻiʻo, ʻeha ko mākou poʻo, ʻeā? Manaʻo pinepine mākou ʻo kēia no ka mea ʻaʻole mākou i lawa ka hoʻomaha, a no ka mea ua hana nui mākou. Akā, ʻo ke kumu o kēia mau mea, he mea paha āu e noʻonoʻo ʻole ai. ʻO ia ke kaulike ʻole o nā electrolytes i loko o ko mākou kino. I kēia lā, e kamaʻilio mākou e pili ana i kēia me ka maʻalahi a me ka pololei.
He aha kēia mau electrolytes?
I ka ʻōlelo maʻalahi, he mau minelala koʻikoʻi nā electrolytes i loko o ko kākou kino. Ke hui pū kēia mau mea me nā wai o ke kino e like me ke koko a me ka mimi, hana lākou i kahi uku uila liʻiliʻi. E noʻonoʻo i ko kākou kino he mīkini paʻakikī. No laila, no ka hana pono ʻana o kēia mīkini, pono ia i ka uila. Pēlā nō, he mea nui nā hōʻailona uila e puka mai ana mai kēia mau electrolytes no nā mea he nui i loko o ko kākou kino, e like me ka ʻōnaehana nerve, nā ʻiʻo, a me ka puʻuwai, e hana pono ai.
Loaʻa iā mākou kēia mau electrolytes mai ka meaʻai a mākou e ʻai ai a inu ai, i kekahi manawa mai nā mea hoʻopihapiha, a hana pū ko mākou kino iā lākou.
ʻO nā ʻano nui o nā electrolytes i loko o ko mākou kino a me kā lākou hana
Aia kekahi mau ʻano nui o nā electrolytes i loko o ko kākou kino. He kuleana ko kēlā me kēia o lākou. E nānā kākou i ko lākou ʻano a me nā mea e hana ʻia iā lākou.
| ʻAno electrolyte | Kūlana i loko o ke kino |
|---|---|
| Sodium | Hoʻomalu ia i ka nui o ka wai i loko o ke kino a kōkua i ka hana aʻalolo a me nā ʻiʻo. |
| Potasiuma | He mea nui no ka hana o ka puʻuwai, nā aʻalolo, a me nā ʻiʻo. Kōkua ia i ka lawe ʻana i nā meaʻai i nā ʻāpana a hoʻoneʻe i nā ʻōpala. |
| Kalipuna | Kōkua ia i ka hoʻomalu ʻana i ke koko, hoʻopaʻa a hoʻonui i nā kīʻaha koko, a he mea nui ia no ka hormone a me ka enzyme secretion a me ka ʻōnaehana nerve. |
| Kolorida | Kōkua i ka mālama ʻana i nā pae olakino o nā wai o ke kino, ke koko, a me ke koko. |
| Makenesium | Kōkua ia i ka hana o ke aʻalolo a me nā ʻiʻo a he mea pono nō hoʻi no ka ulu ʻana o nā iwi a me nā niho olakino. |
| ʻO ka posapahate | Kākoʻo i ka hana o ka ʻōnaehana iwi, nā aʻalolo, a me nā ʻiʻo. |
| Pāpaʻakai | Mālama ia i ke kaulike waikawa-kumu (pH kaulike) o ke koko. Kōkua ia i ka wehe ʻana i ke kalapona ʻokikene, kahi huahana ʻōpala, mai ke kino. |
He aha ka hemahema o ka electrolyte?
ʻO ke kaulike ʻole o ka electrolyte ke kiʻekiʻe loa a haʻahaʻa paha kekahi a ʻoi aku paha o nā minelala i luna i loko o ke kino. ʻO nā ʻōpū e like me ko kākou mau puʻupaʻa a me ke akepaʻa e hoʻoponopono i kēia mau pae i loko o ke kino. Inā hoʻopilikia ʻia kēia hoʻoponopono ma muli o kahi maʻi a i ʻole kekahi kumu ʻē aʻe, hana ʻia kahi kaulike ʻole.
I ka ʻōlelo maʻalahi, pono nā mea āpau ma ke kaulike. E like me ka hoʻohui ʻana i ka paʻakai liʻiliʻi a emi mai paha e hiki ke hoʻololi i ka ʻono o ka meaʻai.
ʻElua ʻano o kēia mau kaulike ʻole:
1. Nā pae electrolyte kiʻekiʻe (Hyper-): ʻO ke alo o nā electrolytes i loko o ke kino ma mua o ka mea e pono ai.
2. Ka emi ʻana o ka electrolyte (Hypo-): Ka emi ʻana o nā pae electrolyte o ke kino ma mua o ka nui i koi ʻia.
| ʻAno electrolyte | Piʻi pae (huaʻōlelo lapaʻau) | Hypotension (huaʻōlelo lapaʻau) |
|---|---|---|
| Sodium | Hypernatremia | Hyponatremia |
| Potasiuma | Hyperkalemia | Hypokalemia |
| Kalipuna | Hypercalcemia | Hypocalcemia |
| Makenesium | Hypermagnesemia | Hypomagnesemia |
No ke aha e hana ʻia ai kēia? He aha nā kumu pilikia?
Nui nā kumu e hiki ai ke hana i kahi kaulike ʻole o ka electrolyte. ʻOi aku ka nui o ka pilikia o nā pēpē, nā keiki liʻiliʻi, a me ka poʻe ʻelemakule i kēia maʻi. Eia nō naʻe, hiki ke hana i kēlā me kēia kanaka o kēlā me kēia makahiki.
ʻO nā kumu nui a me nā kumu pilikia:
- Ka maloʻo ʻana o ka wai: Ka nalowale nui ʻana o ka wai a me nā paʻakai mai ke kino. Hiki ke hana ʻia kēia e nā kūlana e like me ka luaʻi nui ʻana, ka maʻi pākī (diarrhea), ka hou nui ʻana (hyperhidrosis), a i ʻole ke kuni.
- Maʻi puʻupaʻa: Hoʻomalu nā puʻupaʻa i ka nui o ka paʻakai a me ka wai i loko o ke kino. Ke hāʻule nā puʻupaʻa, nalowale kēia kaulike.
- Maʻi akepaʻa: Nā maʻi akepaʻa e like me ka cirrhosis.
- Maʻi puʻuwai: Nā kūlana e like me ke koko kiʻekiʻe a me ka hāʻule puʻuwai.
- Nā kuni: Hiki i nā kuni nui ke hoʻoneʻe i ka nui o ka wai mai ke kino.
- Nā lāʻau lapaʻau no ke kanesa a me ke kanesa: Hiki ke hana ʻia kēia ʻano maʻi e kekahi mau ʻano kanesa a me ka chemotherapy.
- ʻO kekahi mau lāʻau lapaʻau: diuretics, laxatives), hiki i kekahi mau antibiotics, a me corticosteroids ke hoʻololi i nā pae electrolyte.
- Ka nui o ka wai: ʻOiai inā inu ʻoe i ka wai ma mua o ka mea e pono ai, hiki ke hoʻoheheʻe ʻia nā electrolytes e like me ka sodium a hiki ke emi nā pae.
- Nā maʻi ʻai.
Pehea e ʻike ai inā loaʻa iaʻu kēia maʻi? - Nā hōʻailona
Inā he ʻoluʻolu ke kaulike ʻole o ka electrolyte, ʻaʻole paha ʻoe e loaʻa i kekahi mau hōʻailona. Eia nō naʻe, i ka wā e ʻoi aʻe ai ke kūlana, hiki iā ʻoe ke ʻike i hoʻokahi a ʻoi aku paha o kēia mau hōʻailona:
- Luhi nui a me ka luhi (Fatigue)
- ʻO nā ʻūpā, nā spasms a i ʻole ka nāwaliwali o nā ʻiʻo
- Ka luaʻi a me ka luaʻi
- Nā ʻeha poʻo
- Puʻuwai wikiwiki a kūpono ʻole paha (Arrhythmia)
- Ka huikau a me ka huhū
- Ka maʻi kahe a i ʻole ka paʻa ʻana o ka ʻōpū
- ʻO ka numbness a i ʻole ke kani ʻana ma nā lima a me nā wāwae
ʻOiai hiki i kēia mau hōʻailona ke lilo i mau hōʻailona o nā maʻi ʻē aʻe, he mea nui loa e ʻike koke i ke kauka inā hoʻomau kekahi a ʻoi aku paha o lākou.
Pehea e ʻike ai ke kauka i kēia a he aha nā lāʻau lapaʻau?
ʻO ka hoʻāʻo nui e ʻike ai i kēia he hoʻāʻo koko i kapa ʻia he electrolyte panel . Hiki i kēia ke ana pololei i nā pae o nā electrolytes koʻikoʻi, e like me ka sodium a me ka potassium, i loko o kou koko.
Hoʻokumu ʻia ka lāʻau lapaʻau ma ke ʻano o ka electrolyte imbalance āu e loaʻa ai a me ke kumu.
- Nā kaulike ʻole liʻiliʻi: Hiki ke mālama ʻia ka make wai liʻiliʻi me nā paʻakai rehydration waha (ORS) a i ʻole nā mea inu i loaʻa ka electrolyte, a me ka lawe ʻana i ka wai kūpono. Eia nō naʻe, ʻoi aku ka maikaʻi o ka hana ʻana i kēia ma lalo o ka ʻōlelo aʻo a kāu kauka .
- Lapaʻau lapaʻau: Inā ʻoi aku ka koʻikoʻi o ke kūlana, hiki i ke kauka ke kuhikuhi i kēia mau lāʻau lapaʻau:
- Nā wai IV ( saline ): Hoʻomaʻū hou ʻia ke kino ma ka hāʻawi ʻana i ka saline (e.g., sodium chloride) ma o kahi aa koko.
- Nā lāʻau lapaʻau a me nā mea hoʻohui: Nā pila a i ʻole nā lāʻau lapaʻau intravenous e hoʻihoʻi i nā electrolytes i hoʻopau ʻia.
- Hemodialysis: Hoʻohana ʻia kēia lāʻau lapaʻau no nā kaulike ʻole koʻikoʻi i hoʻokumu ʻia e ka hāʻule ʻana o ka puʻupaʻa.
ʻO ka mea nui loa, ʻo ia ka mālama ʻana i ka maʻi kumu (e like me ka maʻi puʻupaʻa, ka maʻi diabetes) e hoʻoulu ai i kēia kūlana. A i ʻole, ʻaʻole e kōkua ka hoʻoponopono wale ʻana i nā pae electrolyte.
He mea koʻikoʻi paha kēia? I ka manawa hea e ʻimi koke ai i ke kōkua lapaʻau
ʻAe. ʻO nā pae electrolyte i kiʻekiʻe loa a haʻahaʻa loa paha hiki ke hoʻoweliweli i ke ola. Hiki i kēia ke alakaʻi i nā pilikia koʻikoʻi e like me ka coma, nā hopu ʻana, a me ka hopu koke ʻana o ka puʻuwai .
No laila, inā loaʻa iā ʻoe a i ʻole kekahi āu i ʻike ai nā hōʻailona ma lalo nei, e hele i ka ʻOihana Pilikia (ETU) o ka haukapila a i ʻole e ʻike koke i ke kauka.
- He loli maopopo o ka helu o ka puʻuwai (e like me ka wikiwiki, ke kuʻi ʻana, a pēlā aku)
- Luhi hiki ʻole ke hoʻomanawanui
- Ka luaʻi mau ʻana a i ʻole ka maʻi pākī
- Ka huikau nui a i ʻole ka nalowale o ka ʻike
- ʻEha koke nā ʻiʻo a i ʻole ka mae ʻana
Leka Lawe-Home
- He mau minelala koʻikoʻi nā electrolytes no ka hana ʻana o nā aʻalolo, nā ʻiʻo, a me ka puʻuwai o ko kākou kino.
- Hiki i kēia mau hoʻonui a emi paha ke hana i nā hōʻailona e like me ka luhi, ka ʻūlū ʻana o nā ʻiʻo, a me ka huikau.
- ʻO ka maloʻo ʻana o ka wai, ka maʻi puʻupaʻa, ka maʻi puʻuwai, a me kekahi mau lāʻau lapaʻau ke kumu nui o kēia maʻi.
- Inā loaʻa iā ʻoe nā hōʻailona, he mea nui loa e ʻike koke i ke kauka a ʻimi i ka ʻōlelo aʻo me ka ʻole o ka mālama ponoʻī.
- Hiki ke ʻike ʻia kēia maʻi me kahi hoʻāʻo koko maʻalahi, a hiki ke ho'ōla loa ʻia me ka mālama kūpono ma muli o ke kumu.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He aha ke kaulike ʻole o ka Electrolyte?
ʻO ka uila a ko kākou mau aʻalolo a me ka puʻuwai e hoʻohana ai e hana, lawe ʻia e nā electrolytes e like me Sodium, Potassium, Calcium, a me Magnesium i hoʻoheheʻe ʻia i loko o ke koko! Inā emi a piʻi paha kēia mau pae i hoʻokahi milligram, hiki i ka ʻōnaehana kino holoʻokoʻa ke hiolo, hiki i ka lolo a me ka puʻuwai ke oki i ka hana, a hiki i ka mea maʻi ke hāʻule i loko o ka coma/make (Fatal Arrhythmias), kahi maʻi koʻikoʻi a make loa.
💬 He aha nā kumu nui o ka nalowale koke ʻana o nā electrolytes/potassium/sodium i loko o ke kino (Electrolyte Imbalance)?
ʻO nā mea nui a maʻamau ka 1) Ka maʻi kahe nui a me ka luaʻi mau. ʻO kēia ke kumu o ka nalowale ʻana o nā paʻakai āpau i loko o ke kino me ka wai i loko o hoʻokahi lā (dehydration)! A me 2) Diuretics (nā pila wai e hoʻoulu ai i ka mimi nui). 3) ʻO ka hemahema o ka puʻupaʻa (ka hemahema o ka puʻupaʻa) ke kumu o ke kino e mālama i nā mea ʻawahia/paʻakai ma kahi o ke kānana ʻana iā lākou. 4) Heatstroke.
💬 He aha nā hōʻailona weliweli loa o ka electrolyte imbalance? Āhea ʻoe e holo ai i ke kauka?
Ke nele ke kino i ka paʻakai, 1) Loaʻa nā ʻūpā/spasms o nā ʻiʻo, a nalowale ka ikaika o nā lālā. 2) Loaʻa koke ka puʻuwai kūpono ʻole/arrhythmia, e hoʻoulu ai i ka paʻa o ka umauma (inā he pilikia potassium). 3) Huikau, nalowale ka ʻike, a me nā 'seizures' koke (inā he pilikia sodium). Inā loaʻa kēia mau hōʻailona, pono ʻoe e hele koke i kahi ICU, no ka mea, hiki i ka puʻuwai ke kū i ka manawa pōkole!
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