Ke hou ʻoe, luhi loa, a ʻeha paha kou ʻōpū, ua lohe paha ʻoe i nā pākeke e ʻōlelo ana, "Ua maloʻo kou kino, e inu i ka ʻalani." A i ʻole ua luhi wale ʻoe, palaualelo, a poniuniu paha. Hiki ke hana ʻia kēia mau mea he nui e ke kaulike ʻole o nā electrolytes i loko o ko kākou kino. No laila he aha kēia mau electrolytes? No ke aha lākou i koʻikoʻi ai i ko kākou kino? E kamaʻilio kākou e pili ana iā lākou me ka kikoʻī a me ka maʻalahi i kēia lā.
No laila, he aha nā Electrolytes?
I ka ʻōlelo maʻalahi, ʻo nā electrolytes he mau mea hiki ke hoʻomohala i kahi uku uila liʻiliʻi ke hoʻoheheʻe ʻia i loko o ka wai. E noʻonoʻo e like me ka pila. He mau paʻakai mineral kēia e hiki ke lawe i kahi uku maikaʻi (+) a i ʻole maikaʻi ʻole (-).
E nānā, he 60% wai ke kino o ke kanaka makua. ʻO ia hoʻi, aia kēlā me kēia cell i loko o ko kākou kino, kēlā me kēia wai, i kēia mau electrolytes. Inā ʻaʻole lākou, ʻaʻole hiki iā kākou ke hana i nā mea he nui, e like me ka hoʻoponopono ʻana i nā kaʻina hana kemika i loko o ko kākou kino, ke kaulike ʻana i ka nui o ka wai i loko a ma waho o ko kākou mau cell, ka hana ʻana i ko kākou mau ʻiʻo, a me ka hoʻouna ʻana i nā leka aʻalolo.
Loaʻa iā kākou kēia mau electrolytes mai ka meaʻai a kākou e ʻai ai a inu ai. Eia kekahi laʻana, he nui ia mau mea i loko o nā ʻalani, nā maiʻa, a me ka paʻakai. Hana ko kākou mau puʻupaʻa ma ke ʻano he kānana no ko kākou kino. Inā ʻoi aku ka nui o nā electrolytes i ke kino ma mua o ka mea e pono ai, hoʻokuʻu nā puʻupaʻa i ke keu i loko o ka mimi. Nalowale pū nā electrolytes mai ko kākou kino ke hou kākou.
ʻO ka mea nui loa, ʻo ia ke kaulike kūpono o kēia mau electrolytes i loko o ke kino. ʻO ka nui loa o ia mea hiki ke hoʻopilikia, a ʻo ka liʻiliʻi loa hiki ke hoʻopilikia.
E hoʻomaopopo kākou i kekahi mau huaʻōlelo a kākou e lohe pinepine ai.
Hiki paha iā ʻoe ke lohe i kēia mau huaʻōlelo i ke kamaʻilio ʻana me ke kauka a i ʻole ka heluhelu ʻana i kahi hōʻike. He mea nui loa ia e ʻike i ko lākou manaʻo maʻalahi.
| ʻŌlelo | Manaʻo maʻalahi |
|---|---|
| Hyper- (hyper) | Hoʻohana ʻia kēia huaʻōlelo e ʻōlelo ai he "nui loa" kekahi mea. Eia kekahi laʻana: Hypernatremia (hoʻonui ʻia ka sodium). |
| Hypo- (hypo) | Hoʻohana ʻia kēia huaʻōlelo e wehewehe i ka "nele" o kekahi mea. Eia kekahi laʻana: Hypokalemia (haʻahaʻa ka potassium). |
| ʻIona | He molekala me kahi hoʻouka uila. |
| waiwai pH | He ana ia inā he waikawa a alkaline/basic paha kahi wai. Pono ka pH maʻamau o ko kākou koko ma waena o 7.36 a me 7.44. |
ʻO nā electrolytes nui i loko o ko mākou kino a me kā lākou hana
Aia kekahi mau ʻano electrolytes i loko o ko kākou kino. He hana kūikawā ko kēlā me kēia. E nānā kākou i nā mea nui, nā mea e hana ʻia inā piʻi lākou, a me nā mea e hana ʻia inā emi lākou, ma kēia papa.
| ʻO ka electrolyte | Nā hōʻailona e kū mai ana inā he piʻi (Hyper-) | Nā hōʻailona o ka hemahema (Hypo-) |
|---|---|---|
| Sodium (Sodium / Na+) - He mea nui no ke kaulike wai i loko o nā pūnaewele a me ka omo ʻana o nā meaʻai. | ||
| Hypernatremia | Huikau, loli o ke ʻano, nalowale o ke kaohi ʻana i nā ʻiʻo, nā hopu ʻana, ka coma. | Huikau, huhū, nausea a me ka luaʻi ʻana, nā hopu ʻana, ka coma. |
| Potassium (Potassium / K+) - He mea nui loa ia no ka hana o ka puʻuwai a me ka ʻōnaehana nerve. | ||
| Hyperkalemia | ʻO ke ola ʻole, ka hiki ʻole ke hoʻoneʻe i nā ʻiʻo, a me nā puʻuwai puʻuwai kūpono ʻole (arrhythmias). | ʻEha a me ka nāwaliwali o nā ʻiʻo, ka make wai nui a me ka mimi pinepine ʻana, ka nāwaliwali, a me ka puʻuwai kūpono ʻole. |
| Kalikuma (Kalkuma / Ca2+) - He mea nui ʻaʻole wale no nā iwi a me nā niho, akā, no nā ʻiʻo, nā aʻalolo, a me ka puʻuwai. | ||
| Hypercalcemia | ʻEha ke poʻo, luhi loa, pōhaku puʻupaʻa, ʻeha ʻōpū, paʻa paʻa, puʻuwai kūpono ʻole. | Ka huikau, ka ʻūmiʻi ʻana o nā ʻiʻo, a me ka paʻa ʻana o nā ʻiʻo o ka puʻu, e paʻakikī ai ke ʻōlelo a hanu paha. |
| Magnesium (Magnesium / Mg2+) - Kōkua i ka hoʻoulu ʻana i ka ikehu, ka hana o ka lolo a me nā ʻiʻo. | ||
| Hypermagnesemia | Hiki ke loli ka helu o ka puʻuwai, ka paʻakikī o ka hanu ʻana, a me ke kuʻi ʻana o ka puʻuwai. | Ka nāwaliwali o nā ʻiʻo, nā ʻeha ʻiʻo, nā hewa o ka puʻuwai. |
| Chloride (Cl-) - Kōkua i ka hoʻoponopono ʻana i ke kaulike wai a me ka pH o ke kino. | ||
| ʻO ka Hyperchloremia | Hoʻonui ʻia ka waikawa i loko o ke koko (acidosis), nausea, luaʻi, luhi nui, hanu wikiwiki. | Hoʻonui ʻia ka alkalinity i loko o ke koko (alkalosis), ka noe o ka lolo, nā hewa o ka puʻuwai, nā ʻūmiʻi ʻiʻo. |
| ʻO ka Phosphate (PO43−) - He poloka kūkulu o ka DNA, kōkua i nā pūnaewele e hoʻopuka i ka ikehu. | ||
| ʻO ka Hyperphosphatemia | Hoʻohaʻahaʻa pinepine i nā pae calcium. Hiki ke hoʻoulu i ka maneʻo nui. | Nāwaliwali o nā ʻiʻo. Nā hihia koʻikoʻi, ka haki ʻana o nā ʻiʻo (rhabdomyolysis), nā hopu ʻana, ka paʻakikī o ka hanu ʻana. |
| ʻO Bicarbonate (Bicarbonate / HCO3−) - Kōkua i ka hoʻomalu ʻana i ka pH (ʻakika/alkalinity) o ke koko. | ||
| Alkalosis (hoʻonui ʻia) | Noe ka lolo, ka palaualelo, ka puʻuwai kūpono ʻole, nā ʻehaʻeha o nā ʻiʻo. | ʻAcidosis (hemahema) - nausea, luaʻi, luhi nui, hanu wikiwiki a hohonu. |
Pehea ʻoe e ʻike ai inā he pilikia electrolyte?
Inā loaʻa iā ʻoe nā hōʻailona i ʻōlelo ʻia ma luna, hiki i kāu kauka ke kānalua i kahi hemahema electrolyte. No ka hōʻoia ʻana i kēia, e hana pinepine lākou i kekahi mau hoʻāʻo koko a me ka mimi .
Ua lohe paha ʻoe i kēia mau mea.
- Papa Hana Metabolic Kumu (BMP): Hiki i kēia ke hāʻawi i kahi manaʻo maʻamau o nā electrolytes nui (e like me ka sodium, potassium, chloride) a me ka hana o nā puʻupaʻa.
- ʻO ka Comprehensive Metabolic Panel (CMP): ʻOi aku ka kikoʻī o kēia ma mua o ka BMP. Hāʻawi ia i ka ʻike e pili ana i nā mea ʻē aʻe e like me ka calcium a me nā enzymes ate.
- Panel Electrolyte: Ke nānā pololei nei kēia i nā pae electrolyte.
Inā hōʻike kēia mau hoʻokolohua maʻamau i nā mea ʻē aʻe, hiki i kāu kauka ke kauoha i nā hoʻokolohua kikoʻī hou aku e ʻike i ke kumu.
Pehea e maopopo ai iaʻu nā waiwai i loko o ka hōʻike?
ʻO ka hōʻike hoʻāʻo āu e loaʻa ai e komo pū me kahi "pae kuhikuhi" me kāu waiwai. Inā aia kāu waiwai i loko o kēlā pae, ua manaʻo ʻia he maʻamau.
Akā e hoʻomanaʻo, i kekahi manawa, ʻoi aku paha kou mau waiwai ma waho o ka pae maʻamau, akā ʻaʻole paha he pilikia nui. A i kekahi manawa, ʻoiai inā aia kou mau waiwai i loko o ka pae maʻamau, inā loaʻa iā ʻoe nā hōʻailona, he pilikia ʻē aʻe paha.
Ua like kēia me ka milo ʻana i kahi pā ma luna o kahi lāʻau. ʻO ke kaulike ke kī. Ke hoʻāʻo mau nei ko mākou kino e mālama i kēia kaulike. No laila, ʻo kāu kauka wale nō ke hāʻawi iā ʻoe i ka wehewehe maikaʻi loa o ke ʻano o kāu mau hopena hoʻāʻo.No laila, e kamaʻilio me kāu kauka e pili ana i ia mea.
Āhea wau e ʻike ai i ke kauka?
Hiki i nā hōʻailona o ke kaulike ʻole o ka electrolyte ke ʻano maʻamau, e like me ka luhi a me ka poniuniu. Akā inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, pono ʻoe e ʻike i ke kauka.
- Inā ʻoe e manaʻo i ka luhi mau a i ʻole ka nāwaliwali .
- Inā wikiwiki a ʻano ʻē paha kou puʻuwai .
- Inā he huikau kou, hoʻonāukiuki, a nalowale paha ka hoʻomanaʻo .
- Inā loaʻa iā ʻoe ka ʻeha pinepine o nā ʻiʻo, nā ʻūlū ʻana o nā ʻiʻo, a i ʻole nā ʻūpā .
- Inā loaʻa iā ʻoe ka nausea nui, ka luaʻi ʻana, a i ʻole ka diarrhea .
Inā loaʻa iā ʻoe kēia mau hōʻailona, mai hoʻowahāwahā iā lākou. Hiki i ka mālama ʻana i ka manawa kūpono ke pale i nā pilikia koʻikoʻi.
Leka Lawe-Home
- ʻO nā electrolytes kahi ʻano mineral e pono ai no ka hana pono ʻana o nā aʻalolo o ko mākou kino, nā ʻiʻo, ka puʻuwai, a me ka lolo.
- ʻO ke kaulike ka mea nui loa. Hiki i ka nui a me ka hemahema ke alakaʻi i ka maʻi.
- Loaʻa iā mākou kēia mai kahi papaʻai kaulike a me nā wai a mākou e inu ai. He mea maikaʻi loa nā huaʻai, nā mea kanu, a me nā ʻalani.
- I nā manawa e like me ka hou nui, ka luaʻi ʻana, a i ʻole ka maʻi pākī, hiki ke nalowale ka nui o nā electrolytes mai ke kino. He mea nui e inu i kahi mea inu e like me Jeevani i ia mau manawa.
- Inā loaʻa iā ʻoe nā hōʻailona e like me ka luhi mau, ka ʻeha ʻiʻo, a i ʻole nā loli o ka puʻuwai puʻuwai, mai hoʻowahāwahā iā ia a nīnau aku i kāu kauka no ka ʻōlelo aʻo .
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