Ua ʻike mākou a pau he mea maikaʻi loa ka ʻai ʻana i nā huaʻai a me nā mea kanu e like me ka maiʻa, nā ʻalani, a me ka broccoli no ke kino. ʻO kahi meaʻai kūikawā i loaʻa i loko o kēia mau meaʻai ʻo ia ka potassium . Akā ua ʻike anei ʻoe he mea nui ka potassium no ke kino, hiki ke hoʻoweliweli i ke ola inā hoʻonui nui ʻia i loko o ke kino? ʻAʻole ʻike ka poʻe he nui i kēia. No laila, i kēia lā ke kamaʻilio nei mākou e pili ana i ka piʻi ʻana o nā pae potassium i loko o ke koko, he ʻano i ʻike ʻia ʻo hyperkalemia , ma nā ʻōlelo lapaʻau.
He aha maoli ka potassium?
I ka ʻōlelo maʻalahi, he mineral koʻikoʻi ka potassium e pono ai no ka hana pono ʻana o nā aʻalolo a me nā ʻiʻo o ko mākou kino. Kāhea pū mākou iā ia he electrolyte . E noʻonoʻo iā ia he ʻōnaehana uila liʻiliʻi i loko o ko mākou kino. Kōkua ka Potassium i kēia mau leka e holo mālie.
ʻO kekahi o nā hana nui o ka potassium:
- Ka mālama ʻana i ka puʻuwai o ka naʻau ma kahi ʻano maʻamau.
- Ke mālama nei i ko mākou koko koko i kūpaʻa.
- Ka kamaʻilio kūpono ma waena o nā ʻiʻo a me nā aʻalolo .
ʻO ka maʻamau, maikaʻi loa ke kino o ke kanaka olakino i ka kaohi ʻana i kēia pae potassium. Lawe mākou i ka nui a mākou e pono ai mai ka meaʻai a hoʻokuʻu i ke keu ma o ko mākou mau puʻupaʻa i loko o ka mimi. Akā hoʻomaka ka pilikia ke hana pono ʻole nā puʻupaʻa. ʻO ia ka manawa e hōʻiliʻili nui ai ka potassium i loko o ke kino a piʻi aʻe ke kiʻekiʻe o ke koko.
Pehea ʻoe e ana ai i kou pae potassium?
Hiki i kāu kauka ke ana i ka nui o ka potassium i loko o kou koko me kahi hoʻāʻo koko maʻalahi. E hoʻoholo nā hopena i kou kūlana.
| Pae potasiuma | Waiwai (mmol/L) | Manaʻo |
|---|---|---|
| Pae awelika | 3.5 – 5.5 mmol/L | ʻO kēia ka pae e pono ai i kahi kanaka makua olakino maikaʻi. |
| Kiʻekiʻe kiʻekiʻe (Hyperkalemia) | ʻOi aku ma mua o 5.5 mmol/L | He mea koʻikoʻi kēia pae, a pono e loaʻa a mālama ʻia ke kumu. |
| Pae kiʻekiʻe weliweli | ʻOi aku ma mua o 6.5 mmol/L | He kūlana weliweli loa kēia. Pono ʻoe i ke kōkua lapaʻau koke. Pono paha ʻoe e hele i ka ʻOihana Pilikia (ETU) o ka haukapila. |
I kekahi manawa e ʻōlelo paha kāu kauka he "acute" hyperkalemia kou, ʻo ia hoʻi, hiki ke hoʻomalu ʻia i loko o kekahi mau lā me ka lāʻau lapaʻau. Akā inā ʻōlelo lākou he "chronic" hyperkalemia, ʻo ia hoʻi, pono ʻoe e lawe i ka lāʻau lapaʻau e kāohi iā ia i ka wā lōʻihi.
No ke aha e piʻi ai ka nui o ka potassium i loko o ko mākou kino?
ʻO ke kumu nui a maʻamau o nā pae potassium kiʻekiʻe, ʻo ia ka maʻi puʻupaʻa . Ke hana pono ʻole ke kānana o ko mākou kino, ʻo ia hoʻi nā puʻupaʻa, ʻaʻole hiki iā lākou ke hoʻokuʻu i ka potassium keu e hōʻiliʻili ana i loko o ke kino ma o ka mimi. A laila, hōʻiliʻili kēlā potassium i loko o ke koko a piʻi aʻe ka pae.
E noʻonoʻo i kahi kanaka me ka maʻi puʻupaʻa. Ua aʻo aku kāna kauka iā ia e kaupalena i nā meaʻai kiʻekiʻe i ka potassium, e like me ka maiʻa, nā ʻalani, a me nā avocado. Eia nō naʻe, inā hoʻomau ke kanaka i ka ʻai ʻana i kēia mau meaʻai me ka hahai ʻole i ka ʻōlelo aʻo, ʻaʻole hiki i kona mau puʻupaʻa nāwaliwali ke hoʻokuʻu i kēia potassium keu. ʻO ka hopena, he pae potassium kiʻekiʻe loa i loko o ke koko.
Hōʻike ka papa ma lalo nei i kekahi o nā kumu nui a me nā kumu liʻiliʻi o ke kiʻekiʻe o ka pāhare potassium.
| Kumu | Wehewehena |
|---|---|
| Nā kumu nui a me nā kumu maʻamau | |
| Maʻi puʻupaʻa | ʻO kēia ke kumu maʻamau. Ke hāʻule nā puʻupaʻa, e emi ana ko lākou hiki ke hoʻokuʻu i ka potassium. |
| Nā meaʻai kiʻekiʻe i ka potassium | ʻO ka ʻai ʻana i nā meaʻai waiwai i ka potassium (maiʻa, ʻalani, hua maloʻo, avocados) ke loaʻa iā ʻoe ka maʻi puʻupaʻa . |
| Kekahi mau lāʻau lapaʻau | ʻO nā mea e like me kekahi mau lāʻau lapaʻau koko kiʻekiʻe hiki ke paʻakikī i nā puʻupaʻa ke wehe i ka potassium. |
| Nā kumu ʻē aʻe (ʻaʻole maʻamau) | |
| ʻO ka maʻi o Addison | He maʻi hormonal kēia e hoʻoulu ai i nā pilikia o ka puʻupaʻa. |
| Ka maʻi diabetes i kāohi ʻole ʻia | Hiki ke hōʻino ʻia nā puʻupaʻa inā ʻaʻole kaohi maikaʻi ʻia ka maʻi diabetes. |
| Ka maloʻo ʻana | Ke nele ke kino i ka wai, hiki ke hoʻopilikia ʻia ka hana a nā puʻupaʻa. |
| Nā kuni nui a i ʻole nā ʻeha | I ia mau hihia, hoʻokuʻu ʻia ka potassium mai nā pūnaewele i loko o ke koko. |
| Nā kūlana olakino ʻē aʻe | Nā lāʻau lapaʻau chemotherapy no ka hāʻule ʻana o ka puʻuwai congestive, HIV, a me ke kanesa. |
Pehea ka hopena o ka hoʻonui ʻia o ka potassium i ke kino?
ʻO kekahi o nā hana nui o ka potassium ke kōkua i ka hoʻoili ʻana o nā hōʻailona ma waena o nā ʻiʻo a me nā aʻalolo. No laila, ke piʻi aʻe ka pae potassium i loko o ke koko, e hoʻopilikia ʻia kēia ʻōnaehana hōʻailona. ʻO ka hopena koʻikoʻi loa ma ko kākou puʻuwai.
- ʻO ke kuʻi ʻole o ka puʻuwai (Arrhythmias): He ʻiʻo nō hoʻi ka puʻuwai. Kōkua ka Potassium i ka hoʻomalu ʻana i nā hōʻailona uila e hele ana i ka myocardium, ka papa ʻiʻo ma waenakonu o ka puʻuwai, a mālama i ka puʻuwai e kuʻi ana me ke ʻano rhythmically. Ke kiʻekiʻe nā pae potassium, e hoʻopilikia ʻia kēia mau hōʻailona uila a hoʻomaka ka puʻuwai e kuʻi wikiwiki loa, a wikiwiki loa paha, a i ʻole ke ʻano ʻē. ʻO kēia ke kūlana weliweli loa.
- Hoʻouka puʻuwai : Hiki i kēia puʻuwai naʻau kūpono ʻole ke alakaʻi i ka hōʻeha puʻuwai inā waiho ʻole ʻia.
- Ka nāwaliwali o nā ʻiʻo a i ʻole ka lolo : Hoʻopilikia ka piʻi ʻana o ka pae potassium i nā hōʻailona i hoʻouna ʻia i nā ʻiʻo. Hiki i kēia ke alakaʻi i ka nāwaliwali o nā ʻiʻo a i ʻole ka lolo, e hoʻomaka ana ma nā wāwae a me nā wāwae a pālahalaha mālie i ke kino.
ʻO ka pae potassium kiʻekiʻe loa he pilikia olakino ia a ʻaʻole pono e hoʻowahāwahā ʻia no ka mea hiki ke alakaʻi i ka hōʻeha puʻuwai.
Inā loaʻa iā ʻoe kahi maʻi e like me ka maʻi puʻupaʻa, ka maʻi diabetes, a i ʻole ka maʻi puʻuwai, pono ʻoe e makaʻala mau i kāu mau pae potassium. E kamaʻilio me kāu kauka e pili ana i nā lāʻau lapaʻau āu e lawe nei a me ka ʻai kūpono nou. Mai lawe i kekahi mau huaora a i ʻole nā mea hoʻohui me ka ʻole o ke aʻo ʻana a kāu kauka. Inā manaʻo ʻoe he ʻano ʻē kou puʻuwai, ʻike ʻoe i ka ʻeha o ka umauma, ka paʻakikī o ka hanu ʻana, a i ʻole ka nāwaliwali o nā ʻiʻo, he mea nui loa ia e hele koke i ka Emergency Department (ETU) o ka haukapila.
Leka Lawe-Home
- ʻOiai he meaʻai koʻikoʻi ka potassium no ke kino, ʻo ka piʻi ʻana o kona pae i ke koko (Hyperkalemia) he kūlana weliweli loa ia.
- ʻO ke kumu nui o ka nui o ka potassium i loko o ke koko, ʻo ia ka hana ʻino o nā puʻupaʻa.
- Hiki i nā pae potassium kiʻekiʻe loa ke hoʻopilikia pololei i ka hana o ka puʻuwai, e hoʻoulu ai i nā puʻuwai kū ʻole a me nā hōʻeha puʻuwai.
- Inā loaʻa iā ʻoe kahi maʻi mau loa, e like me ka maʻi puʻupaʻa a i ʻole ka maʻi diabetes, e kamaʻilio mau i kāu meaʻai a me nā lāʻau lapaʻau me kāu kauka.
- Mai hoʻowahāwahā i nā hōʻailona e like me ka puʻuwai kūpono ʻole, ka ʻeha o ka umauma, a i ʻole ka nāwaliwali koke o nā ʻiʻo. E ʻimi koke i ke kōkua lapaʻau.
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