Ke luhi nei ʻoe i kekahi manawa, ke poʻo māmā, a i ʻole ke kuʻi nei kou umauma me ke kumu ʻole? I kekahi manawa manaʻo mākou he mea maʻamau kēia a hoʻokuke aku iā lākou. Akā he hōʻailona paha kēia o kahi loli kemika liʻiliʻi i loko o kou kino. ʻO ia hoʻi, ua piʻi aʻe ka nui o ka potassium i loko o kou koko ma mua o ka mea e pono ai. I ka lāʻau lapaʻau, kapa mākou i kēia ʻano he hyperkalemia. Mai hopohopo, ʻoiai inā kani nui kēia inoa, e hoʻomaopopo kākou iā ia me ka maʻalahi a me ka pololei.
He aha ka potassium? No ke aha he mea nui ia iā kākou?
I ka ʻōlelo maʻalahi, he mineral ka potassium e pono ai no ka hana ʻana o ko mākou kino, e hana ana e like me ke au uila liʻiliʻi. I ka lāʻau lapaʻau, kapa mākou i kēia he electrolyte. E noʻonoʻo i ko mākou kino he mīkini paʻakikī. No ka hana pono ʻana o kēia mīkini, pono ia i kahi 'au'. Pēlā e kōkua ai ka potassium i ko mākou kino.
Eia kekahi o nā hana nui a ka potassium i loko o ko mākou kino:
- No ka hana ʻana o nā ʻiʻo: Ke kīkoʻo ʻoe i kou lima, ʻakaʻaka, a hele wāwae paha, pono kēia mau mea āpau i nā ʻiʻo e ʻūlū a kīkoʻo. Kōkua ka Potassium i kēlā.
- ʻŌnaehana aʻalolo: Lawe nā aʻalolo i nā leka mai ka lolo i nā ʻāpana ʻē aʻe o ke kino, a mai nā ʻāpana o ke kino a i ka lolo. He mea nui ka potassium no ka hoʻoili pono ʻana o kēia hōʻailona uila.
- Ka meaʻai no nā pūnaewele: Kōkua ka Potassium i nā trillions o nā pūnaewele i loko o ko mākou kino e omo i nā meaʻai a wehe i nā huahana ʻōpala e hōʻiliʻili ana i loko o nā pūnaewele.
- Ka Mana ʻana i ke Koko: Hiki i ka paʻakai (sodium) a mākou e ʻai ai ke hoʻonui i ke koko. Kōkua ka Potassium i ke kaulike ʻana i nā hopena o kēlā paʻakai a kaohi i ke koko.
No laila pehea e hoʻonui ai kēia mau pae potassium?
Loaʻa iā kākou ka potassium mai nā meaʻai a kākou e ʻai ai. He waiwai nui ka potassium i nā maiʻa, nā ʻalani, a me kekahi mau huaʻai a me nā mea kanu. ʻO ka maʻamau, lawe ko kākou kino i ka nui o ka potassium e pono ai, a kānana ʻia ke keu ma o ko kākou mau puʻupaʻa a hoʻokuʻu ʻia i loko o ka mimi. E noʻonoʻo i nā puʻupaʻa he ʻelua 'kānana' nui i loko o ko kākou kino.
Eia nō naʻe, inā he pilikia me kēia mau kānana ʻelua, no ka laʻana, inā he mea e like me ka maʻi puʻupaʻa mau, ʻaʻole hiki iā ia ke hoʻopau i kēia potassium keu. A laila hoʻomaka kēlā potassium keu e hōʻiliʻili i loko o ke koko. ʻO ia ka mea a mākou e kapa nei he hyperkalemia.
ʻO ka mea nui loa, inā piʻi nui ka pae o ka potassium i loko o ke koko, hiki iā ia ke hoʻopilikia pololei i ka hana o ko kākou puʻuwai. Hiki iā ia ke hana i nā puʻuwai puʻuwai kūpono ʻole, ka ʻeha o ka umauma, a i kekahi manawa nā maʻi koʻikoʻi e like me ka hāʻule puʻuwai.
ʻO ka maʻamau, ʻo ka pae potassium o ke koko o kahi pākeke olakino ma waena o 3.5 a me 5.0 millimoles no ka lita (mmol/L). Inā ʻoi aku kēia helu ma mua o 5.5, manaʻo mākou he Hyperkalemia. Inā ʻoi aku kēia pae ma mua o 6.5, he kūlana koʻikoʻi ia e pono ai ke kōkua koke ʻia e ke kauka.
He aha nā hōʻailona o kēia? Pehea mākou e ʻike ai?
ʻO kekahi o nā pilikia nui ma ʻaneʻi, ʻo ka hapa nui o ka poʻe me ka hyperkalemia iki ʻaʻole lākou e hōʻike i kekahi mau hōʻailona. ʻOiai inā hana lākou, he mea maʻamau loa ia a ʻaʻole mākou e nānā nui iā lākou. I kekahi manawa hele mai kēia mau hōʻailona a hele aku, a i ʻole e hoʻonui mālie lākou i nā pule a i ʻole nā mahina.
E nānā kākou i kēia mau hōʻailona ma ka papa ma lalo nei.
| Pae hōʻailona | Nā mea hiki ke manaʻo ʻia |
|---|---|
| Nā hōʻailona liʻiliʻi |
|
| Nā hōʻailona koʻikoʻi (pono e mālama koke ʻia) |
|
He aha ke kumu nui o kēia kūlana?
E like me kā mākou i kūkākūkā ai ma mua, ʻo ke kumu nui a maʻamau ka maʻi puʻupaʻa. Ke hana pono ʻole nā puʻupaʻa, ʻaʻole kānana pono ʻia nā huahana ʻōpala i loko o ke koko, ʻoiai ka potassium.
Eia kekahi, hiki i nā mea ma lalo nei ke hana i ka hyperkalemia:
- ʻAi ʻana i nā meaʻai kiʻekiʻe i ka potassium: Lawe kekahi poʻe i nā mea hoʻohui potassium. Hiki ke hoʻoweliweli ka lawe ʻana i kēia me ka ʻole o ke aʻo lapaʻau.
- ʻO kekahi mau ʻano lāʻau lapaʻau:ʻO kekahi mau lāʻau lapaʻau, ʻoiai nā mea i hoʻohana ʻia no ke koko kiʻekiʻe, hiki ke hōʻemi i ka potassium excretion a hoʻonui i ke kiʻekiʻe o ke koko.
- Maʻi diabetes: ʻOi aku ke kiʻekiʻe o kēia pilikia i nā poʻe me ka maʻi diabetes i kāohi ʻole ʻia.
- ʻO ka maʻi o Addison: He maʻi pili kēia i ka hormone.
- Nā kuni nui: Ke puhi ʻia kahi ʻāpana nui o ke kino, ua hōʻino ʻia nā ʻāpana a hiki ke hōʻiliʻili i kā lākou potassium i loko o ke koko.
- Kekahi mau maʻi hoʻoilina: He mea kākaʻikahi loa kēia.
Pehea e ʻike pololei ai ke kauka i kēia?
ʻO ka hapa nui o ka manawa, ʻike ʻia kēia maʻi ma ke ʻano ulia. ʻO ia hoʻi, ke loaʻa iā ʻoe kahi hoʻāʻo koko no kekahi maʻi ʻē aʻe, e ʻike paha ʻoe ua kiʻekiʻe kou pae potassium i ka hōʻike. ʻO ka hoʻāʻo koko kikoʻī no kēia ʻo ia ka hoʻāʻo serum potassium.
Eia kekahi, hiki i kāu kauka ke hana i kahi hoʻokolohua ʻē aʻe, ʻo ia hoʻi kahi hoʻokolohua ECG (Electrocardiogram) .
- Hoʻāʻo ECG: Hana ʻia kēia e hoʻopaʻa i ka hana uila o kou puʻuwai, ʻo ia hoʻi ke ʻano o kou puʻuwai. Ke piʻi ka pae o ka potassium i loko o ke koko, loaʻa nā loli i ke ʻano uila (rhythm) o ka puʻuwai. ʻO nā nalu T kiʻekiʻe ma kahi ECG kekahi o nā hōʻailona mua o ka hyperkalemia. Hiki i kēia ke kōkua i kāu kauka e hoʻomaopopo inā e hoʻomaka ana ka pae potassium e hoʻopilikia i ka puʻuwai.
He aha nā lāʻau lapaʻau no kēia?
Aia ka lāʻau lapaʻau i ke kiʻekiʻe o kou pae potassium i ke koko a me ke kumu o ia mau mea. ʻAʻohe mea e hopohopo ai, he kūlana hiki ke mālama ʻia kēia.
Eia kekahi o nā ʻano lapaʻau nui:
| ʻAno lapaʻau | I ka ʻōlelo maʻalahi... |
|---|---|
| Nā lāʻau lapaʻau | ʻO ka maʻamau, kapa mākou i kēia mau 'pila wai'. Hoʻoulu kēia mau lāʻau lapaʻau i nā puʻupaʻa a hoʻonui iā lākou i ka mimi. Hoʻokuʻu ʻia ka potassium a me ka sodium keu mai ke kino me ka mimi. |
| Ka mālama ʻana i nā lāʻau lapaʻau | ʻO kekahi mau lāʻau lapaʻau āu e lawe nei (e laʻa me ka lāʻau hoʻēmi koko) e hoʻonui paha i kou pae potassium. Inā pēlā, hiki i kāu kauka ke hoʻoholo e hoʻōki i ka lawe ʻana i kēlā lāʻau lapaʻau a hoʻololi paha iā ʻoe i kahi lāʻau lapaʻau ʻē aʻe. Mai hoʻōki i ka lawe ʻana i kāu lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a kāu kauka. |
| Nā mea hoʻopaʻa potasiuma | ʻO ka hana a kēia mau lāʻau lapaʻau, ʻo ia ke hoʻopaʻa i ka potassium i loko o ka meaʻai a mākou e ʻai ai i loko o nā ʻōpū a hoʻokuke aku me ka ʻōpala. ʻO ia hoʻi, ʻaʻole lākou e ʻae i ka potassium e komo i loko o ke koko. |
| Lapaʻau IV (Lapaʻau Intravenous) | Inā kiʻekiʻe loa kou pae potassium a kiʻekiʻe loa, he lāʻau lapaʻau kēia i hāʻawi ʻia ma ke ʻano intravenous ma kahi haukapila, e like me ka saline. Hoʻokomo pū kēia me ka calcium gluconate e pale i ka puʻuwai, a me ka insulin e hoʻoneʻe i ka potassium i loko o ke koko i loko o nā ʻāpana. |
| Dialysis | Hoʻohana ʻia kēia lāʻau lapaʻau no ka poʻe me ka hāʻule ʻana o nā puʻupaʻa a i ʻole ka poʻe hiki ʻole ke hoʻemi i ko lākou pae potassium me nā lāʻau lapaʻau ʻē aʻe. I ka ʻōlelo maʻalahi, pili ia i ka hoʻohana ʻana i kahi mīkini e kānana i kekahi o ke koko, e wehe ana i nā mea makemake ʻole ʻia a me ka potassium keu. |
Pehea mākou e pale ai a mālama ai i kēia kūlana?
ʻO ke ala maikaʻi loa e pale aku ai i kēia, ʻo ia ka mālama ʻana i ke olakino o kou mau puʻupaʻa a me ka kaohi ʻana i kāu meaʻai.
ʻAi haʻahaʻa i ka potassium
Inā pilikia ʻoe i ka hyperkalemia, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka a i ʻole kekahi meaʻai meaʻai e pili ana i ka hele ʻana i ka papaʻai haʻahaʻa-potassium. Pono paha ʻoe e hoʻopau loa a kaupalena paha i kekahi mau meaʻai kiʻekiʻe-potassium.
ʻO nā meaʻai kiʻekiʻe i ka potassium e pono e kaupalena ʻia a hōʻole ʻia paha:
- Nā huaʻai: maiʻa, ʻalani, ʻaila poni, melons, avocados, hua waina maloʻo, nā lā, nā ʻāpana maloʻo.
- Nā mea kanu: Spinach, tōmato, ʻuala, ʻuala, beets, halo, hue.
- ʻĒ aʻe: ka wai ʻōmato, ketchup, pipi, iʻa, kekahi mau wai huaʻai i loko o ka pahu.
- Nā pani paʻakai: Aia kekahi mau pani 'paʻakai haʻahaʻa' ma ka mākeke i ka potassium chloride. E pale i ka hoʻohana ʻana i kēia mau mea.
Mea nui: Mai hopohopo i kēia papa inoa o nā meaʻai. ʻAʻole kēia manaʻo e pono ʻoe e hoʻōki i ka ʻai ʻana i nā mea āpau. E aʻo pololei kāu kauka iā ʻoe i nā meaʻai e kaupalena ʻia a me ka nui, ma muli o kou kūlana.
Āhea mākou e ʻike ai i ke kauka? Āhea mākou e hele ai i ka ETU?
He mea nui loa kēia. Inā ʻike ʻoe he Hyperkalemia kou, he mea nui e hoʻāʻo pinepine ʻia kou koko e like me ka ʻōlelo a kāu kauka.
Inā loaʻa iā ʻoe kēia mau hōʻailona maʻamau, e ʻike i kāu kauka:
- ʻEha pinepine ka ʻōpū
- Ka maʻi pākī
- Ka luaʻi a me ka luaʻi
- Luhi me ke kumu ʻole
Eia nō naʻe, inā loaʻa iā ʻoe kekahi o nā hōʻailona koʻikoʻi ma lalo nei, pono ʻoe e hele koke i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa:
- Paʻakikī ka hanu ʻana
- Nāwaliwali loa o nā ʻiʻo (ʻaʻole hiki ke kū)
- ʻEha nui o ka umauma
- Ka wikiwiki o ka pulse lohi a nāwaliwali paha
Hōʻike kēia mau hōʻailona e hoʻopilikia nui ana ka nui o ka potassium i ka puʻuwai a me ke kino.
Leka Lawe-Home
- ʻO ka Hyperkalemia kahi pae kiʻekiʻe o ka potassium i loko o ke koko. Loaʻa pinepine ia i nā poʻe me ka maʻi puʻupaʻa.
- I ka manawa pinepine, ʻaʻohe hōʻailona i nā pae mua. No laila, inā he mau mea pilikia kou e like me ka maʻi puʻupaʻa, ka maʻi diabetes, a i ʻole ke koko kiʻekiʻe, e hoʻāʻo pinepine i kou koko e like me ke kuhikuhi a kāu kauka.
- Inā loaʻa iā ʻoe nā hōʻailona koʻikoʻi e like me ka ʻeha o ka umauma, ka paʻakikī o ka hanu ʻana, a i ʻole ka nāwaliwali nui o nā ʻiʻo, e hele koke i ka Emergency Department (ETU) o ka haukapila.
- Hiki ke hoʻomalu maikaʻi ʻia kēia kūlana ma ka hoʻemi ʻana i nā meaʻai kiʻekiʻe i ka potassium (e like me ka maiʻa, nā ʻalani, nā tōmato, nā ʻuala) a me ka lawe ʻana i ka lāʻau lapaʻau e like me ke kauoha a kāu kauka.
- Mai ho'ōki a hoʻololi paha i kāu mau lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a ke kauka.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo