Ke manaʻo nei ʻoe i kekahi manawa ua mae wale kou kino, ua mae kou mau lālā, ua ʻūlū kou mau ʻiʻo ? ʻOiai ke ʻano maʻamau kēia mau mea, i kekahi manawa hiki iā lākou ke lilo i hōʻailona o kahi mea nui e hana nei i loko o kou kino. I kēia lā e kamaʻilio mākou e pili ana i kekahi o ia ʻano maʻi, ʻo ia hoʻi ka haʻahaʻa o ka potassium i loko o ke kino, a i ʻole ma ke ʻano lapaʻau, hypokalemia .
I ka ʻōlelo maʻalahi, he emi ʻana kēia o ka nui o ka potassium , kahi mineral e pono ai i loko o ko kākou koko. I kēia manawa ke noʻonoʻo nei paha ʻoe, 'He aha kēia potassium, he mea nui anei ia?' ʻAe, he mea nui loa ia! He mea nui ka potassium no ko kākou mau ʻiʻo e hana pono ai, no ko kākou mau cell e loaʻa ai ka meaʻai e pono ai lākou, a no ko kākou ʻōnaehana nerve e hana pono ai. He mea nui loa ka potassium no ko kākou mau cell puʻuwai . Kōkua nō hoʻi ia i ka hoʻomalu ʻana i ke koko i ʻole e kiʻekiʻe loa.
No ke aha e emi ai ka potassium penei? (Nā kumu)
Nui nā kumu e haʻahaʻa ai ko mākou kino i ka potassium. I kekahi manawa hiki ke lilo ia i ka nui o ka potassium e nalowale ana ma o kā mākou ʻōnaehana hoʻoheheʻe . A i ʻole he hōʻailona paha ia o kahi maʻi ʻē aʻe.
He aha ke kumu nui o ka haʻahaʻa o ka potassium?
ʻO ka pinepine, ʻo ke kumu nui o nā pae potassium haʻahaʻa kekahi mau lāʻau lapaʻau i hoʻohana ʻia e mālama i nā kūlana e like me ka maʻi puʻuwai a i ʻole ke koko kiʻekiʻe . ʻOi aku hoʻi, ʻo nā diuretics , a i ʻole "nā pila wai" i kā mākou ʻōlelo maʻamau, ke kumu o ka hoʻokuʻu ʻia ʻana o ka potassium keu i loko o ka mimi.
He aha nā kumu ʻē aʻe?
Ma waho aʻe o kēia kumu nui, hiki i kekahi mau kumu ʻē aʻe ke hana i nā pae potassium haʻahaʻa.
- Hoʻomau ka luaʻi ʻana .
- Ka hoʻohana pinepine ʻana i nā laxatives .
- Ka maʻi pākī lōʻihi.
- Ka haʻahaʻa o ka magnesium i loko o ke kino (hypomagnesemia).
- Ka inu ʻana i ka waiʻona nui loa.
- Ka hou nui ʻana.
- Ka nele o ka waikawa Folic.
- ʻO ka piʻi ʻana o nā waikawa i kapa ʻia he ketones i loko o ke koko o ke kanaka me ka maʻi diabetes (diabetic ketoacidosis).
- ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia no ka hānō.
- Ka ʻai pono ʻole.
ʻOiai he mea kakaikahi, hiki ke hana ʻia kēia ʻano inā ʻaʻole lawa ka potassium i kā mākou meaʻai.
Eia kekahi, ʻo nā maʻi ʻai, nā maʻi puʻupaʻa, a me kekahi mau kūlana olakino e like me `(Cushing's syndrome)`, `(Gitelman syndrome)`, `(Liddle syndrome)`, `(Bartter syndrome)` hiki ke hana i nā pae potassium haʻahaʻa. ʻOi aku ka nui o ka loaʻa ʻana o kēia maʻi i nā wāhine ma mua o nā kāne.
He aha nā hōʻailona o kēia? (Nā hōʻailona)
ʻO ka maʻamau, hilinaʻi nā hōʻailona i ka haʻahaʻa o kāu mau pae potassium a me ka lōʻihi o ko lākou haʻahaʻa ʻana. Inā haʻahaʻa iki wale nō lākou, ʻaʻole paha ʻoe e loaʻa i kekahi mau hōʻailona. Eia nō naʻe, e makaʻala i nā hōʻailona ma lalo nei.
| Pae hōʻailona | Nā hiʻohiʻona i ʻike ʻia |
|---|---|
| Hypokalemia iki |
|
| Hypokalemia koʻikoʻi |
|
Inā noho haʻahaʻa kou pae potassium no ka manawa lōʻihi, hiki iā ia ke hoʻopilikia i kou mau puʻupaʻa. Pono paha ʻoe e mimi pinepine a makewai nui.
Pehea e ʻike pololei ai ke kauka i kēia maʻi?
I mea e ʻike pono ai inā loaʻa iā ʻoe kēia maʻi, e hana kāu kauka i kahi hoʻāʻo koko e ana i ka pae o ka potassium i loko o kou koko. Hiki ke hana ʻia kēia ma ke ʻano he ʻāpana o kahi panel metabolic piha. Nānā pū kēia i ka hana o nā puʻupaʻa a me ke kaulike o nā electrolytes i loko o kou kino.
- Pae maʻamau: ʻO ka pae potassium maʻamau no kahi pākeke ma waena o 3.5 a me 5.5 milimoli no ka lita (3.5 - 5.5 mmol/L).
- Nā pae haʻahaʻa (Hypokalemia): Inā ʻoi aku kou pae ma lalo o 3.5 mmol/L , he hypokalemia ia. Ma waena o 3.0-3.4 ua manaʻo ʻia he akahai, ma lalo o 3.0 ua manaʻo ʻia he kaulike, a ma lalo o 2.5 mmol/L ua manaʻo ʻia he koʻikoʻi.
No ka ʻike ʻana i ke kumu, e nīnau kāu kauka e pili ana i kou mōʻaukala olakino, nā lāʻau lapaʻau āu e lawe nei, a inā ua loaʻa iā ʻoe kekahi luaʻi a i ʻole ka maʻi diarrhea. Hiki iā lākou ke hana i kahi hoʻāʻo mimi e nānā i ka potassium i loko o kāu mimi. Inā he kānalua no kahi ʻano ʻē i loko o kou puʻuwai puʻuwai, hiki ke hana ʻia kahi hoʻāʻo ECG (electrocardiogram) .
He aha ka lāʻau lapaʻau no ka potassium haʻahaʻa?
Inā ʻaʻole koʻikoʻi kou kūlana, e kuhikuhi pinepine kāu kauka i nā mea hoʻopihapiha potassium waha.
Eia nō naʻe, inā he maʻi ʻē aʻe ke kumu o kēia ʻano, e mālama kāu kauka iā ia. No ka laʻana, inā haʻahaʻa kou potassium ma muli o nā diuretics, hiki iā ʻoe ke hoʻōki i ka lawe ʻana i kēlā lāʻau lapaʻau a hoʻololi i kahi ʻano lāʻau ʻē aʻe. No ka laʻana, hiki iā ʻoe ke hoʻohana i nā lāʻau lapaʻau e like me `(ACE) inhibitors`, `(ARB)` a i ʻole `(beta-blockers)`. Eia naʻe, mai hoʻōki i ka lawe ʻana i kekahi lāʻau lapaʻau i kuhikuhi ʻia me ka ʻole o ke kamaʻilio ʻana me kāu kauka.
I kekahi mau hihia koʻikoʻi, pono paha ka hoʻokipa ʻana i ka haukapila a me ka intravenous (IV) potassium.
- Ke lilo nā pae potassium i mea haʻahaʻa loa.
- Ke hoʻi ʻole nā pae i ka maʻamau me nā pila waha.
- I ka wā e loaʻa ai nā ʻano ʻē i loko o ka puʻuwai.
I ka hāʻawi ʻana i ka potassium ma ke ʻano intravenous, pono ʻoe e noho ma lalo o ka nānā ʻana o ke kauka, no ka mea, ʻo ke ʻano i kapa ʻia ʻo hyperkalemia hiki ke lilo i mea weliweli a hoʻonāwaliwali hoʻi.
Hiki ke pale ʻia kēia kūlana? (Ka pale ʻana)
ʻAe, i kekahi ʻano. Inā loaʻa iā ʻoe ka luaʻi a i ʻole ka maʻi pākī, e inu i ka nui o ka wai a me nā wai . Inā hoʻomau kēia ʻano no nā lā ʻelua a ʻoi aku, e ʻike pono i ke kauka. Inā inu ʻoe i ka waiʻona, e kaupalena iā ia.
ʻO ke ala maikaʻi loa e hana ai i kēia, ʻo ia ka ʻai ʻana i ka meaʻai momona i ka potassium. Pono ke kanaka makua ma waena o 2,600 a me 3,400 milligrams o ka potassium i kēlā me kēia lā.
| Nā meaʻai waiwai i ka potassium | Ka nui o ka potassium ma kahi o (milligrams) |
|---|---|
| ʻApricots maloʻo, ½ kīʻaha | 755 mg |
| Nā lentil i moʻa ʻia, 1 kīʻaha | 731 mg |
| ʻUʻu ʻakona, kuʻi ʻia, 1 kīʻaha | 644 mg |
| Nā plum maloʻo (Prunes), ½ kīʻaha | 635 mg |
| Hua waina maloʻo, ½ kīʻaha | 618 mg |
| ʻUala i hoʻolapalapa ʻia, ʻiwi wale nō, hoʻokahi nui waena | 610 mg |
| Wai ʻalani, 1 kīʻaha | 496 mg |
| Maiʻa, hoʻokahi hua waena | 422 mg |
Leka Lawe-Home
- ʻO ka hypokalemia kahi kūlana kahi i haʻahaʻa ai ka pae o ka potassium i loko o kou koko. Mai lawe māmā i kēia.
- ʻO ka lawe ʻana i nā diuretics, ka luaʻi mau ʻana, a i ʻole ka maʻi palahēhē paha ke kumu nui o kēia.
- Hiki i kēia ke kau ʻia mai nā hōʻailona maʻalahi e like me ka nāwaliwali a me ka ʻūlū ʻana o nā ʻiʻo i nā hōʻailona koʻikoʻi e like me nā ʻano ʻino o ka puʻuwai.
- Inā loaʻa iā ʻoe kēia mau hōʻailona,E ʻike pono i kāu kauka a loaʻa ka ʻōlelo aʻoaʻo. Mai hele wale a lawe i nā pila potassium ma kāu iho.
- ʻO ka hoʻohui ʻana i nā meaʻai waiwai i ka potassium (e like me ka maiʻa, ka ʻuala, a me nā lentil) i kāu papaʻai e hiki ke kōkua i ka pale ʻana i kēia maʻi.
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