Nā Maʻi a me nā Kūlana7 Iulai 2026🔄 Updated: 14 Iul. 2026⏱ 12 min

E aʻo kākou e pili ana i ka hyponatremia (ka paʻakai haʻahaʻa i loko o ke kino)! ʻAʻole kēia he pāʻani!

Creator: Dr. Priya Sammani
Published: 2026-07-07T14:04:33.000Z

Dr. Priya Sammani, MBBS, PG Dip. FMMedical Verification

Ua lohe mākou a pau i ka ʻōlelo mai ko mākou wā kamaliʻi mai: "Mai ʻai nui i ka paʻakai, ʻaʻole ia he mea maikaʻi no kou kino." ʻOiaʻiʻo, ua ʻike mākou ʻo ka nui o ka paʻakai, a i ʻole ka sodium, hiki ke hoʻonui i ke koko a alakaʻi i ka maʻi puʻuwai. Akā ua manaʻo paha ʻoe he mea weliweli like ka liʻiliʻi o ka paʻakai i loko o ke kino, a i kekahi manawa ʻoi aku ka weliweli? ʻO ia ka mea a mākou e kapa nei he hyponatremia i ka lāʻau lapaʻau. ʻOiai he kumuhana paʻakikī kēia, i kēia lā e kamaʻilio mākou e pili ana i ia mea ma ke ʻano maʻalahi loa hiki iā ʻoe ke hoʻomaopopo.

I ka ʻōlelo maʻalahi, he aha ka Hyponatremia?

ʻO Hyponatremia ka wā e haʻahaʻa ai kou pae sodium koko (ka ʻāpana nui o ka paʻakai a mākou e ʻai ai) ma mua o ka maʻamau. ʻO ka maʻamau, pono ke kiʻekiʻe o ka sodium koko o ke kanaka olakino ma luna o 135 milliequivalents i kēlā me kēia lita (135 mEq/L). Inā hāʻule kēia waiwai ma lalo o 135, kapa mākou i kēlā ʻano Hyponatremia.

I kēia manawa, ke noʻonoʻo nei paha ʻoe, "Auē... he aha ka mea e hana ai inā nalowale iki ka paʻakai?" Akā, ʻaʻole ia he mea maʻalahi. No ka hana pono ʻana o nā mea a pau i loko o ko kākou kino, pono e kaulike nā mea a pau. He mea nui loa ke kaulike ma waena o ka wai a me ka sodium. Inā nalowale kēia kaulike, ʻo ia hoʻi, inā piʻi ka nui o ka wai i loko o ke kino a hoʻoheheʻe ʻia ka sodium, hoʻomaka ka wai keu e komo i loko o nā pūnaewele o ko kākou kino. A laila pehu kēlā mau pūnaewele. ʻOiai hiki ke hana ʻia kēia ma nā wahi a pau o ke kino, he mea weliweli loa ka pehu ʻana o nā pūnaewele lolo.

E noʻonoʻo e hana ana ʻoe i ke kī. He aha ka mea e hana ai inā hoʻohui ʻoe i kahi kō liʻiliʻi a me ka nui o ka wai? Ua nalowale ka ʻono o ke kī, ʻeā? Pēlā nō ia. Ke ʻoi aku ka nui o ka wai i loko o ke kino ma mua o ka nui o ka sodium i loko o ke kino, e emi ana ka nui o ka sodium i loko o ke koko. Inā hana pono ko kākou mau puʻupaʻa, ʻaʻole pinepine kēia kūlana inā inu mākou i ka wai nui. Eia naʻe, ma muli o kekahi mau maʻi, nā lāʻau lapaʻau, a inā paha e hou nui mākou, e like me ka holo ʻana i ka marathon, a inu wale i ka wai i kēlā manawa, ʻaʻohe o mākou electrolytes e pono ai ko mākou kino.

Aia kekahi mau ʻano nui o Hyponatremia?

ʻAe, ua hoʻokaʻawale nā kauka i ka Hyponatremia i ʻekolu mau ʻano nui e maʻalahi ai ka loaʻa ʻana o ke kumu o kēia kūlana. Hoʻoholo ʻia ia e ka nui o ka wai a me ka sodium i loko o ke kino. E hoʻomaopopo kākou penei.

ʻAno o ka Hyponatremia	I ka ʻōlelo maʻalahi, he aha ka mea e hana ʻia?
ʻO ka Hyponatremia Euvolemic (dilutional)	ʻO ka mea e hana ʻia ma kēia, ʻoiai ke pae maʻamau nei ka nui o ka sodium i loko o ke kino, ʻo ka nui o ka wai wale nō e piʻi aʻe. I ka pololei, ua hoʻoheheʻe ʻia ka paʻakai.
ʻO ka Hyponatremia Hypervolemic	Ma kēia, piʻi ka wai a me ka sodium i loko o ke kino. Akā, ʻoi aku ka nui o ka wai e piʻi ana ma mua o ka nui o ka sodium. Hoʻoheheʻe pū kēia i ka sodium. E ʻike paha ʻoe i ka pehu ʻana i loko o ke kino.
Hyponatremia Hypovolemic	I kēia, ua nalowale ka wai a me ka sodium mai ke kino. Eia nō naʻe, ʻoi aku ka nui o ka sodium i nalowale ma mua o ka nui o ka wai i nalowale. Hiki ke hana pinepine kēia i ka wā e luaʻi nui ai a i ʻole ka maʻi pākī.

Ke ʻike kāu kauka i ke ʻano o kēia mau ʻano āu, e maʻalahi ka hoʻoholo ʻana i ke kumu a me ka lāʻau lapaʻau maikaʻi loa.

He aha nā hōʻailona o kēia maʻi?

Hiki ke ʻokoʻa nā hōʻailona o ka hyponatremia ma muli o ka haʻahaʻa o ka pae sodium a me ka wikiwiki o ka hāʻule ʻana. I kekahi manawa, ke hāʻule mālie nā pae sodium (Chronic Hyponatremia), ʻaʻohe paha he mau hōʻailona nui. Akā inā hāʻule koke ka hāʻule ʻana (Acute Hyponatremia), hiki ke koʻikoʻi nā hōʻailona.

Eia nā hōʻailona i ʻike ʻia ma ke ʻano laulā:

Ka ʻūmiʻi ʻana a i ʻole ka nāwaliwali o nā ʻiʻo .
Ka luaʻi a me ka luaʻi .
Luhi nui a me ka palaualelo. Manaʻo e like me ʻaʻole hiki iā ʻoe ke hana i kekahi mea.
ʻEha poʻo .
Huikau: Poina i kou wahi, i ka manawa hea ʻoe, a me ka huikau i kāu mea e ʻōlelo nei.
ʻO nā kuʻi ʻana ka hanana ʻana o nā kūlana e like me ka convulsive.

No ke aha e hana ai kēia? Nā kumu o Hyponatremia

I ka hapanui o nā hihia, ʻo ke kumu nui o Hyponatremia he maʻi lapaʻau e hoʻopaʻa ai ke kino i ka wai nui, e hoʻoheheʻe ana i ka sodium. Ma waho aʻe o kēlā, hiki ke hana ʻia e ka nalowale nui o ka sodium mai ke kino (he haʻahaʻa iki).

Eia kekahi o nā kumu nui e hoʻopilikia ai i kēia kūlana:

SIADH (Syndrome of Inappropriate Antidiuretic Hormone Secretion): He maʻi hormonal kēia. Ma kēia, ua hoʻokuʻu nui ʻia kahi hormone (ADH) e kaohi ana i ka hoʻokuʻu ʻana o ka wai mai ko mākou kino. Hoʻemi kēia i ka hoʻokuʻu ʻana o ka wai mai nā puʻupaʻa, e hōʻiliʻili ana i ka wai i loko o ke kino a hoʻoheheʻe i ka sodium.
Ka Hāʻule ʻana o ka Puʻuwai: Ke nāwaliwali ka puʻuwai, ʻaʻole maikaʻi ke kahe ʻana o ke koko i loko o ke kino. Hiki i kēia ke kumu o ka hōʻiliʻili ʻana o ka wai i loko o ke kino.
Ka Holo ʻole ʻana o nā Puʻupaʻa: ʻO kekahi o nā hana nui o nā puʻupaʻa, ʻo ia ke kānana ʻana i ka wai keu a me nā huahana ʻōpala mai ke kino. Ke nāwaliwali nā puʻupaʻa, ʻaʻole hana pono kēia kaʻina hana, a hōʻiliʻili ka wai i loko o ke kino.
ʻO ka Cirrhosis o ke ake: Hiki ke hana ʻia kēia ʻano ke hōʻino nui ʻia ka hana o ke ake.
Kekahi mau lāʻau lapaʻau: Hiki ke hana ʻia kēia ʻano e kekahi mau "pila wai" (diuretics) ʻoiai nā mea i hoʻohana ʻia no ke koko kiʻekiʻe a me kekahi mau lāʻau lapaʻau i hoʻohana ʻia no ka maʻi noʻonoʻo (SSRIs).
Ka maʻi pākī nui a i ʻole ka luaʻi ʻana: I loko o kēia manawa, ua nalowale ka nui o ka wai a me ka sodium mai ke kino.
ʻO ka inu nui ʻana (Polydipsia): Hiki ke hana ʻia kēia e ka makemake e inu i ka nui o ka wai me ke kumu ʻole, hiki ke hele pū me kekahi mau kūlana olakino noʻonoʻo.
Ka inu nui ʻana i ka pia a i ʻole ka waiʻona.
Ka hoʻohana ʻana i nā lāʻau lapaʻau e like me MDMA (Ecstasy).

He kūlana koʻikoʻi anei kēia a hoʻoweliweli i ke ola?

ʻAe, ʻoiaʻiʻo nō. ʻOiai inā hāʻule koke nā pae sodium a i kahi pae haʻahaʻa loa, hiki ke hoʻoweliweli i ke ola.

E like me kaʻu i ʻōlelo ai ma mua, ke emi ka sodium i loko o ke koko, nui ka wai e neʻe i loko o nā ʻāpana. Inā hana kēia i nā ʻāpana lolo, pehu ka lolo (cerebral edema). Ua hoʻopaʻa ʻia ko mākou lolo i loko o kahi pahu i hana ʻia me nā iwi i kapa ʻia ʻo ka iwi poʻo. No laila, ʻaʻole nui ka lumi o ka lolo e pehu ai. Ke pehu ka lolo e like me kēia, kaomi ia i ka iwi poʻo. Hiki i kēia ke hōʻeha mau i ka lolo, coma, a i ʻole ka make.

No laila, ʻaʻole loa he kūlana e lawe māmā ʻia ʻo Hyponatremia.

Pehea e ʻike ai ke kauka i kēia?

Ke hele ʻoe e ʻike i ke kauka, e nīnau mua ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona. A laila e nānā ʻo ia iā ʻoe a kauoha i kekahi mau hoʻokolohua e hōʻoia i ke kūlana a loaʻa ke kumu.

Nā hoʻāʻo koko: ʻO kēia ka hoʻāʻo koʻikoʻi loa. Hiki iā ia ke nānā i nā pae o nā paʻakai i loko o kou koko, e like me ka sodium a me ka potassium, a pehea ka hana maikaʻi o kou mau puʻupaʻa.
Nā hoʻāʻo mimi: Ma ka nānā ʻana i ka pae a me ka nui o ka sodium i loko o ka mimi, hiki iā ʻoe ke kuhi i ke kumu.
Nā hoʻokolohua ʻē aʻe: Inā pono, ma muli o ke kumu, hiki ke hana ʻia nā mea e like me ka X-ray umauma a i ʻole ka CT scan lolo.

Hiki i ke kauka ke nīnau iā ʻoe e pili ana i nā mea e like me:

He aha nā lāʻau lapaʻau āu e lawe ai?
He aha nā maʻi ʻē aʻe āu e loaʻa nei?
Ke inu nei ʻoe i ka waiʻona?
ʻEhia ka wai āu e inu mau ai i kēlā me kēia lā?

Pehea e mālama ʻia ai ʻo Hyponatremia?

Hoʻokumu ʻia ka lāʻau lapaʻau i ka haʻahaʻa o kou pae sodium, ke koʻikoʻi o kou mau hōʻailona, a me ke kumu.

Ke mālama ʻana i ke kumu: ʻO ka hana mua, ʻo ia ke kāohi i ke kūlana olakino kumu e hoʻoulu ai i ke kūlana. No ka laʻana, inā i hoʻokumu ʻia e kahi lāʻau lapaʻau, hiki ke hoʻōki a hoʻololi paha i ka lāʻau lapaʻau.
Ka palena ʻana i ka lawe ʻana i ka wai: ʻO ka manawa pinepine, ʻoiai inā ʻaʻole haʻahaʻa loa kou pae sodium, e aʻo aku kāu kauka iā ʻoe e kaupalena i ka nui o ka wai āu e inu ai i kēlā me kēia lā.
IV saline: Inā haʻahaʻa loa kou pae sodium a i ʻole koʻikoʻi kou mau hōʻailona, pono ʻoe e lawe ʻia i ka haukapila a hāʻawi ʻia ka sodium ma o kahi vein (saline).
Nā lāʻau lapaʻau kūikawā: I kekahi mau hihia, hāʻawi ʻia nā lāʻau lapaʻau kūikawā, e like me ka tolvaptan, e kōkua i ka wehe ʻana i ka wai keu mai ke kino.

He kiko kūikawā e makaʻala ai i ka wā e mālama ʻia ai!

He mea nui loa kēia. I ka mālama ʻana i ka hyponatremia, akahele loa nā kauka.

He mea nui loa: He mea weliweli loa ka hoʻihoʻi ʻana i nā pae sodium i nā pae maʻamau me ka wikiwiki loa, no ka mea, ua hāʻule haʻahaʻa loa lākou. ʻO ka hana ʻana pēlā e alakaʻi ai i kahi kūlana i kapa ʻia ʻo "Central Pontine Myelinolysis" a i ʻole "Osmotic Demyelination Syndrome", hiki ke hōʻino mau i ka lolo. No laila, pono e mālama ʻia kēia ma ka haukapila wale nō, ma lalo o ka nānā ʻana o ke kauka. Mai ho'āʻo e hoʻoponopono iā ʻoe iho ma ka home ma ka inu ʻana i ka wai paʻakai a i ʻole ka ʻai ʻana i nā capsules paʻakai.

Āhea wau e ʻike ai i ke kauka? Āhea wau e hele ai i ka ETU?

He mea kēia āu e pono ai e ʻike pono, no ka mea, ʻo ka hana ʻana i ka manawa kūpono hiki ke hoʻōla i ke ola.

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, e ʻike koke i ke kauka:

Inā ʻoe e manaʻo i ka luhi mau a me ka nele o ka ikehu.

Inā pilikia ʻoe i ka noʻonoʻo ʻana, a inā paha ua nāwaliwali iki kou hoʻomanaʻo.

Inā he maʻi kou e hoʻoweliweli ai i ka hoʻomohala ʻana i ka Hyponatremia (e like me ka maʻi puʻuwai, puʻupaʻa, ate) a manaʻo ʻoe he ʻokoʻa ia ma mua o ka mea maʻamau.

Inā loaʻa kēia mau hōʻailona, e lawe koke i ka mea maʻi i ka ETU (Emergency Treatment Unit):

Inā huikau ʻoe a ʻōlelo pū kekahi me ke ʻano huikau.

Inā loaʻa iā ʻoe kahi maʻi hoʻopā (hoʻopā).

Inā paʻakikī ke ala aʻe mai ka hiamoe.

Inā he ʻeha poʻo nui kou a ke luaʻi nei.

Inā loaʻa iā ʻoe ka luaʻi nui a i ʻole ka diarrhea.

Leka Lawe-Home

ʻO ka Hyponatremia kahi kūlana kahi i haʻahaʻa ai ka paʻakai (sodium) o ke kino. ʻAʻole kēia he mea e lawe māmā ʻia a pāʻani ʻia paha.

ʻO ka hapa nui o ka manawa, ʻo kēia ke kumu o ka nui o ka wai i loko o ke kino, ma mua o ka ʻai ʻana i ka paʻakai liʻiliʻi.

Hiki i nā hōʻailona ke ʻano mai ka ʻūlū ʻana o nā ʻiʻo, ka luhi, a me ke poʻo i nā kūlana koʻikoʻi e like me ka huikau a me nā hopu ʻana.

Inā ʻike ʻoe i kekahi mau hōʻailona koʻikoʻi, e like me ka huikau a i ʻole ka hoʻopāpā, mai hana ʻoe i kekahi mea ʻē aʻe a lawe koke i ka mea maʻi i ka Emergency Treatment Unit (ETU) o ka haukapila.

Pono e mālama ʻia kēia ma lalo o ka nānā ʻana a ke kauka. Mai ho'āʻo e mālama i kēia ma ka home, no ka mea, ʻo ka hoʻonui koke ʻana i nā pae sodium hiki ke hōʻino i ka lolo.

Inā loaʻa iā ʻoe kekahi maʻi olakino ʻē aʻe e hoʻoweliweli iā ʻoe i ka loaʻa ʻana o kēia maʻi, e kamaʻilio me kāu kauka e pili ana i ia mea a hahai i nā ʻōlelo kuhikuhi e pono ai.

hyponatremia, hyponatremia sinhala, paʻakai kino haʻahaʻa, sodium, sodium i loko o ke koko, ʻona wai, pehu lolo, edema cerebral, SIADH sinhala

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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Nā Maʻi a me nā Kūlana7 Iulai 2026
E aʻo kākou e pili ana i ka hyponatremia (ka paʻakai haʻahaʻa i loko o ke kino)! ʻAʻole kēia he pāʻani!
Dr. Priya SammaniMedical Verification
⏱ 12 min read
📋Table of Contents
1. I ka ʻōlelo maʻalahi, he aha ka Hyponatremia?
2. Aia kekahi mau ʻano nui o Hyponatremia?
3. He aha nā hōʻailona o kēia maʻi?
4. No ke aha e hana ai kēia? Nā kumu o Hyponatremia
5. He kūlana koʻikoʻi anei kēia a hoʻoweliweli i ke ola?
6. Pehea e ʻike ai ke kauka i kēia?
7. Pehea e mālama ʻia ai ʻo Hyponatremia?
8. He kiko kūikawā e makaʻala ai i ka wā e mālama ʻia ai!
9. Āhea wau e ʻike ai i ke kauka? Āhea wau e hele ai i ka ETU?
10. Leka Lawe-Home
Ua lohe mākou a pau i ka ʻōlelo mai ko mākou wā kamaliʻi mai: "Mai ʻai nui i ka paʻakai, ʻaʻole ia he mea maikaʻi no kou kino." ʻOiaʻiʻo, ua ʻike mākou ʻo ka nui o ka paʻakai, a i ʻole ka sodium, hiki ke hoʻonui i ke koko a alakaʻi i ka maʻi puʻuwai. Akā ua manaʻo paha ʻoe he mea weliweli like ka liʻiliʻi o ka paʻakai i loko o ke kino, a i kekahi manawa ʻoi aku ka weliweli? ʻO ia ka mea a mākou e kapa nei he hyponatremia i ka lāʻau lapaʻau. ʻOiai he kumuhana paʻakikī kēia, i kēia lā e kamaʻilio mākou e pili ana i ia mea ma ke ʻano maʻalahi loa hiki iā ʻoe ke hoʻomaopopo.
I ka ʻōlelo maʻalahi, he aha ka Hyponatremia?
ʻO Hyponatremia ka wā e haʻahaʻa ai kou pae sodium koko (ka ʻāpana nui o ka paʻakai a mākou e ʻai ai) ma mua o ka maʻamau. ʻO ka maʻamau, pono ke kiʻekiʻe o ka sodium koko o ke kanaka olakino ma luna o 135 milliequivalents i kēlā me kēia lita (135 mEq/L). Inā hāʻule kēia waiwai ma lalo o 135, kapa mākou i kēlā ʻano Hyponatremia.
I kēia manawa, ke noʻonoʻo nei paha ʻoe, "Auē... he aha ka mea e hana ai inā nalowale iki ka paʻakai?" Akā, ʻaʻole ia he mea maʻalahi. No ka hana pono ʻana o nā mea a pau i loko o ko kākou kino, pono e kaulike nā mea a pau. He mea nui loa ke kaulike ma waena o ka wai a me ka sodium. Inā nalowale kēia kaulike, ʻo ia hoʻi, inā piʻi ka nui o ka wai i loko o ke kino a hoʻoheheʻe ʻia ka sodium, hoʻomaka ka wai keu e komo i loko o nā pūnaewele o ko kākou kino. A laila pehu kēlā mau pūnaewele. ʻOiai hiki ke hana ʻia kēia ma nā wahi a pau o ke kino, he mea weliweli loa ka pehu ʻana o nā pūnaewele lolo.
E noʻonoʻo e hana ana ʻoe i ke kī. He aha ka mea e hana ai inā hoʻohui ʻoe i kahi kō liʻiliʻi a me ka nui o ka wai? Ua nalowale ka ʻono o ke kī, ʻeā? Pēlā nō ia. Ke ʻoi aku ka nui o ka wai i loko o ke kino ma mua o ka nui o ka sodium i loko o ke kino, e emi ana ka nui o ka sodium i loko o ke koko. Inā hana pono ko kākou mau puʻupaʻa, ʻaʻole pinepine kēia kūlana inā inu mākou i ka wai nui. Eia naʻe, ma muli o kekahi mau maʻi, nā lāʻau lapaʻau, a inā paha e hou nui mākou, e like me ka holo ʻana i ka marathon, a inu wale i ka wai i kēlā manawa, ʻaʻohe o mākou electrolytes e pono ai ko mākou kino.
Aia kekahi mau ʻano nui o Hyponatremia?
ʻAe, ua hoʻokaʻawale nā kauka i ka Hyponatremia i ʻekolu mau ʻano nui e maʻalahi ai ka loaʻa ʻana o ke kumu o kēia kūlana. Hoʻoholo ʻia ia e ka nui o ka wai a me ka sodium i loko o ke kino. E hoʻomaopopo kākou penei.
ʻAno o ka Hyponatremia I ka ʻōlelo maʻalahi, he aha ka mea e hana ʻia?
ʻO ka Hyponatremia Euvolemic (dilutional) ʻO ka mea e hana ʻia ma kēia, ʻoiai ke pae maʻamau nei ka nui o ka sodium i loko o ke kino, ʻo ka nui o ka wai wale nō e piʻi aʻe. I ka pololei, ua hoʻoheheʻe ʻia ka paʻakai.
ʻO ka Hyponatremia Hypervolemic Ma kēia, piʻi ka wai a me ka sodium i loko o ke kino. Akā, ʻoi aku ka nui o ka wai e piʻi ana ma mua o ka nui o ka sodium. Hoʻoheheʻe pū kēia i ka sodium. E ʻike paha ʻoe i ka pehu ʻana i loko o ke kino.
Hyponatremia Hypovolemic I kēia, ua nalowale ka wai a me ka sodium mai ke kino. Eia nō naʻe, ʻoi aku ka nui o ka sodium i nalowale ma mua o ka nui o ka wai i nalowale. Hiki ke hana pinepine kēia i ka wā e luaʻi nui ai a i ʻole ka maʻi pākī.
Ke ʻike kāu kauka i ke ʻano o kēia mau ʻano āu, e maʻalahi ka hoʻoholo ʻana i ke kumu a me ka lāʻau lapaʻau maikaʻi loa.
He aha nā hōʻailona o kēia maʻi?
Hiki ke ʻokoʻa nā hōʻailona o ka hyponatremia ma muli o ka haʻahaʻa o ka pae sodium a me ka wikiwiki o ka hāʻule ʻana. I kekahi manawa, ke hāʻule mālie nā pae sodium (Chronic Hyponatremia), ʻaʻohe paha he mau hōʻailona nui. Akā inā hāʻule koke ka hāʻule ʻana (Acute Hyponatremia), hiki ke koʻikoʻi nā hōʻailona.
Eia nā hōʻailona i ʻike ʻia ma ke ʻano laulā:
Ka ʻūmiʻi ʻana a i ʻole ka nāwaliwali o nā ʻiʻo .
Ka luaʻi a me ka luaʻi .
Luhi nui a me ka palaualelo. Manaʻo e like me ʻaʻole hiki iā ʻoe ke hana i kekahi mea.
ʻEha poʻo .
Huikau: Poina i kou wahi, i ka manawa hea ʻoe, a me ka huikau i kāu mea e ʻōlelo nei.
ʻO nā kuʻi ʻana ka hanana ʻana o nā kūlana e like me ka convulsive.
No ke aha e hana ai kēia? Nā kumu o Hyponatremia
I ka hapanui o nā hihia, ʻo ke kumu nui o Hyponatremia he maʻi lapaʻau e hoʻopaʻa ai ke kino i ka wai nui, e hoʻoheheʻe ana i ka sodium. Ma waho aʻe o kēlā, hiki ke hana ʻia e ka nalowale nui o ka sodium mai ke kino (he haʻahaʻa iki).
Eia kekahi o nā kumu nui e hoʻopilikia ai i kēia kūlana:
SIADH (Syndrome of Inappropriate Antidiuretic Hormone Secretion): He maʻi hormonal kēia. Ma kēia, ua hoʻokuʻu nui ʻia kahi hormone (ADH) e kaohi ana i ka hoʻokuʻu ʻana o ka wai mai ko mākou kino. Hoʻemi kēia i ka hoʻokuʻu ʻana o ka wai mai nā puʻupaʻa, e hōʻiliʻili ana i ka wai i loko o ke kino a hoʻoheheʻe i ka sodium.
Ka Hāʻule ʻana o ka Puʻuwai: Ke nāwaliwali ka puʻuwai, ʻaʻole maikaʻi ke kahe ʻana o ke koko i loko o ke kino. Hiki i kēia ke kumu o ka hōʻiliʻili ʻana o ka wai i loko o ke kino.
Ka Holo ʻole ʻana o nā Puʻupaʻa: ʻO kekahi o nā hana nui o nā puʻupaʻa, ʻo ia ke kānana ʻana i ka wai keu a me nā huahana ʻōpala mai ke kino. Ke nāwaliwali nā puʻupaʻa, ʻaʻole hana pono kēia kaʻina hana, a hōʻiliʻili ka wai i loko o ke kino.
ʻO ka Cirrhosis o ke ake: Hiki ke hana ʻia kēia ʻano ke hōʻino nui ʻia ka hana o ke ake.
Kekahi mau lāʻau lapaʻau: Hiki ke hana ʻia kēia ʻano e kekahi mau "pila wai" (diuretics) ʻoiai nā mea i hoʻohana ʻia no ke koko kiʻekiʻe a me kekahi mau lāʻau lapaʻau i hoʻohana ʻia no ka maʻi noʻonoʻo (SSRIs).
Ka maʻi pākī nui a i ʻole ka luaʻi ʻana: I loko o kēia manawa, ua nalowale ka nui o ka wai a me ka sodium mai ke kino.
ʻO ka inu nui ʻana (Polydipsia): Hiki ke hana ʻia kēia e ka makemake e inu i ka nui o ka wai me ke kumu ʻole, hiki ke hele pū me kekahi mau kūlana olakino noʻonoʻo.
Ka inu nui ʻana i ka pia a i ʻole ka waiʻona.
Ka hoʻohana ʻana i nā lāʻau lapaʻau e like me MDMA (Ecstasy).
He kūlana koʻikoʻi anei kēia a hoʻoweliweli i ke ola?
ʻAe, ʻoiaʻiʻo nō. ʻOiai inā hāʻule koke nā pae sodium a i kahi pae haʻahaʻa loa, hiki ke hoʻoweliweli i ke ola.
E like me kaʻu i ʻōlelo ai ma mua, ke emi ka sodium i loko o ke koko, nui ka wai e neʻe i loko o nā ʻāpana. Inā hana kēia i nā ʻāpana lolo, pehu ka lolo (cerebral edema). Ua hoʻopaʻa ʻia ko mākou lolo i loko o kahi pahu i hana ʻia me nā iwi i kapa ʻia ʻo ka iwi poʻo. No laila, ʻaʻole nui ka lumi o ka lolo e pehu ai. Ke pehu ka lolo e like me kēia, kaomi ia i ka iwi poʻo. Hiki i kēia ke hōʻeha mau i ka lolo, coma, a i ʻole ka make.
No laila, ʻaʻole loa he kūlana e lawe māmā ʻia ʻo Hyponatremia.
Pehea e ʻike ai ke kauka i kēia?
Ke hele ʻoe e ʻike i ke kauka, e nīnau mua ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona. A laila e nānā ʻo ia iā ʻoe a kauoha i kekahi mau hoʻokolohua e hōʻoia i ke kūlana a loaʻa ke kumu.
Nā hoʻāʻo koko: ʻO kēia ka hoʻāʻo koʻikoʻi loa. Hiki iā ia ke nānā i nā pae o nā paʻakai i loko o kou koko, e like me ka sodium a me ka potassium, a pehea ka hana maikaʻi o kou mau puʻupaʻa.
Nā hoʻāʻo mimi: Ma ka nānā ʻana i ka pae a me ka nui o ka sodium i loko o ka mimi, hiki iā ʻoe ke kuhi i ke kumu.
Nā hoʻokolohua ʻē aʻe: Inā pono, ma muli o ke kumu, hiki ke hana ʻia nā mea e like me ka X-ray umauma a i ʻole ka CT scan lolo.
Hiki i ke kauka ke nīnau iā ʻoe e pili ana i nā mea e like me:
He aha nā lāʻau lapaʻau āu e lawe ai?
He aha nā maʻi ʻē aʻe āu e loaʻa nei?
Ke inu nei ʻoe i ka waiʻona?
ʻEhia ka wai āu e inu mau ai i kēlā me kēia lā?
Pehea e mālama ʻia ai ʻo Hyponatremia?
Hoʻokumu ʻia ka lāʻau lapaʻau i ka haʻahaʻa o kou pae sodium, ke koʻikoʻi o kou mau hōʻailona, a me ke kumu.
Ke mālama ʻana i ke kumu: ʻO ka hana mua, ʻo ia ke kāohi i ke kūlana olakino kumu e hoʻoulu ai i ke kūlana. No ka laʻana, inā i hoʻokumu ʻia e kahi lāʻau lapaʻau, hiki ke hoʻōki a hoʻololi paha i ka lāʻau lapaʻau.
Ka palena ʻana i ka lawe ʻana i ka wai: ʻO ka manawa pinepine, ʻoiai inā ʻaʻole haʻahaʻa loa kou pae sodium, e aʻo aku kāu kauka iā ʻoe e kaupalena i ka nui o ka wai āu e inu ai i kēlā me kēia lā.
IV saline: Inā haʻahaʻa loa kou pae sodium a i ʻole koʻikoʻi kou mau hōʻailona, pono ʻoe e lawe ʻia i ka haukapila a hāʻawi ʻia ka sodium ma o kahi vein (saline).
Nā lāʻau lapaʻau kūikawā: I kekahi mau hihia, hāʻawi ʻia nā lāʻau lapaʻau kūikawā, e like me ka tolvaptan, e kōkua i ka wehe ʻana i ka wai keu mai ke kino.
He kiko kūikawā e makaʻala ai i ka wā e mālama ʻia ai!
He mea nui loa kēia. I ka mālama ʻana i ka hyponatremia, akahele loa nā kauka.
He mea nui loa: He mea weliweli loa ka hoʻihoʻi ʻana i nā pae sodium i nā pae maʻamau me ka wikiwiki loa, no ka mea, ua hāʻule haʻahaʻa loa lākou. ʻO ka hana ʻana pēlā e alakaʻi ai i kahi kūlana i kapa ʻia ʻo "Central Pontine Myelinolysis" a i ʻole "Osmotic Demyelination Syndrome", hiki ke hōʻino mau i ka lolo. No laila, pono e mālama ʻia kēia ma ka haukapila wale nō, ma lalo o ka nānā ʻana o ke kauka. Mai ho'āʻo e hoʻoponopono iā ʻoe iho ma ka home ma ka inu ʻana i ka wai paʻakai a i ʻole ka ʻai ʻana i nā capsules paʻakai.
Āhea wau e ʻike ai i ke kauka? Āhea wau e hele ai i ka ETU?
He mea kēia āu e pono ai e ʻike pono, no ka mea, ʻo ka hana ʻana i ka manawa kūpono hiki ke hoʻōla i ke ola.
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, e ʻike koke i ke kauka:
Inā ʻoe e manaʻo i ka luhi mau a me ka nele o ka ikehu.
Inā pilikia ʻoe i ka noʻonoʻo ʻana, a inā paha ua nāwaliwali iki kou hoʻomanaʻo.
Inā he maʻi kou e hoʻoweliweli ai i ka hoʻomohala ʻana i ka Hyponatremia (e like me ka maʻi puʻuwai, puʻupaʻa, ate) a manaʻo ʻoe he ʻokoʻa ia ma mua o ka mea maʻamau.
Inā loaʻa kēia mau hōʻailona, e lawe koke i ka mea maʻi i ka ETU (Emergency Treatment Unit):
Inā huikau ʻoe a ʻōlelo pū kekahi me ke ʻano huikau.
Inā loaʻa iā ʻoe kahi maʻi hoʻopā (hoʻopā).
Inā paʻakikī ke ala aʻe mai ka hiamoe.
Inā he ʻeha poʻo nui kou a ke luaʻi nei.
Inā loaʻa iā ʻoe ka luaʻi nui a i ʻole ka diarrhea.
Leka Lawe-Home
ʻO ka Hyponatremia kahi kūlana kahi i haʻahaʻa ai ka paʻakai (sodium) o ke kino. ʻAʻole kēia he mea e lawe māmā ʻia a pāʻani ʻia paha.
ʻO ka hapa nui o ka manawa, ʻo kēia ke kumu o ka nui o ka wai i loko o ke kino, ma mua o ka ʻai ʻana i ka paʻakai liʻiliʻi.
Hiki i nā hōʻailona ke ʻano mai ka ʻūlū ʻana o nā ʻiʻo, ka luhi, a me ke poʻo i nā kūlana koʻikoʻi e like me ka huikau a me nā hopu ʻana.
Inā ʻike ʻoe i kekahi mau hōʻailona koʻikoʻi, e like me ka huikau a i ʻole ka hoʻopāpā, mai hana ʻoe i kekahi mea ʻē aʻe a lawe koke i ka mea maʻi i ka Emergency Treatment Unit (ETU) o ka haukapila.
Pono e mālama ʻia kēia ma lalo o ka nānā ʻana a ke kauka. Mai ho'āʻo e mālama i kēia ma ka home, no ka mea, ʻo ka hoʻonui koke ʻana i nā pae sodium hiki ke hōʻino i ka lolo.
Inā loaʻa iā ʻoe kekahi maʻi olakino ʻē aʻe e hoʻoweliweli iā ʻoe i ka loaʻa ʻana o kēia maʻi, e kamaʻilio me kāu kauka e pili ana i ia mea a hahai i nā ʻōlelo kuhikuhi e pono ai.
hyponatremia, hyponatremia sinhala, paʻakai kino haʻahaʻa, sodium, sodium i loko o ke koko, ʻona wai, pehu lolo, edema cerebral, SIADH sinhala
⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.
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