Ua kiʻekiʻe anei ka paʻakai o kou kino? E aʻo kākou e pili ana i ka hypernatremia!

Manaʻo pinepine mākou he makewai a luhi iki. I kekahi manawa manaʻo mākou he make wai maʻamau kēia. Akā i kekahi manawa hiki ke lilo i hōʻailona o kahi mea hohonu iki. ʻO ia ka hoʻonui ʻana o ka nui o ka sodium, a i ʻole 'paʻakai' e like me kā mākou e ʻike nei, i loko o ko mākou koko. I ka lāʻau lapaʻau, kapa mākou i kēia hypernatremia. ʻOiai he mea liʻiliʻi kēia, hiki ke lilo i maʻi koʻikoʻi inā ʻaʻole mālama ʻia. No laila e ʻike hou kākou e pili ana i kēia i kēia lā.

He aha ka Hypernatremia?

I ka ʻōlelo maʻalahi, ʻo ka hypernatremia ka wā e nui ai ka sodium i loko o kou koko a liʻiliʻi ka wai. He electrolyte ka sodium i loko o ko kākou kino. He mea nui ia no nā hana kino he nui. Akā e like me nā mea āpau, hiki i ka nui o ia mea ke hoʻopilikia. ʻO ka maʻamau, pono i ke kanaka olakino ma waena o 136 a me 145 milliequivalents (mEq) o ka sodium no ka lita o ke koko. Inā ʻoi aku kēia waiwai ma mua o 145 mEq/L, manaʻo mākou he hypernatremia. ʻO kēia ʻano ka mea maʻamau i nā keiki ʻōpio a me ka poʻe ʻelemakule . ʻOi aku ka nui o ka pilikia o ka poʻe me kekahi mau maʻi. Akā i ka hapa nui o nā hihia, he hōʻailona nui ia o ka dehydration. Ke lawa ʻole ka wai i loko o ke kino, piʻi koke ka nui o ka sodium i loko o ke koko. E noʻonoʻo i ke akamai o ko kākou kino. Ke piʻi iki ka paʻakai o ko kākou koko, ʻike ko kākou lolo. A laila hoʻolilo ia iā kākou i make wai a hāʻawi iā kākou i ka hōʻailona e "inu i ka wai." I ka manawa like, hoʻokuʻu ia i nā hormones e like me ka aldosterone a me ka antidiuretic hormone (ADH), e haʻi ana i nā puʻupaʻa e "mālama i kekahi wai a hoʻokuʻu i kekahi paʻakai i loko o ka mimi." ʻO ia ke kumu e lilo ai kou mimi i ʻeleʻele ke maloʻo ʻoe. ʻO ka hapa nui o nā hihia o ka hypernatremia he akahai. Hiki ke mālama ʻia ma ka inu ʻana i kahi wai hou aʻe a me kahi mea inu haʻuki paha. Akā, ʻo nā hihia kaulike a koʻikoʻi e pono ai ke kōkua lapaʻau.

No ke aha he mea nui ka sodium (paʻakai) no ko mākou kino?

Ua ʻike mākou ʻaʻole maikaʻi ka ʻai ʻana i ka paʻakai nui. Akā ʻo ka ʻoiaʻiʻo, ʻaʻole hiki i ko mākou kino ke hana me ka ʻole o ka sodium. He mea nui ia.

• Kaulike wai: Hoʻomalu i ka nui pololei o ka wai i loko a ma waho o kā mākou mau cellʻO ka sodium .
• Ke koko : Ke piʻi aʻe ka nui o ka sodium i loko o ke koko, huki ia i ka wai mai nā ʻiʻo a puni. Hoʻonui kēia i ka nui o ka wai (ka nui o ke koko) i loko o nā kīʻaha koko a hoʻonui i ke kaomi. ʻO ia ke kumu e hoʻoulu ai ka ʻai nui ʻana i ka paʻakai i ke koko kiʻekiʻe.
• Hana aʻalolo: Pono ko kākou ʻōnaehana aʻalolo i ka sodium e hoʻouna i nā hōʻailona (impulses). Pono nā ʻūlū ʻiʻo, ka noʻonoʻo ʻana, a me kēia mau mea āpau i nā hōʻailona aʻalolo.

He aha nā hōʻailona o ka hypernatremia?

Ua like ka nui o kēia mau hōʻailona me nā hōʻailona o ka maloʻo ʻana o ka wai, akā ua hoʻokumu ʻia kekahi e nā hopena o ka sodium keu ma ka ʻōnaehana nerve. E nānā kākou i kēia mau hōʻailona ma ka papa ma lalo nei.

Nā mea e hoʻonui ai i ka pilikia o ka hoʻomohala ʻana i ka hypernatremia

• Ka luaʻi nui a i ʻole ka maʻi pākī (Gastroenteritis)
• Nā kuni
• Ka hou nui ʻana ma muli o ka hoʻoikaika kino, ke kuni, a i ʻole ka wela nui
• ʻO ka maʻi diabetes i kāohi ʻole ʻia (Hyperglycemia)
• Maʻi puʻupaʻa
• Ua emi ka makewai me ka ʻelemakule
• I kekahi manawa, ʻaʻole lawa ka waiū o kahi pēpē i hānai ʻia me ka waiū.
• ʻO ka nui o nā papa paʻakai, a pēlā aku. Inā hana kēia, e kelepona koke aku i ke Kikowaena ʻIke Lāʻau Lapaʻau ma ka Halemai Lahui ʻo Colombo.
• Ka inu ʻana i ka wai kai
• He maʻi laha ʻole ka Diabetes Insipidus ʻaʻole pili i ka maʻi diabetes, akā ke kumu o ka mimi nui ʻana.

Pehea e ʻike ai ke kauka a mālama i kēia?

Hiki i kāu kauka ke ʻike maʻalahi i kēia kūlana ma ke ana ʻana i ka pae sodium i loko o kou koko me kahi hoʻāʻo koko maʻalahi. I kekahi manawa, hana ʻia nā hoʻāʻo mimi. ʻO ka pahuhopu nui o ka mālama ʻana, ʻo ia ke hoʻololi i ka wai i nalowale a hoʻihoʻi i ke kaulike ma waena o ka sodium a me ka wai. I nā hihia palupalu, e aʻo ʻia ʻoe e inu i ka wai a i ʻole nā ​​​​wai ʻē aʻe. Eia nō naʻe, i nā hihia kaulike a koʻikoʻi paha, pono paha ʻoe e lawe ʻia i ka haukapila a hāʻawi ʻia i ka saline (nā wai IV) ma o kahi vein.

Ke hoʻopilikia nei anei ka ʻai nui ʻana i ka paʻakai i ke kaumaha o ke kino?

He mea nui nō hoʻi kēia. Ua hōʻike ʻia nā haʻawina e ʻoi aku ka nui o ka momona o ke kino o ka poʻe e ʻai nui ana i ka paʻakai a lilo i mea momona. Aia paha kekahi mau kumu no kēia: 1. ʻOno: Hoʻonui ka paʻakai i ka ʻono o ka meaʻai. ʻO ia ke kumu e ʻai nui ai mākou me ka ʻike ʻole. 2. Makewai: Huli ka poʻe he nui i nā mea inu kō (soda) ma kahi o ka wai e hoʻomāʻona i ko lākou makewai ma hope o ka ʻai ʻana i nā meaʻai paʻakai. 3. Puhi momona: Hōʻike kekahi mau haʻawina e hiki i ka nui o ka paʻakai ke hoʻololi i ke ʻano o ka puhi ʻana o ko mākou kino i ka momona. No laila, ʻoi aku ka maikaʻi o ka hoʻēmi ʻana i ka nui o ka meaʻai a mākou e ʻai ai ma waho, nā meaʻai i hoʻopaʻa ʻia (nā meaʻai i hana ʻia), a hoʻomākaukau i nā meaʻai ma ka home, me ka hoʻomalu ʻana i ke koko a me ke kaumaha. Hypernatremia, sodium, paʻakai, dehydration, nā hoʻāʻo koko, nā puʻupaʻa, ka make wai, nā electrolytes, electrolyte