Ua haʻi ʻia mai iā kākou a pau mai ko kākou wā liʻiliʻi mai e pono kākou e inu i ka liʻiliʻi he 8 mau aniani wai i ka lā, a he mea maikaʻi ka wai no ko kākou kino. He ʻoiaʻiʻo nō ia. ʻAʻole hiki i kēlā me kēia ʻāpana o ko kākou kino, kēlā me kēia kaʻina hana, ke hana me ka ʻole o ka wai. Akā, ua ʻike anei ʻoe, e like me nā mea ʻē aʻe, hiki i ka nui o ka wai ke lilo i mea ʻino loa i ke kino? ʻO kēia ka mea a kākou e kapa nei he 'overhydration' i ka lāʻau lapaʻau. ʻAʻole ia he mea kupanaha, ʻeā? E nānā kākou i ke ʻano maoli o kēia, no ke aha e hana ʻia ai, a pehea e hiki ai iā kākou ke pale iā kākou iho.
He aha maoli ka overhydration?
I ka ʻōlelo maʻalahi, ʻo
ka overhydration ka inu ʻana
i ka wai ma mua o ka hiki i kou mau puʻupaʻa ke hoʻohemo i loko o kahi manawa pōkole. Ke hana ʻia kēia, hoʻoheheʻe ʻia nā paʻakai koʻikoʻi o ke kino, ʻoiai
ka sodium , me ka wai a lilo i mea ʻole ka nui. ʻO kēia ka mea weliweli loa ma ʻaneʻi. He
electrolyte ka sodium he mea nui loa ia i ka mālama ʻana i ke kaulike ma waena o ka nui o ka wai i loko a ma waho o kā mākou mau cell. Ke inu nui ʻoe i ka wai a emi iho ka pae sodium i loko o kou koko, nalowale
ke kaulike , a hoʻomaka ka wai hou aku mai waho e neʻe i loko o nā cell. ʻO kēia ke kumu o ka pehu ʻana o nā cell.
ʻO ka pilikia nui a weliweli loa ma ʻaneʻi, ʻo ia ka emi ʻana o nā pae sodium i loko o ko mākou kino. Kāhea mākou i kēia ʻano he hyponatremia .
He aha ka mea e hana ai inā pehu nā hunaola lolo? E noʻonoʻo, aia ko kākou lolo i loko o kahi uhi ikaika i kapa ʻia ʻo ka iwi poʻo. No laila, ke pehu nā hunaola lolo, ʻaʻohe o lākou wahi e pālahalaha ai. Hoʻonui kēia i ke kaomi i loko o ka iwi poʻo. ʻO kēia ke kumu o ke poʻo ʻeha, ka huikau, a me ka hiamoe. Inā piʻi hou ke kaomi, hiki iā ia ke alakaʻi i nā maʻi koʻikoʻi e like me ke koko kiʻekiʻe a me ka bradycardia.
He aha nā hōʻailona o ka overhydration?
He mea paʻakikī iki kēia kūlana no ka mea hiki i nā hōʻailona mua ke like me nā hōʻailona o ka maloʻo ʻana o ka wai a i ʻole ka nele o ka wai i loko o ke kino. No laila he mea nui e makaʻala i kēia.
| Hōʻailona | He wehewehe maʻalahi |
|---|
| Waihoʻoluʻu mimi | Inā maopopo loa kou mimi, he hōʻailona paha ia e inu nui ana ʻoe i ka wai. He pae olakino ka melemele māmā. |
| Ke hele pinepine nei i ka lua | He mea maʻamau ka mimi ʻana i 6-8 mau manawa i ka lā. Inā ʻoe e hele ana ma mua o 10 mau manawa i ka lā (me ka ʻole o ka inu kofe a i ʻole ka waiʻona), e hopohopo. |
| Ka luaʻi a me ka luaʻi | Ke hiki ʻole i nā puʻupaʻa ke hoʻohemo i ka wai keu, hōʻiliʻili kēlā wai i loko o ke kino a hana i nā mea e like me ka nausea a me ka luaʻi. |
| ʻO ke poʻo ʻeha mau loa | Hiki ke loaʻa kahi ʻeha poʻo nui a ʻūlū hoʻi i ka wā e pehu ai nā hunaola o ka lolo a kaomi i ke poʻo. |
| ʻEha ʻiʻo a me ka ʻōʻopa | Ke pau nā electrolytes e like me ka sodium, hoʻopilikia ia i ka hana o nā ʻiʻo. Hiki i kēia ke alakaʻi i nā ʻūpā a me ka ʻeha o nā ʻiʻo. |
| Ka huikau a me ka luhi | Hiki i ka pehu ʻana o nā hunaola o ka lolo ke hoʻoulu i ka haunaele, ka huikau, a me ka luhi nui. |
No ke aha i ʻoi aku ai ka pilikia o kekahi poʻe i ka hoʻomohala ʻana i kēia maʻi?
ʻO ka maʻamau, ʻaʻole mākou e inu i ka wai liʻiliʻi, no laila ʻaʻole kēia he mea maʻamau. Eia nō naʻe, hiki i kekahi mau kūlana a me nā maʻi ke hoʻonui i kēia pilikia.
1. Hoʻoikaika Kino Loa
ʻO nā mea holo marathon a me ka poʻe e komo ana i nā haʻuki e hoʻoulu ai i ka hou nui e inu mau i ka wai no ka makaʻu i ka maloʻo. ʻOiai ua hoʻokuʻu ʻia nā paʻakai e like me ka sodium me ka hou, ʻo ka inu ʻana i ka nui o ka wai i kēlā manawa e hoʻonui ai i ka pilikia o ka 'Hyponatremia'.
2. Kekahi mau kūlana olakino
Hiki i kekahi mau maʻi ke hoʻopilikia i ke kaulike wai a me ka sodium o ke kino.
- Maʻi hoholaKa Hāʻule ʻana o ka Puʻuwai Paʻa: Ma muli o ka nāwaliwali o ka puʻuwai , ʻoi aku ka nui o ka hōʻiliʻili ʻana o ka wai i loko o ke kino .
- Maʻi Puʻupaʻa Mau Loa : ʻAʻole hiki i nā puʻupaʻa ke hoʻoponopono pono i ka wai a me ka sodium.
- Maʻi akepaʻa (Cirrhosis): Ke nāwaliwali ke akepaʻa, hiki i ka wai ke hōʻiliʻili i loko o ke kino a hoʻomāmā i ke koko.
- SIADH (Syndrome of Inappropriate Anti-diuretic Hormone): Ma kēia kūlana, hana ke kino i kahi hormone e hōʻemi ana i ka hoʻopuka mimi a hoʻoulu i ka paʻa ʻana o ka wai.
- Maʻi diabetes: Ke kiʻekiʻe loa ke kō koko (hyperglycemia), hoʻāʻo ke kino e mālama i ka wai.
- Hiki ke hana ʻia kēia kūlana e nā pilikia hormonal ʻē aʻe (e like me ka maʻi ʻo Addison, ka hormone thyroid haʻahaʻa).
3. Kekahi mau lāʻau lapaʻau a me nā lāʻau lapaʻau
ʻO ka hoʻohana ʻana i kekahi mau mea ʻeha, nā antidepressants, a me nā lāʻau lapaʻau e like me Ecstasy hiki ke hoʻoulu i ka make wai nui a me ka paʻa ʻana o ka wai i loko o ke kino.
Pehea ka hopena o kēia i nā keiki ʻōpio a me nā pēpē?
He mea kēia e pono ai nā mākua e makaʻala.
ʻAʻole pono e hāʻawi ʻia i ka wai i nā pēpē ma lalo o 6 mahina ma waho aʻe o ka waiū umauma a i ʻole ka waiū waiū. Loaʻa i kēlā mau waiū ka nui o ka wai a lākou e pono ai. Inā hāʻawi ʻia ka wai nui i kahi pēpē, ʻaʻole hiki i ko lākou mau puʻupaʻa liʻiliʻi ke lawelawe iā ia a hiki ke ulu koke kahi maʻi i kapa ʻia ʻo 'Hyponatremia'.
Inā manaʻo ʻoe ua maloʻo ka pēpē, e nānā i kēia mau hōʻailona:- Hoʻomaha mau a me ka uē
- Haʻahaʻa ka mahana o ke kino ma mua o ka maʻamau
- Pehu maka
- Nā hopu ʻana
- ʻO ka mimi he māmā loa ke kala (e like me ka wai)
Hiki i kekahi keiki ʻelemakule iki ke hōʻike i nā hōʻailona like me nā hōʻailona o kahi kanaka makua (ʻeha poʻo, luaʻi, huikau).
ʻŌlelo Aʻo: Inā kānalua ʻoe ua loaʻa i kāu pēpē a keiki liʻiliʻi paha kekahi o kēia mau hōʻailona, e kāhea koke aku i kāu kauka. Inā manaʻo ʻoe he koʻikoʻi ke kūlana, e lawe pololei iā lākou i ka ʻOihana Hoʻopilikia (ETU) o ka haukapila kokoke loa. ʻAʻole kēia he mea e hoʻopaneʻe ai.
No laila ehia ka wai e inu ai i ka lā?
He paʻakikī ke hāʻawi i hoʻokahi pane i kēia. Aia ia i nā mea he nui, e like me kou makahiki, ke kāne, ka hana, a me ke aniau.
- I ka awelika, pono i kahi wahine makua olakino ma kahi o 2.7 lita (ma kahi o 3 ʻōmole wai) o ka wai i kēlā me kēia lā , a pono i ke kāne ma kahi o 3.7 lita (ma kahi o 4 ʻōmole wai) . Hoʻokomo pū kēia i ka wai āu e inu ai a me nā wai āu e loaʻa ai mai ka meaʻai a me nā mea inu.
- ʻO ke ala maikaʻi loa, ʻo ia ka hoʻolohe ʻana i kou kino . E inu i ka wai ke make wai ʻoe .
- E makaʻala i ke kala o kou mimi . Inā he melemele māmā, ua lawa ka wai o kou kino.
Hiki ke ʻokoʻa kēia mau nui no ka poʻe e hoʻoikaika kino nui ana, nā makuahine hāpai a hānai waiū paha, a me ka poʻe ʻelemakule. No laila, ʻoi aku ka maikaʻi o ke kūkākūkā ʻana me kāu kauka i ia mau hihia.
Leka Lawe-Home
- He mea nui ka wai no ke ola, akā e like me nā mea ʻē aʻe, hiki i ka inu ʻana i ka wai nui (overhydration) ke lilo i mea weliweli.
- ʻO ka pilikia nui ka haʻahaʻa o ka sodium i loko o ke koko (hyponatremia), hiki ke hoʻoulu i nā hunaola lolo e pehu a hoʻoulu i nā pilikia koʻikoʻi.
- E hoʻolohe i kou kino. E inu i ka wai ke make wai ʻoe. ʻO kahi ana maikaʻi, ʻo ia ke nānā i ke kala o kou mimi (melemele māmā).
- I ka wā hoʻoikaika kino ikaika, e pale i ka inu ʻana i ka wai nui i ka manawa hoʻokahi. E noʻonoʻo i kahi mea inu i loaʻa nā electrolytes.
- Inā loaʻa iā ʻoe nā maʻi e like me ka puʻuwai, nā puʻupaʻa, a i ʻole nā maʻi akepaʻa, e nīnau i kāu kauka e pili ana i ka nui o ka wai āu e inu ai.
- Mai hāʻawi i ka wai keu i nā pēpē ma lalo o 6 mahina. E ʻimi koke i ke kōkua lapaʻau inā hōʻike kāu keiki i nā hōʻailona o ka make wai.
Wai inu, overhydration, hyponatremia, hemahema sodium, ʻona wai, ʻōlelo aʻoaʻo olakino, olakino maikaʻi
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