Puas muaj tej lub sij hawm koj xav tias koj nkees, qaug zog, lossis mob hauv siab yam tsis muaj laj thawj? Tej lub sij hawm peb xav tias tej no yog ib txwm muaj thiab peb tsis quav ntsej txog tej no. Tiam sis qhov no yuav yog ib qho cim qhia txog kev hloov pauv me me hauv koj lub cev. Yog li ntawd, cov potassium hauv koj cov ntshav tau nce ntau dua li qhov tsim nyog. Hauv kev kho mob, peb hu qhov mob no ua hyperkalemia. Tsis txhob txhawj, txawm tias lub npe no zoo li yog ib qho teeb meem loj los xij, cia peb nkag siab yooj yim thiab meej.
Potassium yog dab tsi? Vim li cas nws thiaj tseem ceeb rau peb?
Hais yooj yim xwb, potassium yog ib yam minerals uas tseem ceeb rau peb lub cev ua haujlwm, ua haujlwm zoo li ib lub hluav taws xob me me. Hauv kev kho mob, peb hu qhov no ua electrolyte. Xav txog peb lub cev zoo li ib lub tshuab nyuaj. Yog xav kom lub tshuab no ua haujlwm tau zoo, nws xav tau 'tam sim no'. Yog li ntawd potassium pab peb lub cev.
Nov yog qee qhov haujlwm tseem ceeb uas potassium ua hauv peb lub cev:
- Rau kev ua haujlwm ntawm cov leeg nqaij: Thaum koj ncab koj txhais caj npab, luag, lossis taug kev, tag nrho cov no yuav tsum tau cov leeg nqaij kom nruj thiab ncab. Potassium pab ua qhov ntawd.
- Lub paj hlwb: Cov hlab ntsha nqa cov lus los ntawm lub hlwb mus rau lwm qhov ntawm lub cev, thiab los ntawm qee qhov ntawm lub cev mus rau lub hlwb. Potassium yog qhov tseem ceeb rau qhov kev xa xov hluav taws xob no kom tshwm sim zoo.
- Kev Noj Qab Haus Huv rau Cov Qog Nqaij: Potassium pab cov trillions ntawm cov qog nqaij hauv peb lub cev nqus cov as-ham thiab tshem tawm cov khoom pov tseg uas tsim nyob rau hauv cov qog nqaij.
- Kev Tswj Ntshav Siab: Cov ntsev (sodium) uas peb noj tuaj yeem ua rau ntshav siab ntxiv. Potassium pab tswj cov teebmeem ntawm cov ntsev ntawd thiab tswj ntshav siab.
Yog li cov potassium no nce li cas?
Peb tau txais potassium los ntawm cov khoom noj uas peb noj. Txiv tsawb, txiv kab ntxwv, thiab qee cov txiv hmab txiv ntoo thiab zaub muaj potassium ntau. Feem ntau, peb lub cev noj cov potassium uas nws xav tau, thiab cov potassium ntau dhau raug lim tawm los ntawm peb lub raum thiab tso tawm hauv cov zis. Xav txog lub raum ua ob lub 'lim' zoo tshaj plaws hauv peb lub cev.
Txawm li cas los xij, yog tias muaj teeb meem nrog ob lub lim dej no, piv txwv li, yog tias muaj ib yam dab tsi zoo li mob raum ntev, nws yuav tsis muaj peev xwm tshem tawm cov potassium ntau dhau no. Tom qab ntawd cov potassium ntau dhau ntawd pib sib sau ua ke hauv cov ntshav. Qhov ntawd yog qhov peb hu ua hyperkalemia.
Qhov tseem ceeb tshaj plaws, yog tias cov potassium hauv cov ntshav siab dhau, nws tuaj yeem cuam tshuam ncaj qha rau kev ua haujlwm ntawm peb lub plawv. Nws tuaj yeem ua rau lub plawv dhia tsis xwm yeem, mob hauv siab, thiab qee zaum txawm tias muaj cov mob hnyav xws li mob plawv nres.
Feem ntau, cov ntshav potassium ntawm ib tus neeg laus noj qab haus huv yuav tsum nyob nruab nrab ntawm 3.5 thiab 5.0 millimoles ib liter (mmol/L). Yog tias tus lej no siab dua 5.5, peb suav tias yog Hyperkalemia. Yog tias qib no siab dua 6.5, nws yog ib qho mob hnyav uas xav tau kev kho mob tam sim ntawd.
Cov tsos mob ntawm qhov no yog dab tsi? Peb yuav paub nws li cas?
Ib qho teeb meem loj tshaj plaws ntawm no yog tias feem ntau cov neeg uas muaj hyperkalemia me me tsis qhia cov tsos mob. Txawm tias lawv muaj los xij, lawv yog cov uas tshwm sim ntau heev uas peb tsis tau ua tib zoo saib xyuas lawv. Qee zaum cov tsos mob no tuaj thiab ploj mus, lossis lawv tsuas yog maj mam nce ntxiv mus rau ntau lub lis piam lossis ntau lub hlis.
Cia peb saib seb cov tsos mob no yog dab tsi nyob rau hauv lub rooj hauv qab no.
| Qib tsos mob | Tej yam uas tuaj yeem hnov |
|---|---|
| Cov tsos mob me me |
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| Cov tsos mob hnyav (yuav tsum tau kev kho mob tam sim ntawd) |
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Qhov laj thawj tseem ceeb rau qhov xwm txheej no yog dab tsi?
Zoo li peb tau tham ua ntej lawm, qhov ua rau mob raum loj tshaj plaws yog kab mob raum. Thaum lub raum tsis ua haujlwm zoo, cov khoom pov tseg hauv cov ntshav, tshwj xeeb yog potassium, tsis raug lim tawm kom zoo.
Tsis tas li ntawd, cov tsos mob hauv qab no tuaj yeem ua rau hyperkalemia:
- Kev noj cov khoom noj uas muaj potassium ntau: Ib txhia neeg txawm noj cov tshuaj potassium ntxiv. Kev noj cov no yam tsis tau kev qhia los ntawm kws kho mob tuaj yeem ua rau muaj kev phom sij.
- Qee hom tshuaj:Qee cov tshuaj, tshwj xeeb tshaj yog cov uas siv rau kev ntshav siab, tuaj yeem txo cov potassium uas tso tawm thiab ua rau cov ntshav ntau ntxiv.
- Kab mob ntshav qab zib: Qhov kev pheej hmoo no ntau dua rau cov neeg uas tsis tswj tau kab mob ntshav qab zib.
- Kab mob Addison: Qhov no yog ib qho mob uas muaj feem cuam tshuam nrog cov tshuaj hormones.
- Kev kub hnyiab dav heev: Thaum ib cheeb tsam loj ntawm lub cev raug kub hnyiab, cov cell raug puas tsuaj thiab lawv cov potassium tuaj yeem sib sau ua ke hauv cov ntshav.
- Qee cov kab mob caj ces: Cov no tsis tshua muaj.
Tus kws kho mob yuav kuaj qhov no li cas kom raug?
Feem ntau, qhov mob no raug tshawb pom los ntawm qhov xwm txheej. Yog li ntawd, thaum koj kuaj ntshav rau lwm yam mob, koj yuav pom tias koj cov potassium siab dua hauv daim ntawv qhia. Qhov kev kuaj ntshav tshwj xeeb rau qhov no yog qhov kev kuaj potassium hauv cov ntshav.
Tsis tas li ntawd xwb, koj tus kws kho mob yuav ua lwm yam kev kuaj mob, uas yog kev kuaj ECG (Electrocardiogram) .
- Kev kuaj ECG: Qhov no yog ua los sau cov hluav taws xob ntawm koj lub plawv, uas yog lub suab ntawm koj lub plawv. Thaum cov potassium hauv cov ntshav nce ntxiv, kev hloov pauv tshwm sim hauv tus qauv hluav taws xob (rhythm) ntawm lub plawv. Cov nthwv dej T siab tshaj plaws ntawm ECG yog ib qho ntawm thawj cov cim qhia ntawm hyperkalemia. Qhov no tuaj yeem pab koj tus kws kho mob nkag siab seb cov potassium theem pib cuam tshuam rau lub plawv.
Cov kev kho mob rau qhov no yog dab tsi?
Kev kho mob nyob ntawm seb koj cov ntshav potassium siab npaum li cas thiab yog dab tsi ua rau muaj cov no. Tsis muaj dab tsi yuav tsum txhawj txog, qhov no yog ib qho mob uas tswj tau.
Nov yog qee txoj kev kho mob tseem ceeb:
| Txoj kev kho mob | Hais yooj yim xwb... |
|---|---|
| Cov tshuaj diuretic | Feem ntau peb hu cov tshuaj no ua 'tshuaj ntsiav dej'. Cov tshuaj no ua rau lub raum ua haujlwm thiab ua rau lawv tso zis ntau dua. Cov potassium thiab sodium ntau dhau raug tso tawm ntawm lub cev nrog rau cov zis. |
| Kev tswj tshuaj | Qee cov tshuaj uas koj twb noj lawm (piv txwv li, tshuaj kho ntshav siab) yuav ua rau koj cov potassium nce ntxiv. Yog tias yog li ntawd, koj tus kws kho mob yuav txiav txim siab tsis txhob noj cov tshuaj ntawd lossis hloov koj mus rau lwm yam tshuaj. Tsis txhob tsum noj koj cov tshuaj yam tsis tau koj tus kws kho mob qhia. |
| Cov khoom sib txuas ntawm cov poov tshuaj | Cov tshuaj no ua haujlwm li cas yog ntes cov potassium hauv cov khoom noj uas peb noj hauv txoj hnyuv thiab tso nws tawm nrog cov quav. Qhov ntawd txhais tau tias lawv tsis pub cov potassium nqus mus rau hauv cov ntshav. |
| Kev Kho Mob IV (Kev Kho Mob Hauv Cov Kab Mob) | Yog koj cov potassium siab heev thiab txaus ntshai heev, qhov no yog kev kho mob uas muab rau hauv cov hlab ntsha hauv tsev kho mob, zoo li saline. Qhov no suav nrog calcium gluconate los tiv thaiv lub plawv, thiab insulin los txav cov potassium hauv cov ntshav mus rau hauv cov hlwb. |
| Kev ntxuav ntshav | Kev kho mob no yog siv rau cov neeg uas muaj teeb meem raum lossis cov neeg uas tsis tuaj yeem txo lawv cov potassium nrog lwm yam kev kho mob. Hais yooj yim xwb, nws yog siv lub tshuab los lim qee cov ntshav, tshem tawm cov tshuaj tsis xav tau thiab potassium ntau dhau. |
Peb yuav tiv thaiv thiab tswj qhov teeb meem no li cas?
Txoj kev zoo tshaj plaws los tiv thaiv qhov no yog saib xyuas koj lub raum kev noj qab haus huv thiab tswj koj cov zaub mov noj.
Kev noj zaub mov uas tsis muaj potassium
Yog tias koj muaj feem yuav mob hyperkalemia, nws yog qhov zoo tshaj plaws los tham nrog koj tus kws kho mob lossis tus kws noj zaub mov txog kev noj zaub mov uas muaj potassium tsawg. Tej zaum koj yuav tsum tshem tawm lossis txwv qee yam zaub mov uas muaj potassium ntau.
Cov khoom noj uas muaj potassium ntau uas yuav tsum tau txwv lossis zam:
- Txiv hmab txiv ntoo: txiv tsawb, txiv kab ntxwv, txiv kab ntxwv qaub, txiv lws suav, avocados, raisins, hnub tim, txiv apricots qhuav.
- Zaub: Spinach, txiv lws suav, qos yaj ywm, qos liab qab zib, beets, nceb, gourds.
- Lwm yam: kua txiv lws suav, ketchup, nqaij nyuj, ntses, qee cov kua txiv hmab txiv ntoo hauv qab.
- Cov Khoom Siv Hloov Ntshav: Qee cov khoom siv hloov ntshav uas 'tsis muaj ntsev ntau' hauv khw muaj potassium chloride. Tsis txhob siv cov no.
Tseem Ceeb: Tsis txhob ntshai cov npe khoom noj no. Qhov no tsis tau txhais hais tias koj yuav tsum tsis txhob noj txhua yam. Koj tus kws kho mob yuav qhia koj meej tias yuav tsum txwv cov khoom noj dab tsi thiab noj ntau npaum li cas, nyob ntawm koj tus mob.
Thaum twg peb yuav tsum mus ntsib kws kho mob? Thaum twg peb yuav tsum mus rau ETU?
Qhov no tseem ceeb heev. Yog koj paub tias koj muaj mob Hyperkalemia, nws yog ib qho tseem ceeb uas koj yuav tsum tau kuaj koj cov ntshav tsis tu ncua raws li koj tus kws kho mob pom zoo.
Yog koj muaj cov tsos mob no, mus ntsib koj tus kws kho mob:
- Mob plab ntau zaus
- Mob raws plab
- Xeev siab thiab ntuav
- Kev nkees tsis muaj laj thawj
Txawm li cas los xij, yog tias koj muaj ib qho ntawm cov tsos mob hnyav hauv qab no, koj yuav tsum mus rau chav kho mob ceev (ETU) ze tshaj plaws hauv tsev kho mob yam tsis muaj kev ncua sijhawm:
- Ua pa nyuaj
- Cov leeg nqaij tsis muaj zog heev (tsis tuaj yeem sawv ntsug)
- Mob hauv siab hnyav heev
- Lub plawv dhia qeeb los yog tsis muaj zog
Cov tsos mob no qhia tau tias cov qib potassium cuam tshuam rau lub plawv thiab lub cev heev.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Hyperkalemia yog ib qho mob uas cov potassium hauv cov ntshav nce siab. Feem ntau nws tshwm sim rau cov neeg uas muaj kab mob raum.
- Feem ntau, tsis muaj tsos mob thaum ntxov. Yog li ntawd, yog tias koj muaj cov yam ntxwv ua rau muaj kev pheej hmoo xws li kab mob raum, ntshav qab zib, lossis ntshav siab, mus kuaj koj cov ntshav tsis tu ncua raws li koj tus kws kho mob hais.
- Yog tias koj muaj cov tsos mob hnyav xws li mob hauv siab, ua pa nyuaj, lossis cov leeg nqaij tsis muaj zog heev, mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd.
- Tus mob no tuaj yeem tswj tau zoo los ntawm kev txwv cov khoom noj uas muaj potassium ntau (xws li txiv tsawb, txiv kab ntxwv, txiv lws suav, qos yaj ywm) thiab noj tshuaj raws li koj tus kws kho mob tau qhia.
- Tsis txhob tsum lossis hloov koj cov tshuaj yam tsis tau kev qhia los ntawm kws kho mob.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus