Koj puas tsis muaj potassium txaus? Qhov no puas yog hypokalemia? Cia peb tham!

Koj puas tau muaj ib zaug uas koj nkees, mob pob qij txha, lossis koj lub plawv dhia hloov me ntsis? Tej zaum koj yuav tsis tau ua tib zoo saib xyuas tej no. Txawm li cas los xij, tej yam me me no yuav yog cov cim qhia tias koj lub cev tsis muaj cov as-ham tseem ceeb. Hnub no peb yuav tham txog ib yam dab tsi zoo li ntawd - qhov txo qis ntawm cov potassium hauv peb lub cev, uas hu ua hypokalemia .

Hypokalemia yog dab tsi?

Hais yooj yim xwb, hypokalemia yog ib qho mob uas koj cov ntshav potassium qis. Potassium yog ib qho mineral tseem ceeb rau peb lub cev. Yog hais kom meej, nws yog ib qho 'electrolyte' . Electrolytes yog cov minerals uas tuaj yeem nqa hluav taws xob thaum yaj hauv peb cov kua dej hauv lub cev. Potassium yog qhov tseem ceeb rau peb cov hlwb, cov leeg, thiab cov hlab ntsha kom ua haujlwm tau zoo.

Tus nqi potassium hauv cov ntshav rau ib tus neeg laus yuav tsum nyob nruab nrab ntawm 3.5 thiab 5.2 mEq/L (milliequivalents ib liter ) (uas yog, 3.5 txog 5.2 mmol/L). Yog tias qhov no poob qis dua 3 mEq/L (3 mmol/L), nws suav tias yog hypokalemia hnyav .

Peb lub cev tau txais potassium los ntawm cov khoom noj uas peb noj. Peb lub raum muaj lub luag haujlwm los tswj qhov sib npaug los ntawm kev tshem tawm cov potassium ntau dhau ntawm lub cev los ntawm cov zis. Koj puas nkag siab?

Qhov hypokalemia cuam tshuam li cas rau kuv lub cev?

Tam sim no, saib seb, potassium tsis yog ib qho mineral xwb. Peb cov leeg nqaij, lub paj hlwb, thiab tshwj xeeb tshaj yog peb lub plawv xav tau potassium kom ua haujlwm tau zoo. Tsis yog li ntawd xwb, tab sis potassium kuj tseem ceeb rau lub cev zom zaub mov zoo thiab pob txha noj qab haus huv.

Yog li, thaum cov potassium hauv cov ntshav txo qis, tag nrho cov txheej txheem tseem ceeb no tuaj yeem raug cuam tshuam. Yog tias cov potassium tseem qis rau lub sijhawm ntev, cov mob xws li arrhythmias, cov leeg tsis muaj zog, thiab qee zaum txawm tias tuag tes tuag taw tuaj yeem tshwm sim. Xav txog seb qhov no yuav loj npaum li cas!

Dab tsi yog cov ua rau muaj Hypokalemia?

Qhov laj thawj tseem ceeb rau cov potassium qis hauv lub cev yog qhov poob potassium ntau dhau ntawm peb lub cev zom zaub mov . Qhov no tuaj yeem tshwm sim yog tias peb ntuav ntau zaus, raws plab, lossis siv cov tshuaj laxatives ( laxatives ) ntau dhau.

Sib nrug ntawm qhov ntawd, tej zaum yuav muaj ntau lwm yam laj thawj, cia peb saib?

• Qee qhov teeb meem kev puas siab puas ntsws ntsig txog kev noj mov: Piv txwv li, cov mob zoo li 'Bulimia nervosa'.
• Tawm hws ntau dhau: Qee tus neeg muaj tus mob hu ua 'hyperhidrosis' uas lawv tawm hws ntau dhau.
• Kev siv cawv tsis zoo.
• Cov tshuaj diuretic:Muaj ib txhia neeg siv cov tshuaj diuretics, uas tseem hu ua 'water pills'. Cov no ua rau cov potassium ntau dhau raug tso tawm hauv cov zis.
• Lwm cov tshuaj: Nws kuj tseem tuaj yeem tshwm sim los ntawm cov tshuaj xws li insulin, qee cov tshuaj tua kab mob, thiab corticosteroids.
• Cov kab mob ntawm cov qog adrenal: Cov mob xws li 'primary aldosteronism' thiab 'Cushing's syndrome'.
• Kab mob raum ntev.
• Cov magnesium qis: Qhov no hu ua 'hypomagnesemia'.
• Cov mob ntsig txog lub raum: Cov kab mob raum tsis tshua muaj, xws li Bartter's syndrome thiab Gitelman syndrome kuj tuaj yeem ua rau cov ntsev tsis sib npaug hauv lub cev.
• Lwm yam mob: Cov mob tsis tshua muaj uas ua rau muaj ntshav siab, xws li Liddle syndrome.
• Tsis tshua muaj: Nws kuj tseem tuaj yeem tshwm sim los ntawm kev tsis noj zaub mov kom zoo, txhais tau tias tsis tau txais potassium txaus los ntawm cov khoom noj.

Xav txog seb, Amila pheej noj tshuaj laxatives rau cov teeb meem plab. Nws tau hnov ​​​​​​qhov qaug zog thiab loog ntawm nws txhais ceg tsis paub meej tau ob peb hnub. Tsuas yog thaum nws mus ntsib kws kho mob nws thiaj li paub tias nws cov potassium qis heev, thiab cov tshuaj laxatives yog qhov ua rau. Tej yam zoo li no tuaj yeem tshwm sim, yog li nws yog qhov zoo kom ceev faj.

Cov tsos mob ntawm Hypokalemia yog dab tsi?

Tej zaum qhov mob hypokalemia me me yuav tsis ua rau muaj tsos mob dab tsi. Txawm li cas los xij, koj yuav muaj cov tsos mob hauv qab no:

• Cem quav.
• Kev hloov pauv ntawm lub plawv dhia lossis mob hauv siab.
• Qaug zog heev los yog qaug zog heev.
• Cov leeg nqaij tsis muaj zog thiab lub cev ntswj ntau zaus.
• Kev tsis muaj zog thiab tsis muaj kev xav hauv cov ceg.

Txawm li cas los xij, yog tias cov potassium poob qis heev (hypokalemia hnyav) , cov tsos mob tuaj yeem hnyav dua:

• Cov leeg nqaij co.
• Mob leeg nqaij ntswj heev.
• Cov leeg nqaij tsis muaj zog heev , tej zaum yuav ua rau tuag tes tuag taw.
• Ntshav siab qis.
• Kiv taub hau los yog tsaus muag.
• Kev tsis zoo ntawm lub plawv dhia (arrhythmias).
• Kev tso zis ntau dhau, polyuria (kev tso zis ntau dhau ).
• Kev nqhis dej ntau dhau (Polydipsia).

Xav txog seb, txiv ntxawm Sunil tau raws plab ob peb hnub sib law liag. Tom qab ntawd, nrog kev qaug zog uas tsis piav qhia tau, cov nqaij ntawm nws ob txhais ceg pib dov. Nws tsis tuaj yeem sawv ntsug. Nws ob txhais ceg qaug zog heev uas nws tsis tuaj yeem sawv ntsug. Tus kws kho mob hais tias raws plab tau ua rau muaj ntau cov potassium raug tso tawm ntawm nws lub cev, yog vim li cas nws thiaj muaj tus mob no. Thaum lub sijhawm zoo li no, nws yog qhov zoo tshaj plaws los nrhiav kev pab kho mob sai li sai tau.

Yuav kuaj mob Hypokalemia li cas?

Thawj qhov koj tus kws kho mob yuav ua yog kuaj ntshav kom paub seb koj cov potassium nyob li cas. Raws li kuv tau hais ua ntej lawm, cov potassium ib txwm muaj rau ib tus neeg laus yog nyob nruab nrab ntawm 3.5 thiab 5.2 mEq/L (3.5 thiab 5.2 mmol/L). Yog tias cov potassium nyob nruab nrab ntawm 3 thiab 3.5 mEq/L (3 thiab 3.5 mmol/L), ces yog hypokalemia me ntsis . Yog tias tsawg dua 3 mEq/L (3 mmol/L), ces yog hypokalemia hnyav heev .

Ntxiv mus, tus kws kho mob kuj tseem yuav ua ib qho 'basic metabolic panel' lossis 'comprehensive metabolic panel' . Qhov no kuaj ntau yam tshuaj lom neeg hauv cov ntshav, xws li cov electrolyte thiab kev ua haujlwm ntawm lub raum.

Yog tias paub tseeb tias muaj hypokalemia, tus kws kho mob mam li sim nrhiav qhov ua rau muaj qhov no. Yog tias qhov ua rau tsis meej, yuav kuaj zis kom paub seb muaj potassium ntau npaum li cas hauv cov zis.

Tus kws kho mob kuj tseem yuav kom koj ua ib qho electrocardiogram (ECG lossis EKG) . Ib qho ECG ntsuas koj lub plawv dhia. Hypokalemia tuaj yeem ua rau lub plawv dhia tsis zoo, yog li ECG tuaj yeem pab nrhiav tau lawv.

Yuav kho tus mob Hypokalemia li cas?

Yog tias koj muaj mob hypokalemia me ntsis , koj tus kws kho mob yuav sau ntawv kom noj cov tshuaj potassium ntxiv .

Txawm li cas los xij, yog tias qhov mob hnyav dua , lossis yog tias muaj lwm yam teeb meem, tus kws kho mob yuav kho nws los ntawm kev muab potassium rau hauv cov hlab ntsha (IV). Muaj ntau lwm yam xwm txheej uas muab potassium rau hauv cov hlab ntsha:

• Yog tias koj cov potassium theem qis heev .
• Yog tias hypokalemia ua rau lub plawv dhia tsis zoo .
• Yog tias cov tshuaj noj tsis zoo txaus .
• Yog tias potassium poob ntawm lub cev sai dua li qhov uas nqus tau los ntawm cov tshuaj noj.

Tsis tas li ntawd xwb, yog tias muaj ib yam mob uas ua rau muaj hypokalemia, tus kws kho mob yuav kho qhov ntawd thiab. Kev kho qhov ua rau muaj qhov no tseem ceeb heev.

Yog koj noj tshuaj diuretics (tshuaj ntsiav dej), koj tus kws kho mob yuav hloov koj mus rau ib hom tshuaj diuretic uas pab khaws cov potassium hauv lub cev. Los yog, lawv kuj tseem yuav qhia koj kom noj cov tshuaj potassium ntxiv.

Yuav ua li cas thiaj txo tau qhov kev pheej hmoo ntawm hypokalemia?

Txoj kev zoo tshaj plaws los txo koj txoj kev pheej hmoo ntawm kev mob hypokalemia yog noj zaub mov kom muaj txiaj ntsig zoo thiab muaj cov khoom noj uas muaj potassium ntau . Nws yog ib qho tseem ceeb uas yuav tsum nrog koj tus kws kho mob tham txog koj cov zaub mov noj.

Cia peb saib seb cov khoom noj twg muaj potassium ntau.

• Ntau yam txiv hmab txiv ntoo thiab zaub
• Nqaij thiab ntses uas muaj roj tsawg
• Mis nyuj thiab cov khoom noj mis nyuj
• Cov txiv ntoo (piv txwv li taum, taum pauv)

Nov yog qee cov khoom noj uas muaj potassium ntau:

• Txiv qaub ntsuab
• Txiv tsawb
• Taum pauv thiab peas
• Cov nplej zom
• Cov zaub ntsuab tsaus (piv txwv li spinach, kale)
• Ntses
• Nqaij nyuj tsis muaj roj
• Mis nyuj
• Txiv kab ntxwv
• Txiv laum huab xeeb
• Qos yaj ywm
• Zaub ntsuab
• Txiv lws suav

Qhov tseem ceeb tshaj plaws, yog tias koj ntuav lossis raws plab ntev tshaj 24 txog 48 teev , koj yuav tsum nrhiav kev kho mob tam sim ntawd . Qhov no yog vim qhov no tuaj yeem ua rau lub cev poob dej thiab cov zaub mov tseem ceeb xws li potassium, ua rau hypokalemia. Thaum koj nrhiav kev kho mob sai npaum li cas, koj yuav muaj feem ntau dua los tiv thaiv nws.

(Txawm li cas los xij, yog tias koj tsis tau muaj hypokalemia ua ntej, tsis tas yuav sim tiv thaiv nws li no.)

Yuav ua li cas yog tias koj muaj hypokalemia?

Yog koj muaj mob hypokalemia me ntsis , cov tshuaj potassium tuaj yeem pab kho qhov teeb meem no. Txawm li cas los xij, nws tseem ceeb heev uas yuav tsum noj zaub mov uas muaj potassium ntau.

Yog tias qhov mob hnyav heev , nws tuaj yeem kho tau nrog cov tshuaj potassium hauv cov hlab ntsha. Txawm li cas los xij, yog tias tsis kho , hypokalemia hnyav tuaj yeem ua rau muaj teeb meem loj heev rau lub plawv dhia. Tsis yog li ntawd xwb, tab sis nws kuj tseem tuaj yeem ua rau tuag tes tuag taw.

Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum tau nrog koj tus kws kho mob sib tham kom paub tseeb tias koj tus mob hypokalemia tau txais kev kho mob zoo.

Cov Lus Qhia Txog Kev Coj Mus Tsev

Zoo, yog li peb tau tham ntau txog hypokalemia, puas yog? Hais yooj yim, nws yog ib qho mob uas koj cov ntshav potassium qis. Potassium yog qhov tseem ceeb rau peb lub cev kom ua haujlwm tau zoo. Nws cuam tshuam rau peb cov hlwb, cov leeg, cov hlab ntsha, lub plab zom mov, thiab lub cev pob txha.

• Ua rau: Ntshai heev, raws plab, qee yam tshuaj (tshwj xeeb yog cov tshuaj ntsiav dej), kab mob raum, thiab qee yam teeb meem hormonal tuaj yeem ua rau cov potassium qis.
• Cov tsos mob: Tej zaum yuav muaj kev qaug zog, cov leeg nqaij co, lub plawv dhia hloov pauv, thiab loog ntawm ob txhais ceg. Yog tias mob hnyav, nws tuaj yeem ua rau tuag tes tuag taw.
• Kev Kho Mob: Cov tshuaj potassium (noj los yog txhaj rau hauv cov hlab ntsha), kev kho qhov ua rau mob yog cov yam tseem ceeb.
• Kev Tiv Thaiv: Nws yog ib qho tseem ceeb uas yuav tsum noj zaub mov kom muaj potassium ntau. Tshwj xeeb, nrhiav kev pab kho mob tam sim ntawd yog tias koj ntuav/raws plab ntau tshaj ib lossis ob hnub.

Yog tias koj muaj ib qho ntawm cov tsos mob no, lossis yog tias koj xav paub ntau ntxiv txog hypokalemia, nco ntsoov tham nrog koj tus kws kho mob . Tsis muaj dab tsi yuav txhawj txog, thiab yog tias kuaj pom thiab kho thaum ntxov, qhov mob no tuaj yeem tswj tau zoo.

` Hypokalemia, potassium, potassium qis, electrolytes, cov tsos mob, kev kho mob, kev noj haus