Yu dɔn ɛva gɛt dɔktɔ tɛl yu se yu blɔd potashɔm bɔku smɔl, tek tɛm wetin yu de it ɛn drink? Ɔ yu tink se potassium na tin we pipul dɛn kin tɔk bɔt ɔltɛm bikɔs sɔmbɔdi na yu famili gɛt kidni sik? Bɔku pan wi kin wɔri bɔt fɔ ridyus di sodium we wi de it, bɔt wi nɔ kin tink bɔku bɔt dis impɔtant tin we de mek wi it. Bɔt we wi bɔdi gɛt tumɔs pan am, we na wan sik we dɛn kɔl hyperkalemia, sɔntɛnde i kin apin kwayɛt wan ɛn mek wi gɛt wan sik we rili denja. So tide, lɛ wi tɔk bɔt dis ditayli ɛn simpul wan.
Wetin na Hyperkalemia?
Fɔ tɔk am simpul wan, haypakalemia na we di potashɔm lɛvɛl na yu blɔd pas aw i fɔ bi.
Tink bɔt potashɔm as smɔl ilɛktrik kɔndɔkt na wi bɔdi. I tan lɛk di waya sistɛm na wi os. Dɔktɔ dɛn kɔl dɛn ilɛktrɔlayt dɛn ya . Dɛn tin ya na minral dɛn we kin mek ilɛktrik chaj we dɛn kin sɔlv am na wata ɔ wata lɛk wi blɔd. Dis ilɛktrɔlayt we na potashɔm, impɔtant fɔ mek wi bɔdi wok fayn fayn wan.
Wetin potashum de du fɔ wi bɔdi?
- I de ɛp fɔ mek di mɔsul dɛn kɔntrakt ɛn rilaks: We wi de muv wi an ɛn fut dɛn, waka, ɛn wi at de bit, ɔl dɛn tin ya nid fɔ mek di mɔsul dɛn wok. Potassium de ɛp fɔ du dis.
- Kכri mεsej dεm na di nεv: Potashכm de εp fכ kכri mεsej frכm di bren tru di bכdi εn i de transmit sεns dεm frכm difrεn pat dεm na di bכdi to di bren.
- I de briŋ nyutriɛnt to di sɛl dɛn ɛn pul di dɔti: Potassium de ple impɔtant pat fɔ ɛp di trilyɔn sɛl dɛn na wi bɔdi fɔ tek di nyutriɛnt dɛn we dɛn nid ɛn pul di dɔti we dɛn de mek.
- I de kɔntrol blɔd prɛshɔn: Potassium de ɛp bak fɔ kɔntrol di inkris pan blɔd prɛshɔn we di sɔl (sɔdiɔm) we wi de it kin mek.
Wetin kin rili apin we di potashɔm lɛvɛl go ɔp?
Wi bɔdi kin gɛt potashɔm frɔm di it we wi de it ɛn drink. Nɔmal wan, di tu kidni dɛn na pɔsin we gɛt wɛlbɔdi kin wok lɛk tu filta dɛn we de wok fayn . dis kidni dεm de kip di כmכnt כf potashכm we di bכdi nid εn dεn de kכl di εksεs tru urine.
Bɔt imajin if sɔntin go rɔng wit dis filta? If dat apin, di ɛkstra potashɔm we kin gɛda na di bɔdi nɔ go ebul fɔ kɔmɔt na di bɔdi ɛn i kin bigin fɔ gɛda na di blɔd. dis potashכm we de kכmכt na di bכdi na wetin wi kכl haypakalemia.
If di potashɔm bɔku pasmak na di blɔd, dat kin rili denja fɔ wi at. Dis kin mek yu at bit ɔltɛm, yu chɛst kin pen kwik kwik wan, ɛn insay sɔm bad bad tin dɛn, yu kin ivin gɛt at atak.
Bɔku tɛm, wi nɔ kin izi fɔ notis se wi potashɔm lɛvɛl bɔku. Na dat mek i kin bi ɛnimi we nɔ de tɔk.
Wetin na di potashɔm lɛvɛl we gɛt wɛlbɔdi?
di nכmal potashכm lεvεl na big man in bכdi fכ de bitwin 3.5 εn 5.0 milimol/lita (mmol/L).
- haypakalemia de apin we dis lεvεl pas 5.5 mmol/L.
- if potashכm lεvεl pas 6.5 mmol/L na siriכs kכndyushכn we nid imejensi mεdikal tritmεnt, biכs dis lεvεl kin mek di at pwεl siriכs damej.
Wetin na di sayn dɛm we de sho se pɔsin gɛt bɔku potashɔm?
Bɔku tɛm, if yu potashɔm lɛvɛl jɔs go ɔp smɔl (Mild Hyperkalemia), yu nɔ kin gɛt ɛni sayn. Ɔ, ivin if yu gɛt sɔm kayn sik, dɛn kin so bɔku dat wi nɔ kin pe atɛnshɔn to dɛn. Dɛn sayn ya nɔ kin kam wantɛm wantɛm, ɛn dɛn kin bɔku smɔl smɔl fɔ sɔm wik ɔ mɔnt.
Bɔt we di potashɔm lɛvɛl kin denja, i kin afɛkt di at ɛn mek i gɛt sayn dɛn wantɛm wantɛm, we kin rili bad, ɛn we kin mek pɔsin in layf de pan denja.
Lɛ wi ɛksplen dis mɔ wit di tebul we de dɔŋ ya.
| Tayp fɔ di simptom | Di tin dɛn we pɔsin kin si |
|---|---|
| Sɔm sayn dɛn we nɔ at fɔ si |
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| Denja ɛn siriɔs sayn dɛm |
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Dis na impɔtant tin: If yu gɛt ɛni wan pan di bad bad sik dɛn, go na ɔspitul imejensi rum (ETU) wantɛm wantɛm. Dis nɔto sɔntin we yu kin trit na os.
Wetin mek dɛn potashɔm lɛvɛl ya kin go ɔp? Wetin na di men rizin dɛn?
Di tin we kin mek pɔsin gɛt aypakalemia na di sik we de na di kidni . Dis risk kin pasmak pan pipul dɛm wae gɛt krɛse sik (CKD). We di kidni dɛn dɔn pwɛl, dɛn nɔ kin ebul fɔ filta di dɔti tin dɛn (inklud di potashɔm we pasmak) frɔm di blɔd fayn fayn wan. Dis kin mek di potashɔm bɔku na di blɔd.
Apat frɔm di sik we de na di kidni, dɛn tin ya kin mek bak di potashɔm bɔku:
- Di it we gɛt potashɔm: It ɔltɛm fɔ it tin dɛn we gɛt bɔku potashɔm, lɛk banana, ɔrɛnj, ɛn tomato, ɛn tek sɔpɔtmɛnt dɛn we gɛt potashɔm.
- Sɔm mɛrɛsin dɛm: Sɔm mɛrɛsin dɛm, mɔ di wan dɛm fɔ ay blɔd prɛshɔn (e.g. ACE inhibitors, ARBs) ɛn sɔm pen kil dɛm, kin ambɔg di kidni dɛm fɔ ebul fɔ pul potashɔm. Tɔk to yu dɔktɔ bɔt di mɛrɛsin dɛn we yu de tek.
- Dayabitis: Dayabitis we pɔsin nɔ ebul fɔ kɔntrol, i kin pwɛl di kidni dɛn. Dɔn bak, if yu nɔ gɛt insulin, dat kin mek yu gɛt bɔku potashɔm.
- Addison’s disease: Dis na wan sik wae gɛt fɔ du wit ɔmon.
- Bɔn oba wan big eria na di bɔdi.
- Sɔm sik dɛn we pɔsin kin gɛt we i kam pan jɛnɛtiks: Dɛn sik ya nɔ kin apin so ɔltɛm.
De tin wae impɔtant pas ɔl na dat dis sik nɔr kin pas pɔrsin. Dis min se pɔrsin wae gɛt hyperkalemia nɔr kin ebul fɔ spre am to ɔda pɔrsin.
Aw fɔ no dis sik?
Bikɔs bɔku tɛm i nɔ kin gɛt ɛni patikyula sayn, yu kin jɔs no se yu potashɔm lɛvɛl kin bɔku we dɛn du yu blɔd tɛst fɔ ɔda rizin.
1. Sɛrum Potassium Test: Dis na simpul blɔd tɛst we kin mek yu no di kayn potassium we de na yu blɔd kɔrɛkt wan.
2. Ilɛktrokardiogram (EKG): Bikɔs di potashɔm we bɔku kin afɛkt di at, yu dɔktɔ kin ɔda fɔ mek dɛn du EKG. Dis na rikodin fɔ di ilɛktrik wok we di at de du. we di potashכm lεvεl dεm hכy, dεn kin si spεshal chenj dεm pan dis EKG. Dis kin ɛp fɔ no aw bɔku bad bad tin dɔn apin to di at.
Wetin na di tritmɛnt fɔ di potashɔm lɛvɛl we go ɔp?
Di tritmɛnt fɔ aypakalemia dipen pan aw yu potashɔm lɛvɛl ay, wetin mek i apin, ɛn if yu gɛt ɔda mɛrɛsin.
Dis dɔŋ ya na sɔm pan di men we dɛn fɔ trit pɔsin:
| Di we aw dɛn kin trit am | Fɔ tɔk am simpul wan... |
|---|---|
| Diuretiks we dɛn kin yuz fɔ pul wata | Fo wi langwej, dem de kol dem "water pills." Dɛn mɛrɛsin ya kin mek yu pis bɔku tɛm. Di urine de flush bak di potashum ɛn sodium we pasmak na yu bɔdi. |
| Manejmɛnt fɔ mɛrɛsin | If yu potashɔm lɛvɛl bɔku bikɔs ɔf ɔda mɛrɛsin we yu de tek, yu dɔktɔ kin disayd fɔ stɔp di mɛrɛsin, chenj di doz, ɔ gi yu ɔda mɛrɛsin insted. Nɔ ɛva stɔp fɔ tek mɛrɛsin if yu nɔ aks yu dɔktɔ fɔs. |
| Di tin dɛn we dɛn kin yuz fɔ tay potashɔm | Dɛn mɛrɛsin ya de wok bay we dɛn de trap di potashɔm we pasmak na di dijestiv trakt ɛn pul am na di bɔdi insay di stɔl. Dɛn kin advays dɛn if ɔda tritmɛnt dɛn nɔ ebul fɔ kɔntrol di potashɔm lɛvɛl. |
| Tritmɛnt we dɛn kin put insay di bɛlɛ (IV). | If di potashɔm lɛvɛl rili ay, i denja, ɔspitul go gi yu mɛrɛsin (lɛk salin ) tru wan vein. Fɔs, dɛn go gi yu kalsiɔm glukɔnɛt fɔ protɛkt yu at. Dɔn, dɛn go gi yu insulin fɔ mek di potashɔm we de na yu blɔd go insay yu sɛl dɛn. |
| Dialysis we dɛn kin du | If ɔda tritmɛnt nɔ wok ɔ yu gɛt kidni we nɔ de wok fayn, yu kin nid fɔ du dayalaysis. Dis min se yu fɔ yuz mashin lɛk atifishal kidni fɔ klin yu blɔd ɛn pul di potashɔm we pasmak. |
Wetin dɛn kin du fɔ mek di potashɔm nɔ bɔku ɛn kɔntrol am?
Di bɛst we fɔ mek yu nɔ gɛt aypakalemia na fɔ tek kia ɔf yu kidni wɛlbɔdi ɛn stɔp di potashɔm we yu de tek na yu bɔdi.
Dayt we Nɔ Gɛt Potashɔm
If yu de pan risk fɔ gɛt aypakalemia, i impɔtant fɔ fala di it we nɔ gɛt bɔku potashɔm. Yu kin nid fɔ pul ɔ stɔp sɔm it dɛn we gɛt bɔku potashɔm kpatakpata. I bɛtɛ fɔ tɔk to yu dɔktɔ ɔ pɔsin we de mɛn yu it bɔt dis ɛn mek wan it plan we go fayn fɔ yu.
Fɔd dɛn we dɛn fɔ smɔl ɔ nɔ fɔ it bikɔs dɛn gɛt bɔku potashɔm:
- Dray frut dɛn: prun, dray aprikɔt, dɛt
- Sɔm fresh frut dɛn: banana, watamɛlɔn, ɔrɛnj, tanjɛrin, nɛktarin
- Sɔm vɛjitebul dɛn: spinach, tomato, pɔt, swit pata, mɔs, avokado
- Tomato sos ɛn ketchup
- Sɔm mit dɛn: bif, fish (especially salmon, tuna) .
- Sɔl we gɛt potashɔm : Sɔm pipul dɛn kin yuz dɛn tin ya insted ɔf sɔl. Rid di lɛbl we de na di paket.
Di impɔtant tin na dat ɔl frut ɛn vɛjitebul dɛn gɛt potashɔm. So nɔ stɔp fɔ it dɛn kpatakpata. Di impɔtant tin na fɔ no di wan dɛn we ‘high’ in potassium ɛn kɔntrol di amount we yu de it pan dɛn.
Ɔda tin dɛn fɔ du
- Gɛt mɛdikal chɛk-ap ɔltɛm: If yu gɛt dis sik, du blɔd tɛst ɔltɛm ɛn wach yu potashɔm lɛvɛl lɛk aw yu dɔktɔ tɛl yu.
- Tek yu mɛrɛsin jɔs lɛk aw yu dɔktɔ tɛl yu fɔ tek am: Tek di mɛrɛsin di rayt doz ɛn di rayt tɛm.
- Kɔntrol ɔda sik dɛn: If yu gɛt sik dɛn lɛk dayabitis ɛn ay blɔd prɛshɔn, kɔntrol dɛn fayn fayn wan, bikɔs dɛn kin pwɛl di kidni dɛn.
Mɛsej we dɛn kin kɛr go na os
- haypakalemia na wan sik we di potashכm we de na di bכdi hכy pas aw i nכmal. Bɔrku tɛm dis nɔr kin mek pɔrsin gɛt sɔm kayn sik.
- Di men tin wae kin mek dis sik na di kidni sik wae nɔr de dɔn. Apat frɔm dat, dayabitis ɛn sɔm mɛrɛsin dɛn we dɛn kin tek fɔ mek pɔsin gɛt ay blɔd prɛshɔn kin bi bak.
- If yu gɛt bɔku potashɔm, dat kin rili denja fɔ di at ɛn i kin mek yu gɛt prɔblɛm dɛn we kin mek yu layf de pan denja lɛk at atak.
- If yu gɛt siriɔs sayn dɛn lɛk we yu de fil pen na yu chɛst, yu at de bit kwik kwik wan, ɔ yu an ɛn fut dɛn de swɛla, go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
- Di we aw dɛn kin trit am na fɔ kɔntrol di it we dɛn de it, fɔ tek mɛrɛsin, ɛn sɔm tɛm dɛn de, dɛn kin yuz dayalaysis.
- If yu gɛt dis sik, i impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan ɛn du mɛdikal tɛst dɛn di rayt tɛm.
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