Kan vai hian a chang chuan tuihal nasa tak kan nei vek a ni lawm ni? A châng chuan thil pangngaiah kan ngai a, tui tlem in chuan a siam ṭha ang tih kan ngaihtuah bawk. Mahse, he tuihal lutuk hi i thisen sodium (kan ei chi chi) a lo pung a, i tui a tlahniam tih chhinchhiahna a ni thei tih i hria em? Hei hi damdawi lama hypernatremia kan tih chu a ni.
Hypernatremia: A awlsam zawngin taksaa sodium a pung
A awlsam zawngin, hypernatremia chu i thisenah sodium a tam lutuk leh tui a tlem lutuk hi a ni. Sodium hi kan taksaah electrolyte a ni. Hei hi doctor-te chuan thisenah sodium level litre khatah 145 milliequivalents aia tam a nih chuan an teh thin. Mi hrisel tan chuan normal level chu 136 leh 145 inkar a ni tur a ni.
Hetiang dinhmun hi naupang tê leh tarteah a tam ber a ni . Damdawi lam thil thenkhatah pawh a hlauhawmna a tipung thei bawk. Mahse a chhan langsar ber chu dehydration a ni a, chu chu taksaa tui tlakchham vang a ni.
Mahse mi hrisel i nih chuan i ei leh in a chi tlem ei tam lutuk avanga hypernatremia lo awm tur hi ngaihtuah a ngai lo, a chhan chu kan taksa hian he sodium level hi a control tha hle a ni.
Kan taksa hi a mak khawp mai. Kan thisena sodium leh tui balance tlem a out of whack chuan kan taksa hian a hre chiang a, a siam tha tan thin. Sodium level a san chuan tuihalna a siam a, tui in turin a fuih bawk. Tin, aldosterone leh antidiuretic hormone (ADH) ang chi hormone an siam bawk a, chu chuan i kal (kidney)-in tui a tihchhuah leh a vawn zat a tihtlem phah a ni. Chutih lai chuan i zun chu a dum dum a, a concentrate zawk thin. Chutiang chuan kan taksa hian a pianphungah chuan he balance hi vawng reng turin sodium tam zawk a paih chhuak a, tui a vawng reng a ni.
Hypernatremia kalh zawng chu hyponatremia a ni. Hei hi thisen a sodium level tlahniam a ni. Hei hi a hlauhawm thei bawk. Chuvangin tui tlakchham lutuk leh tui tam lutuk hi a tha lo hle.
Engvangin nge sodium hi kan taksa tan a pawimawh em em?
"Chi ei tam suh, thisen sang a tisang" tih kan hre fo thin. Chu chu a dik a ni. Mahse, sodium hi kan taksa tana ei tur pawimawh tak a ni tih i hria em?
- Nervous system tan: Sodium hi kan nervous system kaltlangin thuchah thawn nan a pawimawh hle a, electrical signal ang bawkin. Heng signal te hian kan taksa ruhte a tikhawlo a, kan che thei a ni.
- Thisen sang: Thisen a sodium a tam chuan thisenah tui tam zawk dahin a balance out thin. Hei hian thisen kalna kawng chhunga volume a tisang a, thisen sang a tisang bawk.
- Cell chhunga fluid balance neih nan:Sodium hian kan taksa chhunga cell tin atanga tui lut leh chhuak zat a tidanglam thei a ni.
Hypernatremia natna lan chhuah dan chu engte nge ni?
Hypernatremia hian dehydration symptoms a thlen fo thin a, mahse symptom thenkhat chu nervous system-a nghawng a neih vang a ni.
| A lan chhuah dan ber |
|---|
| - Tuihal tuihal lutuk, tuar theih loh |
| - Restlessness leh thinrimna |
| - Rilru tibuai |
| - Mutthilh lutuk leh hah lutuk |
| - Vun chu doughy angin a lang |
| - Lungphun chak tak |
| - A dinhmun a nasat chuan: Seizures emaw coma emaw |
Tute nge hypernatremia vei theihna sang zawk?
Hetiang hlauhawmna hi taksa atanga tui a bo apiangin a awm a, mahse sodium erawh a bo lo.
- Diarrhea leh vomiting (Gastroenteritis): Hemi chhung hian taksa atanga tui tam tak a bo thin.
- Kang: Vun a kang chuan a chhungah hian tui tam tak a lo chhuak thin.
- Thaw tam lutuk: khawsik vang, lum lutuk vang emaw, exercise nasa lutuk vang emaw a ni.
- Kidney lama harsatna: Kal-in tui leh sodium a control tha theih loh hunah.
- Diabetes: Zunthlum thunun theih loh (Hyperglycemia) ah chuan tui tam lutuk chu zun ah a chhuak thin.
- Tuihalna hloh: Tuihalna hriatna hi kum upat dan leh thluak lam natna thenkhatah chuan a tlahniam thin.
- Diabetes Insipidus: Hei hi natna hmuh tur awm lo tak a ni. Taksa chhunga tui control tu hormone (vasopressin) harsatna avanga lo awm a ni a, chu chuan zun tam lutuk a thlen thin.
- Sodium ei dik loh: A chang chuan nausen chaw siamnaah chi (salt) telh tam lutuk vang te, chi tablet ei tam lutuk vang te, tuifinriat tui in vang te pawh a ni thei. Hetiang a nih chuan Doctor pan nghal tur a ni. A tul chuan National Hospital-a National Poison Information Center-ah pawh thurawn dil theih a ni bawk.
Engtin nge doctor hian hei hi a hriatchhuah a, a enkawl?
I doctor chuan thisen test awlsam tak hmangin hei hi a nemnghet ang . Zun test pawh a ti thei bawk.
Enkawlna tum ber chu taksa tui bo tawh chu siam\hat leh sodium leh tui inthlauhna siam\hat a ni.
- A natna a nasat loh chuan: Doctor chuan tui emaw, tui dang emaw (electrolytes awmna in tur) in turin a hrilh ang che.
- A natna a nasat chuan: Damdawi inah dah a ngai mai thei a, saline (IV fluids) chu vein-ah direct-a pek a ngai mai thei.
Hetah hian thil pawimawh tak a awm: He sodium level hi zawi zawiin leh uluk takin tihhniam tur a ni . A tlahniam thut chuan thluak cell te chu tuiin a khat thei a, a hring (cerebral edema) a ni. Hei hian thluak a tichhe reng thei a, seizure a thlen thei bawk. Chuvangin he enkawlna hi doctor enkawlna hnuaia tih ngei ngei tur a ni.
Chi ei tam lutuk hi taksa rihna tihtlem daltu a ni em?
Hei pawh hi thil pawimawh tak a ni. Kan ei tur bungrua leh dawr atanga kan lei te hian sodium (salt) a pai tam hle. Zirchianna atanga a lan danin, chi tamna ei thinte hian taksa thau an tipung a, an thau zawk thin.
Ngaihtuah teh, chaw chi (salty food) hi a thlum zawk. Chuvang chuan kan ei tam zawk a ni. Tin, chaw chi (salty food) ei hian tuihalna min siam bawk. Tichuan, sugary drinks (soda) kan in tawp fo thin. Heng zawng zawng hi a belhkhawm chuan taksa rihna a tipung a ni.
Chuvangin thisen sang leh taksa rihna thunun dan tha ber chu in lama siam, chaw thar a tam thei ang ber ei hi a ni.
Take-Home Thuchah a ni
- Hypernatremia hi thisenah sodium a pung a, tui a tlahniam bawk. A chhan ber chu dehydration a ni.
- Tuihâl lutuk, buaina leh mutthilh lutuk te hi a lan chhuahna ber a ni. Hengte hi ngaihthah suh.
- Hetiang hlauhawmna hi naupang tê leh tarte tan a sang zawk. Tui an in tawk em tih enfiah rawh.
- Seizure emaw, hriat lohna emaw ang chi symptom na tak tak a lan chuan damdawi in Emergency Treatment Unit (ETU)-ah hruai nghal tur a ni.
- Enkawl lai hian sodium level hi zawi zawiin tihhniam tur a ni. Chuvang chuan in lama inenkawl ai chuan doctor thurawn lak a pawimawh hle.
- I ei leh in a chi (salt) tihtlem hian thisen sang leh taksa rihna tihtlem nan a pui thei a ni.
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