Naupan lai atang tawhin hetiang thu hi kan hre vek tawh a: "Chi ei tam suh, i taksa tan a tha lo." Dik tak chuan chi, a nih loh leh sodium tam lutuk hian thisen sang a tisang a, thinlung natna a thlen thei tih kan hria. Mahse, taksaa chi tlem lutuk hi chutiang bawka hlauhawm a ni thei a, a chang chuan a hlauhawm zawk pawh a ni thei tih i ngaihtuah ngai em? Chu chu damdawi lamah chuan hyponatremia kan tih chu a ni. Hei hi thupui buaithlak tak angin lang mah se, vawiinah hian i hriatthiam theih tur awlsam takin kan sawi dawn a ni.
A awlsam zawngin Hyponatremia chu eng nge ni?
Hyponatremia chu i thisena sodium (kan ei chi chi) level chu a tlangpui aia a hniam chuan a ni. A tlangpuiin mi hrisel thisen sodium level chu litre khatah 135 milliequivalents (135 mEq/L) aia sang a ni tur a ni. He value hi 135 hnuai lam a nih chuan chu chu Hyponatremia kan ti thin.
Tunah chuan, "Aw... chi tlem kan hloh chuan engtin nge ni ang?" Mahse chutiang chuan a awlsam lo. Kan taksaa thil awm zawng zawng hi a thawk tha tur chuan engkim hi a inthlauhna (balance) a ngai a ni. Tui leh sodium inthlauhna hi a pawimawh zual hle. He balance hi a bo a nih chuan, chu chu taksaa tui tam lutuk a, sodium a lo diluted chuan tui tam lutuk chu kan taksa cell-ah a lut tan tihna a ni. Tichuan, chu cell te chu an lo hring chhuak ta a ni. Hetiang hi taksa khawi hmunah pawh thleng thei mah se, thluak cell swelling hi a hlauhawm zual hle.
Tea i siam lai kha han mitthla teh. Sugar tlem leh tui tam tak i dah chuan eng nge thleng ang? Tea thlum chu a bo tawh a ni lawm ni? Chutiang chu a ni. Taksa chhunga tui awm zat aiin taksaa tui awm zat a tam chuan thisenah sodium awm zat a tlahniam thin. Kan kal (kidney) hian hna a thawk tha a nih chuan tui tlem kan in tam lutuk pawhin he natna hi a awm lo tlangpui. Amaherawhchu, natna thenkhat vang te, damdawi ei vang te, emaw, marathon tlan ang chi kan thawmhnaw hah lutuk a, chutih hunah chuan tui chauh kan in a nih chuan kan taksa mamawh electrolyte kan nei lo.
Hyponatremia chi hrang hrang lian ber ber a awm em?
Ni e, doctor-te chuan Hyponatremia hi chi thum-ah an ṭhen a, hei hian he natna hi a chhan hriat a awlsam phah a ni. Taksa chhunga tui leh sodium awm zawng zawng atanga teh a ni. Hetiang hian i hrethiam mai ang u.
| Hyponatremia chi hrang hrang | A awlsam zawngin, eng nge thleng? |
|---|---|
| Euvolemic Hyponatremia (dilution hmanga tihdam theih) a ni. | Hemi a thil thleng chu taksaa sodium awm zat chu a pangngaia a awm laiin tui awm zat chauh a pung a ni. A dik tak chuan chi chu a diluted a ni. |
| Hypervolemic Hyponatremia a awm avangin a chhuak thei lo | Hei hian taksaa tui leh sodium te pawh a pung vek a ni. Mahse tui a punna hi sodium aiin a tam zawk hle. Hei hian sodium pawh a ti dilute bawk. Taksaah a hring chhuak tih i hmu mai thei. |
| Hypovolemic Hyponatremia natna a awm | Chutah chuan tui leh sodium pahnih hi taksa atangin a bo vek a ni. Amaherawhchu, sodium hloh zat hi tui hloh zat aiin a tam zawk. Hei hi luak chhuak nasa tak emaw, luak chhuak emaw a awm chuan a thleng fo thin. |
Heng chi hrang hrang zingah hian eng chi nge i neih tih doctor-in a hriat chian chuan a chhan leh a enkawlna tha ber chu hriat a awlsam zawk ang.
Hetiang natna lan chhuah dan hi engte nge ni?
Hyponatremia symptoms hi sodium level a hniam dan leh a tlahniam rang dan azirin a danglam thei. A châng chuan sodium level a tlahniam zauh zauh (Chronic Hyponatremia) hian natna lan chhuahna lian tham a awm lo thei bawk. Mahse drop hi a lo thleng thut (Acute Hyponatremia) a nih chuan a symptoms chu a na thei hle.
Hengte hi a tlangpuiin a lan chhuah dan chu a ni:
- Muscle twitching emaw chak lohna emaw.
- Nausea leh luak chhuak .
- Chauhna leh rilru hahna nasa tak . Engmah ti thei lo ang maia inhriatna.
- Lu na .
- Buaina: I awmna hmun, i thil tih theihnghilh leh i thusawi ngaihtuah buai.
- Seizures hi convulsive ang chi natna lo awm hi a ni.
Engvangin nge hetiang hi a lo awm? Hyponatremia awm chhan te
A tam zawkah chuan Hyponatremia thlentu ber chu damdawi lam thil vang a ni a, chu chuan taksain tui a vawng tam lutuk a, sodium a ti diluted thin. Chu bakah chuan taksa atanga sodium hloh tam lutuk (a tlem deuh) vang pawh a ni thei.
Hetiang dinhmun nghawngtu chhan lian ber ber thenkhat chu hetiang hi a ni:
- SIADH (Syndrome of Inappropriate Antidiuretic Hormone Secretion): Hei hi hormone natna a ni. Hemiah hian kan taksa atanga tui chhuak tur control tu hormone (ADH) chu a tam lutuk a chhuak thin. Hei hian kal atanga tui chhuahna a ti tlem a, taksaah tui a khawlkhawm a, sodium a ti diluted bawk.
- Heart Failure: Lung a chak loh chuan taksaa thisen kal dan a tha lo. Hei hian taksaah tui a khawlkhawm thei a ni.
- Kidney Failure: Kal hnathawh ber pakhat chu taksa atanga tui tam lutuk leh bawlhhlawh paih chhuah hi a ni. Kidney a chak loh chuan he process hian hna a thawk tha lo va, taksaah tui a pung khawm thin.
- Liver Cirrhosis: He natna hi liver hnathawh a tihchhiat nasat chuan a awm thei.
- Damdawi thenkhat: He natna hi "tui pill" (diuretics) thenkhat a bik takin thisen sang atana hman thin leh rilru lam natna atana hman thin damdawi thenkhat (SSRI) avanga lo awm thei a ni.
- Luak chhuak emaw, luak chhuak nasa tak: Hemi hun chhung hian taksa atanga tui leh sodium tam tak a bo thin.
- Zu in tam lutuk (Polydipsia): Hei hi chhan awm lova tui in tam lutuk duhna avanga lo awm thei a ni a, hei hian rilru lam natna thenkhat a zui thei bawk.
- Beer emaw zu emaw in tam lutuk.
- MDMA (Ecstasy) ang chi damdawi hman.
Hei hi natna khirh tak, nunna atana hlauhawm tak a ni em?
Ni e, a dik tak zet. A bik takin sodium level a tlahniam nghal a, a hniam hle a nih chuan nunna atana hlauhawm tak a ni thei.
Ka sawi tawh ang khan thisena sodium a tlahniam chuan tui tam zawk chu cell chhungah a kal lut thin. Hetiang hi thluak cell-ah a thleng a nih chuan thluak chu a lo hring (cerebral edema) a ni. Kan thluak hi ruh atanga siam bawm, luruh an tih chhungah a inkhung a. Chuvangin thluak hian a hring tur hmun a nei tam lo. Hetianga thluak a lo hring chuan luruh chu a press a. Hei hian thluak a tichhe reng thei a, coma a thlen thei a, thihna pawh a thlen thei bawk.
Chuvangin Hyponatremia hi thil awlsam taka ngaih tur a ni ngai lo.
Engtin nge doctor hian hei hi a hmuh theih?
Doctor i pan hunah i symptoms te a zawt hmasa ang che. Chumi hnuah chuan a enfiah ang che a, test eng emaw zat a ti ang a, i natna chu a finfiah ang a, a chhan pawh a hmu ang.
- Thisen test: Hei hi test pawimawh ber a ni. I thisena chi (salt) awm zat, sodium leh potassium te, i kal (kidney) te hnathawh that dan te a enfiah thei a ni.
- Zun test: Zun chhunga sodium level leh concentration en hian a chhan chu eng nge ni tih i hre thei ang.
- Test dang: A tul chuan a chhan a zirin chest X-ray emaw thluak CT scan emaw ang chi thil tih theih a ni.
Doctor chuan hetiang thilte hi a zawt thei bawk che a ni:
- Eng damdawi nge i ei thin?
- Eng natna dang nge i neih?
- Zu i in em?
- Ni khatah tui engzat nge i in tlangpui?
Hyponatremia hi engtin nge enkawl a nih?
Enkawlna chu i sodium level a hniam dan te, i natna lan chhuah dan a nasat dan te, eng thil nge a chhan tih te a innghat a ni.
- A chhan enkawl: A hmasa ber chu natna thlentu damdawi lam dinhmun hnuaia awm chu thunun a ni. Entirnan, damdawi avanga lo awm a nih chuan damdawi chu tihtawp emaw, thlak danglam emaw theih a ni.
- Tui in tlem: A tam zawkah chuan, a bik takin i sodium level a hniam lutuk loh chuan, i doctor chuan ni khata tui i in zat tihtlem turin a fuih ang che.
- IV saline: I sodium level a hniam lutuk emaw, i symptoms a nasat emaw chuan damdawi inah dah a ngai mai thei a, vein (saline) kaltlangin sodium pek i ngai mai thei.
- Damdawi bik: A then phei chuan taksa atanga tui tam lutuk paih chhuahna tura pui turin damdawi bik, tolvaptan ang chi te pek thin a ni.
Enkawlna hun chhunga fimkhur tur point bik!
Hei hi a pawimawh hle. Hyponatremia enkawl hian doctor-te an fimkhur hle.
Pawimawh tak: Sodium level chu a normal level-a hruai kir thuai chu a hlauhawm hle a, a tlahniam lutuk avangin. Chutianga tih chuan ``Central Pontine Myelinolysis'' emaw ``Osmotic Demyelination Syndrome'' tih natna a thlen thei a, chu chuan thluak chu a tichhe vek thei a ni. Chuvangin hei hi damdawi inah chauh enkawl tur a ni a, damdawi lam enkawlna hnuaiah chauh enkawl tur a ni. Hei hi in lamah tui chi in emaw, chi capsule ei emaw hmangin nangmah ngeiin siamthat tum ngai suh.
Engtikah nge Doctor ka hmuh ang? Engtikah nge ETU ah hian ka kal ang?
Hei hi i hriat chian a ngai a ni, a chhan chu a hun taka thil tih hian nunna a chhanhim thei a ni.
| Heng symptoms te hi i neih chuan doctor pan nghal rawh: | |
|---|---|
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| Heng symptoms te hi a awm chuan damlo chu ETU (Emergency Treatment Unit) ah hruai nghal tur a ni: | |
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Take-Home Thuchah a ni
- Hyponatremia hi taksaa chi (sodium) level hniamna a ni. Hei hi ngaihthah tur leh khelhpui tur thil a ni lo.
- A tam zawkah chuan hei hi taksaa tui tam lutuk vang a ni a, chi ei tlem ai chuan.
- A lan chhuah dan chu taksa ruh hring, hahna, leh lu na atanga natna khirh zawk, buai leh rilru hahna ang chi thlengin a awm thei.
- Natna lanchhuahna pawi tak, buai emaw, fit emaw i hmuh chuan thil dang ti lo la, damlo chu damdawi in Emergency Treatment Unit (ETU)-ah hruai nghal rawh.
- Hei hi Doctor enkawlna hnuaiah chauh enkawl tur a ni. Hei hi in lamah enkawl tum suh, sodium level tihsan thuai chuan thluak a tichhe thei a ni.
- Hetiang natna vei theihna tur damdawi dang i neih chuan i doctor nen sawiho la, a tul angin thupek zawm rawh.
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