Sodium (salt) i tlem em? Hyponatremia chungchang hi han sawi ila!

Chi hi kan taksa tan a pawimawh em em a ni lawm ni? Mahse mi thenkhat chuan chi ei tam lutuk hi harsatna awm chhun niin an ngai. Mahse taksaa chi (salt), chu chu sodium, a tlahniam chuan a chang chuan a hlauhawm hle thei tih i hria em? Chu chu damdawi lama hyponatremia kan tih chu a ni. Hei hi thumal buaithlak tak angin lang mah se, a awlsam zawnga sawi chuan i thisena sodium level chu a rawt aia hniam tihna a ni. Hemi chungchang hi vawiinah hian chipchiar deuhin han sawi ila, a chhan chu hei hi kan hriat chian vek a ngai a ni.

Hyponatremia hi eng nge ni tak tak?

A awlsam zawngin, hyponatremia chu i thisen sodium (kan ei chi chi (salt) a awm ber) chu a tlangpui aia a hniam chuan a ni. Doctor-te chuan hyponatremia hi liter khatah sodium level 135 milliequivalents (135 mEq/L) aia hniam a nih thu an ngai tlangpui.

Tunah chuan, "Aw, chi tlem zawk hi a tha a, tam zawk hi a tha lo" tih i ngaihtuah mai thei. Mahse nunah thil tam zawk ang bawkin balance hi a pawimawh ber a ni. I taksa hrisel taka awm reng tur chuan tui leh sodium inkara balance dik tak i neih a ngai a ni. Natna emaw damdawi thenkhat emaw hian he balance hi a tichhe thei a ni. Chutiang a nih chuan tui tam lutuk chu i cell-ah a lut thei a, chu chuan hna a thawk tha tawh lo. Hei hi i thluak tan a hlauhawm zual thei hle.

I kal (kidney) a thawk tha a nih chuan tui i in tam vang mai maia i thisen sodium level a tlahniam lutuk hi a awm lo. Mahse, hei hi i tui tlakchham lutuk (marathon tlan zawh hnu ang chi) a, i electrolytes (i taksain a thawh theihna tura a mamawh minerals) tihpun loha tui chauh i in chuan a thleng thei a ni.

Hyponatremia hi chronic emaw acute emaw pawh a ni thei . Hun rei tak a awm tawh chuan taksain sodium level hniam takah a insiamrem chhoh zel avangin symptoms a lo lang zauh zauh thin. Mahse, sodium level a tlahniam thut chuan symptoms chu a na nghal thei a ni.

Hyponatremia chi hrang hrangte chu engte nge ni?

Hyponatremia hi chi thum a awm a. Chûngte chu eng nge an nih hriat hian i doctor chu i natna thlentu leh eng enkawlna nge mamawh tih a hriat theih nân a ṭanpui thei a ni.

1. Euvolemic hyponatremia/dilutional hyponatremia: Hei hi i taksaa sodium awm zat a danglam lo, mahse i taksaa tui awm zat a pun chhoh lai a ni. Tui glass khatah tui tam zawk dah a, tui chi (saltiness) a langsar lo ang mai a ni.

2. Hypervolemic hyponatremia: Hetah hian i taksaa tui leh sodium awm zat te hi a pung vek a. Amaherawhchu, sodium aiin tui a pung nasa zawk.

3. A rilru a hah lutuk chuan a rilru a buai em em a.Hypovolemic hyponatremia: Hei hi i taksaa tui leh sodium awm zat a tlahniam vek a ni. Mahse, tui tam aiin sodium a tlahniam zawk.

He classification hi damdawi lam deuh angin lang mahse, a chhan zawn chhuah a pawimawh hle.

Hyponatremia natna lan chhuah dan chu engte nge ni?

Hyponatremia vei chuan a natna lan chhuahna a nei thei a, chungte chu:

• Muscle na emaw chak lohna emaw: I ke ruhte chu a hring vek ang maiin a lang thei a, sa chi hrang hrang a tla ang maiin a lang thei.
• Nausea leh vomiting: I pum chu a bengchheng thei a, i luak chhuak dawn ang maiin i awm thei bawk.
• Mut tam lutuk emaw, hah lutuk emaw (Lethargy): Chau reng reng, engmah tih theih loh dinhmun.
• Lu na: Lu na na tak a awm thei.
• Buaina emaw rilru lam inthlak danglamna: Thil buaithlak, a hma aia danglam taka che.
• Seizures: A natna a nasat chuan fit ang mai a ni thei.

Heng symptoms pakhat emaw a aia tam emaw i neih chuan, a bik takin a na zual ang tih a hriat chuan doctor thurawn lak a tha ber.

Engvangin nge hyponatremia hi a lo awm? A chhante chu engte nge ni?

Hyponatremia hi i taksain tui a tam lutuk hian a awm fo thin a, chu chuan i sodium level a ti tlahniam thin. A chang chuan, sodium tam tak i hloh pawhin hetiang hi a thleng thei (mahse a tlangpuiin a tlem hle). Mahse, i taksaa tui leh sodium inthlauhna a awm loh chuan tui chu i cell-ah a lut a, an hnathawh dan pangngai a tibuai a ni.

Hyponatremia awm chhan bik thenkhat chu hetiang hi a ni:

• SIADH (Syndrome of Inappropriate Antidiuretic Hormone Secretion): Hei hi taksain hormone Antidiuretic hormone a tihchhuah tam lutuk hian a thleng thin a, chu chuan taksain tui a vawng reng thei a ni. Hei hian taksaah tui a khawlkhawm a, sodium a ti dilute bawk.
• Heart failure: Thinlung a chak loh chuan taksaah tui a pungkhawm thei a, chu chu a circulate tha lo.
• Kidney failure: Kal hian taksa chhunga tui leh chi awm zat a control a. Heng harsatnate hi an thawh that loh chuan a lo awm thin.
• Liver cirrhosis: He natna hi liver a chhiat chuan a awm thei.
• Nephrotic syndrome: Hei hi kal (kidney) nena inzawm a ni bawk.
• Neurological conditions te chu thluaka tumor ang chi a ni
• Tuihâl lutuk leh zu in (Polydipsia) .
• Hypothyroidism (Thyroid chak lo) .
• Beer emaw zu dang emaw in tam lutuk (Beer potomania): Mi thenkhat chuan tui chauh hi harsatna awmah an ngai a, mahse hei hi beer ang chi thil i in tam lutuk chuan a thleng thei bawk.
• Diarrhea emaw, luak chhuak emaw:Chungte chuan taksa atanga tui leh sodium a bo tir thin.
• Damdawi thenkhat: Entirnan, diuretics ("tui pills" tia koh bawk) leh SSRI antidepressant te.
• Damdawi thenkhat: He natna hi MDMA ("ecstasy" leh "molly" tih hminga kan hriat) ang chi damdawi hman lai pawhin a awm thei bawk.

Tute nge hyponatremia vei theihna chance sang zawk?

A chunga kan sawi tawh ang chi hi i neih chuan hyponatremia vei theihna a sang zawk. He risk hi surgery thenkhat hnuah pawh a pung thei bawk.

Hyponatremia hi nunna atana hlauhawm thei a ni em?

Ni e, a dik tak zet. Hyponatremia a nasat chuan i tissue, a bik takin i thluak tissue te chu tuiin a lo hring tan ang. Hei hi enkawl vat a nih loh chuan coma, thluak chhiatna nghet tak, thihna thlengin a thlen thei a ni. Chuvangin hei hi inkhelh tur a ni lo.

Engtin nge Hyponatremia hi an hriat theih?

Doctor-te chuan thisen leh zun test hmangin hyponatremia an hriat theih nan an hmang ber a ni. Chungte chuan i taksaa sodium, potassium, hormone thenkhat leh thil dang awm zat a enfiah thin. Tin, i kal leh thin (liver) te hnathawh that dan an enfiah bawk. I natna lan chhuah dan azirin i doctor chuan CT scan emaw chest X-ray emaw a order thei bawk.

Chu bâkah, doctor chuan hetiang thilte hi a zawt thei bawk che a ni:

• Eng ang infiamna nge i khelh a, engtin nge i training thin?
• Eng damdawi nge i hman?
• Tunah hian eng natna emaw, surgery emaw i neih emaw, tun hmaa i lo neih tawh emaw?
• Zu engzat nge i in thin?

Heng zawng zawng hian doctor chu i dinhmun dik tak a hriatthiam theih nan a pui a ni.

Hyponatremia hi engtin nge enkawl a nih?

Hyponatremia enkawlna chu a chhan leh eng ang hyponatremia nge i neih tih a innghat a ni. Enkawlna kawng hrang hrangte chu:

• Tui in tlem: A châng chuan, tui in tlem hian natna hi a thunun thei a ni.
• Damdawi i ei dan thlak danglam: A chang chuan i doctor chuan damdawi ei tawh loh tur emaw, a ei tur thlak tur emaw a hrilh thei che a ni.
• Intravenous fluids (IV fluids) pek): Saline ang chi thil te taksaah vein hmanga pek.
• Sodium level hniam nei te hnena damdawi bik pek thin: Entirnan, `(Tolvaptan)` emaw `(Conivaptan)` emaw.

Doctor hian hyponatremia thlentu tur damdawi lam thil awm thei zawng zawng a enkawl bawk ang.

Enkawl laiin harsatna awm thei

Doctor-te chuan hyponatremia an enkawl hian an fimkhur hle a, sodium level chu recommended level aia sangin a tisang nghal lo. A chhan chu taksaa sodium level i tihsan thut chuan, ., chu chuan natna khirh tak, nunna atana hlauhawm tak, ``Central pontine myelinolysis'' emaw ``Osmotic demyelination syndrome'' emaw a thlen thei a, chu chuan thluak a tichhe thei a ni. Chuvang chuan hyponatremia i vei nia i rinhlelh chuan doctor pan nghal tur a ni.

Hyponatremia hi ven theih a ni em?

A ven kim thei lo nain, i hlauhawmna tihziaawm nan a hnuaia mite hi i ti thei ang:

• Beer emaw zu dang emaw in tam lutuk loh tur.
• Tuihâl i hriat ang zat tui in la (doctor-in a hrilh loh che loh chuan). Mi thenkhat chuan ni khatah tui litre khat in a ngai niin an ngai a, mahse chu chu a dik lo. Tuihal hi a tilangtu tha ber a ni.
• MDMA ang damdawi hmang suh.
• Exercise i tih emaw, infiamna lama inelnaah emaw tui in mai mai ai chuan electrolyte awmna in tur (e.g. sports drinks) in tur a ni. Mahse hengte hi i tan pawh a tha lo.
• Hyponatremia vei theihna tipung thei damdawi lam i neih chuan i doctor nen a enkawl dan tur tha ber sawipui rawh.
• Ei leh in inthlau tak ei la, a bik takin protein tamna ei tur te ei rawh.

Hyponatremia ka neih chuan eng nge ka beisei theih ang?

Hyponatremia awm theihna tur thlirna chu a chhanah a innghat nasa hle. Mi tam zawk chuan enkawl vat an nih chuan an dam kim thei a ni. Mahse, thluak hring ang chi natna hi enkawl vat a nih loh chuan a tichhe vek thei a ni.

Mahse, a châng chuan, hyponatremia hi a hnuaia damdawi lam dinhmun a chhe zual zel tih chhinchhiahna a ni thei. A tlangpuiin, kal emaw, thin emaw natna vei te hi thil dang avanga hyponatremia vei te aiin an thihpui tam zawk a ni.

Engtikah nge Doctor ka hmuh ang?

Hyponatremia vei theihna tipung thei damdawi i neih chuan i doctor nen sawiho rawh. I dinhmun enkawl turin a pui thei che a, eng symptom nge i fimkhur tur tih a hrilh thei bawk che.

Chronic hyponatremia-ah chuan symptoms a lo thleng thei a, a kal zel thei bawk. Entirnan, chau reng reng, ngaihtuahna seng harsatna, etc. I taksaah danglamna eng emaw i hmuh chuan, a bik takin hun kal zelah a zual zel a nih chuan doctor hnenah hrilh la a tha.

Engtikah nge Emergency Treatment Unit (ETU) ah ka kal ang ?

Nangmah emaw i hriat miin emaw heng symptoms te hi i neih chuan emergency room hnai ber pan nghal rawh:

• Rilru tibuai
• Seizures/fits a awm thei
• Mut atanga harh harsat
• Lu na na tak a ni
• Luak chhuak nasa tak emaw, luak chhuak emaw

Hetiang hunah hian in lamah nghak suh.

Doctor hnenah eng zawhna nge ka zawh ang?

Doctor i hmuh hian hetiang zawhna hi zawh hi a \angkai thei ang:

• Engvangin nge hetiang hian ka chungah a lo thlen?
• Nakin lawkah hetiang thil hi pumpelh turin eng nge ka tih theih ang?
• Hyponatremia natna hriattirna hmasa berte chu engte nge ni?
• Engtin nge ka damdawi te hi dik taka ka ei ang?
• Ni khatah tui engzat nge ka in tur?

Sodium ka neih tlem chuan chi ka ei tam tur em ni?

I thisen sodium level a hniam chuan doctor thurawn i zawm ngei ngei tur a ni. Enkawlna chu a chhanah a innghat. Chi i ei tam chuan hriselna lama harsatna dang a thlen thei a ni.

Chi hi thil tha lo takah kan ngai fo thin. Mahse thil dang zawng zawng ang bawkin balance hi a pawimawh ber a ni. Sodium tlem lutuk hian hriselna lama harsatna lian tak a thlen thei a ni. Hyponatremia hi natna tlanglawn tak a ni a, rang taka enkawl a nih chuan mi tam zawk chu an dam chhuak vek thei a ni. Mahse a chhan tam tak a awm avangin i damdawi lam dinhmun leh damdawi te enkawl hi i hlauhawmna tihziaawmna kawng tha ber a ni. Zawhna emaw, ngaihtuahna emaw i neih chuan doctor zawt hreh ngai suh.

Take-Home Thuchah a ni

Okay, chuti a nih chuan tunah chuan vawiin a kan sawi tawh kha i hrethiam tawh a, Hyponatremia. Hriat reng tur pawimawh tak takte chu:

• Taksa chhunga sodium leh tui inthlauhna hi a pawimawh hle. Hei hi a tam lutuk emaw, a tlem lutuk emaw chuan harsatna a thlen thei a ni.
• Hyponatremia hi thisen a sodium level tlahniam a ni. Hei hian chhan hrang hrang a nei thei a ni .
• Symptoms (muscle twitching, nausea, confusion, headache ang chi) a lo awm a nih chuan, a bik takin a nasat emaw, a pung zauh zauh emaw a nih chuan doctor rawn la nghal rawh.
• Doctor rawn hmasa lovin i duh ang chi chi ei loh tur a ni.
• Damdawi lam dinhmun (lut natna, kal natna ang chi) te uluk taka enkawl a pawimawh a, damdawi i ei danah fimkhur a pawimawh bawk.
• Enkawl hmasak hian damna a thlen fo thin. Chuvangin hlau suh, rinhlelhna i neih veleh doctor pan nghal rawh.

Mahni hriselna enkawl a phu!

` Hyponatremia, sodium tlem, thisenah chi tlem, tui tlakchham, electrolytes, taksa tui balance, thluak na