Tuihal kan inhriat
fo a , kan chau deuh bawk. A chang chuan hei hi dehydration pangngai mai mai niin kan ngai thin. Mahse a chang chuan thil thuk deuh deuh chhinchhiahna a ni thei. Chu chu kan thisena sodium, a nih loh leh kan hriat zawng zawnga ‘salt’ tihpunna a ni. Damdawi lamah chuan hei hi hypernatremia kan ti a. Hei hi thil tenawm tak angin lang mah se, enkawl loh chuan natna khirh tak a ni thei. Chuvangin vawiin hian hemi chungchang hi i hrechiang lehzual ang u.
Hypernatremia hi eng nge ni?
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. Taksa hnathawh tam tak atan a pawimawh hle. Mahse engkim ang bawkin a tam lutuk chuan harsatna a thlen thei a ni. A tlangpuiin mi hrisel chuan thisen litre khatah sodium 136 leh 145 milliequivalents (mEq) inkar a nei tur a ni.
He value hi 145 mEq/L aia sang a nih chuan hypernatremia kan ngai a ni. Hetiang dinhmun hi
naupang tê leh
tarteah a tam ber a ni . Damdawi lam harsatna thenkhat nei te pawh hi an hlauhawm zawk bawk. Mahse a tam zawkah chuan dehydration symptom lian tak a ni. Taksaah tui a awm loh chuan thisenah sodium concentration a pung nghal mai thin.
A pawimawh ber chu i hrisel a nih chuan chi i ei tam vangin he natna hi a lo awm a rinawm loh hle. Kan taksa hian a thunun thei a ni.
Kan taksa hi engtiang chiahin nge a fing tih hi han ngaihtuah teh. Kan thisena chi (salt) awm zat chu tlem te pawhin a pung chuan kan thluak hian a hre thei a ni. Chutah chuan min tuihal tir a, "tui in tur" signal min pe bawk. Chutih rual chuan aldosterone leh antidiuretic hormone (ADH) ang chi hormone a tichhuak a, chu chuan kalte chu "tui tlem vawng reng tur leh zun-ah chi tlem tal paih chhuak turin" a hrilh a ni. Chuvangin tui tlakchhamna i neih chuan i zun chu a thim thin. Hypernatremia vei tam zawk hi chu a na lo hle. Tui tlem in tam leh sports drink in pawh a ni mai thei. Mahse case moderate leh severe tan
chuan damdawi lam pan a ngai ngei ang. Engvangin nge sodium (salt) hi kan taksa tan a pawimawh em em?
Chi ei tam lutuk hi a tha lo tih kan hria. Mahse a nihna takah chuan kan taksa hi sodium tel lo chuan a thawk thei lo. A pawimawh hle.
- Water balance : Kan cell chhung leh pawna tui awm zat dik tak a control thinSodium a ni a .
- Thisen sang : Thisen a sodium level a san chuan a chhehvel tissue atang hian tui a la chhuak thin. Hei hian thisen kalna kawng chhunga tui (thisen volume) a tipung a, pressure a tisang bawk. Hei vang hian chi ei tam lutuk hian thisen sang a thlen thin.
- Nervous function: Kan nervous system hian signal (impulses) thawn turin sodium a mamawh a. Muscle contraction, ngaihtuahna leh heng zawng zawng hian nerve signal a mamawh a ni.
Hypernatremia natna lan chhuah dan chu engte nge ni?
Heng symptom tam tak hi dehydration nen a inang a, mahse thenkhat chu sodium tam lutuk hian nervous system a nghawng vang a ni. A hnuaia table-ah hian heng symptoms te hi eng nge ni tih i en ang u.
| Symptom a ni | A sawifiahna awlsam tak |
|---|
| Tuihal lutuk | Tui engzat pawh in la, a tawk lo ang maia hriat thin tuihalna tihreh theih loh. |
| Restlessness leh thinrimna | Thil hahdam lo, rilru hahdam lo leh thinrim awlsam tak nih duhna. |
| Rilru tibuai | Hmun, hun leh mihring hriatthiamna chiang tak hloh. |
| Lethargy a ni | Chau lutuk, mutthilh leh engmah tih duh lo anga inhriatna. |
| Seizures a awm thin | A dinhmun a nasat chuan taksa a khur a, thunun theih lohvin a awm thin. |
| Coma ah a awm | A nasat lutuk chuan damlo chu a rilru a buai thei hle. |
Hypernatremia vei theihna tipungtu thil
- Luak chhuak nasa tak emaw, luak chhuak emaw (Gastroenteritis) .
- Kangmei chhuak
- Exercise, khawsik, lum lutuk avanga thawk hah lutuk
- Zunthlum thunun theih loh (Hyperglycemia) .
- Kal natna
- Kum upat rualin tuihalna a tlahniam
- A châng chuan, nausen hnute pein hnute a dawng tlem thei bawk.
- Salt tablets overdose, etc. Chutiang a nih chuan Colombo National Hospital-a National Poison Information Center-ah zawh nghal tur a ni.
- Tuipui tui in tur
- Zunthlum (Diabetes Insipidus) hi zunthlum nena inzawm lo, zun tam lutuk thlentu a ni.
Engtin nge doctor hian hei hi a hriatchhuah a, a enkawl?
I doctor chuan awlsam takin he natna hi i thisen a sodium level chu
thisen test awlsam tak hmangin a teh thei a ni . A chang chuan zun test pawh an ti thin. Treatment tum ber chu tui hloh chu thlak leh sodium leh tui inthlauhna siam leh a ni. A nasat loh chuan tui emaw, tui dang emaw in turin an hrilh ang che. Mahse, a hniam emaw, a nasat emaw chuan
damdawi inah dah a ngai mai thei a, vein kaltlangin saline (IV fluids) pek i ngai mai thei. Hetah hian thu pawimawh tak a awm a. Thisen a sodium level tihhniam nghal mai hi a tha lo. Fimkhur taka tih ngai thil a ni a, zawi zawiin darkar engemaw zat chhunga tih a ngai a ni. I tihhniam thut chuan thluak cell te chu a lo hring (cerebral edema) thei a, thluak a tichhe nasa hle. Chuvangin, chutiang dinhmunah chuan in lama enkawl tum lo la, doctor pan ngei ngei tur a ni.
Chi ei tam hian taksa rihna a nghawng em?
Hei pawh hi thil pawimawh tak a ni. Zirchianna atanga a lan danin, chi (salt) ei tam te hian taksa thau an tipung a, an thau zawk thin. Hei hi chhan hrang hrang a awm thei: 1.
A thlum: Chi hian chaw a ti tui zawk. Chuvang chuan hriat lohvin kan ei tam zawk a ni. 2.
Tuihalna: Mi tam takin chaw chi (salty foods) an ei hnua an tuihalna tihreh nan tui aiah sugary drinks (sodas) lam an pan thin. 3.
Thau hal: Zirna thenkhatah chuan chi (salt) tam hian kan taksain thau a hal dan a tidanglam thei niin an sawi. Chuvang chuan pawn lama kan ei leh in te, bungrua (processed foods) te, leh in lama chaw kan buatsaih te, thisen sang leh taksa rihna thunun mai bakah kan tih tlem a tha ber.
Take-Home Thuchah a ni
- Hypernatremia hi thisenah sodium (salt) level a san chhoh dan a ni. Hei hi a chhan ber chu dehydration a ni.
- A lan chhuah dan ber chu tuihal lutuk, buaina, hah lutuk, leh hahdam lohna te a ni.
- Chumi laka invenna tha ber chu nilengin tui in tam hi a ni. A vaiin ni khatah tui glass 6-8 tal in thin tur a ni.
- Nangmah emaw, i hriat miin emaw natna lan chhuah dan (moderate or navere symptoms) (a bik takin buaina, mut tam lutuk, seizures) a lantir chuan in lamah inenkawl suh la , doctor pan nghal emaw, damdawi in Emergency Department (ETU)-ah emaw kal nghal rawh.
- Hriselna pum pui tha tak vawng reng la, i ei leh in a chi i dah zat pawh fimkhur rawh.
Hypernatremia, sodium, chi, tui tlakchham, thisen test, kal, tuihal, electrolytes, electrolyte
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