Kan chaw eiah chi (salt) kan dah zat hi tihtlem kan tum vek a. A chhan chu chi ei tam lutuk hi taksa tan a tha lo tih kan hriat vang a ni. Mahse, kan taksa hnathawh that nan chi (sodium) engemaw zat a pawimawh tih i hria em? He sodium level hi a mamawh aia tam a tlahniam chuan kan taksa tan harsatna chi hrang hrang a thlen thei bawk. Chu chu damdawi lama hyponatremia kan tih chu a ni.
A awlsam zawngin, hyponatremia chu eng nge ni?
Awle, hetiang hian han sawi ila. Kan thisen hian kan cell chhung leh a chhehvela tui awm zat a tihreh theih nan sodium engemaw zat a mamawh a ni. Hei hi a balance famkim a ngai a ni.
Eng emaw chhan vangin i thisena sodium awm zat chu a tlahniam ang tih han ngaihtuah teh. Thil thleng chu i taksaa tui awm zat chu a tlem berah a pung a, i taksa cell te chu a lo hring tan ta a ni. He hliam hi taksa khawi hmunah pawh cell-ah a awm thei. Mahse thluak cell a nghawng chuan a hlauhawm zual hle . Hei hi a châng chuan natna lan chhuahna tenau tak tak aṭangin a inṭan thei a, nunna atana hlauhawm thei dinhmun khirh takah a kal thei bawk.
A tlangpuiin mi hrisel thisenah sodium level chu litre khatah 135 leh 145 milliequivalent (mEq/L) inkar a ni tur a ni. He value hi 135 mEq/L hnuai lam a nih chuan hyponatremia an tih condition ah kan ngai a ni. I doctor chuan thisen test awlsam tak hmangin he level hi eng nge a nih chiang takin a hrilh thei che a ni.
Hetiang natna enkawlna atan hian specialist hrang hrangte puihna a ngai thei a ni. Entîr nân, nephrologist emaw, endocrinologist emaw, geriatrician emaw pawh a inrawlh thei a ni.
Hyponatremia chi hrang hrang a awm em?
Ni e, he dinhmun hi a lo awm dan azirin chi hrang hrangah then theih a ni. Hengte hi damdawi lam thumal tlemte ni mahse, awlsam taka hriatthiam tum ila.
| Hyponatremia chi hrang hrang | A awlsam zawngin... |
|---|---|
| Euvolemic Hyponatremia natna a awm thei | Hemiah hian thil thleng chu taksaa sodium level chu a pangngai viau nachungin tui a tam zawk a ni. Chu chu taksain tui a vawng tam lutuk tihna a ni. |
| Hypovolemic Hyponatremia natna a awm | Chutah chuan sodium leh tui pahnih hi taksa atangin a bo vek a ni. Mahse, sodium aiin tui a bo tam zawk. (Ex: luak chhuak, luak chhuak) |
| Hypervolemic Hyponatremia a awm avangin a chhuak thei lo | Hei hian taksaa sodium leh tui level pahnih hi a pung vek a ni. Mahse, tui level hi sodium aiin a sang zawk hle. |
| Dilutional Hyponatremia a awm thin | Hei hi electrolyte mamawh tel lova hun rei lote chhunga tui i in tam lutuk hian a thleng thin. Hei hian i thisen a sodium awm chu a ti diluted a ni. |
Hetiang natna lan chhuah dan hi engte nge ni?
I sodium level a hniam vak loh chuan symptom i nei lo mai thei. A tam zawkah chuan sodium level a tlahniam nghal hian symptoms a lang thin.
A tlangpui leh na tak takah chuan a lan chhuah dan te chu:
- Nausea leh luak chhuak
- Chauh lutuk emaw, chhan awm lovin rilru hah lutuk emaw
- Lu na
- Hriatrengna leh ngaihtuahna buai
- Muscle na, a khauh emaw, a hrual emaw
- Hahdam lo, thinrim tih hriatna
- Chak lo anga inhriatna
A pawimawh ber chu heng symptoms te hi i neih chuan i doctor nen inbiakna neih nghal tur a ni a, a bik takin he natna hi i neih theihna tur hlauhawm i nih chuan (e.g. damdawi thenkhat i ei a nih chuan). A natna lan chhuah dan a nasat chuan, entirnan, luak chhuak nasa, buai, emaw, seizure emaw a nih chuan hospital emergency department (ETU) hnai ber pan nghal tur a ni.
Engvangin nge hetiang hian sodium a tlahniam? A chhan engte nge ni?
Hei hi nghawng thei tur chhan tam tak a awm. A bulpui thenkhat han thlir ila.
- Damdawi thenkhat: Diuretics, a bik takin "water pills" an tih te, antidepressant thenkhat, leh painkillers te hian a tlangpui aia tam i zun leh thawk hah tir thei. Hei hian i sodium level a ti tlahniam thei a ni.
- Hriselna lama harsatna: Lung tha lo, kal emaw thin natna te hian taksain tui a tihregulate dan a nghawng thei a, chu chuan sodium level a nghawng thei a ni. Tin, na tak, ril\am emaw, luak chhuak emaw hian taksa atanga sodium leh tui a hloh thei bawk.
- Hormonal Imbalances: Kan taksaa sodium level control theitu hormone a awm a. SIADH (Syndrome of Inappropriate Antidiuretic Hormone) an tih dinhmunah chuan taksa hian tui a vawng tam zawk a ni. Tin, Addison natna ang chi dinhmunah chuan chi balance control tu hormone te pawh a nghawng bawk. Thyroid hormone level hniam vang pawh a ni thei.
- Tui in tam lutuk: Tui in tam lutuk hian i thisen a sodium awm chu a ti dilut thei a ni. Hei hi infiammi, hla tak tak, marathon ang chi tlan thinte tan chuan a dik hle a, a chhan chu tui an in tam lutuk avangin sodium tam tak an thawk chhuak thin.
- Zu in tam lutuk: Zu hi natural diuretic a ni. Chumi awmzia chu zu i in hian i zun a tipung a, i taksa atangin sodium i paih chhuak tihna a ni.
- Ruihhlo: Dan loa ruihhlo Ecstasy/Molly (MDMA) te hian hyponatremia na tak a thlen thu an sawi a.
- Kangmei nasa tak: Taksa hmun zau takah kang nasat chuan tui leh chi balance a tibuai thei a ni.
Hetiang dinhmun hi tute nge hlauhawm ber?
A chunga kan sawi chhan bakah hian mi thenkhat chuan he natna hi an nei tam zawk.
- Kum: Kum upat deuh deuh hian he natna hi vei theihna a sang chho zel a. Hei hi kum upa lamte hian natna khirh tak an neih tam zawk vang a ni. Damdawi an ei hian hei hi a nghawng thei bawk.
- Damdawi lam dinhmun awm tawh: Kal natna, thinlung natna, liver cirrhosis, SIADH, leh zunthlum insipidus ang chi natna nei te chu an hlauhawm zawk.
- Taksa tihchakna nasa tak: Marathon ang chi exercise hahthlak tak tak tih laiin tui tam tak in thinte chu an hlauhawm hle.
- Climate: Khua lum lutukah chuan thawmhnaw a tam avangin sodium level a nghawng thei a ni.
Engtin nge doctor hian hei hi a hmuh theih?
Hei hi symptoms chauh atanga finfiah a harsat avangin i doctor chuan thisen leh zun test thenkhat a order ngei ang .
- Sodium thisen test: Hei hi standard ``Basic metabolic panel''-a tel a ni a, thisen a sodium awm zat a teh thin.
- Blood osmolality test: Hei hian thisen a dissolved particle awm zat a teh a, salt imbalances a nemnghet thei bawk.
- Urine osmolality: Zun chhunga chemical awm zat tehna a ni.
- Urine sodium test: Zun chhunga sodium awm zat tehna hmang hian he natna thlen chhan hi kal (kidney) ni lo thil dang a ni em tih hriat theih a ni.
Doctor chuan heng test result te nen hian i symptoms leh medical history te ngaihtuah chungin diagnosis dik tak a thleng ang.
Engtin nge enkawl a nih?
A chhan tam tak a awm avangin enkawlna chu i natna thlentu leh a nasat danah a innghat a ni.
A pawimawh ber chu hei hi nangmah ngeiin in lama enkawl tum loh hi a ni. Sodium leh tui level rebalancing hi thil nalh tak leh fimkhur tak a ni. Thil tih dik loh chuan a hlauhawm lehzual thei a ni.
- Hetiang dinhmun hi i damdawi ei avanga lo awm a nih chuan i doctor chuan damdawi chu a thlak danglam thei a, a dose pawh a tihtlem thei bawk.
- If it is due to another medical condition , a pawimawh ber chu chu natna chu uluk taka enkawl hi a ni.
- If your condition is sudden and severe , damdawi inah enkawl i ngai mai thei. Hetah:
- Sodium level zawi zawiin tihsan nan saline (IV sodium solution) pek.
- Lu na, luak chhuak, leh seizures ang chi symptoms control nan damdawi pek.
Hei hi a hlauhawm thei ang em? Eng harsatna nge a awm?
Awle. Acute hyponatremia, sodium level a tlakhniam thuai thin hian thluak cell te a ti hring chak em em thin avangin a hlauhawm hle thei a ni. Hei hi a ni, .
- Thluak a lo hring nghal vat
- Seizures a awm thin
- Coma ah a awm
- Tin, thihna pawh a thleng thei bawk.
Tin, zirchiannaah chuan hun rei tak chhunga hyponatremia hian ruh natna leh ruh tliak a tipung thei tih hmuhchhuah a ni bawk.
Take-Home Thuchah a ni
- Hyponatremia hi thisenah sodium (salt) a tlem a, hei hi a ni. Hei hi a chang chuan a hlauhawm thei hle.
- A chhan hrang hrang a awm a; damdawi thenkhat, thinlung, kal, thin natna, hormone lama harsatna, tui in tam lutuk te pawhin hei hi a thlen thei a ni.
- Natna lan chhuah dan, luak chhuak, lu na, hahna, leh hahdam lohna te chu en reng ang che. Symptoms na tak (confusion, seizures) i neih chuan damdawi in (ETU) pan vat tur a ni.
- Hei hi nangmah ngeiin enkawl ngai suh. Doctor rawn hmasa phawt ang che.
- Tui in hi a pawimawh a, balance erawh a pawimawh. Tuihâl i hriat hunah tui in thin ang che. I zun chu a sen hring a nih chuan tui i hmu tlem a ni mai thei.
- Exercise nasa tak i tih chuan i doctor hnenah sodium awmna sports drinks chungchang zawt la.











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