Dzimwe nguva tinonzwa kuneta zvikuru, tinonzwa sekunge hatina simba, tsandanyama dzedu dziri kurwadza, musoro wedu unorwadza, handiti? Tinowanzo funga kuti izvi zvinokonzerwa nekuti hatiwani zororo rakakwana, kana kuti nekuti takashanda nesimba zvakanyanya. Asi chikonzero chezvinhu izvi chingave chimwe chinhu chaungasatombo funga nezvacho. Ndiko kusarongeka kwema electrolytes mumuviri wedu. Nhasi, tichataura nezvazvo zviri nyore uye nemazvo.
Chii chinonzi ma electrolyte aya?
Zvichitaurwa zviri nyore, ma electrolyte zvicherwa zvakakosha mumiviri yedu. Kana izvi zvikabatana nemvura yemuviri yakaita seropa neweti, zvinogadzira simba diki remagetsi. Funga nezvemuviri wedu semuchina wakaoma kunzwisisa. Saka, kuti muchina uyu ushande zvakanaka, unoda magetsi. Saizvozvowo, zviratidzo zvemagetsi zvinobva kuma electrolyte aya zvakakosha kuti zvinhu zvakawanda mumuviri wedu, zvakaita setsinga, tsandanyama, nemoyo, zvishande zvakanaka.
Tinowana ma electrolyte aya kubva muchikafu chatinodya nekunwa, dzimwe nguva kubva muzvinowedzera simba mumuviri, uye miviri yedu inoagadzirawo.
Mhando huru dze electrolytes mumuviri wedu nemabasa avo
Kune mhando dzakawanda dzema electrolytes mumuviri wedu. Imwe neimwe ine basa rayo. Ngatitarisei kuti chii uye chii chinoitika kwavari.
| Rudzi rweElectrolyte | Basa mumuviri |
|---|---|
| Sodium | Inodzora huwandu hwemvura mumuviri uye inobatsira pakushanda kwetsinga netsandanyama. |
| Potassium | Zvakakosha pakushanda kwemoyo, tsinga, uye tsandanyama. Zvinobatsira kutakura zvinovaka muviri kuenda kumasero uye kubvisa tsvina. |
| Karusiyamu | Inobatsira kudzora BP, kuomesa uye kuwedzera tsinga dzeropa, uye inokosha pakuburitswa kwemahormone nemaenzyme uye tsinga. |
| Chloride | Inobatsira kuchengetedza huwandu hwakanaka hwemvura yemuviri, BP, uye ropa. |
| Magnesium | Inobatsira pakushanda kwetsinga netsandanyama uye inodiwawo pakukura kwemapfupa nemazino ane hutano. |
| Phosphate | Inotsigira kushanda zvakanaka kwehurongwa hwemapfupa, tsinga, uye tsandanyama. |
| Bicarbonate | Inochengetedza acid-base balance (pH balance) yeropa. Inobatsira kubvisa carbon dioxide, tsvina, mumuviri. |
Chii chinonzi kusawirirana kwema electrolyte?
Kusawirirana kwema electrolyte kunoitika kana chimwe chezvicherwa zvataurwa pamusoro apa chakanyanya kukwira kana kuderera mumuviri. Nhengo dzemuviri dzakadai seitsvo dzedu nechiropa dzinodzora huwandu uhwu mumuviri. Kana mutemo uyu ukakanganiswa nekuda kwechirwere kana chimwe chikonzero, kusawirirana kunoitika.
Zvichitaurwa zviri nyore, zvese zvinofanira kunge zviri zvine mwero. Kungofanana nekuwedzera munyu mushoma kunogona kuchinja kuravira kwechikafu.
Kune mhando mbiri dzekusaenzana uku:
1. Kuwanda kwema electrolyte (Hyper-): Kuvapo kwema electrolyte akawanda mumuviri kupfuura zvinodiwa.
2. Kudzikira kweElectrolyte (Hypo-): Kudzikira kwemazinga eelectrolyte mumuviri kupfuura huwandu hunodiwa.
| Rudzi rweElectrolyte | Kukwira kwemazinga (izwi rezvekurapa) | Kushaya simba kweropa (hypotension) |
|---|---|---|
| Sodium | Hypernatremia | Hyponatremia |
| Potassium | Hyperkalemia | Hypokalemia |
| Karusiyamu | Hypercalcemia | Hypocalcemia |
| Magnesium | Hypermagnesemia | Hypomagnesemia |
Sei izvi zvichiitika? Ndezvipi zvinhu zvinokonzera njodzi?
Pane zvikonzero zvakawanda zvinoita kuti pave nekusawirirana kwema electrolyte mumuviri. Vacheche, vana vadiki, uye vakwegura vari panjodzi huru yekubatwa nechirwere ichi. Zvisinei, chinogona kuitika kune chero ani zvake wezera ripi zvaro.
Zvikonzero zvikuru uye zvinhu zvine njodzi ndeizvi:
- Kushaya mvura mumuviri: Kurasikirwa nemvura yakawanda nemunyu mumuviri. Izvi zvinogona kukonzerwa nemamiriro ezvinhu akadai sekurutsa zvakanyanya, manyoka (manyoka), kudikitira zvakanyanya (hyperhidrosis), kana fivha.
- Chirwere cheitsvo: Itsvo dzinodzora huwandu hwemunyu nemvura mumuviri. Kana itsvo dzikatadza kushanda, chiyero ichi chinorasika.
- Chirwere chechiropa: Zvirwere zvechiropa zvakaita sechiropa chinonzi cirrhosis.
- Chirwere chemwoyo: Zvirwere zvakaita seBP yakakwira uye kurwara nemoyo.
- Kutsva: Kutsva kwakanyanya kunogona kukonzera kuti mvura yakawanda irasikirwe mumuviri.
- Kurapa kenza nekenza: Chirwere ichi chinogona kukonzerwa nemamwe marudzi ekenza nechemotherapy.
- Mimwe mishonga: diuretics, mishonga yekurara), mamwe maantibiotic, uye corticosteroids zvinogonawo kukonzera kuti mazinga e electrolyte achinje.
- Kunyudzwa kwemvura: Kunyangwe ukanwa mvura yakawanda kupfuura zvinodiwa, ma electrolyte akadai se sodium anogona kudzikira uye huwandu hwemvura mumuviri hunogona kudzikira.
- Matambudziko ekudya.
Ndingaziva sei kana ndine chirwere ichi? - Zviratidzo
Kana kusawirirana kwema electrolyte kuri kudiki, ungasave nezviratidzo. Zvisinei, sezvo mamiriro acho achiramba achiwedzera, unogona kusangana nechimwe kana kupfuura chezviratidzo zvinotevera:
- Kuneta zvakanyanya uye kuneta
- Kurwadziwa kwetsandanyama, kurwadza kwemakumbo kana kushaya simba
- Kusvotwa nekurutsa
- Musoro
- Kurova kwemoyo kusingawanzoitiki kana nekukurumidza (Arrhythmia)
- Kuvhiringidzika uye kushatirwa
- Manyoka kana kuvimbiwa
- Kunzwa kusanzwa kana kukwenya mumaoko netsoka
Sezvo zviratidzo izvi zvichigonawo kuva zviratidzo zvezvimwe zvirwere, zvakakosha zvikuru kuona chiremba nekukasika kana chimwe kana zvimwe zvacho zvikaramba zviripo.
Chiremba anoongorora sei izvi uye ndeapi marapirwo aanoitwa?
Muedzo mukuru wekuona izvi iongororo yeropa inonzi electrolyte panel . Izvi zvinogona kuyera nemazvo huwandu hwema electrolyte akakosha, akadai se sodium ne potassium, muropa rako.
Kurapwa kunoenderana nekuti une electrolyte imbalance ipi uye chii chiri kukonzera izvozvo.
- Kusawirirana kudiki: Kushaya mvura yakakwana mumuviri dzimwe nguva kunogona kurapwa nemunyu wemvura inodzorwa (ORS) kana zvinwiwa zvine electrolyte, uye kunwa mvura yakakwana. Zvisinei, zvakanaka kuita izvi uchirairwa nachiremba wako .
- Kurapwa: Kana chirwere chacho chakakomba zvishoma, chiremba anogona kunyora mishonga inotevera:
- Mvura yemutsinga ( munyu ): Kudzorera mvura mumuviri nekupa munyu (semuenzaniso, sodium chloride) kuburikidza netsinga.
- Mishonga nezvinowedzera: Mapiritsi kana mishonga yemutsinga yekudzorera maelectrolyte apera mumuviri.
- Kuchenesa ropa: Kurapa uku kunoshandiswa pakurapa kusawirirana kwakanyanya kunokonzerwa nekutadza kushanda kweitsvo.
Chinhu chinonyanya kukosha kurapa chirwere chiri kukonzera chirwere ichi (semuenzaniso chirwere cheitsvo, chirwere cheshuga) chiri kukonzera chirwere ichi. Zvikasadaro, kungogadzirisa huwandu hwe electrolytes hakuzobatsiri.
Izvi zvingave zvakakomba here? Nguva yekuenda kunotsvaga rubatsiro rwechiremba nekukasika
Ehe. Maerekitiroti akakwira zvakanyanya kana kuti akaderera zvakanyanya anogona kuisa hupenyu panjodzi. Izvi zvinogona kukonzera matambudziko akakomba akadai sekoma , pfari, uye kumira kwemoyo kamwe kamwe .
Saka, kana iwe kana mumwe munhu waunoziva aine zviratidzo zvinotevera, enda kuchipatara cheEmergency Department (ETU) kana kuti enda kuna chiremba nekukasika.
- Kuchinja kwakajeka kwekurova kwemoyo (senge kukurumidza, kurova, nezvimwewo)
- Kuneta kusingatsungiririki
- Kuramba uchirutsa kana kuti uchibuda manyoka
- Kuvhiringidzika kwakanyanya kana kurasikirwa nepfungwa
- Kurwadziwa kwakanyanya kwetsandanyama kana kuti kunzwa kusanzwa
Mharidzo Yekuenda Nayo Kumba
- Maelectrolyte zvicherwa zvakakosha pakushanda kwetsinga dzemuviri wedu, tsandanyama, uye mwoyo.
- Kuwedzera kana kudzikira uku kunogona kukonzera zviratidzo zvakaita sekuneta, kugwinha kwetsandanyama, uye kuvhiringidzika.
- Kushaya mvura mumuviri, chirwere cheitsvo, chirwere chemwoyo, nemimwe mishonga zvinogona kunge zviri izvo zvinokonzera chirwere ichi.
- Kana uine zviratidzo, zvakakosha zvikuru kuona chiremba nekukasika uye kutsvaga mazano pasina kuzvirapa wega.
- Dambudziko iri rinogona kuonekwa nekuongororwa ropa zviri nyore, uye rinogona kurapwa zvakakwana nekurapwa kwakakodzera zvichienderana nechikonzero chacho.
👩🏽⚕️ Mibvunzo yekuwedzera (Mibvunzo Inowanzo bvunzwa)
💬 Chii chinonzi Electrolyte Imbalance?
Magetsi anoshandiswa netsinga dzedu nemoyo yedu kuti dzishande zvakanaka anotakurwa nema electrolytes akadai seSodium, Potassium, Calcium, uye Magnesium yakanyungudutswa muropa! Kana huwandu uhwu hukadzikira kana kuwedzera ne milligram imwe chete, muviri wese unogona kuparara, uropi nemoyo zvinogona kumira kushanda, uye murwere anogona kuwira mu coma/kufa (Fatal Arrhythmias), chirwere chakakomba uye chinouraya.
💬 Ndezvipi zvikonzero zvikuru zvekurasikirwa kamwe kamwe kwemunyu/potassium/sodium mumuviri (Electrolyte Imbalance)?
Zvikuru uye zvinonyanya kuzivikanwa ndeizvi: 1) Manyoka akanyanya uye Kurutsa nguva dzose. Izvi zvinoita kuti munyu wese uri mumuviri urasikirwe pamwe chete nemvura mukati mezuva rimwe chete (kushaya mvura mumuviri)! Zvakare 2) Diuretics (mapiritsi emvura anokonzera weti yakawandisa). 3) Kukundikana kweitsvo (kutadza kweitsvo) kunoita kuti muviri uchengetedze chepfu/munyu pachinzvimbo chekudzisefa. 4) Kurwara nekupisa.
💬 Ndezvipi zviratidzo zvine njodzi zvikuru zvekusagadzikana kwema electrolyte mumuviri? Unofanira kumhanyira kuna chiremba riini?
Kana muviri usina munyu, 1) Kurwadziwa kwetsandanyama/kugwinha kunoitika, uye nhengo dzinorasikirwa nesimba radzo. 2) Kurova kwemoyo/kusagadzikana kwemoyo kunoitika kamwe kamwe, zvichikonzera kuomarara kwechipfuva (kana paine matambudziko epotassium). 3) Kuvhiringidzika, kurasikirwa nepfungwa, uye 'kubatwa nepfungwa' kamwe kamwe (kana paine matambudziko e sodium). Kana zviratidzo izvi zvikaitika, unofanira kuenda kuICU nekukasika, sezvo moyo unogona kumira munguva pfupi!
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