Tinowanzonzwa
nyota uye kuneta zvishoma. Dzimwe nguva tinofunga kuti izvi kungori kushaya mvura mumuviri. Asi dzimwe nguva zvinogona kuva chiratidzo chechimwe chinhu chakadzama. Izvi zvinoreva kuwedzera kwehuwandu hwe sodium, kana kuti 'munyu' sezvatinozviziva tese, muropa redu. Mukurapa, tinodana izvi kuti hypernatremia. Kunyangwe izvi zvingaita sezvidiki, zvinogona kuva chirwere chakakomba kana zvikasagadziriswa. Saka ngatitsvagei rumwe ruzivo nezveizvi nhasi.
Chii chinonzi Hypernatremia?
Zvichitaurwa zviri nyore, hypernatremia inyaya yekuti ropa rako rinenge riine
sodium yakawandisa uye mvura shoma. Sodium
ielectrolyte mumiviri yedu. Inokosha pamabasa mazhinji emuviri. Asi sezvimwe zvinhu, yakawandisa inogona kukonzera matambudziko. Kazhinji, munhu ane hutano anofanira kunge aine pakati pe136 ne145 milliequivalents (mEq) yesodium pa litre yeropa.
Kana kukosha uku kuri pamusoro pe145 mEq/L, tinoiona se hypernatremia. Chirwere ichi chinowanzoitika kuvana
vadiki nevakwegura . Vanhu vane mamwe mamiriro ehutano vari panjodzi huru. Asi kazhinji, chiratidzo chikuru chekushaya mvura mumuviri. Kana pasina mvura yakakwana mumuviri, huwandu hwesodium muropa hunowedzera otomatiki.
Chinhu chakakosha ndechekuti kana uine hutano hwakanaka, dambudziko iri haringawanzoitika nekuda kwehuwandu hwemunyu waunodya. Miviri yedu inogona kuridzora.
Funga nezvekuti miviri yedu yakangwara sei. Kana munyu uri muropa redu ukawedzera zvishoma, uropi hwedu hunounzwa. Zvinobva zvaita kuti tive nenyota uye zvinotipa chiratidzo chekuti "tinwe mvura." Panguva imwe chete, zvinoburitsa mahormone akaita sealdosterone neantidiuretic hormone (ADH), ayo anoudza itsvo kuti "dzichengete mvura uye dzibudise munyu muweti." Ndosaka weti yako ikaita rima kana wapera mvura mumuviri. Zviitiko zvakawanda zve hypernatremia hazvina kunyanya kuipa. Zvinogona kurapwa nekunwa mvura shoma uye pamwe chinwiwa chemitambo. Asi zviitiko zvine mwero uye zvakakomba
zvinoda kurapwa. Sei sodium (munyu) ichikosha zvikuru kumiviri yedu?
Tinoziva kuti kudya munyu wakawandisa hakuna kunaka. Asi kutaura chokwadi, miviri yedu haigone kushanda isina sodium. Inokosha.
- Kuenzana kwemvura: Kunodzora huwandu chaihwo hwemvura mukati nekunze kwemasero eduSodium .
- Kumanikidzwa kweropa : Kana huwandu hwesodium muropa hukawedzera, hunotora mvura kubva munyama dzakapoteredza. Izvi zvinowedzera huwandu hwemvura (huwandu hweropa) mukati metsinga dzeropa uye zvinowedzera kumanikidzwa kweropa. Ndokusaka kunwa munyu wakawandisa kuchikonzera kumanikidzwa kweropa zvakanyanya.
- Kushanda kwetsinga: Sisitimu yedu yetsinga inoda sodium kuti itumire zviratidzo (mafungiro). Kusunga tsandanyama, kufunga, uye zvese izvi zvinoda zviratidzo zvetsinga.
Ndezvipi zviratidzo zve hypernatremia?
Zviratidzo izvi zvakawanda zvakafanana nezvokushaya mvura mumuviri, asi zvimwe zvinokonzerwa nekushomeka kwe sodium mumuviri patsinga dzemuviri. Ngationei zviratidzo izvi zviri patafura iri pazasi.
| Chiratidzo | Tsananguro iri nyore |
|---|
| Nyota yakawandisa | Nyota isingadzimiki inoita sekuti haina kukwana pasinei nekuti unonwa mvura yakawanda sei. |
| Kusagadzikana uye kushatirwa | Kuda kusagadzikana, kusagadzikana, uye kutsamwa nekukurumidza. |
| Kuvhiringidzika | Kurasikirwa nekunzwisisa kwakajeka kwenzvimbo, nguva, nevanhu. |
| Kuneta | Kunzwa kuneta zvakanyanya, hope, uye kusada kuita chero chinhu. |
| Kubatwa nepfari | Kana chirwere chacho chakanyanya kuipa, muviri unodedera uye hauchakwanisi kudzora. |
| Kushaya simba | Muzviitiko zvakakomba, murwere anogona kushaya hope. |
Zvinhu zvinowedzera njodzi yekukura hypernatremia
- Kurutsa zvakanyanya kana manyoka (Gastroenteritis)
- Kupisa
- Kudikitira zvakanyanya nekuda kwekurovedza muviri, fivha, kana kupisa kwakanyanya
- Chirwere cheshuga chisingadzoreki (Hyperglycemia)
- Chirwere cheitsvo
- Kunzwa nyota kushoma nekukura
- Dzimwe nguva, mwana anoyamwiswa anogona kunge asiri kuwana mukaka wakakwana.
- Mapiritsi emunyu akawandisa, nezvimwewo. Kana izvi zvikaitika, kurumidza kubata National Poison Information Centre paColombo National Hospital.
- Kunwa mvura yegungwa
- Chirwere cheshuga Insipidus chirwere chisingawanzoitiki chisingabatanidzwi nechirwere cheshuga, asi chinokonzera weti yakawandisa.
Chiremba anoongorora sei chirwere ichi uye anochirapa sei?
Chiremba wako anogona kuona chirwere ichi zviri nyore nekuyera huwandu hwesodium muropa rako nekuongororwa
kweropa kuri nyore. Dzimwe nguva, bvunzo dzeweti dzinoitwawo. Chinangwa chikuru chekurapa ndechekutsiva mvura yakarasika uye kudzoreredza chiyero pakati pesodium nemvura. Muzviitiko zvisina kuoma, uchakurudzirwa kunwa mvura kana zvimwe zvinwiwa. Zvisinei, muzviitiko zvine mwero kana zvakakomba,
ungangoda kuendeswa kuchipatara uye kupihwa saline (IV fluids) kuburikidza netsinga. Pane chinhu chakakosha apa. Hazvina kunaka kudzikisa huwandu hwe sodium muropa kamwe kamwe. Chinhu chinofanira kuitwa nokungwarira, zvishoma nezvishoma kwemaawa akati wandei. Kana ukachidzikisa kamwe kamwe, masero europi anogona kuzvimba (cerebral edema), zvichikonzera kukuvara kukuru kweuropi. Saka, mumamiriro ezvinhu akadaro, usaedze kuirapa kumba, asi nyatsoona chiremba.
Kudya munyu wakawandisa kunokanganisa huremu hwemuviri here?
Iyi inyaya yakakoshawo zvikuru. Zvidzidzo zvakaratidza kuti vanhu vanodya munyu wakawanda vane mukana wekuwedzera mafuta mumuviri uye kufuta. Panogona kunge paine zvikonzero zvakawanda zveizvi: 1.
Kuravira: Munyu unoita kuti chikafu chinakidze. Ndosaka tichidya zvakawanda tisingazvizivi. 2.
Nyota: Vanhu vazhinji vanotendeukira kuzvinwiwa zvine shuga (sodas) panzvimbo pemvura kuti vagutse nyota yavo mushure mekudya chikafu chine munyu. 3.
Kupisa mafuta: Dzimwe ongororo dzinoratidza kuti kudya munyu wakawanda kunogona kuchinja mashandisiro anoita muviri wedu mafuta. Saka, zvakanaka kuderedza huwandu hwechikafu chatinodya kunze, chikafu chakaputirwa (chikafu chakagadziriswa), uye kugadzirira chikafu kumba, pamusoro pekudzora BP nehuremu.
Mharidzo Yekuenda Nayo Kumba
- Hypernatremia kuwedzera kwehuwandu hwesodium (munyu) muropa. Chikonzero chikuru cheizvi kushaya mvura mumuviri.
- Zviratidzo zvikuru zvinosanganisira nyota yakawandisa, kuvhiringidzika, kuneta zvakanyanya, uye kushaya zororo.
- Nzira yakanakisisa yekudzivirira izvi ndeyekunwa mvura yakakwana mukati mezuva. Paavhareji, inwa magirazi emvura anosvika matanhatu kusvika masere pazuva.
- Kana iwe kana mumwe munhu waunoziva achiratidza zviratidzo zviri pakati nepakati kana zvakanyanya (kunyanya kuvhiringidzika, hope dzakanyanya, pfari), usazvirape uri kumba uye enda kunoona chiremba nekukurumidza kana kuenda kuchipatara cheEmergency Department (ETU).
- Chengetedza hutano hwakanaka uye chenjerera huwandu hwemunyu waunoisa mukudya kwako.
Kuwanda kwemvura mumuviri (hypernatremia), sodium, munyu, kupera mvura mumuviri, kuongororwa kweropa, itsvo, nyota, electrolytes, electrolyte
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