Ingaba une-potassium encinci? Ingaba oku kukungafumani i-potassium eyaneleyo? Masithethe!

Ngaba wakha waziva udiniwe, uqaqamba amalungu, okanye utshintsho oluncinci kwisantya sentliziyo yakho? Ngamanye amaxesha usenokungazinaki kakhulu ezi zinto. Nangona kunjalo, ezi zinto zincinci zinokuba ziimpawu zokuba umzimba wakho awunazo izondlo ezibalulekileyo. Namhlanje siza kuthetha ngento efana naleyo - ukwehla kwe-potassium emzimbeni wethu, eyaziwa ngokwezonyango njenge- hypokalemia .

Yintoni iHypokalemia?

Ngamafutshane, i-hypokalemia yimeko apho amanqanaba e-potassium egazini lakho aphantsi. I-Potassium yiminerali ebalulekileyo emizimbeni yethu. Ngokuchanekileyo, 'yi-electrolyte' . Ii-Electrolytes ziiminerali ezinokuthwala itshaja yombane xa zinyibilikisiwe kulwelo lomzimba wethu. I-Potassium ibalulekile kwiiseli zethu, izihlunu kunye nemithambo-luvo ukuze zisebenze kakuhle.

Inqanaba eliqhelekileyo le-potassium egazini lomntu omdala kufuneka libe phakathi kwe-3.5 kunye ne-5.2 mEq/L ( ii-milliequivalents ngelitha ) (oko kukuthi, i-3.5 ukuya kwi-5.2 mmol/L). Ukuba oku kwehlela ngaphantsi kwe-3 mEq/L (3 mmol/L), kuthathwa njenge -hypokalemia enzima .

Imizimba yethu ifumana i-potassium ekutyeni esikutyayo. Izintso zethu zinoxanduva lokugcina ibhalansi ngokususa i-potassium egqithisileyo emzimbeni ngomchamo. Uyaqonda?

I-hypokalemia ichaphazela njani umzimba wam?

Kaloku, khangela, i-potassium ayisiyominerali nje kuphela. Izihlunu zethu, inkqubo yemithambo-luvo, ngakumbi intliziyo yethu zifuna i-potassium ukuze zisebenze kakuhle. Ayipheleli apho, kodwa i-potassium ikwabalulekile kwinkqubo yokugaya ukutya esempilweni kunye nempilo yamathambo.

Ngoko ke, xa inqanaba le-potassium egazini lehla, zonke ezi nkqubo zibalulekileyo zinokuchaphazeleka. Ukuba amanqanaba e-potassium ahlala esezantsi ixesha elide, iimeko ezifana ne-arrhythmias, ubuthathaka bemisipha, kwaye ngamanye amaxesha nokukhubazeka komzimba kunokwenzeka. Khawucinge ukuba oku kunokuba yingozi kangakanani!

Zithini izizathu zeHypokalemia?

Isizathu esiphambili sokuba amanqanaba e-potassium aphantsi emzimbeni kukulahlekelwa kakhulu yi-potassium kwinkqubo yethu yokugaya ukutya . Oku kunokwenzeka ukuba sihlanza rhoqo, sirhuda, okanye sisebenzisa amayeza okulahla i-laxative ( i-laxatives ) ngokugqithisileyo.

Ngaphandle koko, zinokubakho ezinye izizathu ezininzi, makhe sibone?

• Ezinye iingxaki zengqondo ezinxulumene nokutya: Umzekelo, iimeko ezifana ne-'Bulimia nervosa'.
• Ukubila okugqithisileyo: Abanye abantu banesifo esibizwa ngokuba yi-'hyperhidrosis' apho babila ngokugqithisileyo.
• Ingxaki yokusebenzisa utywala .
• Iziyobisi zomchamo:Abanye abantu basebenzisa amayeza okukhupha umchamo, akwabizwa ngokuba 'ziipilisi zamanzi'. Ezi zinto zibangela ukuba i-potassium egqithisileyo ikhutshwe emchameni.
• Amanye amayeza: Ingabangelwa nangamayeza anjenge-insulin, amanye amayeza okubulala iintsholongwane, kunye ne-corticosteroids.
• Izifo ze-adrenal gland: Iimeko ezifana 'ne-primary aldosteronism' kunye 'ne-Cushing's syndrome'.
• Isifo sezintso esingapheliyo.
• Amanqanaba aphantsi e-magnesium: Oku kubizwa ngokuba yi-'hypomagnesemia'.
• Iimeko ezinxulumene nezintso: Izifo zezintso ezingaqhelekanga, ezifana neBartter's syndrome kunye neGitelman syndrome nazo zinokubangela ukungalingani kwetyuwa emzimbeni.
• Ezinye iimeko: Iimeko ezingaqhelekanga ezibangela uxinzelelo lwegazi oluphezulu, njenge-Liddle syndrome.
• Inqabile kakhulu: Ingabangelwa nakukungatyi ukutya okunesondlo, oko kuthetha ukungafumani i-potassium eyaneleyo ekutyeni.

Khawucinge nje, u-Amila uhlala esela amayeza okulahla isisu ngenxa yeengxaki zesisu. Ebesoloko eziva ediniwe kwaye ephelelwe ngamandla amalungu akhe kangangeentsuku ezimbalwa. Kuphela xa waya kugqirha apho wafumanisa ukuba amanqanaba akhe e-potassium aphantsi kakhulu, kwaye amayeza okulahla isisu yiwo abangela loo nto. Izinto ezinje zinokwenzeka, ngoko ke kulungile ukuba ulumke.

Zithini iimpawu zeHypokalemia?

I-hypokalemia encinci isenokungabangeli zimpawu. Nangona kunjalo, unokufumana oku kulandelayo:

• Ukuqhinwa.
• Utshintsho kwisantya sentliziyo okanye iintlungu zesifuba.
• Ukudinwa okanye ukudinwa kakhulu .
• Ubuthathaka bemisipha kunye nokujijeka rhoqo komzimba.
• Ukungaziva kakuhle kunye nokulahlekelwa yimvakalelo kwimilenze.

Nangona kunjalo, ukuba amanqanaba e-potassium ehla kakhulu (i-hypokalemia enzima) , iimpawu zinokuba nzima ngakumbi:

• Ukushukuma kwemisipha.
• Ukushukuma kwemisipha okuqatha.
• Ubuthathaka obukhulu bemisipha , okunokukhokelela ekukhubazekeni.
• Uxinzelelo lwegazi oluphantsi.
• Ukudinwa okanye ukuquleka.
• Ukungaqheleki kwesingqisho sentliziyo (i-Arrhythmias).
• Ukuchama rhoqo, okugqithisileyo (i-Polyuria).
• Ukoma kakhulu (i-Polydipsia).

Khawucinge nje, uMalume uSunil wayenesifo sohudo iintsuku ezimbini okanye ezintathu zilandelelana. Emva koko, ngomzamo ongachazekiyo, inyama yemilenze yakhe yaqala ukuqengqeleka. Wayengakwazi nokuma. Imilenze yakhe yaba buthathaka kangangokuba wayengakwazi nokuma. Ugqirha wathi isifo sohudo sibangele ukuba kukhutshwe i-potassium eninzi emzimbeni wakhe, yiyo loo nto wayenale meko. Ngamaxesha anje, kungcono ukufuna ingcebiso kagqirha ngokukhawuleza.

Ifunyaniswa njani iHypokalemia?

Into yokuqala ugqirha wakho aza kuyenza kukuvavanya igazi ukujonga inqanaba le-potassium yakho. Njengoko benditshilo ngaphambili, inqanaba eliqhelekileyo le-potassium kumntu omdala liphakathi kwe-3.5 kunye ne-5.2 mEq/L (3.5 kunye ne-5.2 mmol/L). Ukuba inqanaba lakho le-potassium liphakathi kwe-3 kunye ne-3.5 mEq/L (3 kunye ne-3.5 mmol/L), yi- hypokalemia encinci . Ukuba ingaphantsi kwe-3 mEq/L (3 mmol/L), yi- hypokalemia embi kakhulu .

Ukongeza, ugqirha angenza 'i-basic metabolic panel' okanye 'i-comprehensive metabolic panel' . Oku kuvavanya iikhemikhali ezahlukeneyo egazini, ezifana namanqanaba e-electrolyte kunye nokusebenza kwezintso.

Ukuba kuqinisekisiwe ukuba kukho i-hypokalemia, ugqirha uza kuzama ukufumana unobangela. Ukuba unobangela awucaci, uvavanyo lomchamo lunokwenziwa ukuze kulinganiswe ubungakanani be-potassium kumchamo.

Ugqirha angayalela ukuba uhlolwe i-electrocardiogram (ECG okanye i-EKG) . I-ECG ilinganisa isingqisho sentliziyo yakho. I-Hypokalemia inokubangela ukungaqheleki kwesingqisho sentliziyo, ngoko ke i-ECG inokunceda ekufumaneni.

Iphathwa njani iHypokalemia?

Ukuba une -hypokalemia encinci , ugqirha wakho uya kukunika izongezo ze-potassium zomlomo.

Nangona kunjalo, ukuba imeko inzima kakhulu , okanye ukuba kukho ezinye iingxaki, ugqirha angayinyanga ngokunika i-potassium ngemithambo (IV). Kukho ezinye iimeko apho i-potassium inikwa ngemithambo:

• Ukuba inqanaba lakho le-potassium liphantsi kakhulu .
• Ukuba i-hypokalemia ibangele ukungasebenzi kakuhle kwesigqi sentliziyo .
• Ukuba izongezo zomlomo azisebenzi ngokwaneleyo .
• Ukuba i-potassium ilahleka emzimbeni ngesantya esiphezulu kuneso sifunxwa zizithako zokuncedisa ekutyeni.

Kwakhona, ukuba kukho imeko efihlakeleyo ebangela i-hypokalemia, ugqirha uya kuyinyanga nayo loo nto. Ukunyanga unobangela kubaluleke kakhulu.

Ukuba uthatha ii-diuretics (iipilisi zamanzi), ugqirha wakho unokukutshintshela kuhlobo lwe-diuretic olunceda ukugcina i-potassium emzimbeni. Okanye, banokukuxelela ukuba uthathe izongezo ze-potassium.

Indlela yokunciphisa umngcipheko we-hypokalemia?

Eyona ndlela ilungileyo yokunciphisa umngcipheko wokuba ne-hypokalemia kukutya ukutya okunesondlo okugcwele ukutya okune-potassium eninzi . Kubalulekile ukuthetha nogqirha wakho malunga nokutya kwakho.

Makhe sibone ukuba zeziphi ukutya okutyebileyo kwi-potassium.

• Iziqhamo nemifuno emininzi
• Inyama nentlanzi enamafutha aphantsi
• Ubisi kunye nokutya kobisi
• Amandongomane (umz. iimbotyi, iitshizi)

Nazi ezinye zokutya ezityebileyo kwi-potassium:

• Iponyoponyo
• Ibhanana
• Iimbotyi kunye neembotyi
• Ingqolowa yengqolowa
• Imifuno eluhlaza okwesibhakabhaka (umz. ispinatshi, ikale)
• Intlanzi
• Inyama yenkomo engenamafutha
• Ubisi
• Iiorenji
• Ipeanut butter
• Amazambane
• Ispinatshi
• Itumato

Okubaluleke kakhulu, ukuba ubuhlanza okanye urhudo ixesha elingaphezu kweeyure ezingama-24 ukuya kwezingama-48 , kufuneka ufune uncedo lwezonyango ngokukhawuleza . Oku kungenxa yokuba oku kunokubangela ukuba umzimba ulahlekelwe zizinto eziluncedo kunye neeminerali ezibalulekileyo ezifana ne-potassium, nto leyo ekhokelela kwi-hypokalemia. Okukhona ufuna unyango ngokukhawuleza, kokukhona amathuba akho okuthintela olu nyango aba maninzi.

(Nangona kunjalo, ukuba awukaze ube ne-hypokalemia ngaphambili, akukho mfuneko yokuzama ngokuthe ngqo ukuyithintela ngale ndlela.)

Kwenzeka ntoni ukuba une-hypokalemia?

Ukuba une -hypokalemia encinci , izongezo ze-potassium zinokukunceda ubuyisele umva imeko. Nangona kunjalo, kubalulekile ukuqhubeka nokutya ukutya okutyebileyo kwi-potassium.

Ukuba imeko imbi kakhulu , inganyangwa nge-potassium efakwa kwi-intravenous. Nangona kunjalo, ukuba ayinyangwa , i-hypokalemia enzima inokubangela iingxaki ezinkulu zesingqisho sentliziyo. Ayipheleli apho, kodwa inokukhokelela ekukhubazekeni okusongela ubomi.

Kungoko ke, kubaluleke kakhulu ukuhlala unxibelelana nogqirha wakho ukuqinisekisa ukuba imeko yakho ye-hypokalemia iphathwa ngokufanelekileyo.

Umyalezo Wokuya Ekhaya

Kulungile, ngoko ke sithethe kakhulu nge-hypokalemia, akunjalo? Ngamafutshane, yimeko apho amanqanaba e-potassium egazini lakho aphantsi. I-potassium ibalulekile kwimizimba yethu ukuze isebenze kakuhle. Ichaphazela iiseli zethu, izihlunu, imithambo-luvo, inkqubo yokugaya ukutya, kunye nenkqubo yamathambo.

• Izizathu: Ukuhlanza rhoqo, urhudo, amayeza athile (ingakumbi iipilisi zamanzi), isifo sezintso, kunye neengxaki ezithile zehomoni zinokubangela amanqanaba aphantsi e-potassium.
• Iimpawu: Ukudinwa, ukuxhuzula kwemisipha, utshintsho kwisantya sentliziyo, kunye nokuba ndindisholo kwamalungu omzimba kunokwenzeka. Kwiimeko ezinzima, oku kunokukhokelela ekukhubazekeni.
• Unyango: Izongezo zePotassium (zomlomo okanye ngemithambo), ukunyanga unobangela zezona zinto ziphambili.
• Ukuthintela: Kubalulekile ukutya ukutya okune-potassium eninzi. Ngokukodwa, funa ingcebiso kagqirha ngokukhawuleza ukuba uhlanza/urhudo ixesha elingaphezulu kosuku olunye okanye ezimbini.

Ukuba unayo nayiphi na kwezi mpawu, okanye ukuba ufuna ukwazi ngakumbi nge-hypokalemia, qiniseka ukuba uthethe nogqirha wakho . Akukho nto inokubangela ukukhathazeka ngayo, kwaye ukuba ifunyenwe kwaye inyangwa kwangethuba, le meko inokulawulwa kakuhle.

I- Hypokalemia, i-potassium, i-potassium ephantsi, ii-electrolytes, iimpawu, unyango, ukutya