Sihlala siziva
sinxaniwe kwaye sidiniwe kancinci. Ngamanye amaxesha sicinga ukuba oku kukuphela nje kwamanzi emzimbeni okuqhelekileyo. Kodwa ngamanye amaxesha kunokuba luphawu lwento enzulu kancinci. Oko kukunyuka komthamo wesodium, okanye 'ityuwa' njengoko sonke sisazi, egazini lethu. Kwizonyango, oku sikubiza ngokuba yi-hypernatremia. Nangona oku kunokubonakala ngathi yinto encinci, kunokuba yimeko enzima ukuba ayinyanyekelwa. Ngoko ke masifumanise okungakumbi ngale nto namhlanje.
Yintoni iHypernatremia?
Ngamafutshane, i-hypernatremia iyenzeka xa igazi lakho line
-sodium eninzi kakhulu kwaye linamanzi amancinci kakhulu. I-sodium yi-
electrolyte emizimbeni yethu. Ibalulekile kwimisebenzi emininzi yomzimba. Kodwa njengayo nayiphi na into, ininzi kakhulu inokubangela iingxaki. Ngokwesiqhelo, umntu osempilweni kufuneka abe ne-136 kunye ne-145 milliequivalents (mEq) ye-sodium ngelitha yegazi.
Ukuba eli xabiso liphezulu kune-145 mEq/L, siyithatha njenge-hypernatremia. Le meko ixhaphake kakhulu kubantwana
abancinci nakubantu
abadala . Abantu abaneengxaki ezithile zonyango nabo basengozini enkulu. Kodwa kwiimeko ezininzi, luphawu olukhulu lokuphelelwa ngamanzi emzimbeni. Xa kungekho manzi aneleyo emzimbeni, uxinzelelo lwe-sodium egazini luyanda ngokuzenzekelayo.
Into ebalulekileyo kukuba ukuba usempilweni, le meko ayinakwenzeka ngenxa yobungakanani betyuwa oyityayo. Imizimba yethu inokuyilawula.
Cinga ngendlela imizimba yethu ekrelekrele ngayo. Xa ityuwa egazini lethu isanda kancinci, ingqondo yethu iyayiva loo nto. Emva koko isenza sinxanwe ize isinike umyalezo wokuba "sisele amanzi." Kwangaxeshanye, ikhupha iihomoni ezifana ne-aldosterone kunye ne-antidiuretic hormone (ADH), ezixelela izintso ukuba "zigcine amanzi kwaye zikhuphe ityuwa kumchamo." Yiyo loo nto umchamo wakho uba mnyama xa uphelelwe ngamanzi emzimbeni. Uninzi lweemeko ze-hypernatremia zincinci. Zinganyangwa ngokusela amanzi amaninzi mhlawumbi nesiselo sezemidlalo. Kodwa iimeko eziphakathi nezinzima
ngokuqinisekileyo zifuna unyango. Kutheni i-sodium (ityuwa) ibaluleke kangaka emizimbeni yethu?
Siyazi ukuba ukutya ityuwa eninzi akulunganga. Kodwa eneneni, imizimba yethu ayinakusebenza ngaphandle kwe-sodium. Ibalulekile.
- Ibhalansi yamanzi: Ilawula ubungakanani obuchanekileyo bamanzi ngaphakathi nangaphandle kweeseli zethuIsodiyam .
- Uxinzelelo lwegazi : Xa amanqanaba esodium egazini enyuka, atsala amanzi kwizicwili ezijikelezileyo. Oku kwandisa ubungakanani bolwelo (umthamo wegazi) ngaphakathi kwemithambo yegazi kwaye kwandisa uxinzelelo. Yiyo loo nto ukusetyenziswa kwetyuwa eninzi kubangela uxinzelelo lwegazi oluphezulu.
- Umsebenzi weemvakalelo: Inkqubo yethu yeemvakalelo ifuna i-sodium ukuze ithumele imiqondiso (iimpembelelo). Ukuxinana kwemisipha, ukucinga, kunye nazo zonke ezi zinto zifuna imiqondiso yeemvakalelo.
Ziziphi iimpawu ze-hypernatremia?
Uninzi lwezi mpawu zifana nezo zokuphelelwa ngamanzi emzimbeni, kodwa ezinye zibangelwa yimiphumo yesodium eninzi kwinkqubo yemithambo-luvo. Makhe sijonge ukuba zeziphi ezi mpawu kwitheyibhile engasezantsi.
| Uphawu | Ingcaciso elula |
|---|
| Ukoma okugqithisileyo | Unxano olungapheliyo oluvakala ngathi alwanelanga nokuba usela amanzi angakanani na. |
| Ukungazoli nokucaphuka | Utyekelo lokungaphumli, ukungaphumli, nokucaphuka msinya. |
| Ukudideka | Ukulahlekelwa kukuqonda okucacileyo indawo, ixesha, kunye nabantu. |
| Ukudinwa | Ndiziva ndidiniwe kakhulu, ndilele, kwaye ndingenamdla wokwenza nantoni na. |
| Ukuxhuzula | Xa imeko imbi kakhulu, umzimba uyangcangcazela uze ungakwazi ukulawula. |
| I-Coma | Kwiimeko ezinzima kakhulu, isigulana sinokuphelelwa yingqondo. |
Izinto ezonyusa umngcipheko wokuphuhlisa i-hypernatremia
- Ukuhlanza kakhulu okanye urhudo (iGastroenteritis)
- Ukutsha
- Ukubila okugqithisileyo ngenxa yokuzilolonga, umkhuhlane, okanye ubushushu obugqithisileyo
- Isifo seswekile esingalawulekiyo (iHyperglycemia)
- Isifo sezintso
- Ukuncipha kwemvakalelo yokunxanwa xa ukhula
- Ngamanye amaxesha, umntwana oncancisayo usenokungafumani ubisi olwaneleyo.
- Iipilisi zetyuwa ezigqithisileyo, njl. Ukuba oku kuyenzeka, qhagamshelana neZiko loLwazi lweTyhefu leSizwe kwiSibhedlele sikaZwelonke saseColombo ngoko nangoko.
- Ukusela amanzi olwandle
- Isifo seswekile I-Insipidus sisifo esingaqhelekanga esingahambelani nesifo seswekile, kodwa sibangela ukuchama kakhulu.
Ugqirha uyixilonga aze ayinyange njani le nto?
Ugqirha wakho unokulufumanisa olu hlobo lwengxaki ngokulula ngokulinganisa inqanaba lesodium egazini lakho
ngovavanyo olulula lwegazi . Ngamanye amaxesha, kwenziwa novavanyo lomchamo. Injongo ephambili yonyango kukutshintsha amanzi alahlekileyo nokubuyisela ibhalansi phakathi kwesodium namanzi. Kwiimeko ezibuthathaka, uya kucetyiswa ukuba usele amanzi okanye ezinye izinto ezilulwelo. Nangona kunjalo, kwiimeko eziphakathi okanye ezinzima,
unokufuna ukulaliswa esibhedlele kwaye unikwe i-saline (IV fluids) ngemithambo yegazi. Kukho ingongoma ebaluleke kakhulu apha. Akulunganga ukwehlisa ngequbuliso inqanaba le-sodium egazini. Yinto ekufuneka yenziwe ngononophelo olukhulu, kancinci kancinci kangangeeyure ezininzi. Ukuba uyihlisa ngequbuliso, iiseli zengqondo zinokudumba (i-cerebral edema), nto leyo ebangela umonakalo omkhulu engqondweni. Ke ngoko, kwimeko enjalo, ungazami ukuyinyanga ekhaya, kodwa ngokuqinisekileyo bonana nogqirha.
Ngaba ukutya ityuwa eninzi kuyawuchaphazela umzimba?
Oku nako kubaluleke kakhulu. Izifundo zibonise ukuba abantu abatya ityuwa eninzi banamathuba amaninzi okufumana amanqatha emzimbeni baze batyebe kakhulu. Kusenokuba nezizathu ezininzi zoku: 1.
Incasa: Ityuwa yenza ukutya kube nencasa engcono. Yiyo loo nto sisitya kakhulu singaqondanga. 2.
Unxano: Abantu abaninzi bajika baye kwiziselo ezineswekile (ii-soda) endaweni yamanzi ukuze banelise unxano lwabo emva kokutya ukutya okunetyuwa. 3.
Ukutsha kwamafutha: Ezinye izifundo zibonisa ukuba ukutya ityuwa eninzi kunokutshintsha indlela umzimba wethu otshisa ngayo amanqatha. Ke ngoko, kungcono ukunciphisa inani lokutya esikutyayo ngaphandle, ukutya okupakishwe kwiipakethe (ukutya okucutshungulwayo), kunye nokulungisa ukutya ekhaya, ukongeza ekulawuleni uxinzelelo lwegazi kunye nobunzima.
Umyalezo Wokuya Ekhaya
- I-Hypernatremia kukunyuka kwamanqanaba esodium (ityuwa) egazini. Eyona nto ibangela oku kukuphelelwa ngamanzi emzimbeni.
- Iimpawu eziphambili ziquka ukunxanwa kakhulu, ukudideka, ukudinwa kakhulu, kunye nokungaphumli.
- Eyona ndlela ingcono yokuthintela oku kukusela amanzi aneleyo imini yonke. Ngokomyinge, sela ubuncinane iiglasi ezi-6-8 zamanzi ngosuku.
- Ukuba wena okanye umntu omaziyo ubonakalisa iimpawu eziphakathi okanye ezinzima (ingakumbi ukudideka, ukozela kakhulu, ukuxhuzula), musa ukuzinyanga ekhaya kwaye khawuleza ubone ugqirha okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele.
- Gcina impilo entle iyonke kwaye ulumke malunga nobungakanani betyuwa obongezayo ekutyeni kwakho.
I-Hypernatremia, i-sodium, ityuwa, ukuphelelwa ngamanzi emzimbeni, uvavanyo lwegazi, izintso, ukoma, ii-electrolytes, i-electrolyte
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