Ingabe ngezinye izikhathi uzizwa sengathi umzimba wakho umane nje uphelelwe amandla, izitho zakho zomzimba ziyaphela amandla, imisipha yakho iyanyakaza? Nakuba lokhu kungase kubonakale njengezinto ezivamile, ngezinye izikhathi kungaba uphawu lokuthile okubalulekile okwenzekayo emzimbeni wakho. Namuhla sizokhuluma ngesimo esisodwa esinjalo, okungukuthi amazinga aphansi e-potassium emzimbeni, noma ngokwezokwelapha, i-hypokalemia .
Kalula nje, lokhu ukwehla kwenani le -potassium , iminerali okufanele ibe segazini lethu. Manje ungase ucabange, 'Iyini le potassium, ingabe ibaluleke kangaka?' Yebo, ibaluleke kakhulu! I-potassium ibalulekile ukuze imisipha yethu isebenze kahle, ukuze amangqamuzana ethu athole ukudla okunomsoco akudingayo, kanye nokuthi uhlelo lwethu lwezinzwa lusebenze kahle. I-potassium ibaluleke kakhulu kumaseli ethu enhliziyo . Iphinde isize ukulawula umfutho wegazi ukuze ungakhuphuki kakhulu.
Kungani i-potassium yehla kanje? (Izimbangela)
Empeleni kunezizathu eziningi ezenza imizimba yethu ibe ne-potassium ephansi. Ngezinye izikhathi kungaba ngenxa yokulahleka kwe-potassium eningi ohlelweni lwethu lokugaya ukudla . Noma kungaba uphawu lwesinye isimo sezokwelapha.
Iyini imbangela eyinhloko ye-potassium ephansi?
Ngokuvamile, imbangela eyinhloko yamazinga aphansi e-potassium imithi ethile esetshenziselwa ukwelapha izimo ezifana nesifo senhliziyo noma umfutho wegazi ophakeme . Ikakhulukazi, ama-diuretics , noma "amaphilisi amanzi" olimini lwethu oluvamile, abangela ukuba i-potassium eningi ikhishwe emchameni.
Yiziphi ezinye izizathu?
Ngaphezu kwalesi sizathu esiyinhloko, ezinye izici eziningana zingabangela amazinga aphansi e-potassium.
- Ukuhlanza okuqhubekayo.
- Ukusetshenziswa njalo kwemithi yokuhlanza isisu .
- Uhudo oluhlala isikhathi eside.
- Amazinga aphansi e-magnesium emzimbeni (i-hypomagnesemia).
- Ukuphuza utshwala obuningi kakhulu.
- Ukujuluka ngokweqile.
- Ukuntuleka kwe-folic acid.
- Ukwanda kwama-asidi abizwa ngokuthi ama-ketone egazini lomuntu onesifo sikashukela (i-diabetic ketoacidosis).
- Eminye imithi esetshenziselwa i-asthma.
- Ukungondleki kahle.
Nakuba kungavamile, lesi simo singase senzeke ngisho noma singatholi i-potassium eyanele ekudleni kwethu.
Futhi, izinkinga zokudla, isifo sezinso, kanye nezimo ezithile zezokwelapha ezifana ne-`(Cushing's syndrome)`, `(Gitelman syndrome)`, `(Liddle syndrome)`, `(Bartter syndrome)` kungabangela amazinga aphansi e-potassium. Abesifazane banamathuba amaningi okuba nalesi simo kunabesilisa.
Ziyini izimpawu zalokhu? (Izimpawu)
Izimpawu zivame ukuxhomeka ekutheni amazinga akho e-potassium aphansi kangakanani nokuthi aphansi isikhathi esingakanani. Uma ephansi kancane, ungase ungabi nazimpawu nhlobo. Kodwa-ke, qaphela lezi zimpawu ezilandelayo.
| Izinga lezimpawu | Izici ezibonakalayo |
|---|---|
| I-hypokalemia encane |
|
| I-hypokalemia enkulu |
|
Uma amazinga akho e-potassium ehlala ephansi isikhathi eside, angathinta nezinso zakho. Kungase kudingeke ukuthi uchame kaningi futhi uzizwe womile kakhulu.
Udokotela usithola kanjani lesi simo ngokunembile?
Ukuze athole ukuthi unalesi simo, udokotela wakho uzokwenza ukuhlolwa kwegazi ukuze alinganise izinga le-potassium egazini lakho. Lokhu kungenziwa njengengxenye yephaneli ephelele ye-metabolic. Lokhu kuhlola nokusebenza kwezinso kanye nokulinganisela kwama-electrolyte emzimbeni wakho.
- Izinga elijwayelekile: Izinga elijwayelekile le-potassium kumuntu omdala liphakathi kwama-millimole angu-3.5 no-5.5 ngelitha (3.5 - 5.5 mmol/L).
- Amazinga aphansi (i-Hypokalemia): Uma izinga lakho lingaphansi kuka-3.5 mmol/L , kuyi-hypokalemia. Phakathi kuka-3.0-3.4 kubhekwa njengokuncane, ngaphansi kuka-3.0 kubhekwa njengokumaphakathi, kanti ngaphansi kuka-2.5 mmol/L kubhekwa njengokubi kakhulu.
Ukuze athole imbangela, udokotela wakho uzobuza ngomlando wakho wezokwelapha, imithi oyiphuzayo, nokuthi ngabe uke wahlanza noma wahuda. Bangase futhi benze ukuhlolwa komchamo ukuze bahlole i-potassium emchameni wakho. Uma kukhona okusolakala ukuthi kukhona okungajwayelekile emsindweni wenhliziyo yakho, kungenziwa ukuhlolwa kwe-ECG (electrocardiogram) .
Iyini indlela yokwelapha i-potassium ephansi?
Uma isimo sakho singesibi kakhulu, udokotela wakho uvame ukukunikeza izithasiselo ze-potassium ngomlomo.
Kodwa-ke, uma imbangela yalesi simo ingenye isifo, udokotela wakho uzoyelapha. Isibonelo, uma une-potassium ephansi ngenxa yemithi yokukhipha isisu, ungayeka ukuthatha lowo muthi bese ushintshela kolunye uhlobo lomuthi. Isibonelo, ungasebenzisa imithi efana ne-`(ACE) inhibitors`, `(ARB)` noma `(beta-blockers)`. Kodwa-ke, ungalokothi uyeke ukuthatha noma yimuphi umuthi onikezwe udokotela ngaphandle kokukhuluma nodokotela wakho.
Kwezinye izimo ezinzima kakhulu, kungadingeka ukuthi kulaliswe esibhedlela kanye ne-potassium efakwa ngemithambo yegazi (IV).
- Uma amazinga e-potassium eba phansi ngendlela eyingozi.
- Uma amazinga engabuyeli esimweni esijwayelekile ngamaphilisi okuphuza.
- Uma kukhona ukungahambi kahle kwenhliziyo.
Uma unikeza i-potassium ngemithambo yegazi, kufanele uhlale ungaphansi kokuqashwa ngudokotela, njengoba isimo esibizwa ngokuthi i-hyperkalemia singaba yingozi futhi siqede amandla.
Ingabe lesi simo singavinjelwa? (Ukuvimbela)
Yebo, ngezinga elithile. Uma uhlanza noma uhudo, phuza amanzi amaningi kanye noketshezi . Uma lesi simo siqhubeka izinsuku ezingaphezu kwezimbili, qiniseka ukuthi ubona udokotela. Uma uphuza utshwala, bunciphise.
Indlela engcono kakhulu yokwenza lokhu ukudla ukudla okucebile nge-potassium. Umuntu omdala udinga amamiligremu angu-2,600 kuya kwangu-3,400 e-potassium ngosuku.
| Ukudla okucebile nge-potassium | Inani elilinganiselwe le-potassium (ama-milligram) |
|---|---|
| Ama-apricot omisiwe, ½ indebe | 755 mg |
| Ama-lentile aphekiwe, indebe e-1 | 731 mg |
| I-squash ye-Acorn, ecoliwe, indebe e-1 | 644 mg |
| Ama-plum omisiwe (ama-Prunes), ½ indebe | 635 mg |
| Ama-raisin, ½ indebe | 618 mg |
| Amazambane abilisiwe, aphakathi nendawo kuphela, elilodwa eliphakathi nendawo | 610 mg |
| Ijusi le-orange, inkomishi e-1 | 496 mg |
| Ubhanana, isithelo esisodwa esiphakathi nendawo | 422 mg |
Umlayezo Wokuya Nawe Ekhaya
- I-Hypokalemia yisimo lapho izinga le-potassium egazini lakho liphansi. Ungakuthathi kalula lokhu.
- Ukuthatha imithi yokukhipha isisu, ukuhlanza okuqhubekayo, noma uhudo kungaba yizimbangela eziyinhloko zalokhu.
- Lokhu kungasukela ezimpawu ezilula njengobuthakathaka kanye nokuqhaqhazela kwemisipha kuya ezimpawini ezinzima kakhulu njengokungasebenzi kahle kwesigqi senhliziyo.
- Uma unalezi zimpawu,Qiniseka ukuthi ubona udokotela wakho futhi uthole iseluleko. Ungamane nje uyothatha amaphilisi e-potassium wedwa.
- Ukufaka ukudla okucebile nge-potassium (njengobhanana, amazambane, kanye ne-lentile) ekudleni kwakho kungasiza ekuvimbeleni lesi simo.
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