Ingabe une-potassium ephansi? Ingabe lokhu ku-hypokalemia? Ake sixoxe!

Wake wazizwa ukhathele, unamahlwili amalunga, noma ushintsho oluncane ekushayeni kwenhliziyo yakho? Ngezinye izikhathi ungase ungazinaki kakhulu lezi zinto. Kodwa-ke, lezi zinto ezincane zingaba izimpawu zokuthi umzimba wakho awunazo izakhamzimba ezibalulekile. Namuhla sizokhuluma ngento efana naleyo - ukwehla kwe-potassium emzimbeni wethu, okwaziwa ngokwezokwelapha ngokuthi i-hypokalemia .

Kuyini i-Hypokalemia?

Kalula nje, i-hypokalemia yisimo lapho amazinga e-potassium egazini lakho ephansi. I-Potassium iyiminerali ebalulekile emizimbeni yethu. Ukuze kube sobala, 'iyi-electrolyte' . Ama-electrolyte amaminerali angathwala ishaja kagesi uma encibilikiswa oketshezini lomzimba wethu. I-Potassium ibalulekile kumaseli ethu, imisipha, kanye nemizwa ukuze isebenze kahle.

Izinga elijwayelekile le-potassium egazini lomuntu omdala kufanele libe phakathi kuka-3.5 no-5.2 mEq/L (ama -milliequivalents ngelitha ) (okungukuthi, 3.5 kuya ku-5.2 mmol/L). Uma lokhu kwehlela ngaphansi kuka-3 mEq/L (3 mmol/L), kubhekwa njenge -hypokalemia enzima .

Imizimba yethu ithola i-potassium ekudleni esikudlayo. Izinso zethu zinomthwalo wokugcina ibhalansi ngokukhipha i-potassium eningi emzimbeni ngomchamo. Uyaqonda?

I-hypokalemia ithinta kanjani umzimba wami?

Manje, bheka, i-potassium ayiyona nje iminerali. Imisipha yethu, uhlelo lwezinzwa, futhi ikakhulukazi inhliziyo yethu idinga i-potassium ukuze isebenze kahle. Akukhona lokho kuphela, kodwa i-potassium nayo ibalulekile ohlelweni lokugaya ukudla olunempilo kanye nempilo yamathambo.

Ngakho-ke, lapho izinga le-potassium egazini lehla, zonke lezi zinqubo ezibalulekile zingathinteka. Uma amazinga e-potassium ehlala ephansi isikhathi eside, izimo ezifana nokuphazamiseka kwe-rhythm, ubuthakathaka bemisipha, futhi ngezinye izikhathi ngisho nokukhubazeka kungavela. Cabanga ukuthi lokhu kungaba yingozi kangakanani!

Yiziphi izimbangela ze-Hypokalemia?

Isizathu esiyinhloko samazinga aphansi e-potassium emzimbeni ukulahlekelwa kakhulu yi-potassium ohlelweni lwethu lokugaya ukudla . Lokhu kungenzeka uma sihlanza njalo, sihuda, noma sisebenzisa imithi yokulalisa isisu ( imithi yokulalisa isisu ) ngokweqile.

Ngaphandle kwalokho, kungaba nezinye izizathu eziningi, ake sibone.

• Ezinye izinkinga zengqondo ezihlobene nokudla: Isibonelo, izimo ezifana ne-'Bulimia nervosa'.
• Ukujuluka ngokweqile: Abanye abantu banesifo esibizwa ngokuthi 'i-hyperhidrosis' lapho bejuluka ngokweqile.
• Inkinga yokusebenzisa utshwala .
• Imithi yokuhlanza:Abanye abantu basebenzisa imithi yokukhipha isisu, eyaziwa nangokuthi 'amaphilisi amanzi'. Lokhu kubangela ukuthi i-potassium eningi ikhishwe emchameni.
• Eminye imithi: Kungabangelwa futhi yimithi efana ne-insulin, amanye ama-antibiotic, kanye nama-corticosteroids.
• Izifo ze-adrenal gland: Izimo ezifana 'ne-primary aldosteronism' kanye 'ne-Cushing's syndrome'.
• Isifo sezinso esingamahlalakhona.
• Amazinga aphansi e-magnesium: Lokhu kubizwa ngokuthi 'i-hypomagnesemia'.
• Izimo ezihlobene nezinso: Izifo zezinso ezingavamile, ezihambisana nofuzo njenge-Bartter's syndrome kanye ne-Gitelman syndrome nazo zingabangela ukungalingani kosawoti emzimbeni.
• Ezinye izimo: Izimo ezingavamile ezibangela umfutho wegazi ophakeme, njenge-Liddle syndrome.
• Akuvamile kakhulu: Kungabangelwa futhi ukungadli ukudla okunempilo, okusho ukungatholi i-potassium eyanele ekudleni.

Cabanga nje, u-Amila uhlala ephuza imithi yokuhlanza isisu ngenxa yezinkinga zesisu. Ubelokhu ezizwa ekhathele futhi engezwani nezitho zakhe izinsuku ezimbalwa. Kwakungesikhathi eya kudokotela kuphela lapho athola khona ukuthi izinga lakhe le-potassium liphansi kakhulu, nokuthi imithi yokuhlanza isisu yiyo imbangela. Izinto ezinjengalezi zingenzeka, ngakho-ke kuhle ukuqaphela.

Ziyini izimpawu ze-Hypokalemia?

I-hypokalemia encane ingase ingabingeli zimpawu. Kodwa-ke, ungase uhlangabezane nalokhu okulandelayo:

• Ukuqunjelwa.
• Izinguquko ekushayeni kwenhliziyo noma ebuhlungwini besifuba.
• Ukukhathala noma ukukhathala okukhulu .
• Ubuthakathaka bemisipha kanye nokusonteka komzimba njalo.
• Ukuba ndikindiki nokulahlekelwa umuzwa ezithweni.

Kodwa-ke, uma amazinga e-potassium ehla kakhulu (i-hypokalemia enzima) , izimpawu zingaba zimbi kakhulu:

• Ukuqhaqhazela kwemisipha.
• Ukuqhaqhazela kwemisipha okukhulu.
• Ubuthakathaka obukhulu bemisipha , okungenzeka kuholele ekukhubazekeni.
• Umfutho wegazi ophansi.
• Ukuzizwa unesizungu noma ukuphelelwa yithemba.
• Ukuphazamiseka kwesigqi senhliziyo (i-Arrhythmias).
• Ukuchama okuvamile, okweqile (i-Polyuria).
• Ukoma ngokweqile (i-Polydipsia).

Cabanga nje, uMalume uSunil wayenesifo sohudo izinsuku ezimbili noma ezintathu zilandelana. Ngemuva kwalokho, ngomzamo ongachazeki, inyama yemilenze yakhe yaqala ukugoqa. Wayengakwazi ngisho nokuma. Imilenze yakhe yaba buthakathaka kangangokuthi wayengakwazi ukuma. Udokotela uthe isifo sohudo sibangele ukukhishwa kwe-potassium eningi emzimbeni wakhe, yingakho ayenalesi simo. Ngezikhathi ezinjengalesi, kungcono ukufuna iseluleko sezokwelapha ngokushesha okukhulu.

I-Hypokalemia itholakala kanjani?

Into yokuqala udokotela wakho azokwenza ukuhlola igazi ukuze ahlole izinga lakho le-potassium. Njengoba ngishilo ekuqaleni, izinga elijwayelekile le-potassium kumuntu omdala liphakathi kuka-3.5 no-5.2 mEq/L (3.5 no-5.2 mmol/L). Uma izinga lakho le-potassium liphakathi kuka-3 no-3.5 mEq/L (3 no-3.5 mmol/L), kuyi -hypokalemia encane . Uma ingaphansi kuka-3 mEq/L (3 mmol/L), kuyi- hypokalemia embi kakhulu .

Ngaphezu kwalokho, udokotela angenza futhi 'iphaneli ye-metabolic eyisisekelo' noma 'iphaneli ye-metabolic ephelele' . Lokhu kuhlola amakhemikhali ahlukahlukene egazini, njengamazinga e-electrolyte kanye nokusebenza kwezinso.

Uma kuqinisekiswa ukuthi i-hypokalemia iyancipha, udokotela uzozama ukuthola imbangela. Uma imbangela ingacacile, ukuhlolwa komchamo kungenziwa ukuze kulinganiswe inani le-potassium emchameni.

Udokotela angase futhi acele i-electrocardiogram (ECG noma EKG) . I-ECG ilinganisa isigqi senhliziyo yakho. I-Hypokalemia ingabangela ukungasebenzi kahle kwesigqi senhliziyo, ngakho-ke i-ECG ingasiza ekutholeni lokho.

Iphathwa kanjani i-Hypokalemia?

Uma une -hypokalemia encane , udokotela wakho cishe uzokunikeza izithasiselo ze-potassium ngomlomo.

Kodwa-ke, uma isimo sibi kakhulu , noma uma kunezinye izinkinga, udokotela angase aselaphe ngokunikeza i-potassium ngemithambo (IV). Kunezinye izimo eziningana lapho i-potassium inikezwa khona ngemithambo:

• Uma izinga lakho le-potassium liphansi kakhulu .
• Uma i-hypokalemia ibangele ukungalingani kwe-cardiac rhythm .
• Uma izithasiselo zomlomo zingasebenzi kahle .
• Uma i-potassium ilahleka emzimbeni ngesivinini esikhulu kunaleyo emuncwa ngezithasiselo zomlomo.

Futhi, uma kukhona isimo esiyisisekelo esibangela i-hypokalemia, udokotela uzoselapha naso. Ukwelapha imbangela kubaluleke kakhulu.

Uma uthatha ama-diuretics (amaphilisi amanzi), udokotela wakho angase akushintshele kuhlobo lwe-diuretic olusiza ukugcina i-potassium emzimbeni. Noma, bangase bakutshele nokuthi uthathe izithasiselo ze-potassium.

Unganciphisa kanjani ingozi ye-hypokalemia?

Indlela engcono kakhulu yokunciphisa ingozi yakho yokuthola i-hypokalemia ukudla ukudla okunempilo okugcwele ukudla okune-potassium eningi . Kubalulekile ukukhuluma nodokotela wakho ngokudla kwakho.

Ake sibone ukuthi yikuphi ukudla okucebile nge-potassium.

• Izithelo nemifino eminingi
• Inyama nenhlanzi enamafutha aphansi
• Ubisi nokudla kobisi
• Amantongomane (isb. ubhontshisi, ubhontshisi)

Nazi ezinye zokudla ezicebile kakhulu nge-potassium:

• Ukwatapheya
• Ibhanana
• Ubhontshisi nobhontshisi
• I-bran yesinhlamvu
• Imifino eluhlaza okotshani (isib. isipinashi, i-kale)
• Inhlanzi
• Inyama yenkomo engenamafutha
• Ubisi
• Amawolintshi
• Ibhitela lamantongomane
• Izambane
• Isipinashi
• Utamatisi

Okubaluleke kakhulu, uma ubulokhu uhlanza noma uhudo isikhathi esingaphezu kwamahora angama-24 kuya kwangu-48 , kufanele ufune usizo lwezokwelapha ngokushesha . Lokhu kungenxa yokuthi lokhu kungabangela ukuthi umzimba ulahlekelwe uketshezi namaminerali abalulekile njenge-potassium, okuholela ku-hypokalemia. Uma ufuna ukwelashwa ngokushesha, amathuba akho okukuvimbela ayanda.

(Kodwa-ke, uma ungakaze ube ne-hypokalemia ngaphambili, asikho isidingo sokuzama ngqo ukuyivimbela ngale ndlela.)

Kwenzekani uma une-hypokalemia?

Uma une -hypokalemia encane , izithasiselo ze-potassium zingasiza ekubuyiseleni emuva. Kodwa-ke, kubalulekile futhi ukuqhubeka nokudla ukudla okucebile nge-potassium.

Uma isimo sibi kakhulu , singelashwa nge-potassium efakwa emthanjeni. Kodwa-ke, uma singelashwa , i-hypokalemia enkulu ingabangela izinkinga ezinkulu zesigqi senhliziyo. Akukhona lokho kuphela, kodwa futhi kungaholela ekukhubazekeni okusongela impilo.

Ngakho-ke, kubaluleke kakhulu ukuhlala uthintana nodokotela wakho ukuqinisekisa ukuthi isimo sakho se-hypokalemia siphathwa kahle.

Umlayezo Wokuya Nawe Ekhaya

Kulungile, ngakho-ke sesikhulume kakhulu nge-hypokalemia, akunjalo? Kalula nje, yisimo lapho amazinga akho e-potassium egazini ephansi. I-Potassium ibalulekile emizimbeni yethu ukuze isebenze kahle. Ithinta amangqamuzana ethu, imisipha, imizwa, uhlelo lokugaya ukudla, kanye nohlelo lwamathambo.

• Izimbangela: Ukuhlanza njalo, isifo sohudo, imithi ethile (ikakhulukazi amaphilisi amanzi), isifo sezinso, kanye nezinkinga ezithile zamahomoni kungabangela amazinga aphansi e-potassium.
• Izimpawu: Ukukhathala, ukudikiza kwemisipha, izinguquko ekushayeni kwenhliziyo, kanye nokuba ndikindiki ezithweni zomzimba kungase kwenzeke. Ezimweni ezimbi kakhulu, kungaholela nasekukhubazekeni.
• Ukwelashwa: Izithasiselo ze-Potassium (ngomlomo noma ngemithambo yegazi), ukwelapha imbangela yizona zinto eziyinhloko.
• Ukuvimbela: Kubalulekile ukudla ukudla okunempilo okucebile nge-potassium. Ikakhulukazi, funa iseluleko sezokwelapha ngokushesha uma uhlanza/uhudo isikhathi esingaphezu kosuku olulodwa noma ezimbili.

Uma unezinye zalezi zimpawu, noma uma ufuna ukwazi okwengeziwe nge-hypokalemia, qiniseka ukuthi ukhuluma nodokotela wakho . Akukho okufanele ukhathazeke ngakho, futhi uma kutholakale futhi kwelashwa kusenesikhathi, lesi simo singalawulwa kahle.

I- Hypokalemia, i-potassium, i-potassium ephansi, ama-electrolyte, izimpawu, ukwelashwa, ukudla