Sivame ukuzizwa
somile futhi sikhathele kancane. Ngezinye izikhathi sicabanga ukuthi lokhu kumane kuwukuphelelwa amanzi emzimbeni okuvamile. Kodwa ngezinye izikhathi kungaba uphawu lokuthile okujulile kancane. Lokho kungukwanda kwenani le-sodium, noma 'usawoti' njengoba sonke sazi, egazini lethu. Kwezokwelapha, lokhu sikubiza ngokuthi i-hypernatremia. Nakuba lokhu kungase kubonakale kuyinto encane, kungaba yisimo esibi uma kunganakekelwa. Ngakho-ke ake sithole okwengeziwe ngalokhu namuhla.
Kuyini i-Hypernatremia?
Kalula nje, i-hypernatremia yilapho igazi lakho line
-sodium eningi kakhulu namanzi amancane kakhulu. I-sodium iyi-
electrolyte emizimbeni yethu. Ibalulekile emisebenzini eminingi yomzimba. Kodwa njenganoma yini, i-sodium eningi kakhulu ingabangela izinkinga. Ngokuvamile, umuntu ophilile kufanele abe nama-milliequivalents (mEq) aphakathi kuka-136 no-145 (mEq) we-sodium ngelitha legazi.
Uma leli nani liphakeme kune-145 mEq/L, sibheka njenge-hypernatremia. Lesi simo sivame kakhulu ezinganeni
ezincane nakubantu
asebekhulile . Abantu abanezimo ezithile zezokwelapha nabo basengozini enkulu. Kodwa ezimweni eziningi, kuyisibonakaliso esikhulu sokuphelelwa amanzi emzimbeni. Uma kungekho manzi anele emzimbeni, ukugcwala kwe-sodium egazini kuyanda ngokuzenzakalelayo.
Into ebalulekile ukuthi uma uphilile, lesi simo cishe asikwazi ukuvela ngenxa yenani likasawoti owudlayo. Imizimba yethu ingawulawula.
Cabanga ngendlela imizimba yethu ehlakaniphe ngayo. Lapho okuqukethwe usawoti egazini lethu kwanda ngisho nakancane, ubuchopho bethu buyakuzwa lokho. Bese kusenza some bese kusinika isibonakaliso sokuthi "siphuze amanzi." Ngesikhathi esifanayo, kukhipha ama-hormone afana ne-aldosterone kanye ne-antidiuretic hormone (ADH), atshela izinso ukuthi "zigcine amanzi futhi zikhiphe usawoti emchameni." Yingakho umchamo wakho uba mnyama uma uphelelwe amanzi emzimbeni. Amacala amaningi e-hypernatremia alula. Angelashwa ngokuphuza amanzi amaningi kanye nesiphuzo sezemidlalo. Kodwa amacala aphakathi nendawo nanzima
adinga ukunakekelwa kwezokwelapha. Kungani i-sodium (usawoti) ibaluleke kangaka emizimbeni yethu?
Siyazi ukuthi ukudla usawoti omningi akukuhle. Kodwa empeleni, imizimba yethu ayikwazi ukusebenza ngaphandle kwe-sodium. Kubalulekile.
- Ibhalansi yamanzi: Ilawula inani eliqondile lamanzi ngaphakathi nangaphandle kwamaseli ethuI-Sodium .
- Umfutho wegazi : Uma amazinga e-sodium egazini enyuka, adonsa amanzi ezicutshini ezizungezile. Lokhu kwandisa inani loketshezi (umthamo wegazi) ngaphakathi kwemithambo yegazi futhi kwandisa umfutho wegazi. Yingakho ukusetshenziswa kukasawoti ngokweqile kubangela umfutho wegazi ophezulu.
- Umsebenzi Wezinzwa: Uhlelo lwethu lwezinzwa ludinga i-sodium ukuze luthumele izimpawu (ama-impulses). Ukufinyela kwemisipha, ukucabanga, nakho konke lokhu kudinga izimpawu zemizwa.
Ziyini izimpawu ze-hypernatremia?
Eziningi zalezi zimpawu zifana nezokuphelelwa amanzi emzimbeni, kodwa ezinye zibangelwa imiphumela ye-sodium eningi ohlelweni lwezinzwa. Ake sibheke ukuthi ziyini lezi zimpawu kuthebula elingezansi.
| Isibonakaliso | Incazelo elula |
|---|
| Ukoma ngokweqile | Ukoma okungapheli okuzwakala sengathi akwanele kungakhathaliseki ukuthi uphuza amanzi angakanani. |
| Ukungahlaliseki nokucasuka | Ukuthambekela kokungahlaliseki, ukungahlaliseki, nokuthukuthela kalula. |
| Ukudideka | Ukulahlekelwa ukuqonda okucacile ngendawo, isikhathi, kanye nabantu. |
| Ubuthaka | Ukuzizwa ukhathele kakhulu, ulele, futhi ungenaso isifiso sokwenza noma yini. |
| Ukuquleka | Uma isimo sibi kakhulu, umzimba uyathuthumela futhi ungalawuleki. |
| I-Coma | Ezimweni ezimbi kakhulu, isiguli singase siphelelwe yingqondo. |
Izinto ezandisa ingozi yokuthola i-hypernatremia
- Ukuhlanza noma uhudo olunzima (i-Gastroenteritis)
- Ukusha
- Ukujuluka ngokweqile ngenxa yokuzivocavoca umzimba, umkhuhlane, noma ukushisa okukhulu
- Isifo sikashukela esingalawulwa (i-Hyperglycemia)
- Isifo sezinso
- Ukuncipha kokuzwa ukoma ngokuguga
- Ngezinye izikhathi, umntwana oncelisayo angase angatholi ubisi olwanele.
- Ukweqisa amaphilisi kasawoti, njll. Uma lokhu kwenzeka, xhumana ngokushesha ne-National Poison Information Centre e-Colombo National Hospital.
- Ukuphuza amanzi olwandle
- Isifo sikashukela i-insipidus yisimo esingavamile esingahlobene nesifo sikashukela, kodwa esibangela ukuchama ngokweqile.
Udokotela uhlonza futhi aphathe kanjani lokhu?
Udokotela wakho angasithola kalula lesi simo ngokulinganisa izinga le-sodium egazini lakho
ngokuhlolwa kwegazi okulula. Ngezinye izikhathi, kwenziwa nokuhlolwa komchamo. Umgomo oyinhloko wokwelashwa ukufaka amanzi alahlekile endaweni yawo nokubuyisela ibhalansi phakathi kwe-sodium namanzi. Ezimweni ezincane, uzokwaziswa ukuthi uphuze amanzi noma ezinye izinto eziwuketshezi. Kodwa-ke, ezimweni eziphakathi noma ezinzima,
kungadingeka ukuthi ulaliswe esibhedlela futhi unikezwe i-saline (IV fluids) ngomthambo. Kukhona iphuzu elibaluleke kakhulu lapha. Akukuhle ukwehlisa ngokuzumayo izinga le-sodium egazini. Kuyinto edinga ukwenziwa ngokucophelela okukhulu, kancane kancane emahoreni amaningana. Uma uyehlisa ngokuzumayo, amangqamuzana obuchopho angavuvukala (i-cerebral edema), okubangela umonakalo omkhulu wobuchopho. Ngakho-ke, esimweni esinjalo, ungazami ukuyelapha ekhaya, kodwa nakanjani bonana nodokotela.
Ingabe ukudla usawoti omningi kuyasithinta isisindo somzimba?
Lokhu futhi kuyinkinga ebaluleke kakhulu. Izifundo zikhombisile ukuthi abantu abadla usawoti omningi banamathuba amaningi okuthola amafutha emzimbeni futhi bakhuluphale kakhulu. Kungase kube nezizathu eziningana zalokhu: 1.
Ukunambitha: Usawoti wenza ukudla kunambitheke kangcono. Yingakho sidla kakhulu singaqapheli. 2.
Ukoma: Abantu abaningi baphendukela eziphuzweni ezinoshukela (ama-soda) esikhundleni samanzi ukuze banelise ukoma kwabo ngemva kokudla ukudla okunosawoti. 3.
Ukushiswa kwamafutha: Ezinye izifundo zisikisela ukuthi ukudla usawoti omningi kungashintsha indlela umzimba wethu oshisa ngayo amafutha. Ngakho-ke, kungcono ukunciphisa inani lokudla esikudlayo ngaphandle, ukudla okupakishwe (ukudla okucutshunguliwe), nokulungisa ukudla ekhaya, ngaphezu kokulawula umfutho wegazi kanye nesisindo.
Umlayezo Wokuya Nawe Ekhaya
- I-Hypernatremia ukwanda kwamazinga e-sodium (usawoti) egazini. Imbangela eyinhloko yalokhu ukuphelelwa amanzi emzimbeni.
- Izimpawu eziyinhloko zifaka phakathi ukoma ngokweqile, ukudideka, ukukhathala okukhulu, kanye nokungaphumuli.
- Indlela engcono kakhulu yokuvimbela lokhu ukuphuza amanzi anele usuku lonke. Ngokwesilinganiso, phuza okungenani izingilazi zamanzi ezingu-6-8 ngosuku.
- Uma wena noma othile omaziyo ebonisa izimpawu ezimaphakathi noma ezinzima (ikakhulukazi ukudideka, ukozela ngokweqile, ukuxhuzula), ungaziphathi ekhaya bese ubona udokotela ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela.
- Gcina impilo enhle iyonke futhi uqaphele inani likasawoti olifaka ekudleni kwakho.
I-Hypernatremia, i-sodium, usawoti, ukuphelelwa amanzi emzimbeni, ukuhlolwa kwegazi, izinso, ukoma, ama-electrolyte, i-electrolyte
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho