Ukuhlolwa komchamo wePotassium

Ukuhlolwa komchamo we-potassium kukala inani le-potassium kunani elithile lomchamo.

Ngemuva kokunikeza isampula yomchamo, iyahlolwa ebhodini. Uma kudingeka, umhlinzeki wezempilo angakucela ukuthi ulande umchamo wakho ekhaya ngaphezu kwamahora angama-24. Umhlinzeki wakho uzokutshela ukuthi ungakwenza kanjani lokhu. Landela imiyalo ngqo ukuze imiphumela inembile.

Umhlinzeki wakho angakucela ukuthi uyeke ukuthatha imishanguzo okwesikhashana engathinta imiphumela yokuhlolwa. Tshela umhlinzeki wakho ngayo yonke imithi oyiphuzayo, kufaka phakathi:

• Ama-Corticosteroids
• Izidakamizwa ezingezona ukuvuvukala (ama-NSAID)
• Izithako ze-potassium
• Amaphilisi wamanzi (isisu)

Ungayeki ukuthatha noma imuphi umuthi ngaphambi kokukhuluma nomhlinzeki wakho.

Lokhu kuhlolwa kuhilela ukuchama okuvamile kuphela. Akukho ukungakhululeki.

Umhlinzeki wakho anga-oda lokhu kuhlolwa uma unezimpawu zesimo esithinta uketshezi lomzimba, njengokuphelelwa amanzi emzimbeni, ukuhlanza noma uhudo.

Kungenziwa futhi ukuthola noma ukuqinisekisa ukuphazamiseka kwezinso noma izindlala ze-adrenal.

Kubantu abadala, amanani ajwayelekile we-potassium we-urine ngokuvamile angama-20 mEq / L kusampula yomchamo engahleliwe kanye no-25 kuya ku-125 mEq ngosuku eqoqweni lamahora angama-24. Izinga eliphansi noma eliphakeme lomchamo kungenzeka ngokuya ngenani le-potassium ekudleni kwakho nenani le-potassium emzimbeni wakho.

Izibonelo ezingenhla yizilinganiso ezijwayelekile zemiphumela yalezi zivivinyo. Ububanzi bamanani ajwayelekile bungahluka kancane phakathi kwamalabhorethri ahlukene. Amanye amalebhu asebenzisa izilinganiso ezahlukahlukene noma avivinye amasampula ahlukile. Khuluma nomhlinzeki wakho mayelana nencazelo yemiphumela yakho ethile yokuhlolwa.

Izinga eliphakeme kunelijwayelekile le-potassium kungaba ngenxa ye:

• Isifo sikashukela nezinye izinhlobo ze-metabolic acidosis
• Izinkinga zokudla (i-anorexia, i-bulimia)
• Izinkinga zezinso, njengokulimala kwamangqamuzana ezinso abizwa ngama-tubule cells (acute tubular necrosis)
• Izinga le-magnesium yegazi eliphansi (i-hypomagnesemia)
• Ukulimala kwemisipha (i-rhabdomyolysis)

Izinga le-potassium eliphansi lomchamo kungenzeka ngenxa ye:

• Imithi ethile, kufaka phakathi i-beta blockers, i-lithium, i-trimethoprim, i-potassium-sparing diuretics, noma izidakamizwa ezingezona ukuvuvukala (ama-NSAID)
• Izindlala ze-Adrenal ezikhipha i-hormone encane kakhulu (i-hypoaldosteronism)

Azikho izingozi ngalokhu kuhlolwa.

I-potassium yomchamo

• Umgudu womchamo wabesifazane
• Umgudu womchamo wabesilisa

UKamel KS, uHalperin ML. Ukuhunyushwa kwe-electrolyte ne-acid-base parameter egazini nasemchameni. Ku: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, ama-eds. IBrenner neRector's The Kidney. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2020: isahluko 24.

IVilleneuve PM, iBagshaw SM. Ukuhlolwa kwe-urine biochemistry. Ku: Ronco C, Bellomo R, Kellum JA, Ricci Z, abahleli. Ukunakekelwa Okubalulekile I-Nephrology. 3rd ed. IPhiladelphia, PA: Elsevier; 2019: isahluko 55.