Yini ebangela nokuthi ungayelapha kanjani i-hypernatremia

-Delile

• Yini ebangela i-hypernatremia
• Yelashwa kanjani
• Izimpawu nezimpawu

I-Hypernatremia ichazwa njengokukhuphuka kwenani le-sodium egazini, elingaphezu komkhawulo omkhulu, ongu-145mEq / L. Lolu shintsho lwenzeka lapho isifo sidala ukulahleka kwamanzi ngokweqile, noma lapho kudliwe inani elikhulu le-sodium, ngokulahleka kwesilinganiso phakathi kwenani likasawoti namanzi egazini.

Ukwelashwa kwalolu shintsho kufanele kuqondiswe udokotela ngokuya ngesizathu salo kanye nenani likasawoti egazini lomuntu ngamunye, futhi imvamisa liqukethe ukwanda kokusetshenziswa kwamanzi, okungaba ngomlomo noma, ezimweni ezinzima kakhulu, nge-serum emthanjeni.

Yini ebangela i-hypernatremia

Isikhathi esiningi, i-hypernatremia yenzeka ngenxa yokulahleka kwamanzi ngokweqile ngumzimba, okudala ukoma emzimbeni, isimo esivame kakhulu kubantu abalele embhedeni noma abalaliswe esibhedlela ngenxa yesifo esithile, lapho kusebenza khona ukusebenza kwezinso. Kungaphakama futhi ezimweni ze:

• Uhudo, ejwayelekile ezifweni zamathumbu noma ekusetshenzisweni kwama-laxatives;
• Ukuhlanza ngokweqile, okubangelwa i-gastroenteritis noma ukukhulelwa, isibonelo;
• Umjuluko omningi, okwenzekayo uma kwenzeka ukuzivocavoca okukhulu, umkhuhlane noma ukushisa ngokweqile.
• Izifo ezikwenza uchame kakhulu, njengesifo sikashukela i-insipidus, esibangelwa izifo ebuchosheni noma ezinsweni, noma ngisho nokusetshenziswa kwemithi. Funda kabanzi mayelana nokuthi ungasibona kanjani futhi usiphathe kanjani isifo sikashukela i-insipidus.
• Ukusha okukhulungoba kuguqula ibhalansi yesikhumba ekukhiqizeni izithukuthuku.

Ngaphezu kwalokho, abantu abangaphuzi amanzi usuku lonke, ikakhulukazi abantu asebekhulile noma abantu abathembele abangakwazi ukuthola uketshezi, maningi amathuba okuthi babe nalesi sifo.

Enye imbangela ebalulekile ye-hypernatremia ukusetshenziswa ngokweqile kwe-sodium usuku lonke, kubantu ababekiwe, njengokudla ukudla okunosawoti omningi. Bona ukuthi yikuphi ukudla okune-sodium eningi futhi wazi ukuthi wenzeni ukuze unciphise ukudla kwakho usawoti.

Yelashwa kanjani

Ukwelashwa kungenziwa ekhaya, ezimweni ezinzima, ngokwanda kokudla uketshezi, ikakhulukazi amanzi. Ngokuvamile, ukuphuza inani elikhulu lamanzi kwanele ukwelapha lesi simo, kepha ezimweni zabantu abangakwazi ukuphuza uketshezi noma lapho kunesimo esibi kakhulu, udokotela uzoncoma ukuthi esikhundleni samanzi kufakwe i-salum serum encane, ngenani nesivinini esidingekayo ecaleni ngalinye.

Lokhu kulungiswa kwenziwa futhi ngokunakekela ukuthi kungabangeli ushintsho olungazelelwe ekwakhekeni kwegazi, ngenxa yobungozi be-edema ye-cerebral futhi, ngaphezu kwalokho, kufanele kunakekelwe ukuthi kwehliswe amazinga e-sodium kakhulu ngoba, uma ephansi kakhulu, futhi kuyalimaza. Bheka futhi izimbangela nokwelashwa kwe-sodium ephansi, eyi-hyponatremia.

Kuyadingeka futhi ukwelapha nokulungisa okubanga ukungalingani kwegazi, njengokulapha imbangela yokutheleleka kwamathumbu, ukuthatha i-serum eyenziwe ngokwenza uma uhudo nokuhlanza, noma ukusetshenziswa kwe-vasopressin, okuwumuthi onconyelwe kwezinye izimo zesifo sikashukela insipidus.

Izimpawu nezimpawu

IHypernatremia ingadala ukoma noma, njengoba kwenzeka isikhathi esiningi, ayizibangeli izimpawu. Kodwa-ke, lapho ukuguqulwa kwesodium kunzima kakhulu noma kwenzeka ngokuzumayo, usawoti owedlulele ubangela ukusikwa kwamangqamuzana obuchopho futhi izimpawu nezimpawu zingavela, njenge:

• Ubuthakathaka;
• Ubuthakathaka;
• Ukwandisa ukucabanga kwemisipha;
• Ukudideka kwengqondo;
• Ukudlikiza;
• Ngefayela le-.

I-Hypernatremia ikhonjwa ngokuhlolwa kwegazi, lapho umthamo we-sodium, obizwa nangokuthi yi-Na, ungaphezulu kwe-145mEq / L. Ukuhlola ukuminyana kwe-sodium emchameni, noma i-osmolarity ye-urinary, kusiza nokuthola ukwakheka komchamo nokuthola imbangela ye-hypernatremia.