Yiziphi izibopho ze-Potassium futhi zisebenza kanjani?

-Delile

• Yini ama-potassium binders?
• Izinhlobo ze-potassium binders
• Imiphumela emibi ye-Potassium binder
• Iyini ingozi ye-potassium eningi kakhulu?
• Ukuthatha

Umzimba wakho udinga i-potassium yeseli enempilo, ukusebenza kwemisipha, nemisipha. Le minerali ebalulekile itholakala ekudleni okuhlukahlukene, kufaka phakathi izithelo, imifino, inyama, inhlanzi nobhontshisi. Ngokusho kweNational Institute of Health, abantu abadala abaphilile badinga ama-milligram angama-4,700 (mg) we-potassium ngosuku.

Iningi lethu alitholi i-potassium eyanele ekudleni kwethu. Kepha ukuthola i-potassium eningi kakhulu kungadala isimo esingaba yingozi esaziwa njenge-hyperkalemia.

Lesi simo sivame kakhulu kubantu abanezimo ezithile zempilo ezingamahlalakhona. Iphinde ixhunyaniswe nokuthatha imishanguzo ethile noma isengezo se-potassium kanye nokudla okuphezulu kwe-potassium.

Ukudla ukudla okune-potassium ephansi okunconywe udokotela wakho kungasiza ekunciphiseni amazinga akho e-potassium. Udokotela wakho futhi angakunikeza umuthi obizwa nge-potassium binder uma izinguquko zokudla zinganele.

Yini ama-potassium binders?

Ama-potassium binders yimithi ebopha i-potassium eyengeziwe emathunjini akho. Le potassium eyeqile isuswa emzimbeni wakho ngesihlalo sakho.

Le mithi ivame ukuza nempuphu oyixuba namanzi uphuze nokudla. Kwesinye isikhathi zithathwa njenge-enema.

Kunezinhlobo ezahlukahlukene ze-potassium binders ezenziwe ngezithako ezihlukile. Kubalulekile ukulandela imiyalelo yemithi yakho ngokucophelela. Ngaso sonke isikhathi thatha i-potassium binder amahora awu-6 ngaphambi noma ngemuva kokuthatha noma imuphi omunye umuthi.

Udokotela wakho cishe uzophakamisa ezinye izindlela zokusiza ukuphatha amazinga akho e-potassium. Lokhu kungafaka:

• udla ukudla okunama-potassium amancane
• ukunciphisa noma ukulungisa isilinganiso sanoma imuphi umuthi obangela ukuthi umzimba wakho ugcine i-potassium
• ukunquma i-diuretic ukwandisa ukuphuma kwakho komchamo futhi ukhiphe i-potassium eyeqile
• dialysis

Izinhlobo ze-potassium binders

Kunezinhlobo eziningi ze-potassium binders udokotela wakho angakuyala:

• i-sodium polystyrene sulfonate (SPS)
• i-calcium polystyrene sulfonate (CPS)
• umphathi (uVeltassa)
• i-sodium zirconium cyclosilicate (ZS-9, Lokelma)

I-Patiromer ne-ZS-9 yizinhlobo ezintsha ze-potassium binders. Kuphephile ukuphuza ngemithi evame ukubekelwa isifo senhliziyo engakhuphula ubungozi be-hyperkalemia.

Imiphumela emibi ye-Potassium binder

Njenganoma imuphi umuthi, izibopho ze-potassium zingadala imiphumela emibi. Imiphumela emibi ejwayelekile ye-potassium binder ifaka:

• ukuqunjelwa
• isifo sohudo
• ukuhlanza
• isicanucanu
• ukubamba umoya
• ukugaya ukudla
• ubuhlungu besisu
• isilungulela

Le mithi ingathinta namazinga wakho we-calcium ne-magnesium. Khuluma nodokotela wakho ngemiphumela emibi engaba khona.

Iyini ingozi ye-potassium eningi kakhulu?

Inani elilinganisiwe leseli lokusekela le-potassium elisebenza emzimbeni wakho kanye nesiginali kagesi esebenza enhliziyweni yakho. Kepha okuningi akuhlali kungcono ngaso sonke isikhathi.

Izinso zakho zihlunga i-potassium eningi emzimbeni wakho bese ziyidedela emchameni wakho. Ukudla i-potassium eningi kunezinso zakho ongazicubungula kungaholela kwi-hyperkalemia, noma amazinga aphezulu we-potassium egazini lakho. Lesi simo siphazamisa izimpawu zikagesi enhliziyweni.

Abantu abaningi abane-hyperkalemia babona ezimbalwa uma zikhona izimpawu. Abanye bangabhekana nokuba ndikindiki noma ukuhayiza, ukuba buthakathaka kwemisipha, nokushaya kwenhliziyo okuhamba kancane noma okungafanele. I-Hyperkalemia ekugcineni ingadala ukushaya kwenhliziyo okungajwayelekile futhi iholele ezinkingeni ezinkulu nasekufeni uma iyekwa ingalashwa.

Ungaba sengozini enkulu ye-hyperkalemia uma une:

• isifo esingapheliyo sezinso
• thayipha isifo sikashukela esingu-1
• ukuhluleka kwenhliziyo
• isifo sesibindi
• ukungasebenzi kahle kwe-adrenal (lapho izindlala ze-adrenal zingakhiqizi ama-hormone anele)

Kungenzeka ukuthuthukisa i-hyperkalemia uma uhlanganisa izithako ze-potassium nokudla okuphezulu kwe-potassium. Lesi simo siphinde sixhunyaniswe nemithi efana ne-ACE inhibitors kanye ne-beta-blockers.

Udokotela wakho uzoncoma ukwelashwa ukuthola izinga lakho legazi le-potassium ebangeni eliphilile, imvamisa liphakathi kwamamilimitha ayi-3,5 no-5.0 ngelitha ngalinye (mmol / L).

Izinga eliphakeme ngokungazelelwe le-potassium lingadala ukushaya kwenhliziyo, ukuphefumula okuncane, ubuhlungu besifuba, isicanucanu, noma ukugabha. Bona udokotela wakho ngokushesha uma uhlangabezana nalezi zimpawu njengoba zingasongela impilo.

Ukuthatha

I-Potassium iyiminerali ebalulekile esiyidingayo ekudleni kwethu. Kepha ukuthola okuningi kungaholela ekwakhiweni kwe-potassium egazini lakho eyaziwa njenge-hyperkalemia. Lesi simo sivame kakhulu uma unezimo ezithile zempilo engapheli noma uthatha imithi ethile.

IHyperkalemia ingaholela ezinkingeni ezisongela impilo. Abantu abaningi abanazo izimpawu ze-hyperkalemia, ngakho-ke khuluma nodokotela wakho uma usengozini enkulu yalesi simo.

I-Hyperkalemia nayo iyelapheka kakhulu. Udokotela wakho angancoma ukuthi usebenzise i-potassium binder ngokuhambisana nokudla okune-potassium ephansi ukusiza ukugcina amazinga akho e-potassium ebangeni eliphilile.