Ukuhlolwa Komchamo wePotassium

-Delile

• Ngubani odinga ukuhlolwa komchamo we-potassium?
• I-Hyperkalemia
• I-Hypokalemia
• Izimbangela zamazinga aphezulu noma aphansi we-potassium
• Ziyini izingozi zokuhlolwa komchamo we-potassium?
• Ungakulungiselela kanjani ukuhlolwa komchamo we-potassium
• Uhlolwa kanjani umchamo we-potassium?
• Isho ukuthini imiphumela yalolu vivinyo?
• Umbono

Ukubuka konke

Ukuhlolwa komchamo we-potassium kubheka izinga le-potassium emzimbeni wakho. I-Potassium yinto ebalulekile ekuguqulweni kweseli, futhi kubalulekile ekugcineni ibhalansi yamanzi kanye nama-electrolyte emzimbeni wakho. Ukuba ne-potassium eningi kakhulu noma encane kakhulu kungaba kubi. Ukuthola ukuhlolwa komchamo ukuthola inani le-potassium emzimbeni wakho kungakusiza ukuthi ushintshe amazinga akho e-potassium ukuze ube nempilo engcono jikelele.

Ngubani odinga ukuhlolwa komchamo we-potassium?

Udokotela wakho angalawula ukuhlolwa komchamo we-potassium ukusiza ukuxilonga izimo ezithile, kufaka phakathi:

• i-hyperkalemia noma i-hypokalemia
• isifo sezinso noma ukulimala, njenge-medullary cystic isifo sezinso
• izinkinga ze-adrenal gland, njenge-hypoaldosteronism ne-Conn's syndrome

Ngaphezu kwalokho, udokotela wakho angasebenzisa ukuhlolwa komchamo we-potassium ukuze:

• hlola amazinga akho e-potassium uma ngabe ubuyagabha, ube nohudo amahora amaningi noma izinsuku, noma ubonise izimpawu zokoma
• qinisekisa imiphumela yokuhlolwa ye-potassium ephezulu noma ephansi
• ukuqapha imiphumela engemihle yemithi noma yokwelashwa kwezidakamizwa

I-Hyperkalemia

Ukuba ne-potassium eningi kakhulu emzimbeni wakho kubizwa nge-hyperkalemia. Kungadala:

• isicanucanu
• ukukhathala
• ubuthakathaka bemisipha
• isigqi senhliziyo esingajwayelekile

Uma kungatholakali noma kungalashwa, i-hyperkalemia ingaba yingozi futhi mhlawumbe ibulale nokufa. Akutholakali njalo ngaphambi kokuthi kubangele izimpawu.

I-Hypokalemia

I-potassium encane kakhulu emzimbeni wakho ibizwa nge-hypokalemia. Ukulahleka okukhulu noma ukwehla kwe-potassium kungadala:

• ubuthakathaka
• ukukhathala
• amajaqamba noma ama-spasms
• ukuqunjelwa

Izimbangela zamazinga aphezulu noma aphansi we-potassium

I-Hyperkalemia kungenzeka kakhulu ibangelwa ukwehluleka okukhulu kwezinso noma isifo esingapheliyo sezinso. Ezinye izimbangela zamazinga aphezulu e-potassium emchameni afaka:

• i-necrosis enamandla ye-tubular
• ukuphazamiseka kokudla, njenge-anorexia ne-bulimia
• ezinye izifo zezinso
• amazinga aphansi we-magnesium egazi, abizwa nge-hypomagnesaemia
• lupus
• imishanguzo, njengama-antibiotics, ama-thinner egazi, izidakamizwa ezingezona ukuvuvukala (ama-NSAID), nemithi yengcindezi yegazi efana ne-angiotensin II receptor blockers (ARBs) noma i-angiotensin-converting enzyme (ACE) inhibitors
• i-renal tubular acidosis
• ukusetshenziswa ngokweqile kwama-diuretics noma ama-potassium supplements
• thayipha isifo sikashukela esingu-1
• ukuphuza ngokweqile noma ukusebenzisa kabi izidakamizwa
• Isifo i-Addison

Izinga eliphansi le-potassium emchameni wakho lingabangelwa:

• ukungakwazi ukusebenza kwe-adrenal gland
• ukuphazamiseka kokudla, njenge-bulimia
• ukujuluka okweqile
• ukusetshenziswa ngokweqile kwe-laxative
• ukushoda kwe-magnesium
• imishanguzo ethile, kufaka phakathi i-beta blockers kanye nezidakamizwa ezingezona ukuvuvukala (ama-NSAID), amaphilisi amanzi noma oketshezi (i-diuretics), kanye neminye
• ukuhlanza ngokweqile noma isifo sohudo
• ukusetshenziswa ngokweqile kotshwala
• ukushoda kwe-folic acid
• ketoacidosis sikashukela
• isifo esingapheliyo sezinso

Ziyini izingozi zokuhlolwa komchamo we-potassium?

Ukuhlolwa komchamo we-potassium akunazingozi. Kubandakanya ukuchama okujwayelekile futhi ngeke kubangele noma yikuphi ukungakhululeki.

Ungakulungiselela kanjani ukuhlolwa komchamo we-potassium

Ngaphambi kokuthatha ukuhlolwa komchamo we-potassium, cela udokotela wakho uma udinga ukuyeka okwesikhashana ukuthatha noma yimiphi imishanguzo noma imishanguzo yokuthenga noma izithako. Izidakamizwa nezithako ezingathinta imiphumela yokuhlolwa komchamo we-potassium zifaka:

• ama-antibiotic
• ama-antifungals
• beta blocker
• imithi yengcindezi yegazi
• isisu
• imithi yesifo sikashukela noma i-insulin
• izithako zemithi
• izithako ze-potassium
• izidakamizwa ezingezona ukuvuvukala (ama-NSAID)

Udokotela wakho noma unesi angakuyala ukuthi uhlanze indawo yakho yangasese ngaphambi kokuba uqale isampula yokuqoqwa kwesampula. Ungayeki ukuthatha noma yimiphi imithi kuze kube yilapho ukhulume nodokotela wakho noma unesi. Uzodinga futhi ukugcina isampula yomchamo ihlanzekile ezinwele zasesidlangalaleni, indle, igazi lokuya esikhathini, iphepha langasese, nokunye ukungcola okungahle kube khona.

Uhlolwa kanjani umchamo we-potassium?

Kunezivivinyo ezimbili ezahlukene zomchamo we-potassium: isampula eyodwa, engahleliwe yomchamo nesampula yamahora angama-24. Okudingwa udokotela wakho kuzonquma ukuthi yiluphi uvivinyo oluthatha.

Ngesampuli eyodwa, engahleliwe yomchamo, uzocelwa ukuthi uchamele inkomishi yokuqoqa ehhovisi likadokotela wakho noma endaweni yokusebenzela. Inkomishi uzoyinikeza umhlengikazi noma uchwepheshe waselebhu bese izothunyelwa ukuyohlolwa.

Ngesampula lomchamo lamahora angama-24, uzoqoqa wonke umchamo wakho kusuka ewindini lamahora angama-24 uye esitsheni esikhulu. Ukwenza lokhu, uzoqala usuku lwakho ngokuchamela endlini yangasese. Ngemuva kwalokhu kuchama kokuqala, uzoqala ukuqoqa umchamo wakho njalo uma uchama. Ngemuva kwamahora angama-24, uzodlulisela isitsha sakho seqoqo kumhlengikazi noma uchwepheshe waselebhu bese sizothunyelwa ukuyohlolwa.

Uma unemibuzo noma okukhathazayo mayelana nokuhlolwa komchamo we-potassium noma ukuthi uwaqoqa kanjani amasampula akho omchamo, khuluma nodokotela wakho noma unesi.

Isho ukuthini imiphumela yalolu vivinyo?

Ibanga elijwayelekile le-potassium, noma ibanga lesethenjwa, lomuntu omdala lingama-milliequivalents angama-25-125 ngelitha ngalinye (mEq / L) ngosuku. Izinga elijwayelekile le-potassium enganeni lingu-10-60 mEq / L. Lezi zigaba zingumhlahlandlela kuphela, futhi amabanga angempela ayahluka kusuka kudokotela kuya kudokotela nakwelebhu kuya kwelebhu. Umbiko wakho welebhu kufanele ubandakanye ibanga lesethenjwa lamazinga ejwayelekile, aphansi, aphezulu e-potassium. Uma kungenjalo, cela udokotela noma ilebhu yakho eyodwa.

Ukulandela ukuhlolwa komchamo we-potassium, udokotela wakho angacela futhi ukuhlolwa kwegazi le-potassium uma becabanga ukuthi kuzosiza ukuqinisekisa ukuxilongwa noma ukuthola okuthile umchamo okulahlekile.

Umbono

Ukuhlolwa komchamo we-potassium ukuhlolwa okulula, okungenabuhlungu ukubona ukuthi amazinga akho e-potassium alinganisiwe. Ukuba ne-potassium eningi kakhulu noma encane kakhulu emzimbeni wakho kungaba yingozi. Uma ishiywe ingalashwa, ingaholela ezinkingeni ezinkulu zezempilo. Uma uhlangabezana nanoma yiziphi izimpawu zokuba ne-potassium encane kakhulu noma eningi kakhulu, bheka udokotela wakho. Ngokushesha lapho uthola futhi uhlonza inkinga, kungcono.