Heino chikonzero chikwata chepamusoro kana chepasi chesemudiki chikamu chikuru.
Electrolyte yemuviri yedu ndeyezvinhu zvinokosha muupenyu. Zvinotitadzisa isu munzira dzakadzama. Zvinhu zvose kubva kune chizvarwa cheuropi masimba emagetsi emagetsi, kubva mumvura yemuviri wehutano kusvika pamwoyo wedu, uye zvakawanda, zvinoenderana ne electrolytes se sodium, potasium, calcium, magnesium, uye vamwe vari mune imwe nzvimbo (uye iwe vakafunga kuti electrolyte chinhu chaunotora kuti usununguke!).
Zvechokwadi, hupenyu sezvatinoziva, hahuna huripo kunze kwezvinhu izvi zviri chikamu chakaoma chepfungwa dzedu.
Ngatitsvakei munharaunda yakadzika kuti tinzwisise kuti nei kuvepo kwedu kwaisazobvira pasina aya electrolytes. Zvinhu izvi zvinoratidzika zviri nyore zviriizvo bhiriji rinobatanidza isu kusvika pakuberekwa kwezvisikwa zvedu zvose. Achinetseka? Zvakanaka, heino tsanangudzo iri nyore. Zvatinonzi electrolytes ndezvimwe zvikamu (zvakadai sodium, potasium, kana magnesium) yakavapo munguva yemambakwedza yezvose.
Semuenzaniso, magnesium yakagadzirwa ne nyukliya fusion yekoni pane nyeredzi. Pakupedzisira, imwe nguva nyeredzi yakaputika kuva giant super nova, magnesium yakapararira muNyika yose uye mukati mehupenyu hwedu. Hungu, pane zvishoma zvekusimudzira matiri! Apo mudetembi wechiPezhiya wezana remakore rechi13, Rumi famously akanyora, "tinouya tichizununguka pasina chinhu, tichiparadzira nyeredzi seguruva", aive pamwe echokwadi.
Electrolytes uye Kidney
Ngationgororei electrolytes nematambudziko avo kubva pane imwe nzira yakawanda. Electrolyte isingaenzaniswi yakawanda kwazvo muzvirwere zvepfungwa zvinoreva chikonzero chimwe chete- iyo inetso iyo inowanzoita basa rinokosha pakuchengetedza maitiro evanhu vakawanda e electrolytes .
Nokudaro, izvi zvinokanganisa zvinokonzera kushanda kwepfungwa zvisina kufanira, panzvimbo yechinangwa.
Zvose zvakaderera uye dzakakwirira ma electrolytes zvinogona kuonekwa apo itsvo dzisina kushanda, asi dzinogona kuva nezvimwe zvakawanda zvinokonzera zvisiri izvo. Nhoroondo dzakanakisisa dzezvikonzero zvose zvinokonzerwa uye kurapwa kwayo hakupfuuri nenyaya yenyaya ino. Zvisinei, heino mhedziso shomanana yenhau dzakabatana nehuwandu husina kumira.
Hyponatremia: Mamiriro eHot Low Sodium Level
Kazhinji, imwe yeyamudium muropa inenge isingapfuuri 135 meq / L inofungidzirwa isiri, uye inonzi hyponatremia. Zvisungo zviviri zvakanyanya zvezinga re sodium muropa ndizvo, (a) muwandu we sodium muropa, uye (b) chiyero chemvura muropa. Mune zvirwere zvakawanda zvinotaura, hutsika hwakasimba hwehusiyasi haisi dambudziko rekushaikwa kwesodium, asi chaizvoizvo kuwandisa kwamvura kwehuwandu hwe sodium (iyo inopedzisa kunyatsonyatsobudisa zvinyorwa zve sodium).
Yeuka, patinenge tichiyera seyamudium muropa, haisi iyo yakakwana yeyerodium, asi chaizvoizvo inotarisa yatinoona. Icho chinoreva kuti mvura inogadziriswa yeropa inokonzera kukanganiswa kwe sodium pamwe chete. Kunzwisisa pfungwa iyi kunokosha pakuona kuti nei sodium inowira mune dzimwe zvirwere inotaura, uye nei kurapwa hakusi nguva dzose "kudya muto / sodium."
Zvimwe zvezvikonzero zvinokonzerwa nehuwandu hwemasimba e-sodium ndezvizvi (izvi hazvirevi mazita akazara):
- Zvechokwadi kurasikirwa kwe sodium kubva muropa : Izvi zvinogona kuitika kubva kumaradhi, kurutsa, kuputika kukuru, nezvimwewo. Izvi zvinowanzoonekwa mumhanyi ari kure kure kana kurasikirwa kwe sodium mu swe swese kuchiwedzera kukura nekudyiwa kwemuromo kwemvura pasina munyu, kukurudzira dhesi mu sodium. Izvi zvinogona kuitika mumamiriro ezvinhu akaipisisa zvinotungamirira pamigumisiro inotyisa-kusanganisira kusangana.
- Mvura yemvura yakanyanyisa : Izvi zvinosanganisira kufungidzika kwepfungwa yekushaya mwoyo, cirrhosis, uye kufambisa mafungiro epfungwa.
- SIADH : Izvi zvinomirira syndrome yakashata antidiuretic hormone production. ADH, kana AntiDiuretic Hormone inonzi hormone yakagadzirwa ne hypothalamus muuropi, uye inotarisa kuwanda kwemvura yakachengetwa nehvo. Kana huwandu hwepamusoro hweAdh huchibudiswa, huchaita kuti sodium yepamusoro muropa irere.
- Hormonal zvinokonzera : pasi hwehutachiona hwehutachiona, kana hypothyroidism, adrenal insufficiency
- Nyika umo mvura yakanyanya kuwedzerwa inogona kuve yakakosha: Izvi zvinogona kukonzerwa nepoldipsia inotanga, iyo kunyanya kudyiwa nemvura kunoderedza sodium muropa, zvichiita kuti inwe kudhakwa kwemvura. Nyika yakafanana inogonawo kusikwa nekudyiwa kwezvakawanda zvebiya, zvinonzi "doro potomania".
Kurapa kweHyponatremia
Kana imwe nguva yakaderera yakasvibiswa nehutachiona yakagadziriswa pakuongorora ropa, kurapa kunobva pane izvo zvinokonzera sodium yepasi, uye kunyange zvakakurumidza zvakagadzirwa sei. Semuenzaniso, mumamiriro ehuwandu emvura mumuviri (kufanana nechikwata chepfungwa chinokanganisa kana SIADH), kudziviswa kwemvura kana nzira dzakagadzirirwa kukurudzira kusununguka kwemvura kubva mumuviri inotangwa. Kune rumwe rutivi, mune zvese apo kune chairo chakakosha yemunyu / sodium mumutumbi, kushandura iyo sodium mune mahwendefa emunyu kana sechikamu chemuviri wemvura inokurudzirwa. Kukurumidza kugadziriswa kunogona kuva nengozi, kunyanya kana hyponatremia yakaramba ikanguva.
Hypernatremia: A Case Of Soo High Sodium Level
Ropa reyerodi yakakwirira kudarika 145 meq / L rinonzi "hypernatremia". Chikonzero chinonyanya kukosha che hypernatremia ndeyekukwirira kwe sodium yakasikwa nekuda kwekushaya mvura . Nokudaro, zvirwere zvinotaura zvinokonzerwa nokudzikisa mvura, kana kuwedzera kurasikirwa kwemvura kubva mumuviri (sechirwere cheshuga insipidus, kushandiswa kwe diuretics, chirwere chemahara, etc.) kunogona kukonzera hypernatremia. Munhu akawandisa anowanzotanga kunzwa zvakanyanya nyota apo maitiro e-sodium anotanga kukwira muropa. Chero bedzi ivo vane ruzivo rwemvura, urongwa hwe sodium hunofanira kuwira. Dambudziko rinomuka kana vanhu vasingakwanisi kuwana mvura, kana kuti vanorasikirwa nemvura yakawanda kubva muitsvo kana mudumbu, kana kuti havagone kunzwa nyota (sezvingaitika kune vakwegura vakwegura). Sezvo huwandu hwe hypernatremia inosanganisira kusanganisa mvura, maitiro ekurapa anosanganisira kutonga kwemvura yakawanda IV inoshandiswa, kana kuti kunwa mumuromo kwemvura.
Pano sezvimwe zvezvikonzero zvinowanzoitika zvepamusoro ye sodium muropa:
- Kurasika kwakanyanya kwemvura kubva paganda, sezvinogona kuitika kubva kunekunyanya kupfutidza kana kupisa
- Kurasikirwa kwemvura kubva mumatumbi / chirwere
- Chirwere cheshuga insipidus, nyika umo mvura yakanyanyisa inorasika mumuguta
- Kusakwanisa kunzwa nyota nekuda kwezvinetso neimwe chikamu cheropi iyo inodzora nyota (inonzi hypothalamus)
- Sodium overload or salt poisoning: Izvi zvinogona kuitika kubva pangozi yekutonga kwevakawanda zvakanyanya kuisa salin kune varwere apo inowanikwa "hypertonic" saline inopiwa (somuenzaniso, mumamiriro ekurwadza musoro kwekukuvara). Nhamba yakawandisa yemunyu inotora inogona kutungamirira kune izvi zvakare. Ichokwadi, munyu unogona kudonhwa kuburikidza neganda mucheche, chimwe chinhu chinoratidzika sechinhu chinokonzerwa netsika ye "salting" inowanikwa mune dzimwe nzvimbo dzeTurkey.
Iko Inobatsira Ipi Iyo Yakakwirira Kana Yakadzika Ive Newe?
Zviratidzo zvehutachiona husingawanzoregi hunoenderana nekuoma kwekusafanana, nekukurumidza kwekuvandudzwa kwayo. Zvinogona kubva pane zviratidzo zvinyoro-soro semusoro wepamusoro, kune dzakaoma zvakadai sezvipembenene zvisinganzwisisiki, zviputi, moyo unofanidza kuchinja, nezvimwewo. Kunyanya kunetseka kwehuwandu hwepamusoro yezinga sodium ndiyo ngozi yekugumburwa. Nokudaro, kurapwa panguva yakakodzera kunokosha.
> Sources:
> Halawa I, Andersson T, Tomson T., Hyponatremia uye dambudziko rekugumburwa: chiitiko chekudzoka-chikamu chekudzidza. Epilepsia. 2011 Feb; 52 (2): 410-3. doi: 10.1111 / j.1528-1167.2010.02939.x. Epub 2011 Jan 26.
> Sanghvi SR, Kellerman PS, Nanovic L, Beer Potomania: An Unusual Cause of Hyponatremia pa High Risk of Complications Kubva Kururamiswa Kwakakodzera, AJKD, Oktober 2007Vanhu 50, Issue 4, Mapeji 673-680.
> Syndrome of inappropriate antidiuretic hormone secretion, medlineplus.gov, yakagadzirirwa muna 2015.