Nei zvakaderera pasiziyamu zvingave zvine ngozi, uye kuti ungazviita sei zvakachengeteka
Kubva panguva yaimbova yakasununguka kubva kumadota emiti (potash) zviuru zvemakore akapfuura, kunzwisisa kwedu kwekemikari element potassium kwawedzera. Mazuva ano, hazvirevi kupfurikidza kutaura kuti hupenyu, sezvatinoziva, hahuzobvira pasina potasium. Hatisi kureva kushanda kwemuviri womunhu pano. Potassium, chaizvoizvo, inofanirwa kuita basa rinowanzoenderana nezvose zvipenyu.
Potassium's Central Role muPhysiology yedu
Iyo yakawanda ye potassium yemuviri yedu inowanikwa mukati memasero, uye kwete kunze mumvura inoshambadza iyo masero (inonzi extracellular fluid). Ichi chikuru chakasiyana muzvikamu zvinoshandiswa ne enzyme iyo inokosha mukuchengetedza kuvimbika kwemhuka dzose dzemhuka, uye inonzi sodium-potassium ATPase pampu . Izvi zvinowanikwa pane membrane iyo inoumba sero.
Iyi enzyme inokonzera sodium kunze, uye potasium mune sero, mune chiyero che3 kusvika ku2. Ichi chiyero pakati pekutungidzirwa kwe potassium mukati memusero uye kunze kwekamuri ndiyo simba rinokurudzira kugadzira magetsi, anonzi simba rekuita, risina musero nemasero emagetsi asingagoni kuita mabasa avo. Nguva inotevera kana uchinwa chinwiwa chako chinokonzerwa ne electrolyte ne potassium, tora nguva kuti uzive nzira dzakadzama dzinodzora muviri wako.
Dhiyabhorosi Basa rekudzora Mitemo yePotassium
Kungofanana ne-electrolytes akawanda, iroyi ine basa guru rekuchengetedza ropa rinowanzoita potassium.
Saka, zvose pasi nepamusoro pasiziyamu mazinga zvinokwanisika mukushungurudzwa kweputsvo. Pane dzimwe nzira dzinokonzera potasium yega muropa redu (zvakare sezvinoitwa mumuromo we potassium sechikamu chezvokudya, acidity yeropa redu, nezvimwewo), asi paminiti-kusvika-mheyo asi, iyo tsono ndiyo regulator.
Kana potaziyamu majoka iropa rinowedzera zvakanyanya , itsvo dzinotanga kuvhara kuwedzerwa kunze kwemuti. Inofanira kunge yakanyanyisa kuderera, nyora dzinogona kuderedza zvinyorwa zvishoma. Kusakwanisa kweiyo mafungiro okuita nenzira iyi yakashata kunyange pazvinotarisana nechepasi ropa rezasi ye potassium inonzi renal potassium kuparara.
Maitiro Mashoma Pasiziyamu Muropa: Hypokalemia
Renal potassium kuparara ndicho chikonzero chimwe chete chemaitiro asina kukodzera mashomanana e potassium muropa. Kubva pane maonero edzidziso, nzira iri nyore yekuziva zvikonzero zvekutapisa ropa pasiziyamu ndekuparadzanisa zvikonzero izvi muzvikamu zviviri: mamiriro ezvinhu ekuderedza potassium mune ropa, kana mamiriro ekuwedzera kurasikirwa . Zvisinei, heino runyorwa rwakakwana zvakakwana:
- Kuderedza kudya mumuromo we potassium ine zvokudya
- Kuwedzera kurasikirwa kwe potassium kubva mumatumbi-izvi zvinogona kusanganisira zvikamu zvakadai seharahara apo potasium inorasikirwa muzvivako, kana kurutsa, uko kusuruvara kunokosha kunogona kukonzera kurasikirwa kwakawanda kwe potassium mumuginho (nemhaka yezvirongwa zviri kunze kwehuwandu hwechikamu chino).
- Kuwedzera kurasikirwa kwe potassium mumuginhi-izvi zvinogona kuonekwa nekuda kwezinga rakakwirira re mineralocorticoids (mahomoni anobudiswa neadrenal gland iyo inobata mafungiro ekugadzirisa kuchengetedzwa kwe potassium), uye nekuda kwezvikonzero zvekunze (sekushandiswa kwe diuretics, inozivikanwawo se "mapiritsi emvura", semuenzaniso furosemide kana hydrochlorothiazide Zvimwe zvikonzero zvinosanganisira zvinhu zvakadai seBartter syndrome , Gitelman syndrome, zvinodhaka zvakadai seamphotericin B, nezvimwewo.
- Kuwedzera kunowedzera kwe potassium mumasero, kuitira kuti uwandu hurege kuyerwa pamusana pekuongorora ropa (iyo inotarisa potassium level mu serum, iyo inonzi plasma inonwa mvura inoshamba masero edu, kuderedza mamwe mapuroteni). Mune mamiriro ezvinhu aya, iyo yose yakawanda ye potassium mumuviri inonyanya kuenzana uye hapana kushaya kwekugadzirisa. Zvisinei, sezvo nzvimbo inoshanduka, haigone kuyerwa. Izvi zvinogona kuguma kubva kumazinga akakwirira e insulini, yakakwirira muropa, nezvimwewo.
- Wedzera kurasikirwa kwe potassium kubva mukunyanya kudarika. Izvi zvinonyanya kuonekwa kune varwere vane cystic fibrosis.
Ko Potassium Inoita Sei Kuti Uite Utano Hwako?
Kuchinja mumagetsi edu nemasero emagetsi, kana kuti zvingaitwa, ndicho chikonzero chikuru chechiratidzo chezviratidzo nezviratidzo zvaunogona kutarisana nekuda kwepamusoro pasiziyamu.
Heino mhemberero shomanana yezvinetso zvingasangana nazvo:
- Utsi husina simba, kusava nesimba, zvipfeko, nezvimwewo: Izvi hazvirevi kungoita mishonga yedu, asi mumamiriro ezvinhu akaipisisa zvinogona kukanganisa misumbu inobatanidzwa mukufema (kufema). Nokudaro, zviitiko zvakakomba zve hypo hypolememia zvinogona kutungamirira mukushaya kuputika nekufa.
- Kusagadzikana kwepfungwa yemwoyo: Izvi zvakare zvinogona kutyisidzira upenyu mumamiriro ezvinhu akaoma.
- Kuwedzera kweropa
- Kurema muropa yehuga yepamusoro nekuda kwepasi pasi pecasiumisi zvichikonzera kuderedza insulin kuchengetedza
- Kwenguva refu, nguva dzose pasi-pasiziyamu inokonzera kushanduka muitsvo 'sangano uye basa.
Kuchengetedzwa Kwakachengeteka kwePotassium Levels Inokosha
Kuchenjerera kuwedzera uye kupera kwe potassium kunogona kubata hypokalemia uye kunounza mazinga kusvika kune chaiwo. Zvisinei, chikonzero chinokonzerwa ne hypokalemia chinofanira kuonekwa pamwe chete kuitira kuti chirwere chacho, uye kwete chiratidzo chayo chete kana chiratidzo chiri kutarisirwa. Mune varwere vane kuparara kwakanyanya kwe potassium kubva muinso, mamwe marudzi emishonga, anonzi potassium sparing diuretics angave akabatsira zvikuru.
Kunyanya kuchenjerera kunofanira kushandiswa nekuwedzera kwekuwedzera kwe potassium sezvo kuvhiringidzika kunogona kurwadza kana kuitwa nenzira isina kururama, kana kukurumidza. Nengozi huru asi mumamiriro ezvinhu aya inowedzera kana yakakurumidza potassium supplementation, iyo inotungamirira kune zvinokuvadza zvakakwirira pasiziyamu muropa . Sezvo iwe ungangodaro wakaunganidza ikozvino, muviri wedu unoshanda nenzira inowanikwa mune imwe nzvimbo yakakura yeropa potassium. Chinhu chipi nechipi chakakwirira kana chakaderera pane icho chinogona kuisa upenyu pangozi mumatambudziko makuru. Hazvina maturo kutaura, kurapa hypokalemia yakasimba haisi chirongwa che DIY uye chinofanira kuitwa pasi pekutarisirwa kwechiremba, kunyange kana uchida kuzviita pamba. Kana kukonzera kwepasi pasi podasiyamu isiri pachena, kana kana kurapwa kuchida kuwandisa kwemazamu ekuwedzera, inofunga kuwana kubvunzurudza nachiremba weyanzvi anobata nyaya idzi, kureva, nephrologist .
> Sources
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> Sebastian A. Renal potassium inopera mu renal tubular acidosis (RTA). Kuitika kwaro mumarudzi 1 uye 2 RTA pasinei nekugadziriswa kwe systemic acidosis. J Clin Invest. 1971 Mar; 50 (3): 667-678.
> Cheungpasitporn W, et al. Pathophysiology yekurutsa-inokonzerwa hypokalemia uye nzira yekuongorora. J J Emerg Med. 2012 Feb; 30 (2): 384. doi: 10.1016 / j.ajem.2011.10.005. Epub 2011 Dec 12.
> Liamis G. Diabetes mellitus uye electrolyte disorders.World J Clin Cases. 2014 Nha. 16; 2 (10): 488-496. Yakabudiswa paIndaneti 2014 Oct 16. chii: 10.12998 / wjcc.v2.i10.488