Pasina potasium, taisagona kurarama. I electrolyte inokonzera huwandu hunokosha hwehupenyu hunoshanda. Haisi potasiyamu chete inoshandiswa kugadzirisa kuenzanisa kwemvura mumuviri, inoita kuti mwoyo uchinje, kutenderera kwematumbo, chirwere chekudya, uye mitsipa yako inopisa.
Izvozvo zvakati, zvakawanda zvechinhu chakanaka zvinogona kuva zvinokuvadza. Pasiziyamu yakakwirira, inoshandiswa nemishonga inonzi hyperkalemia , inowanzobatanidza ma laboratory.
Kuongororwa kunoitwa apo mazinga ari muropa ari makuru kune 5.0 mEq / L. Zvinofadza kuti vanhu vakawanda havatore zviratidzo kubva kune iyo. Pavanoita, zviratidzo izvi zvinowanzova zvinyoro uye zvisingaiti, zvinosanganisira kunyunyuta kunowanzoita sekuneta uye kushaya simba.
Vanhu vakawanda havawani zvakawanda pamusoro pezviratidzo kusvikira potassium yavo inosvika 7.0 mEq / L kana kupfuura. Zvisinei, zviratidzo zvinogona kuitika kumazinga mashoma kana nhamba ye potassium ichikwira pakarepo. Ramba uine ziso kunze kwezviratidzo izvi.
Neurologic Symptoms
Kazhinji, pane potassium yakawanda uye mukati mezhinji sodium kunze kwepi neipi inopiwa sero. Ichi chidimbu che electrolytes chinobatsira kuendesa pombiyamu ye-sodium-potassium ATPase inofanirwa kuisa pane zvingaitwa. Pasina chiito chekuita, nhavo haigone kubudisa chido.
Zvakawandisa potassium kunze kwesero zvinoshandura seroti ye electrolyte kuitira kuti chiito chekuita chive chinonoka kutotanga uye, mumamiriro ezvinhu akaipisisa, angasaitike zvachose.
Kana zvasvika pamisungo, izvi zvinogona kukukanganisa kukurumidza kwako mafungiro ako kana kuti kunyatsogadzirisa sei pfungwa yako yekupedzisira inoshanda.
Zvichipa izvi, zvirwere zvinowanikwa nehutano hwehutachiona hwe hyperkalemia zvinogona kusanganisira:
- Kuderedza mafungiro
- Tingling
- Numbness (zvisingawanzoitiki)
Musculoskeletal Symptoms
Mitsipa, pamwe chete, inogona kukonzera mushumbisi-mushupa, maronda, kana kushevedza-kubvumirano.
Kana potaasium inobata zviito zvinogona kuitika, iyo inopera inokanganisa musimba basa zvakare.
Skeletal muscles, iyo inonziwo yakagadzika mutsvuku, ndiyo mishonga inonamatira pamapfupa ako. Vanokubvumira kuti uise maoko ako nemakumbo uye zvimwe zvikamu zvemuviri wako. Tsvina isingagamuchirwi nharo inogona kuva nenguva yakaoma inopinda kana kuti inogona kuva isina simba.
Musculoskeletal zviratidzo zve hyperkalemia zvinogona kusanganisira:
Hyperkalemic family periodic paralysis ndiyo chirwere chakagara nhaka yehutano inoisa vanhu vari pangozi yakakura yezviratidzo izvi. Zvisinei, mamiriro acho haawanzoitiki, anongopararira 1 chete pane vanhu 200 000.
GI Zviratidzo
Smooth muscle inotevedza GI tract uye inofanirwa kuendesa zvokudya kubva kune imwe nharaunda iyo yose kuburikidza nekoloni muchiito chinonzi peristalsis . Apo pasiziyamu mazinga akareba, kusvibiswa kwemisumbu kunotadza kuve kusina simba kudongana nekufambisa mberi kwekufambisa kuburikidza nepeji yeGI. Izvi zvinogona kukonzera kushushikana, kurutsa, uye kuvaka-gesi gesi.
Zviratidzo zvezviratidzo zve hyperkalemia zvinogona kusanganisira:
Zvinorwara Mwoyo
Mwoyo unoita zviratidzo pakati pemasero anonzi myocytes.
Action inogona kudiwa kuti utumire mafungiro okuzvidira kune myocytes anochengeta mwoyo wako uchirova.
Kana ropa re potassium risina kukwirira, zvipfeko zvepfungwa zvingasave zvakasimba zvakakwana kuti ipe ropa rakakwana kubva mumoyo kusvika kune uropi uye dzimwe nhengo. Nhamba yemwoyo inogonawo kuderera kubva pakaderera kupera kwemaitiro anokwanisa.
Nenzira iyo, kusava nemwoyo mwoyo maitiro kunogonawo kukura. Zvichienderana neurmthmia, izvi zvingava mamiriro ezvinhu anotyisa.
Zviratidzo zvepachiviri zve hyperkalemia zvinogona kusanganisira:
- Slow heart rate rate
- Palpitations uye cardiac arrhythmia
- Chipfuva chepfu
- Kusungwa kwemwoyo (zvisingawanzoitiki)
Nguva Yokuona Chiremba
Yeuka kuti vanhu vazhinji havaiti zviratidzo kusvikira potasium yavo iri pamusoro pe7.0 mEq / L. Kana iwe ukakura chero zviratidzo zvepamusoro, kunyanya pamitambo yakasiyana yomuviri, iwe unogona kuva nepamusoro-soro ye potassium.
Unokurudzirwa kuti uite zvakanaka uye taura nachiremba wako kuti uongorore. Kazhinji yenguva hyperkalemia inowanikwa muchiitiko chekuita ropa . Muchiitiko ichocho, chiremba wako anogona kunge achidzokorora marebhu ako uye kutevera-up pamwe nekuedza kupi zvako kunodiwa.
> Sources:
> Karmacharya P, Poudel DR, Pathak R, Rettew A, Alweis R. Acute Hyperkalemia Kutungamira ku Flaccid Paralysia: Kuongorora kwezviratidzo zveHyperkalemic. J Community Hosp Intern Med Perspect. 2015; 5 (3): 10.3402 / jchimp.v5.27993.
> Lewis JL. Hyperkalemia. Merck Manual: Professional Version. Yakavandudzwa April 2016. https://www.merckmanuals.com/professional/endocrine-and-metabolic-disorders/electrolyte-disorders/hyperkalemia.
> Gomo DB. Zviratidzo zveKliniki yeHyperkalemia muVakuru. Mu: Forman JP (ed), UpToDate (Indaneti) , Waltham, MA. Yakavandudzwa February 2018.
> Parham WA, Mehdirad AA, Biermann KM, Fredman CS. Hyperkalemia Revisited. Tex Heart Inst J. 2006; 33 (1): 40-47. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1413606/.