Potassium Ukwanda egazini: Oonobangela kunye Treatment

Igazi ukubunjwa na zahlukahlukene kakhulu. It has a lot of arhente ezinoxanduva ukuqhuba iinkqubo ezahlukeneyo emzimbeni. Kubaluleke kakhulu ukugcina sisincoko rhoqo ionic egazini. Kuphela kule meko njengamaza kakuhle iimpendulo cell. A indima ekhethekileyo bobabo phakathi ion potassium. Sakhi iqinisekisa eqhelekileyo yokusebenza intliziyo. Yena inxaxheba kwiinkqubo kwemichiza ebuchotsheni kunye namalungu athile lokugaya. Zonke ezi nkqubo lungangaphumeleli xa kukho potassium ukwanda egazini. Izinto ezibangela le meko zifuna sifundo eneenkcukacha.

Indima potassium umzimba

Iziqalelo trace eziqulathwe kule iiseli, inoxanduva ezininzi iinkqubo ezikhoyo apha emzimbeni. It uwugcinayo ummiselo kwityala lamanzi, kube yinto eqhelekayo isingqi intliziyo. Ukongeza, potassium ichaphazela nokusebenza iiseli ezininzi, ingakumbi kwezihlunu nemithambo.

Le yezimbiwa wokulanda ivuselele ingcaciso ngengqondo, inceda umzimba ukulahla ityhefu, uphucula oxygenation ebuchotsheni. Neziphumo ezifanayo immunomodulators potassium. Sakhi uphumelela ukulwa uxabana kwaye kunceda ukunciphisa uxinzelelo.

Ngoko ke, indima potassium umzimba limi ngolu hlobo:

1. Ukulungisa imali asidi-isiseko egazini, intsalela emanzini iseli kunye ulwelo intercellular, ulungelelwano yamanzi-ityuwa, uxinzelelo osmotic.
2. ukudluliselwa neemvakalelo-luvo.
3. Ukusebenza enqanda ethile carbohydrate neprotheyini ukutya.
4. Ukugcinwa oluqhelekileyo intliziyo rhythm.
5. Protein yolungelelwaniso, ukuguqulwa glucose ibe glycogen.
6. Ukubonelela i kuqheleke le sezintso (function excretory).
7. Ukuphucula umsebenzi wamathumbu.
8. inkxaso ngamandla yesiqhelo.

Xa sijonge yonke le nto, kubaluleke kakhulu ukuqonda ukuba yintoni ifihlakele, xa sibona potassium ukwanda egazini, izizathu kule meko. Kodwa ngaphambi kokuba uqonde imithombo ngezifo litsole umba enye ebalulekileyo.

Ngokwanda ingozi?

Umxholo ka sakhi emzimbeni ixhomekeke ngokupheleleyo kwiinkqubo ezifana:

• ukusetyenziswa potassium ngokutya;
• ukwabiwa wayo umzimba;
• ukurhoxiswa element mkhondo.

akukho "indawo yokugcina" nto kucacisiwe emzimbeni womntu ukuze potassium. Ngoko ke, nayiphi na kushenxwe kumgangatho ofunekayo kungabangela ezahlukahlukeneyo iingxaki. Masiqonde kutheni potassium egazini inyuswe okanye ihliswe, kwaye izinga yintoni na.

Ekuqaleni, cinga ngoko kwathethwa isiqulatho kwezakha njengento eyamkelekileyo.

Kuba indoda kuyingozi kunye nokungabikho kunye potassium kwemfuneko. Ukwanda potassium egazini, ukuba uhlalutyo lubonisa umxholo lweziqalelo mkhondo kwi-plasma, igqithe ixabiso 5.5. Kulo mzekelo, umntu unesifo hyperkalemia.

Kuxhomekeka inani "okugqithe" potassium nomonde ukuze aphuhlise:

1. Ukushwabana kwezihlunu kwezihlunu. Le meko kunokuba yinto nje yokwexeshana. Uphelekwa ubuthathaka jikelele.
2. arrhythmias inhliziyo. Isigulane kubonakale paroxysmal tachycardia ventricular kunye nezinye imeko krakra ngokulinganayo. Ezinye zazo nga nokuba kukhokelela ekufeni.
3. Ukophulwa kwalo msebenzi yokuphefumla, ukuya engetelekeke.

izizathu lobuxoki ngenxa yokwanda

Ngoko kutheni potassium kwanda egazini singabonakala? Izinto ezibangela le meko yinyaniso okanye bubuxoki. Ngomhla wokuqala, siza kuthetha kamva. Kwaye ngoku khangela kweziphi iimeko uncedo ukubonisa hyperkalemia lobuxoki. Bonke bephela zinxulunyaniswa kakuhle isampuli yegazi buciko.

Uhlalutyo unakho bonisa umxholo elingakumbi potassium, apho:

• zamagxa ixesha elide iye zixinaniswe yokubopha (imizuzu ngaphezu 2-3);
• izinto eziphilayo egcinwe ngendlela engeyiyo;
• isampulu yegazi kwenzeka emva kokungena amalungiselelo potassium umzimba;
• ngexesha hlalutyo kulimale Vienna;
• isigulana izinga ziiseli zegazi ezimhlophe, neeplatelets.

Ukuba ugqirha uthandabuzayo iziphumo zophononongo, isigulane Kucetyiswa ukuba kuliwe uvavanyo.

Izizathu

Ngoku ukuba owona mthombo, apho kukho kwenqanaba potassium egazini. Izizathu inokuba ngenxa yempembelelo iimeko zangaphandle kuba sisiphumo ezimbi zangaphakathi.

Ngokufuthi imithombo hyperkalemia ziquka:

1. iimveliso kakubi kakhulu equlathe izixa ezikhulu potassium. ukutya okunjalo ezifana amandongomane, cauliflower, iziqhamo ezomisiweyo, amakhowa, nembeleko, iibhanana, ikhuthaza sakhi kwi plasma yegazi. Noko ke, imeko zophendlo lwezifo kunokwenzeka kuphela xa isigulane sele kakuhle umsebenzi kwezintso, ingakumbi umsebenzi excretory.
2. bodwa olufunekayo weeseli potassium. ngokutsha okunjalo ion nga masikhokelwe zezigulo ezahlukeneyo emzimbeni. Kwiimeko ezininzi, iimpawu ezo ezayibona isiqulatho aphantsi insulin, ukwanda glucose yoxinaniso, asidi (Ukuba muncu fluid Embi). Ukusilela kweenkqubo pathways, apho kuphuma khona ulwelo kwi-potassium intercellular, kufuneka iqatshelwe ukubola kwingxelo ithumba, ukutsha kakhulu, umonakalo omkhulu Imisonto kwezihlunu.
3. kukhuthaza Low womchamo. Unobangela iphambili yale state - kukho ukusilela kwezintso apho ukusilela banesifo imisebenzi excretory. isenzeko esibi nga masikhokelwe kunye nezinye izifo. Hyperkalemia kaninzi kwenzeka sizoku lwisana insufficiency adrenocortical, nephropathy seswekile, izifo ezicwangcisiweyo (ezifana lupus, amyloidosis).

kubangela imithi

Kukho omnye umthombo, nto leyo ekhokelele ogqirha bathi potassium kwi yegazi eyonyukileyo. Izinto ezibangela le meko efihliweyo kwisicelo ngamalungiselelo ezithile zonyango. Nceda uqaphele ukuba ezinye amayeza badla ukuvelisa iimpawu kunokuba ezingemnandi.

Hyperkalemia zingabangela:

1. NSAIDs.
2. womchamo potassium-ungayekwa, "Triamterene", "Spironolokton".
3. Substances ukuba xi eliphezulu ukuse-. Oku ezahlukeneyo izityalo umba, milkweed, edandelion.
4. Imithi ukuba ukuphazamisa potassium yothutho kwiseli ndizayo. La machiza glycosides kwentliziyo, beta-blocker, amayeza "Mannitol".
5. Nokunciphisa ukukhululwa aldosterone. Oku amayeza nokubola, ACE blocker iziyobisi "lweeHedfowuni".

Zimpawu uphawu

ayichaze ezibangela potassium ophezulu kwi-plasma egazini kunokuba ngugqirha. Kodwa ke isigulane kufuneka ahlawule ingqalelo imikhondo ukuba umzimba alatha ingxaki.

Xa hyperkalemia isiguli ezi mpawu zilandelayo:

• ukungahlaliseki, ukuba nochuku, uvalo, ixhala, ukubila lweenkcukacha;
• izifo sisiba mandundu imisipha-luvo, buthathaka kwezihlunu kubonakala;
• arrhythmia kwenzeka cardiopsychoneurosis ;
• kukho ukushwabana kwezihlunu imisipha;
• miseka kwesisu, isigulana ubunzima amahlaba;
• Kubonakala dysuria (oko ophilisayo yenkqubo).

iindlela isifo

Ukuchonga umxholo eliphezulu potassium egazini nga kuphela izifundo laboratory.

Kuba lokufunyaniswa izigulane ezimiselweyo ezi mvavanyo:

1. Blood lomnikelo. Ummiselo na okuqulethwe 3.5-5.5 mmol / L in serum. Phambi kokuba umxholo Ukuqwalaselwa esi sifo landa.
2. Urinalysis. Ukuhlola uyondelelwano lwee- potassium yona Imveliso esuka emzimbeni.
3. ECG. Pathology ibonisa awo ukwanda lencinibakazi T, i evuthelweyo ventricular ezintsonkothileyo.

unyango lwezifo

Khumbula, oku kakhulu zikwimeko kakhulu, ngaphandle kokuba isigulane sine-potassium ukwanda egazini. Oonobangela kunye nonyango esi sifo aphathwe ngokwaneleyo kuphela yincutshe.

Ukongeza, hyperkalemia kakhulu kunokukhokelela flow njengoko kuchaziwe apha ngasentla, ukuba yingozi imeko yabantu: ekubanjweni okanye intliziyo sokuphefumla. Kungenxa yoko le nto unyango iqalwa ngokukhawuleza isigulane eso.

Therapy kuquka le misebenzi ilandelayo:

1. Emthanjeni abamelene potassium alawulwa. Ngokungqongqo ukulawula umsebenzi kwentliziyo, ugqirha Inika "calcium gluconate".
2. Lokwabiwa zesiqinisekiso ngaphakathi iiseli. Oku kunciphisa eyavela igazi. Ukulungiselela iinjongo ezinjalo, iziyobisi efakwa, "insulin" yaye "glucose".
3. Ukugcinwa potassium eqhelekileyo kwazona Umchamo. Ezicetyiswayo womchamo thiazide ezifana amayeza "Furosemide".
4. Dialysis. Ukusebenzisa umatshini okhethekileyo ococa igazi. Esi siganeko eboniswe sisifo esibi.
5. Laxatives iziyobisi, nentlaka ion exchange. Ezi zixhobo zijolise zesiqinisekiso ukulibaziseka emathunjini kunye neziphumo ukuba endleni.
6. Beta-biomimetics. Drug "Salbutamol" ivuselela intshukumo potassium kwizisele.

icebiso elibalulekileyo

Kodwa khumbula: kubalulekile ukuba ukuseka kuyinyaniso ukuba wafunyaniswa potassium ukwanda egazini, izizathu kwimeko enjalo. Ngapha koko, kuyimfuneko ukumelana nesi sifo engundoqo kunokuba iimpawu zayo. Ukuba ukugula nomsindo ulwamkelo amayeza, ugqirha uza ukwehlisa isikali nokuba ibhangisa iziyobisi wavusa ngezifo. Ukongeza, izigulane Kucetyiswa ukutya, nto leyo ethetha bucala ukutya equlathe enamanani amakhulu le zesiqinisekiso.