Potassium amatha kuchepetsa kuthamanga kwa magazi nthawi zambiri amanyalanyazidwa
Kuthamanga kwa magazi, (kapena kuthamanga kwambiri kwa magazi) ndi chimodzi mwa matenda omwe amafala kwambiri. Choncho ndi vuto lachipatala. Malingana ndi Centers for Disease Control (CDC), kufalikira kwa matenda akuluakulu pakati pa anthu achikulire a ku America a zaka 18 ndi kupitirira anali oposa 29.1 peresenti mu 2011-2012. Padziko lonse, kufalikira kwowonjezera kwa kukwera kwa magazi kwa anthu achikulire omwe ali ndi zaka 25 ndi kupitirira kunali pafupifupi 40 peresenti mu 2008.
Kupitirizabe kuthamanga kwa magazi kumakhala ndi zotsatira zoopsa, zomwe zimachititsa kuti pakhale ngozi yowonongeka, matenda a mtima, kuphwanya kwa impso, etc. Chithandizo cha kuthamanga kwambiri kwa magazi ndi gawo lopanda kusintha, zomwe zinayambira pafupifupi zaka zana zapitazo.
Mbiri Yachidule Yokhudzana ndi Kuthamanga kwa Mthupi
Zili zovuta kuganiza kuti njira yamakono yowunikira magazi yakhala ikuzungulira kwa zaka zoposa 100 (pamene Dr Kortokoff, dokotala wa opaleshoni wa ku Russia, adafotokoza njirayi mu ndime imodzi). Ngakhale kuti tikhoza kuyeza kuthamanga kwa magazi, palibe amene amadziwa kuti kuthamanga kwa magazi kumakhala koyenera. Pambuyo pake, maphunziro owerengera anthu anachitidwa kuti ayankhe funsolo. Podziwa zimenezi, kudziƔa kuti kuthamanga kwamphamvu kwa magazi kungawonjezere ngozi ya mtima ndi matenda opatsirana.
Mwamwayi, kumayambiriro kwa zaka za zana la 20, palibe mankhwala abwino omwe alipo chifukwa cha matenda oopsa. Njira iliyonse yothandizira njira zochepetsera zazing'ono zinalipo phokoso lakale ndi lachilendo masiku ano.
Izi zimaphatikizapo kuika magazi magazi ndi phlebotomy, kapena kudula impso za winawake kuti zibweretse magazi. Ndipotu, kuthamanga kwambiri kwa magazi kunatchulidwa kuti ndi matenda oopsa kwambiri, mawu osokoneza bongo amasonyeza kuti matendawa ndi oopsa ngati khansa.
Mankhwala Amakono Omwe Amayambitsa Kupanikizika Kwambiri kwa Magazi
Masiku ano, madokotala sakufunikiranso kusewera vampire kuti athe kuchiza odwala.
Izi zimakhala chifukwa cha kumvetsetsa bwino kwa thupi lathu la kuthamanga kwa magazi ndi zotsatira za zinthu zina monga zakudya (zomwe zimaphatikizapo electrolytes monga sodium, potaziyamu, ndi zina). Monga mavuto ambiri, pamene tiphunzira zambiri, mafunso ambiri amakula.
Choncho, munthu wamba akhoza kulakwa kuganiza kuti dokotala wamakono wapanga luso ndi sayansi yakuchiza kuthamanga kwa magazi. Komabe, ngakhale masiku ano, kuchiza matenda oopsa komanso momwe angayambitsire vutoli kumakhalabe nkhani yokhudza kufufuza ndi kukangana. Mmodzi amayenera kuyang'ana ndondomeko zambiri zofalitsidwa ndi mabungwe kuzungulira dziko lonse lapansi ndikuwuza dokotala wamkulu nthawi komanso momwe angachitire kuthamanga kwa magazi. Aliyense amati ndilo mawu otsiriza pa phunziro; ndiko kuti, mpaka langizo lotsatira lidzatuluka. Imodzi mwa njira zomwe anthu ambiri amagwiritsa ntchito ku US ndi madokotala pochiza matenda oopsa kwambiri amatchedwa "Joint National Committee (JNC)".
Kodi Kupanikizika Kwa Magazi Kumayendetsedwa Bwanji?
Tisanamvetse tanthauzo la potaziyamu poyendetsa kuthamanga kwa magazi, nkofunika kuti tiwone mwachidule momwe thupi lathu limagwirira ntchito kuti likhale ndi mphamvu ya magazi. Kutentha kotereku kumaphatikizapo kugwirizana kovuta kwa kayendedwe ka kayendedwe kabwino ka mitsempha yathu, impso, mapuloteni a endocrine omwe amachititsa mahomoni, mtima, mitsempha ya mitsempha, kuchuluka kwa madzi omwe amathamanga mu mitsempha ya magazi, magulu athu a electrolyte, ndi zina zambiri.
Pazinthu zomwe zimawoneka ngati zazing'ono (monga momwe mumanenera kuti, "Kuthamanga kwanga kumathamanga 120/80"), ndizosangalatsa kuzindikira momwe njirayi imapangidwira kugwira ntchito mwangwiro miyoyo yathu yonse kuti tisunge magazi athu kupanikizika kumene kumayenera kukhala.
Electrolytes ndi Hypertension: Potassium
Pankhani ya electrolyte ndi kuthamanga kwa magazi, madokotala ambiri komanso munthu wamba amazindikira udindo wa sodium. Odwala amawombera ndi mauthenga okhudza kudula sodium yawo, ndipo moyenera. Mwamwayi, sitingagwiritse ntchito mokwanira panthawi yomwe tikukambirana zachipatala ponena za phindu la potaziyamu pazipsyinjo za magazi.
Monga tafotokozera apa , potaziyamu ili ndi gawo lofunikira mu thupi laumunthu, ndipo ndi chinthu chofunikira pamoyo. Maselo ake amakhala makamaka ndi impso. Pali deta yomwe imasonyeza kuti kusadya potaziyamu okwanira pa chakudya chathu kungachititse kuwonjezeka kwa magazi, komanso kuonjezera chiopsezo cha matenda a impso komanso kupweteka. Palinso deta kuchokera ku meta-analyzes yomwe inasonyeza kuti kuwonjezeka kwa ma gramu 1.6 pa potaziyamu patsiku kungachepetse chiopsezo cha magawo 21 peresenti. Ndipo ngati mukuvulaza kwambiri vutoli powononga kwambiri mafuta a sodium, ndiye kuti mphamvu ya magazi imakhudzidwa kwambiri. Choncho zikuoneka kuti pokhudzana ndi kuthamanga kwa magazi, potaziyamu ndikuwoneka kuti ndi munthu wabwino.
N'chifukwa Chiyani Mavuto Ochepa a Magazi a Potassium?
Sitikudziwabe pano. Komabe, izi ndizo phunziro la kufufuza mwakhama. Imodzi mwa malingaliro omwe akuphunziridwa ndi potassium amakhudza impso 'kuthetsa sodium kuchokera ku thupi. Tikudziwa kuti chakudya chochepa cha potaziyamu kuchokera ku chakudya chochepa cha potaziyamu chikhoza kuonjezera kubwezeretsedwa kwa sodium mu impso, ndipo zimayambitsa matenda oopsa kwambiri.
Kodi Kudya Zakudya Zapamwamba za Potassium Kungadye Kuchepa kwa Magazi?
Ngakhale mayesero angapo adayankhidwa kuti ayankhe funso ili, kuyesa kwakukulu kwa meta 16 zovuta zomwe zapangitsa kuti zikhale zosavuta kutanthauzira detayo polemba ziwerengero zathu. Choncho tiri ndi umboni wosonyeza kuti kuwonjezeka kwa kudya kwa potaziyamu kungachepetse kuthamanga kwa magazi kwa odwala omwe ali ndi matenda oopsa. Komabe, anthu wamba omwe alibe vuto lakuthamanga kwa magazi sangaone kuchepa komweko. Kumeneko kumawoneka kuti pali mgwirizano pakati pa mlingo ndi zotsatira, momwe anthu omwe ali ndi chiwopsezo chowonjezeka cha kudya kwa potaziyamu (wa 90-120 mEq pa tsiku) akhoza kuona kuchepa kwakukulu kwa magazi.
Zakudya Zapamwamba za Potaziyamu Si Zonse
Musanayambe kutsuka nthochi ndi tomato, chonde tengani mphindi zingapo kuti mukambirane ndi dokotala wanu ngati chakudya chambiri chokha cha potaziyamu chingakhale choyenera kwa inu. Padzakhala anthu omwe zakudya zowonjezera za potaziyamu zingapweteke kwambiri kuposa zomwe zimathandiza. Izi zimaphatikizapo anthu omwe ali ndi matenda a impso, kapena anthu omwe ali ndi mitundu yambiri ya mankhwala a magazi monga angiotensin kusintha mavitamini (ACE) inhibitors kapena spironolactone, komwe zakudya za potaziyamu zowonjezera zingawonjezere chiopsezo chachikulu cha potassium / hyperkalemia. Kwa wodwala wabwino ngakhale, zakudya zowonjezera potaziyamu zingabwere ndi ubwino wamtima, monga momwe deta pamwambapa ikusonyezera.
> Zosowa
> Aburto NJ, Hanson S, Gutierrez H, et al. Zotsatira za kuchuluka kwa potaziyamu zimayambitsa matenda opatsirana mtima ndi matenda: kuwongolera mwatsatanetsatane ndi kulingalira meta. BMJ. 2013 Apr 3; 346: f1378. lembani: 10.1136 / bmj.f1378.
> Araki S, Haneda M, Koya D, et al. Mavitamini a Potassium Okhazikika ndi Osowa ndi Matenda a Mtima M'magulu Omwe Ali ndi Matenda a shuga 2 ndi Ntchito Yachibadwa. Chipatala J Am Soc Nephrol. 2015 Dec 7; 10 (12): 2152-8. lembani: 10.2215 / CJN.00980115. Epub 2015 Nov 12.
> D'Elia L, Barba G, Cappuccio FP, et al. Kupha potaziyamu, kupweteka, ndi matenda a mtima kumaphatikiza kafukufuku wophunzira. J Am Coll Cardiol. 2011 Mar 8; 57 (10): 1210-9. lembani: 10.1016 / j.jacc.2010.09.070.
> James PA, Oparil S, Carter BL, ndi al. Mtsogoleli wotsatiridwa wa 2014 wa Utsogoleri wa Kupanikizika Kwambiri kwa Magazi mu Anthu Achikulire. Kuchokera ku gulu la Panel lomwe laperekedwa ku Komiti yachisanu ndi chitatu yowunikira (JNC 8). JAMA. 2014; 311 (5): 507-520. lembani: 10.1001 / jama.2013.284427
> Yang Q, Liu T, Kuklina EV, et al. Odwala akuluakulu a ku United States akudya ndi sodiyamu ndi sodiyamu: Deta yomwe ingapezedwe kuchokera ku kafukufuku wa kafukufuku wa Third National Health and Nutrition Examination Survey. Arch Intern Med. 2011 Jul 11; 171 (13): 1183-91. lembani: 10.1001 / archinternmed.2011.257.