Popanda potaziyamu, sitidzakhala ndi moyo. Electrolyte imayambitsa ntchito zambiri zofunika pamoyo. Sikuti potasiyamu ndiyo yokhayo yomwe imachititsa kuti muyambe kuyendera madzi mu thupi, imapangitsa mtima kuthamanga, kupweteka kwa minofu, kutsekula m'mimba, ndi mitsempha yanu.
Izi zati, chinthu chabwino kwambiri chingakhale chovulaza. Pamwamba potaziyamu, mankhwala omwe amadziwika kuti hyperkalemia , ndiwowonjezera ma laboratory ambiri.
Matendawa amapangidwa pamene magulu m'magazi ndi aakulu kuposa 5.0 mEq / L. Chochititsa chidwi, anthu ambiri sapeza zizindikiro zilizonse. Akachita, zizindikirozi nthawi zambiri zimakhala zofewa komanso zopanda pake, kuphatikizapo zodandaula zomwe zimachitika monga kutopa komanso kufooka kwathunthu.
Anthu ambiri samadziwa zambiri zokhudza zizindikiro mpaka potaziyamu yawo ifika pa 7.0 mEq / L kapena kuposa. Komabe, zizindikiro zikhoza kuchitika pamunsi ngati potaziyamu imafika pang'onopang'ono. Yang'anirani zizindikiro izi.
Zizindikiro za Neurologic
Kawirikawiri, pali potaziyamu mkati komanso sodium kunja kwa selo iliyonse. Mpweya uwu wa electrolytes umathandiza kuyendetsa mpweya wa sodium potaziyamu ATPase umene ukufunika kuchotsa chochita. Popanda kugwira ntchito, mitsempha sungakhoze kupanga chikoka.
Kuwonjezera pa potaziyamu kunja kwa selo kumasintha kachipangizo ka electrolyte kotero kuti chinthu choyipa chikhoza kuchepa pang'ono, ndipo muzochitika zovuta kwambiri, sizikhoza kuchitika konse.
Pokhudzana ndi mitsempha, izi zingakhudze momwe mwangwiro wanu umayankhira kapena ngakhale momwe matsirizidwe anu amatha kumagwira ntchito.
Chifukwa cha ichi, zizindikiro zomwe anthu ambiri amakhulupirira za hyperkalemia zingaphatikizepo izi:
- Zokonzanso zochepetsedwa
- Kugwiritsa ntchito
- Numbness (wosadziwika)
Zizindikiro za Musculoskeletal
Mitsempha, nayenso, ikhoza kuyambitsa minofu ya minofu-ya mtima, chigoba, kapena yosavuta-kuchitapo kanthu.
Ngati potaziyamu imakhudza zochitika zowonongeka, izo zimasokoneza minofu ntchito.
Minofu ya mafupa, yomwe imatchedwanso minofu yowonongeka, ndiyo minofu yomwe imamangiriza mafupa anu. Amakulolani kuti musunthire manja anu ndi miyendo ndi ziwalo zina za thupi lanu. Minofu yomwe sichilandira mitsempha ya mitsempha ingakhale ndi nthawi yovuta yothetsera kapena ingakhale yofooka.
Zizindikiro za mushuloskeletal za hyperkalemia zingaphatikizepo izi:
- Kufooka kwa minofu
- Kufa ziwalo (zosawerengeka)
Kuwonongeka kwa mabanja nthawi zonse ndi matenda omwe anabadwa nawo omwe amaika anthu pachiopsezo chachikulu chotengera zizindikirozi. Komabe, vutoli ndi losowa, ndipo limakhudza 1 pa anthu 200,000 okha.
Zizindikiro za GI
Minofu yosasuntha imayendetsa thirakiti la GI ndipo ndiyenera kuyendetsa chakudya kuchokera kwa mimba yanu yonse kupyolera mu colon mu njira yotchedwa peristalsis . Pamene mpweya wa potaziyamu uli wamtali, mapuloteni osakanikirana akhoza kukhala ofooka kwambiri kuti asamayendetse kayendetsedwe ka patsogolo kudzera mu timapepala ta GI. Izi zingayambitse kunyoza, kusanza, ndi kumanga mpweya.
Zizindikiro za m'mimba zizindikiro za hyperkalemia zingaphatikizepo izi:
- Gawo la m'mimba ndi bloating
- Nausea
- Kutsekula m'mimba
- Kuwombera (osasowa)
Zizindikiro za Mtima
Mtima umapanga zizindikiro pakati pa maselo otchedwa myocytes.
Zomwe mungathe kuchita ndizofunikira kuti mutumize malingaliro omwe mumagwiritsa ntchito myocytes omwe mumasunga mtima wanu.
Pamene potaziyamu yamagazi ndi yapamwamba kwambiri, zitsulo za mtima sizingakhale zolimba zokwanira kupaka magazi okwanira kuchokera mumtima kupita ku ubongo ndi ziwalo zina. Kuthamanga kwa mtima kungathenso kuchepetsedwa kuchokera ku kuwombera kuchedwa kwa zomwe zingatheke.
Mwanjira imeneyo, nyimbo zachilendo zowonjezereka zingathe kukhalanso. Malingana ndi arrhythmia, izi zingakhale zoopsa pangozi.
Zizindikiro za mtima wa hyperkalemia zingakhale monga:
- Kuthamanga kwa mtima pang'ono
- Palpitations ndi mtima arrhythmia
- Kupweteka pachifuwa
- Kumangidwa kwa mtima (osasowa)
Nthawi Yomwe Muwone Dokotala
Kumbukirani kuti anthu ambiri samakhala ndi zizindikiro mpaka potaziyamu ili pamwamba pa 7.0 mEq / L. Ngati mukukulitsa zizindikiro zilizonse pamwambapa, makamaka pa machitidwe osiyanasiyana a thupi, mukhoza kukhala ndi potassium kwambiri.
Mukulimbikitsidwa kuti muzichita zinthu molimbika komanso mukumane ndi dokotala wanu kuti muyese. Nthawi zambiri hyperkalemia imapezedwa mwazidzidzi pa ntchito ya magazi . Zikatero, dokotala wanu akhoza kubwereza ma labbi anu ndikutsatiridwa ndi mayeso aliwonse oyenerera.
> Zotsatira:
> Karmacharya P, Poudel DR, Pathak R, Rettew A, Alweis R. Wopanga Hyperkalemia Yotsogolera ku Kufa kwa Flaccid: Kubwereza kwa Maonekedwe a Hyperkalemic. J Community Hosp Intern Med Perspect. 2015; 5 (3): 10.3402 / jchimp.v5.27993.
> Lewis JL. Hyperkalemia. Merck Manual: Professional Version. Idasinthidwa April 2016. https://www.merckmanuals.com/professional/endocrine-and-metabolic-disorders/electrolyte-disorders/hyperkalemia.
> Phiri la DB. Maonekedwe a Hyperkalemia mwa Achikulire. Mu: Forman JP (ed), UpToDate (Internet) , Waltham, MA. Idasinthidwa 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/.