Kuwandisa kwe potassium mu plasma yeropa kunotungamirira kukurudzirwa kwezvinetso zvakasiyana-siyana. Zviratidzo zve hyperkalemia zvakangwara, saka hazvisi nyore kuziva chirwere munguva. Kune nzira mbiri dzakarurama dzekuziva hyperkalemia - ECG uye kuongorora ropa.
Zvinonyanya kukonzera hyperkalemia
Kuwedzeredza kwe potassium muzvokudya kunokonzera hyperkalemia zvikuru kazhinji. Mumuviri wedu unokwanisa kudzora kuwanda kwema macronutrient anotorwa kubva kuzvokudya, uye kana potasium yakawandisa, haingatori izvo, nekukurumidza kubvisa iyo nemuyo. Saka, kana kuongororwa ropa kuchiratidzira K zvinokwana 5.5 mmol neawa imwe chete, kazhinji mafungiro anokundikana kurarama nebasa racho. Zvechokwadi, kana chirwere chacho chisina kukonzerwa nekutora mamwe mishonga.
Mimwe mhando yemishonga inokurudzira kusunungurwa kwe potassium kubva kumasero emuviri wedu kusvika munzvimbo ye intercellular, iyo inotungamirirawo ku hyperkalemia. Chokutanga, tinotaura nezve beta-blockers, madhiragi ekurapa pneumonia mune varwere veAIDS, Trimethoprim, Pentamidine uye mamwe mishonga.
Kakawanda kuwedzera kwehupamhi ye potassium kunobatanidza nezvirwere zvakadaro zvemuviri mukati:
- leukemia uye leukocytosis ;
- nephrite;
- chikoro-cell anemia;
- nephropathy;
- kuvharwa kwemashoko emuguta;
- glycoside inxication;
- metabolic acidosis;
- tumor disintegration syndrome;
- mhuri ye hyperkalemic periodic paralysis.
Uyezve, hyperkalemia inogona kukura nehutachiwana uye kushingaira muviri. Uyezve, mune zvekupedzisira, kutevera acute hyperkalemia, isingaperi hypokalemia inowanzoitika.
Zviratidzo zve hyperkalemia
Kuwedzerwa kwe potassium muropa kunogona kuratidzwa nezviratidzo zvakadaro:
- kunetseka;
- moyo rhythm disorder;
- general malaise;
- headaches;
- misuli spasms;
- kutora marwadzo mumisungo;
- kusava nenzara;
- kugara uchicheka;
- nausea.
Izvi zviratidzo zve hyperkalemia hazvisi nguva dzose dzinooneka uye kwete dzose. Tingaziva sei chirwere ichi munyaya iyi?
Kazhinji, ne hyperkalemia, pane zvinoreva chimiro chechimiro chakafanana nekushaya simba kwepfungwa uye kushaya kuputika. Kana zvakaoma iwe kunyange kuunza mukombe pamiromo yako, kana kuti diaphragm haina kuwira pasi zvakaringana kuti inotora kufema kwakadzika, inodzivisa kutora mapapu akazara emhepo, izvi zvinoratidza chirwere.
Nemhaka yekuti potassium iri muropa inobata zvakananga kushanda kwemuviri wemutsipa, zvakanaka kwazvo hyperkalemia inoonekwa paEECG . Nekubatsira kwechirwere chemhepo zvinokwanisika kuziva zvose zvakapfurikidza nekushayikwa kweizvi kusarudzwa. Zviratidzo zve hyperkalemia paEECG zvinonyanya kuonekwa mumatenho eT anotsanangurwa. Uku ndiko uchapupu hwehutano hwakanaka. Kana chirwere chacho chapfuura nepakati pepakati, nguva yePQ inowedzera pamwoyo uye chirongwa cheQRS chinowedzera. Panguva imwechete AV-inobata zvishoma nezvishoma uye, mumatambudziko akaoma, zino reP. rinonyangarika.Vhevha yakafanana inotanga kufanana ne sinusoid. In the
Ne hypokalemia cardiologists vachaona mufananidzo wakasiyana-siyana - zino T flattenes uye kukwidzika kweDzino rinowedzera.Kuine rubatsiro rwechirwere chemwoyo kuti kuongororwa kwechirwere ichi nyore nyore kuziva. Kunyange kuongororwa ropa hakusi nguva dzose chisimbiso chechirwere. Ichokwadi ndechokuti neropa sampuli, nhema hyperkalemia inowanzoonekwa. Sezvo kuongororwa kunotorwa kubva mumhino, ndiko kushungurudzika kwakanakira muviri, uye potasium yakavanzwa kubva mumasero asingabatanidzi mukati memutero we-intercellular. Uyewo, chikonzero chekuwedzera kwechikamu chechikamu-muropa chinogona kunge chiitiko chinotaridzika paruoko, kana zvipfeko zvakaoma zvakanyanya.