Pae potasiuma kiʻekiʻe

ʻO ka pae potassium kiʻekiʻe kahi pilikia kahi i ʻoi aku ai ka nui o ka potassium i ke koko ma mua o ka maʻamau. ʻO ka inoa lapaʻau o kēia ʻano ʻo hyperkalemia.

Pono ka potassium no ka hana pono ʻana o nā pūnaewele. Loaʻa ʻoe i ka potassium ma o ka meaʻai. Wehe nā kīʻaha i ka nui o ka potassium ma o ka mimi e mālama i ke kaulike kūpono o kēia mineral i ke kino.

Inā ʻaʻole holo pono kāu mau puʻupaʻa, ʻaʻole hiki iā lākou ke hemo i ka nui o ka potassium pono. ʻO ka hopena, hiki i ka potassium ke kūkulu i loko o ke koko. Hiki ke hoʻokumu ʻia kēia kūkulu ʻana i:

• Maʻi Addison - maʻi kahi a nā adrenal glands e hana ʻole ai i nā hormona, hoʻoliʻiliʻi i ka hiki i nā puʻupaʻa ke hemo i ka potassium mai ke kino.
• ʻO nā ahi ma nā wahi nui o ke kino
• ʻO kekahi mau lāʻau hoʻohaʻahaʻa i ke kahe o ke koko, pinepine ka angiotensin-hoʻololi i ka enzyme (ACE) a me nā blockers receptor angiotensin
• Ka hōʻino ʻana i nā mākala a me nā hunaola ʻē aʻe mai kekahi mau lāʻau i ke alanui, ka hōʻino ʻana i ka ʻalekohola, ka hopu ʻana i hana ʻole ʻia, ke ʻoki kino, nā ʻeha ʻeha a hāʻule, kekahi mau chemotherapy, a i ʻole kekahi mau maʻi.
• Nā maʻi i kumu e hū nā huna koko (hemolytic anemia)
• Kahe nui ke kahe mai ka ʻōpū a i ʻole nā ​​ʻōpū
• Lawe i ka potasiuma keu, e like me nā mea pani paʻakai a i ʻole nā ​​mea hoʻohui
• Nā Tumors

ʻAʻohe pinepine nā hōʻailona me kahi pae potassium kiʻekiʻe. Ke hiki mai nā ʻōuli, pili pū paha lākou:

• Nausea a i ʻole ka luaʻi
• Hanu paʻakikī
  
• Pālehu, nāwaliwali, a i ʻole nā ​​pulse kōlehu
• ʻEha ʻeha
  
• Palpitations
  
• E hāʻule koke, ke lohi o ke kuʻi o ka puʻuwai a i ʻole kū hoʻi

E hana ka mea mālama ola i kahi hoʻokolohua kino a nīnau e pili ana i kāu mau hōʻailona.

ʻO nā hoʻokolohua i kauoha ʻia e komo pū:

• Electrocardiogram (ECG)
• Pae pae potassium

E nānā paha kāu mea hāʻawi i kāu pae potassium koko a hana i nā hoʻokolohua koko kolo ma kahi maʻamau inā ʻoe:

• Ua kuhikuhi ʻia i ka potasiuma keu
• Loaʻa i ka maʻi maʻi maʻi lōʻihi (lōʻihi)
• E lawe i nā lāʻau e mālama ai i ka maʻi puʻuwai a i ʻole ke kiʻekiʻe o ke koko
• E hoʻohana i nā paʻakai paʻakai

Pono ʻoe i kahi lapaʻau pōpilikia inā kiʻekiʻe loa kāu pae potassium, a i ʻole he mau hōʻailona weliweli paha ʻoe, e like me nā loli i kāu ECG.

Pākuʻi ʻia paha i ka hoʻoponopono ulia pōpilikia:

• Hāʻawi ʻia ka calcium i loko o kāu mau uaua (IV) e mālama i nā mākala a me nā hopena puʻuwai o nā pae potassium kiʻekiʻe
• Hāʻawi ʻia ka Glucose a me ka insulin i loko o kāu mau uaua (IV) e kōkua i ka hoʻohaʻahaʻa ʻana i nā pae potassium i lawa ka lōʻihi e hoʻoponopono ai i ke kumu
• ʻO ka dialysis kidney inā maikaʻi ʻole kāu hakuʻala
• Nā lāʻau i kōkua i ka hemo ʻana i ka potassium mai nā ʻōpū ma mua o ke komo ʻana
• ʻO Sodium bicarbonate inā hopena ka pilikia e ka acidosis
• ʻO kekahi mau pila wai (diuretics) e hoʻonui i ka excretion o ka potassium e kāu mau puʻupaʻa

Hiki i nā loli i kāu papaʻai ke kōkua i ka pale a mālama ʻana i nā pae potassium kiʻekiʻe. E noi ʻia ʻoe e:

• Palena a pale paha i ka asparagus, avocados, kaʻuala, ʻōmato a i ʻole kohu kōmato, squash hoʻoilo, ʻumeke, a me ka milo kuke
• Palena a pale paha i nā ʻalani a me ka wai ʻalani, nectarines, kiwifruit, raisins, a i ʻole nā ​​hua maloʻo ʻē aʻe, maiʻa, cantaloupe, meli, prunes, a me nectarines
• Palena a pale paha i ka lawe ʻana i nā mea pani o ka paʻakai ke noi ʻia ʻoe e hāhai i ka papa paʻakai haʻahaʻa

Hiki i kāu mea hāʻawi ke hoʻololi i kāu mau lāʻau:

• Hoʻoemi a hōʻoki paha i nā pākuʻi potassium
• Kū a hoʻololi paha i nā kaukana o nā lāʻau āu e lawe nei, e like me nā mea no ka maʻi puʻuwai a me ke koko kiʻekiʻe
• E lawe i kahi ʻano o ka pila o ka wai e hoʻoliʻiliʻi i ka pae potassium a me nā wai inā loaʻa ʻole iā ʻoe ka haku maʻi ʻole

E hāhai i nā ʻaoʻao a kāu mea hāʻawi i ka lawe ʻana i kāu lāʻau.

• Mai kū a hoʻomaka i ka lawe ʻana i nā lāʻau me ka ʻole e kamaʻilio mua me kāu mea hāʻawi
• E lawe i kāu mau lāʻau i ka manawa
• E haʻi i kāu mea hoʻolako e pili ana i nā lāʻau ʻē aʻe, nā wikamina, a i ʻole nā ​​mea hoʻopihapiha āu e lawe nei

Inā ʻike ʻia ke kumu, e like me ka nui o ka potassium i ka papaʻai, maikaʻi ka nānā i ka wā e hoʻoponopono ai ka pilikia. I nā hihia koʻikoʻi a i ʻole nā ​​mea me nā kumu pilikia, e hoʻi hou paha ka potassium kiʻekiʻe.

Komo pū nā pilikia:

• Kū koke ka puʻuwai i ka pā ʻana (ka hopu ʻana i ka naʻau)
• Nawaliwali
• Hewa ʻole nā ​​hakuʻala

Kāhea koke aku i kāu mea hāʻawi inā loaʻa ka luaʻi, palpitations, nāwaliwali, a paʻakikī paha i ka hanu ʻana, a inā ʻoe e lawe nei i kahi pāʻina potassium a loaʻa nā hōʻailona o ka potassium kiʻekiʻe.

Hyperkalemia; Potassium - kiʻekiʻe; Pāʻali koko kiʻekiʻe

• Hōʻaʻo koko

Mauna DB. Nā maʻi o ke kaulike potassium. I: Skorecki K, Chertow GM, Marsden PA, Taal MW, Yu ASL, eds. ʻO Brenner a me Rector's The Kidney. 10 o ka lā. Piladelapia, PA: Elsevier; 2016: chap 18.

Seifter JL. Nā maʻi Potassium. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 109.