Hōʻike koko Sodium

ʻO ke kaomi koko sodium e ana ai i ka paʻa o ka sodium i loko o ke koko.

Hiki ke ana ʻia ka Sodium me ka hoʻāʻo ʻana i ka mimi.

Pono kahi laʻana koko.

E haʻi paha kāu mea mālama ola iā ʻoe e kū iki i ka lawe ʻana i nā lāʻau e hiki ai ke hoʻololi i ka hōʻike. Pākuʻi ʻia kēia mau mea:

• Nā Antibiotics
• Nā Antidepressants
• ʻO kekahi o nā lāʻau lapaʻau kiʻekiʻe
• Likiuma
• Nā lāʻau anti-inflammatory nonsteroidal (NSAIDs)
• Pila wai (diuretics)

Mai hōʻoki i ka lawe ʻana i kekahi lāʻau i mua o ke kamaʻilio ʻana i kāu mea hāʻawi.

Ke hoʻokomo ʻia ke kui kele e huki i ke koko, manaʻo kekahi poʻe i ka ʻeha kaulike. ʻIke wale kekahi i kahi ʻōniʻu a i ʻole kui. Ma hope, loaʻa paha i kahi kūpikipiki a i ʻole ʻeha iki. Hele koke kēia.

ʻO Sodium kahi mea e pono ai i ke kino e hana pono. Loaʻa ka Sodium i ka hapa nui o nā meaʻai. ʻO ka sodium ʻo ka paʻakai koleka pinepine, ʻo ia ka paʻakai pākaukau.

Hana pinepine ʻia kēia hōʻike ma ke ʻano he ʻāpana o kahi electrolyte a i ʻole ke hoʻāʻo ʻana o ka papa metabolic kumu.

Hōʻike kou pae sodium sodium i ke kaulike ma waena o ka sodium a me ka wai i loko o ka meaʻai a me nā mea inu āu e ʻai ai a me ka nui o kāu mimi. Ua nalowale kahi liʻiliʻi ma o ka pahu a me ka hou.

Hiki i nā mea he nui ke hoʻopili i kēia kaulike. E kauoha paha kāu mea hāʻawi i kēia hoʻāʻo inā ʻoe:

• Ua loaʻa he ʻeha i kēia manawa, ʻoki kino, a i ʻole maʻi koʻikoʻi
• E hoʻopau i ka nui o ka paʻakai a wai paha
• Loaʻa i nā wai hoʻoipoipo (IV)
• E lawe i nā diuretics (nā pila wai) a i ʻole nā ​​lāʻau ʻē aʻe, e like me ka aldosterone hormone

ʻO ka pae maʻamau no nā pae sodium kahe ʻo 135 a 145 mau milliequivalents i kēlā me kēia lita (mEq / L).

Hiki ke loli iki nā pae waiwai maʻamau i waena o nā hale hana ʻokoʻa. Hoʻohana kekahi mau labs i nā ana like ʻole a i ʻole nā ​​hoʻāʻo i nā laʻana like ʻole. E kamaʻilio i kāu mea hāʻawi e pili ana i ke ʻano o kāu mau hopena hōʻike.

Hiki i kahi pae sodium paʻamau ma muli o nā ʻano like ʻole.

ʻO ke kiʻekiʻe ʻoi loa ma mua o ka pae sodium maʻamau i kapa ʻia ʻo hypernatremia. Pili paha ia i:

• Nā pilikia Adrenal gland e like me Cushing syndrome a i ʻole hyperaldosteronism
• Diabetes insipidus (ʻano diabetes e hiki ʻole ai i nā puʻupaʻa ke mālama i ka wai)
• Hoʻonui i ka lilo o ka wai ma muli o ka nui o ka sweating, diarrhea, a i ʻole ke kuni
  
• Nui ka paʻakai a i ʻole ka sodium bicarbonate i ka papaʻai
• Hoʻohana o kekahi mau lāʻau, e laʻa me nā corticosteroids, laxatives, lithium, a me nā lāʻau e like me ibuprofen a naproxen

ʻO ka haʻahaʻa ma mua o ka pae sodium maʻamau i kapa ʻia ʻo hyponatremia. Pili paha ia i:

• ʻAʻole lawa nā adrenal adrenal o kā lākou mau hormones (maʻi Addison)
• Kūkulu i ka mimi o ka ʻōpala huahana mai ka haki momona (ketonuria)
• Kiʻekiʻe pae kō kō (hyperglycemia)
• Lever triglyceride koko kiʻekiʻe (hypertriglyceridemia)
• Hoʻonui i ka nui o ka wai o ke kino i ʻike ʻia i ka poʻe me ka puʻuwai puʻuwai, kekahi mau maʻi puʻuwai, a i ʻole cirrhosis o ke ake
• Hoʻonui i ka lilo o ka wai mai ke kino, ka luaʻi, a i ʻole ka palahī
• Syndrome o ke kūpono o ka hunaone antidiuretic hormone (hoʻokuʻu ʻia ka hormone antidiuretic mai kahi wahi kūpono ʻole i ke kino)
• ʻO ka nui loa o ka hormon vasopressin
• Pahu thyroid underactive (hypothyroidism)
• Hoʻohana i nā lāʻau e like me diuretics (nā wai wai), morphine, a me nā mea antidepressants serotonin reuptake (SSRI) antidepressants

Aia ka liʻiliʻi o ka makaʻu me ka lawe ʻia o kou koko. ʻOkoʻa nā aʻa a me nā aʻa i ka nui mai kekahi kanaka a i kekahi ʻē aʻe a mai kekahi ʻaoʻao o ke kino i kekahi. ʻOi aku ka paʻakikī o ka lawe ʻana i ke koko mai kekahi poʻe ma mua o nā poʻe ʻē aʻe.

ʻO nā pilikia ʻē aʻe e pili ana i ke kau ʻana o ke koko he liʻiliʻi akā hiki ke hoʻopili ʻia:

• Kahe nui ke koko
• Nā punctures he nui e ʻimi i nā uaua
• Pāleʻale a ʻoluʻolu paha
• Hematoma (hōʻiliʻili koko ma lalo o ka ʻili)
• Maʻiʻaʻai (i iki kamepiula i kēlā me kēia manawa ka ʻili i haki)

Sodium sodium; Sodium - serum

• Hōʻaʻo koko

Al-Awqati Q. Nā maʻi o ka sodium a me ka wai. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 108.

ʻO MS, Briefel G. Ka loiloi ʻana i ka hana o ke kōpaʻa, ka wai, nā electrolytes, a me ke kaulike acid-base. I: McPherson RA, Pincus MR, hua. ʻO kā Henry's Clinical Diagnosis a me Management e nā Laboratory Methods. 23rd Ed. Piladelapia, PA: Elsevier; 2017: chap 14.