Mea Kākau: Clyde Lopez
Lā O Ka Hana: 18 Iulai 2021
HōʻAno Hou I Ka Lā: 16 Nowemapa 2024
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Ana kēia hōʻike i ka nui o ka pāhare potassium i ka mahele wai (serum) o ke koko. Kōkua ka potassium (K +) i nā aʻalolo a me nā mākala e kamaʻilio. Mālama pū kekahi ia i ka neʻe ʻana i nā meaola i loko o nā hunaola a hoʻoneoneo i nā huahana mai nā hunaola.

ʻO ka pae potassium i ke kino ka mālama nui ʻia e ka hormone aldosterone.

Pono kahi laʻana koko. ʻO ka hapanui o ka manawa e huki ʻia ke koko mai kahi aa i waiho ʻia ma loko o ka kuʻe lima a i ʻole ka hope o ka lima.

Hiki i nā lāʻau he nui ke hoʻopilikia i nā hopena hōʻike koko.

  • E haʻi aku kāu mea mālama ola inā pono ʻoe e hōʻoki i ka lawe ʻana i nā lāʻau i mua o ka loaʻa ʻana o kēia hōʻike.
  • Mai kū a hoʻololi paha i kāu mau lāʻau me ke kamaʻilio ʻole mua ʻana i kāu mea hāʻawi.

Hiki paha iā ʻoe ke ʻeha iki a i ʻole ke kuʻi ke hoʻokomo ʻia o ka nila. Hiki paha iā ʻoe ke hāwele i kahi kani ma ka pūnaewele ma hope o ka huki ʻia ʻana o ke koko.

ʻO kēia hōʻike kahi ʻāpana maʻamau o ka paneli metabolite maʻamau a ākea paha.

Loaʻa paha iā ʻoe kēia hōʻike e hōʻoia a nānā i nā maʻi puʻupaʻa. ʻO ke kumu maʻamau o ke kiʻekiʻe o ka pae potassium koko ka maʻi maʻi maʻi.


He mea nui ka potassium i ka hana naʻau.

  • E kauoha paha kāu mea hāʻawi i kēia hoʻāʻo inā loaʻa iā ʻoe nā hōʻailona o ke koko kiʻekiʻe a i ʻole nā ​​pilikia puʻuwai.
  • Hiki i nā loli liʻiliʻi i nā pae potassium ke hopena i ka hana o nā aʻa a me nā mākala, ʻo ka puʻuwai.
  • Hiki i nā pae haʻahaʻa o ka potassium ke alakaʻi i kahi puʻuwai kūlike ʻole a i ʻole nā ​​hana uila uila o ka puʻuwai.
  • ʻO nā pae kiʻekiʻe ke kumu e hoʻemi ai i ka hana puʻuwai puʻuwai.
  • Hiki i nā kūlana ʻē aʻe ke alakaʻi i nā pilikia puʻuwai hoʻoweliweli ola.

Pēlā paha e hana inā manaʻo kāu mea hāʻawi i ka acidosis metabolic (e laʻa me ke kumu o ka maʻi diabolo ʻole) a i ʻole alkalosis (e laʻa me ka luaʻi nui)

I kekahi manawa, hana ʻia paha ka hoʻāʻo potasiuma i ka poʻe e hoʻouka nei i ka lōlō.

ʻO ka laulā maʻamau he 3.7 a 5.2 milliequivalents i kēlā me kēia lita (mEq / L) 3.70 a 5.20 millimoles i kēlā me kēia lita (millimol / L).

Hiki ke loli iki nā pae waiwai maʻamau i waena o nā hale hana ʻokoʻa. E kamaʻilio i kāu mea hāʻawi e pili ana i ke ʻano o kāu mau hopena hōʻike.


Hōʻike nā hiʻohiʻona ma luna i nā ana maʻamau no nā hopena no kēia mau hoʻāʻo. Hoʻohana kekahi mau keʻena hoʻokolohua i nā ana like ʻole a i ʻole hoʻokolohua i nā hoʻohālikelike like ʻole.

ʻO nā pae kiʻekiʻe o ka potassium (hyperkalemia) ma muli o:

  • Addison maʻi (pohihihi)
  • Hoʻohuli koko
  • ʻO kekahi mau lāʻau e pili ana i ka angiotensin hoʻololi i ka enzyme (ACE) mea kāohi, nā angiotensin receptor blockers (ARBs), a me ka potassium-sparing diuretics spironolactone, amiloride a me triamterene
  • ʻEha ʻaʻeha
  • Ka maʻi palahēhau hyperkalemic
  • Hypoaldosteronism (kākaʻikahi loa)
  • Ka lawa ʻole o ka hakuʻala a i ʻole kūleʻa
  • Metabolic a i ʻole acidosis hanu
  • Ka luku ʻana i ke koko ʻula
  • Nui loa ka potassium i kāu papaʻai

ʻO nā pae haʻahaʻa o ka potassium (hypokalemia) ma muli o:

  • ʻO ka maʻi ahulau kūpilikiʻi ʻole
  • ʻO Cushing maʻi (rare)
  • ʻO nā diuretics e like me hydrochlorothiazide, furosemide, a me indapamide
  • ʻO Hyperaldosteronism
  • Lōkō manawa hypokalemic
  • ʻAʻole lawa ka potassium i ka papaʻai
  • Stenosis
  • Renal tubular acidosis (kākaʻikahi)
  • ʻO ka luaʻi

Inā paʻakikī e hoʻokomo i ka nila i loko o ke aa e lawe i ka laʻana o ke koko, hōʻeha i nā ʻulaʻula koko ke kumu e hoʻokuʻu ʻia ai ka potassium. Hiki i kēia ke kumu i kahi hopena kiʻekiʻe wahaheʻe.


Hōʻike Hypokalemia; K +

  • 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.

Patney V, Whaley-Connell A. Hypokalemia a me hyperkalemia. I: Lerma EV, Pākuʻi MA, Topf JM, eds. Nā mea huna o nephology. ʻEhā ed. Piladelapia, PA: Elsevier; 2019: chap 74.

ʻO Seifter JR. Nā maʻi Potassium. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 117.

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