Pehea e hoʻohaʻahaʻa ai i kāu pae pae potasiuma

Anter

• Hōʻike Overview
• Lapaʻau hyperkalemia
• Lapaʻau hyperkalemia maʻi
• Nā ʻano o nā lāʻau
• ʻO Diuretics
• Nā mea paʻa potassium
• Hoʻololi i nā lāʻau
• Hoʻololi nā meaʻai
• Lawe aku

Hōʻike Overview

ʻO ke ʻano ʻo Hyperkalemia ʻoi aku ka kiʻekiʻe o nā pae potassium i kou koko.

Kū pinepine ka potassium kiʻekiʻe i nā poʻe me nā maʻi puʻupuʻu mau (CKD). ʻO kēia ke kuleana o nā puʻupaʻa no ka hoʻolei ʻana i ka nui o ka potassium a me nā electrolytes e like me ka paʻakai.

ʻO nā kumu ʻē aʻe o hyperkalemia me:

• acidosis metabolic
• ʻehaʻeha
• kekahi mau lāʻau

ʻAʻohe o nā hōʻailona maʻa mau iā Hyperkalemia.

E ʻike ai i kāu pae potasiuma, e kauoha kāu kauka olakino i kahi hoʻokolohua koko. Wahi a ka National Kidney Foundation, kahi pae pālolo o ke koko ma mua o 5 mmol / L e hōʻike ana i ka hyperkalemia.

Hiki ke hoʻoweliweli i ke ola hyperkalemia i mālama ʻole ʻia, e hopena ai i nā puʻuwai puʻuwai kūlike ʻole a i ʻole kūleʻa o ka puʻuwai.

He mea nui e ukali i ka ʻōlelo aʻo a kāu mea mālama ola a hana i nā hana e hoʻohaʻahaʻa ai i kāu mau pae potassium.

E pili ana kāu mālama ʻana i:

• pehea ka nui o kou hyperkalemia
• ka wikiwiki o ka hiki ʻana mai
• he aha ke kumu

Eia kekahi mau ala hiki iā ʻoe ke hoʻohaʻahaʻa i kāu mau pae potassium o ke koko.

Lapaʻau hyperkalemia

Hoʻokumu ka hyperkalemia huikau ma kahi o kekahi mau hola a i hoʻokahi lā. He pilikia olakino ia e koi ai i ka lāʻau lapaʻau i ka haukapila.

Ma ka haukapila, e holo kāu kauka a me nā kahu hānai i nā hoʻokolohua, me kahi electrocardiogram e nānā ai i kou puʻuwai.

E pili ana kāu mālama ʻana i ke kumu a me ke koʻikoʻi o kāu hyperkalemia. Pākuʻi paha kēia i ka hoʻoneʻe ʻana i ka potassium mai kou koko me nā mea paʻa potassium, diuretics, a i ʻole nā ​​hihia koʻikoʻi, dialysis.

Hoʻopili pū kekahi me ka hoʻohana ʻana i ka hoʻohui ʻana o ka insulin intravenous, me ka glucose, albuterol, a me ka sodium bicarbonate. Kōkua kēia i ka neʻe ʻana i ka potassium mai kou koko i kāu mau hunaola.

Hiki iā ia ke mālama i ka acidosis metabolic, kahi ʻano maʻamau e pili pū ana me ka CKD, i kū ʻia ke nui ka nui o ka waikawa i loko o kou koko.

Lapaʻau hyperkalemia maʻi

ʻO ka hyperkalemia maʻi, e ulu ana i loko o mau pule a mau mahina paha, hiki ke mālama ʻia ma waho o ka haukapila.

ʻO ka mālama ʻana i ka hyperkalemia mau e pili ana i nā loli i kāu papaʻai, nā loli i kāu lāʻau, a i ʻole ka hoʻomaka ʻana i kahi lāʻau e like me nā mea pāhare potassium.

E nānā pono ʻoe a me kāu kahu mālama i kāu pae potassium.

Nā ʻano o nā lāʻau

ʻO nā diuretics a me nā mea hoʻopaʻa potassium he ʻano maʻamau o nā lāʻau e hiki ke mālama i ka hyperkalemia.

ʻO Diuretics

Hoʻonui ka diuretics i ke kahe o ka wai, sodium, a me nā electrolytes e like me ka potassium mai ke kino. He mahele maʻamau lākou no ka hyperkalemia ākea a me ka maʻi mau. Hiki i nā diuretics ke hoʻemi i ka pehu a me ke kahe o ke koko, akā hiki iā lākou ke kumu i ka make wai a me nā hopena ʻē aʻe.

Nā mea paʻa potassium

Hana nā mea paʻa potassium e mālama iā hyperkalemia ma ka hoʻonui ʻana i ka nui o ka potassium e puka i waho kou kino ma o ka ʻōpū.

Nui a hewahewa nā ʻano pāhare potassium e kuhikuhi ʻia e kāu kauka, e like me:

• sodium polystyrene sulfonate (SPS)
• kalipuna polystyrene sulfonate (CPS)
• paukū (Veltassa)
• sodium zirconium cyclosilicate (Lokelma)

ʻO Patiromer a me sodium zirconium cyclosilicate ʻelua mau hana hou no ka hyperkalemia. ʻO kēia mau koho ʻelua he koho kūpono paha ia no nā poʻe me ka maʻi puʻuwai a i ʻole ka maʻi diabetes, no ka mea hiki iā lākou ke hoʻomau i ka hoʻohana ʻana i kekahi mau lāʻau e hiki ai i ka hyperkalemia.

Hoʻololi i nā lāʻau

Hiki i kekahi mau lāʻau i kekahi manawa ke kumu i ka hyperkalemia. ʻO nā lāʻau lapaʻau kiʻekiʻe ke koko i ʻike ʻia ma ke ʻano he renin-angiotensin-aldolone ʻōnaehana (RAAS) nā mea kāohi hiki i kekahi manawa ke alakaʻi i nā pae potassium kiʻekiʻe.

ʻO nā lāʻau ʻē aʻe e pili pū ana me hyperkalemia.

• nā lāʻau anti-inflammatory nonsteroidal (NSAIDs)
• beta-blockers no ke koko kiʻekiʻe
• heparin, he lahilahi koko
• nā mea kūpikipiki helu cineineurin no ka hoʻōla immunosuppressive

ʻO ka lawe ʻana i nā pāʻina potassium hiki ke alakaʻi i nā pae potassium kiʻekiʻe.

He mea nui e kamaʻilio me kāu poʻe lawelawe olakino e pili ana i kekahi a me nā lāʻau āpau a me nā mea hoʻopihapiha āu e lawe ai e kōkua e hoʻoholo i ke kumu o kāu hyperkalemia.

E ʻae pū kēia iā lākou e hana i nā ʻōlelo kūpono no ka hoʻohaʻahaʻa ʻana i kāu potassium.

Inā hopena ʻia kāu hyperkalemia e kahi lāʻau āu e lawe ai i kēia manawa, hiki i kāu kauka olakino ke koi e hoʻololi a kū paha i kēlā lāʻau.

A i ʻole, ʻōlelo paha lākou i kekahi mau hoʻololi i kāu papaʻai a i ʻole ke ala e kuke ai. Inā ʻaʻole kōkua nā loliʻai, kuhikuhi paha lākou i kahi lāʻau hyperkalemia, e like me nā mea paʻa potassium.

Hoʻololi nā meaʻai

Hāʻawi paha kāu kauka olakino i kahi papa pāhare potassium haʻahaʻa e mālama i kāu hyperkalemia.

ʻElua ala maʻalahi e hoʻohaʻahaʻa maoli i ka nui o ka potassium āu e ʻai ai, ʻo ia:

• e hōʻalo nei a i ʻole ka palena ʻana i kekahi mau meaʻai potassium kiʻekiʻe
• e hoʻolapalapa i kekahi mau meaʻai ma mua o kou ʻai ʻana

ʻO nā meaʻai pāhare potassium kiʻekiʻe e kaupalena a pale aku paha i nā:

• nā aʻa aʻa e like me ka beets a me nā greets beet, kalo, parsnips, a me kaʻuala, yams, a me nā ʻuala (ke ʻole lākou e hoʻolapalapa ʻia)
• maiʻa a me nā mea kanu
• milo
• ʻāpala
• paila a me ka wai prune
• huawaina
• nā lā
• hoʻomaʻemaʻe ʻia a hoʻomaʻemaʻe ʻia hoʻi e ka lā, a i ʻole ka paʻi kōmato
• nā pī (e like me nā pīni adzuki, nā piʻa hakuʻala, nā pīpī, nā soybeans, a pēlā aku.)
• ʻākala
• ʻuala ʻuala
• uala kahiki Palani i palai' ia
• kokoleka
• hua kukui
• yogurt
• pani hakahaka

ʻO nā mea inu potassium kiʻekiʻe e kaupalena a pale aku paha i nā:

• kope
• ka huaʻai a i ʻole ka wai momona (ʻoiai ka hua kuko a me ka wai kāloti)
• waina
• pia
• cider
• waiū

Hiki i ka paila ʻana i kekahi meaʻai ke hoʻohaʻahaʻa i ka nui o ka potasiuma i loko o lākou.

ʻO kahi laʻana, ʻo kaʻuala, uala, ʻuala, a me ka milo hiki ke hoʻolapalapa ʻia a paila ʻia paha a ninini ʻia. A laila, hiki iā ʻoe ke hoʻomākaukau iā lākou pehea ʻoe e hana ai i ka palai ʻana, hoʻomoʻa ʻana, a hoʻomoʻa ʻana iā lākou.

Lawe ka paila i nā meaʻai i kekahi o ka potassium. Eia naʻe, pale i ka ʻai ʻana i ka wai āu i hoʻolapalapa ai i ka meaʻai, kahi e noho ai ka potassium.

E paipai paha kāu kauka a mea lapaʻau loea paha iā ʻoe e hōʻalo i nā pani paʻakai, i hana ʻia mai ka potassium chloride. Hiki i kēia ke hoʻonui i kāu mau pae potassium o ke koko.

Lawe aku

E hana pū kāu mea olakino me ʻoe e ʻike i ka lāʻau kūpono e mālama ai i kāu hyperkalemia mau a i ʻole kōkua iā ʻoe e hōʻalo i kahi hanana koʻikoʻi.

Ke hoʻololi nei i kāu lāʻau lapaʻau, ke hoʻāʻo ʻana i kahi lāʻau hou, a i ʻole ka hahai ʻana i kahi papa pāhare haʻahaʻa e hiki ke kōkua.