Low Sodium Sodium (Hyponatremia)

Anter

• Nā ʻōuli o ka sodium haʻahaʻa i ke koko
• Kumu o ka haʻahaʻa sodium i ke koko
• ʻO wai ka makaʻu no ka haʻahaʻa sodium i ke koko?
• Nā hoʻāʻo no ka sodium haʻahaʻa i ke koko
• Iapaau ana no ka haʻahaʻa sodium kōpaʻa
• Kāohi ʻana i ka sodium sodium haʻahaʻa
• Nā maʻi electrolyte ʻē aʻe: Hypernatremia

Hoʻopili mākou i nā huahana a mākou e manaʻo nei he pono no kā mākou poʻe heluhelu. Inā kūʻai ʻoe ma o nā loulou i kēia ʻaoʻao, loaʻa iā mākou kahi kōmike liʻiliʻi. Eia kā mākou hana.

He aha ka manaʻo o ka loaʻa i ka sodium sodium haʻahaʻa?

ʻO Sodium kahi electrolyte nui e kōkua i ka mālama ʻana i ke kaulike o ka wai i loko a puni i kāu mau pūnaewele. He mea nui ia no ka hana kūpono o ka mākala a me ke aʻalolo. Mālama pū kekahi ia i nā pae o ke kaomi paʻa paʻa.

ʻIke ʻia ka lawa ʻole o ka sodium i kou koko hyponatremia. Hana ʻia ia ke ʻole ke kaulike o ka wai a me ka sodium. I nā huaʻōlelo ʻē aʻe, nui loa ka wai a ʻaʻole lawa paha ka sodium i kou koko.

ʻO ka maʻamau, aia kou pae sodium ma waena o 135 a me 145 milliequivalents i kēlā me kēia lita (mEq / L). Hana ʻia ka hyponatremia ke hele ka pae sodium ma lalo o 135 mEq / L.

Nā ʻōuli o ka sodium haʻahaʻa i ke koko

Hiki ke hoʻololi ʻia nā ʻōuli o ka paʻakai koko haʻahaʻa mai kēlā me kēia kanaka. Inā hāʻule haʻahaʻa kāu mau sodium, ʻaʻole paha ʻoe e ʻike i kekahi hōʻailona. Inā hāʻule koke lākou, ʻoi aku paha ke koʻikoʻi o kāu mau ʻōuli.

ʻO ka lilo koke ʻana o ka sodium he pilikia olakino. Hiki iā ia ke lilo i ka nalowale o ka ʻike, ka hopu ʻana, a me ke koma.

ʻO nā hōʻailona maʻamau o ka sodium haʻahaʻa o ke koko e komo pū:

• nāwaliwali
• ka luhi a i ʻole ka ikehu haʻahaʻa
• ʻeha poʻo
• nausea
• ka luaʻi
• ʻūpī mākala a i ʻole nā ​​spasms
• huikau
• ukiuki

Kumu o ka haʻahaʻa sodium i ke koko

Hiki i nā kumu he nui ke kumu i ka sodium sodium haʻahaʻa. Hiki ke haʻahaʻa loa kāu mau sodium inā he nui ka wai a me nā electrolytes i nalowale i kou kino. He hōʻailona paha ka Hyponatremia o kekahi ʻano olakino.

ʻO nā kumu o ka sodium haʻahaʻa:

• luaʻi nui a i ʻole pākī
• ke lawe nei i kekahi mau lāʻau, e like me nā lāʻau antidepressants a me nā lāʻau ʻeha
• lawe diuretics (paila wai)
• inu nui loa i ka wai i ka wā hoʻoikaika kino (kākaʻikahi loa kēia)
• hoʻomake wai
• maʻi kīnā ʻole a kō ʻole kīnā ʻole
• maʻi maʻi ate
• nā pilikia puʻuwai, me ka puʻuwai puʻuwai ʻole
• nā maʻi adrenal gland, e like me ka maʻi ʻo Addison, ka hopena e hiki ai i kāu mau adrenal gland ke hoʻoponopono i ke kaulike o ka sodium, potassium, a me ka wai i kou kino.
• hypothyroidism (thyroid underactive)
• ʻO ka polydipsia mua, kahi ʻano e make wai loa ai ka make wai nui
• me ka hoʻohana ʻana i ka ecstasy
• maʻi o ka hormone antidiuretic kūpono (SIADH) kūpono ʻole, ka mea e mālama i kou kino i ka wai
• diabetes insipidus, kahi ʻano laha ʻole kahi e hana ʻole ai ke kino i ka hormone antidiuretic
• ʻO Cushing's syndrome, kahi e kumu ai i nā kiʻekiʻe o ka cortisol (he mea maʻamau kēia)

ʻO wai ka makaʻu no ka haʻahaʻa sodium i ke koko?

Hoʻonui kekahi mau mea i kou makaʻi i ka sodium sodium haʻahaʻa, e like me:

• ʻelemakule
• hoʻohana diuretic
• hoʻohana antidepressant
• he 'ōlapa hana kiʻekiʻe
• e noho nei i kahi aniau mahana
• ʻai i ka papaʻai sodium haʻahaʻa
• loaʻa ka puʻuwai puʻuwai, maʻi ʻōpala, maʻi o ka hormone anti-diuretic kūpono (SIADH), a i ʻole nā ​​kūlana ʻē aʻe

Inā makaʻu ʻoe no ka sodium haʻahaʻa, pono paha ʻoe e akahele hou aʻe e pili ana i kāu lawe ʻana i nā electrolytes a me ka wai.

Nā hoʻāʻo no ka sodium haʻahaʻa i ke koko

Hiki i kahi hōʻoia koko ke kōkua i kāu kauka e nānā no nā pae sodium haʻahaʻa. ʻOiai ʻaʻohe ou mau ʻōuli o ka sodium koko haʻahaʻa, e kauoha paha kāu kauka i kahi papa metabolic maʻamau. Hōʻaia kēia i ka nui o nā electrolytes a me nā minelala i kou koko. ʻO ka papa metabolic maʻamau kahi ʻāpana o kahi kino maʻamau. ʻIke paha ia i ka sodium sodium haʻahaʻa i loko o kekahi me ka ʻole o nā hōʻailona.

Inā kūpono ʻole kāu mau pae, e kauoha ke kauka i kahi hōʻike mimi e nānā i ka nui o ka sodium i kāu mimi. E kōkua nā hopena o kēia hōʻike i kāu kauka e hoʻoholo i ke kumu o kāu sodium koko haʻahaʻa:

• Inā haʻahaʻa kāu pae sodium a akā kiʻekiʻe kou pae sodium sodium, e lilo ana kou kino i ka nui o ka sodium.
• ʻO nā pae sodium haʻahaʻa i loko o kou koko a me kou mimi ka manaʻo o kou kino ʻaʻole lawa ka sodium. Nui loa paha ka wai i kou kino.

Iapaau ana no ka haʻahaʻa sodium kōpaʻa

Hoʻololi ka mālama ʻana no ka sodium haʻahaʻa i ke koko e pili ana i ke kumu. Pākuʻi ʻia paha:

• keʻoki nei i ka lawe wai
• ke hoʻoponopono nei i nā ana o diuretics
• ka lawe ʻana i nā lāʻau no nā ʻōuli e like me headache, nausea, a me nā ʻūlū
• ka mālama ʻana i nā kūlana kumu
• ke hoʻoulu nei i kahi hopena sodium (IV) pālua

Kāohi ʻana i ka sodium sodium haʻahaʻa

ʻO ka mālama ʻana i kāu wai a me nā pae electrolyte i ke kaulike hiki ke kōkua i ka pale ʻana i ka sodium sodium haʻahaʻa.

Inā he mea haʻuki ʻoe, he mea nui e inu i ka nui kūpono o ka wai i ka wā hoʻoikaika kino. Pono ʻoe e noʻonoʻo i ka inu ʻana i kahi inu inu rehydration, e like me Gatorade a i ʻole Powerade. Loaʻa i kēia mau mea inu nā electrolytes, me ka sodium. Kōkua lākou i ka hoʻopiha hou ʻana i ka sodium ma o ka hou ʻana. He mea kōkua nō hoʻi kēia mau mea inu inā he nui nā wai i lilo iā ʻoe ma o ka luaʻi ʻana a i ʻole ka palahī.

I loko o kahi lā maʻamau, pono nā wahine e ʻimi e inu i ka 2.2 liters o nā wai. Pono nā kāne e ʻimi i 3 liters. Ke hoʻomaʻemaʻe pono ʻoe, e melemele a mālamalama kou mimi a ʻaʻole ʻoe e make wai.

He mea nui e hoʻonui i kāu lawe wai inā:

• pumehana ke anilā
• ma kahi kiʻekiʻe ʻoe
• hāpai ʻoe a hānai waiū paha
• ke luaʻi nei ʻoe
• he pehu kou
• he kuni kou

ʻAʻole ʻoe e inu ma mua o 1 lita o ka wai i kēlā me kēia hola. Mai poina hiki ke inu i ka wai me ka wikiwiki loa.

Nā maʻi electrolyte ʻē aʻe: Hypernatremia

He kakaikahi ka Hypernatremia. Kūpono ia ke loaʻa ʻole ka lawa o ka wai o ke kanaka no ka palena o ke kiʻi ʻana i ka wai a i ʻole kahi ʻano make wai hemahema. Hoʻohālikelike ʻia ia e ka maʻi diabetes insipidus. Hana ia i ka hala o kāu pae sodium ma luna o 145 mEq / L.

Hiki i ka Hypernatremia ke kumu:

• huikau
• excitability neuromuscular
• hyperreflexia
• ka hopu ʻana
• koma