He aha ka Potomania a pehea e mālama ai?

Anter

• He aha nā hōʻailona?
• He aha ke kumu o kēia?
• Nā hopena ma nā solutes a me nā electrolytes
• Nā koho lapaʻau
• Aia kekahi pilikia?
• He aha ke kuanaʻike?

Hōʻike Overview

ʻO Potomania kahi huaʻōlelo e pili maoli ana i ka inu ʻana (poto) i ka ʻalekika (mania). I ka lāʻau lapaʻau, pili ka pia potomania i kahi kūlana i hāʻule haʻahaʻa loa ai ka pae o ka sodium i loko o kou kahe ma muli o ka nui o ka ʻai pia.

ʻAʻole like me ka nui o nā mea ʻē aʻe a mākou e ʻai ai i kā mākou papaʻai, piha ka wai i ka pia a he wahi sodium wale nō. ʻO kēia lopsided wai-i-paʻakai lākiō e kumu i ka potomania i loko o nā kānaka kūpilikiʻi nui, keu hoʻi i ka haʻahaʻa o ka lawe ʻana o ka sodium a me nā protein-waiwai waiwai.

Kāhea ʻia ka pia potomania i kekahi manawa ʻo hyponatremia mea inu pia. ʻO ka hyponatremia ka huaʻōlelo lapaʻau no kahi pae sodium haʻahaʻa haʻahaʻa i loko o ke koko. Hiki ke kumu ʻia ka hyponatremia e kekahi mau ʻano like ʻole, e like me ka nui o ka ʻai ʻana o ka wai. Hiki i kēia ke kumu i kekahi mea i kāhea ʻia e ka kauka waiʻona, kahi e loaʻa ai nā pilikia neuropsychiatric mai hyponatremia no ka mea he nui ka wai o ke kino ma mua o ka hiki iā ia ke mālama.

He aha nā hōʻailona?

ʻO nā ʻōuli o ka pia potomania, ka mea e ukali pinepine i kahi ʻāpana o ka inu inu ʻana a me ka lawe ʻana i ka meaʻai maikaʻi ʻole, hiki ke hoʻopili ʻia:

• hoʻololi maoli i ka mokuʻāina noʻonoʻo
• nāwaliwali o ka mākala, spasms, a i ʻole ke ʻūlū
• lilo o ka ikaika a luhi paha
• pilikia hele wāwae
• huhū a hoʻomaha ʻole paha
• huikau
• nausea a luaʻi paha
• ʻeha poʻo
• ka hopu ʻana
• hiki ʻole ke ala (koma)

He aha ke kumu o kēia?

ʻO Potomania ke kumu o kahi pae sodium haʻahaʻa haʻahaʻa i loko o kou koko, i kapa ʻia hyponatremia. Nui nā ʻano ʻokoʻa e hiki ai ke hoʻohaʻahaʻa i nā pae sodium. I ka potomania, he ʻano maʻamau o ka malnourishment a me ka inu inu ʻana i ka manawa ma mua.

ʻO Sodium kahi mea waiwai nui e kōkua i ka mālama ʻana i ke kaulike o ka wai i kou kino. Loaʻa ka hapa nui o ka poʻe i ka sodium mai kā lākou papaʻai. Eia nō naʻe, ke pau ka ʻai ʻana o kekahi, hiki i nā pae o ka sodium i loko o ko lākou koko ke hāʻule - keu hoʻi ke hui pū ʻia me ka nui o ka lawe ʻana o nā wai i haʻahaʻa i ka sodium. He mea maʻamau kēia i waena o ka poʻe e hoʻohana kolohe ʻana i ka waiʻona, ʻo kekahi o lākou e loaʻa ka hapa nui o kā lākou mau calorie mai ka inu pia ʻana a me nā mea inu ʻona ʻē aʻe.

Hiki ke hāʻule hoʻi nā pae sodium serum baseline ma muli o kahi maʻi hou e pili ana i nā pae electrolyte, keu hoʻi i ka luaʻi a me ka diarrhea.

E hana kūpono, koi kāu mau puʻupaʻa i kekahi nui o ka sodium. Me ka ʻole o ia mea, ʻaʻole hiki iā lākou ke hoʻomaʻemaʻe i ka nui o nā wai mai kou kino. Kūkulu kēlā wai nui i loko o kou koko a pehu i kou mau pūnaewele. ʻO ka pehu ʻana i ka lolo ke kumu o nā ʻōuli neurological o ka potomania.

ʻO ka maʻamau, ke hoʻopau kekahi i ka ʻai ʻana, wāwahi ko lākou kino i ka momona a me nā mākala e hoʻohana ai i ka ikehu. Hāʻawi kēia i ke kino me ka nui o ka sodium e mālama pono i nā puʻupaʻa. ʻO ka inu ʻana i ka nui o ka wai a pia paha, akā naʻe, e hoʻoheheʻe ia i kēia sodium, a hana ʻole ia. E aʻo e pili ana i nā hopena ʻē aʻe o ka waiʻona i kou kino.

Nā hopena ma nā solutes a me nā electrolytes

ʻAʻohe nui o ka pia ma ke ala o nā mea hoʻoheheʻe. (Solute i kēia hanana pili i kahi electrolyte a i ʻole protein i hoʻoheheʻe ʻia i loko o ka wai o ka pia.)

ʻO ka inu pia ʻana ke kumu o ka potomania no ka mea he wai kiʻekiʻe kona a me ka nui o ka sodium. ʻO Sodium kahi electrolyte nui. Ke hana pinepine kekahi me nā pae sodium haʻahaʻa i ka pia a i ʻole nā ​​mea inu ʻona, keu hoʻi ke loaʻa ʻole ka maikaʻi o ka meaʻai āpau, hiki i nā puʻupaʻa ke lilo i mea hana ʻole.

Kūkulu ka wai i nā hunaola no ka mea ʻaʻole lawa ka sodium i ke kino. Hoʻonui ʻia kēia e nā wai āpau i ka pia. Lilo ka sodium i ke kahe o ke kahe e ka wai keu a hiki ke hāʻule wikiwiki i kahi haʻahaʻa haʻahaʻa loa.

Nā koho lapaʻau

Hiki ke maʻalahi ka mālama ʻana i ka pia potomania a koi ʻia i kahi ʻano lahilahi. ʻOiai e hāʻawi ana i kekahi i ka sodium e like paha me ka lapaʻau maopopo, hiki i kēia ke lilo i mea weliweli.

Hiki i ka hoʻohuli wikiwiki ʻana o nā pae sodium ke alakaʻi i nā pilikia neurological, me kahi kūlana i kapa ʻia ʻo osmotic demyelination syndrome (ODS). Hiki i nā ʻōuli o ka ODS ke hoʻopili i nā pilikia neurological koʻikoʻi, e like me ka spasms, ka hōʻino noʻonoʻo nui, a me ke koma.

I ka loiloi o 22 mau hihia o ka pia potomania, 18 pākēneka o ka poʻe i hoʻomohala iā ODS.

Inā loaʻa iā ʻoe ka potomania pia, ʻoi aku ka makaʻu o ODS ma mua o ka poʻe me nā ʻano hyponatremia (sodium haʻahaʻa). ʻO kēia no ka mea ʻoi aku paha ka paʻakikī o kou mokuʻāina o hyponatremia a ua ulu aʻe ma kahi o ka manawa ma muli o ka mālama ʻana i ka waiʻona, a ʻoi aku ka paʻakikī e mālama.

Hoʻopili pololei ʻia ka makaʻu o ka ODS me ka wikiwiki o ke pani ʻana i ka sodium. No laila, ʻāpono nā kauka i ka lawelawe lohi a akahele o ka sodium ma kahi o 48 mau hola.

Inā ʻaʻole ʻoe he hōʻailona ma muli o ka hyponatremia, hoʻoholo paha nā kauka ʻaʻole e hāʻawi i ka wai IV me ka sodium i loko. Ma kahi o, hoʻokau paha lākou iā ʻoe i ka papa hana wai i kaupalena ʻia no 24 mau hola. I kekahi manawa lawa kēia no ke kino e kipaku aku ai i nā wai keu a kūkulu i ka paʻakai paʻakai.

Aia kekahi pilikia?

Inā haʻalele ʻole ʻia, hiki i ka potomania ke hoʻoweliweli i ke ola. Ke kūkulu ka nui o ka wai i loko o kāu mau hunaola, hoʻomaka lākou e hoʻonui. ʻO kēia ke kumu o ka pehu ʻana i nā kiko o kou kino. I nā hihia i hāʻule koke nā pae sodium a i kahi pae haʻahaʻa loa paha, hiki i ka lolo ke hu i loko o kahi mau hola. Hiki i ka pehu ʻana i ka lolo ke alakaʻi i ka hopu ʻana i ka maʻi, koma, a me ka make, no laila he mea nui loa e kiʻi i ka lāʻau.

He aha ke kuanaʻike?

He kūlana koʻikoʻi ʻo Potomania i hiki ke hōʻalo ʻia e ka ʻai ʻana i kahi lawa kūpono o nā mea olakino olakino a hoʻēmi i kāu inu waiʻona.

Inā hiki ʻole iā ʻoe ke ʻai ma muli o ka maʻi, hoʻāʻo e hoʻohana i ka inu pani-pāʻina. E kamaʻilio pono i kāu kauka me ka pololei e pili ana i kāu ʻano inu. He ʻōlelo aʻoaʻo paha kāu kauka e pili ana i ka hōʻemi ʻana i kou makaʻi o nā pilikia.

Inā ʻaʻole ʻoe i ʻai i ka papaʻai olakino a olakino hoʻi, e hōʻalo i ka inu ʻana i ka pia a me nā mea inu ʻona ʻē aʻe. (He lula maikaʻi ia e hōʻalo i ka inu pia ma ka laulā.) Inā ʻoe e hoʻolālā e inu i nā pia he nui i ka noho hoʻokahi, e loaʻa kahi pāʻakai paʻakai a me ka protein, e like me ka jerky pipi a i ʻole nā ​​nati.