Yintoni ebangela kunye nendlela yokunyanga i-hypernatremia

Umxholo

• Yintoni ebangela hypernatremia
• Unyango lwenziwa njani
• Iimpawu kunye neempawu

I-Hypernatremia ichazwa njengokunyuka kwexabiso lesodium egazini, ingaphezulu komda ophezulu, oyi-145mEq / L. Olu tshintsho lwenzeka xa isifo sibangela ukulahleka kwamanzi okugqithisileyo, okanye xa kudliwe isixa esikhulu sesodium, kunye nelahleko yokulinganisela phakathi kwesixa setyuwa namanzi egazini.

Unyango lolu tshintsho kufuneka lukhokelwe ngugqirha kuxhomekeke kwisizathu sayo kunye nenani leetyuwa egazini lomntu ngamnye, kwaye ihlala inokwanda kokusetyenziswa kwamanzi, okunokuba ngomlomo okanye, kwiimeko ezinzima kakhulu, nge serum emthanjeni.

Yintoni ebangela hypernatremia

Uninzi lwexesha, i-hypernatremia yenzeka ngenxa yokulahleka kwamanzi agqithisileyo emzimbeni, nto leyo ebangela ukomisa, imeko exhaphake kakhulu kubantu abalele okanye abalaliswe esibhedlele ngenxa yesifo esithile, apho kukho ukungasebenzi kakuhle kwezintso. Inokuvela kwakhona kwimeko:

• Urhudo, zixhaphake kwizifo zamathumbu okanye ukusetyenziswa kweziyobisi;
• Ukugabha kakhulu, kubangelwa sisifo sokuqaqanjelwa sisisu okanye ukukhulelwa, umzekelo;
• Ukubila okuninzi, eyenzekayo kwimeko yokuzilolonga kakhulu, umkhuhlane okanye ubushushu obuninzi.
• Izifo ezikwenza uchame kakhulu, ezinje ngesifo seswekile i-insipidus, ebangelwa zizifo kwingqondo okanye izintso, okanye nangokusetyenziswa kwamayeza. Funda ngakumbi malunga nendlela yokuchonga kunye nokunyanga i-insipidus yeswekile.
• Ukutsha okukhulukuba itshintsha ulungelelwaniso lolusu kwimveliso yokubila.

Ukongeza, abantu abangaseli manzi imini yonke, ngakumbi abantu abadala okanye abantu abaxhomekekileyo abangakwaziyo ukufikelela kulwelo, basengozini yokuphuhliswa kwesi sifo.

Esinye isizathu esibalulekileyo sehypernatremia kukusetyenziswa gwenxa kwesodium imini yonke, kubantu abakhethiweyo, njengokutya ukutya okunetyuwa. Jonga ukuba kukuphi ukutya okuphezulu kwi-sodium kwaye wazi ukuba wenzeni ukunciphisa ukutya kwakho ityuwa.

Unyango lwenziwa njani

Unyango lunokwenziwa ekhaya, kwiimeko ezinobuzaza, ngokunyuka kokungena kwamanzi, ngakumbi amanzi. Ngokubanzi, ukusela isixa esikhulu samanzi kwanele ukunyanga le meko, kodwa kwimeko yabantu abangakwaziyo ukusela ulwelo okanye xa imeko inzima kakhulu, ugqirha uya kuncomela ukutshintshwa kwamanzi nge-salum encinci ye-saline, kwisixa kunye nesantya esifunekayo kwimeko nganye.

Olu lungiso lwenziwa ngononophelo ukuba lungabangeli utshintsho ngesiquphe ekubunjweni kwegazi, ngenxa yomngcipheko we-edema yobuchopho kwaye, ukongeza, ukhathalelo kufuneka luthathwe ukuze lungawanciphisi amanqanaba esodium kakhulu kuba, ukuba iphantsi kakhulu, yingozi. Jonga izizathu kunye nonyango lwe-sodium ephantsi, eyi-hyponatremia.

Kuyimfuneko ukunyanga nokulungisa okubangela ukungalingani kwegazi, njengokunyanga unobangela wosulelo lwamathumbu, ukuthatha i-serum eyenziwe ekhaya xa uhambisa kunye nokugabha, okanye ukusetyenziswa kwe-vasopressin, elinyango elicetyiswayo kwezinye iimeko zesifo seswekile. insipidus.

Iimpawu kunye neempawu

IHypernatremia inokubangela ukonyuka kunxano okanye, njengoko isenzeka amaxesha amaninzi, ayibangeli zimpawu. Nangona kunjalo, xa utshintsho lwe-sodium lubanzima kakhulu okanye lwenzeka ngesiquphe, ukugqitha kwetyuwa kubangela ukusasazeka kweeseli zengqondo kunye neempawu kunye neempawu zinokubonakala, ezinje:

• Ubuthathaka;
• Ubuthathaka;
• Ukwanda kwengqondo yokuqaqamba kwezihlunu;
• Ukudideka kwengqondo;
• Ukuhlutha;
• Ne.

I-Hypernatremia ichongwa kuvavanyo lwegazi, apho idosi yesodium, ekwabizwa ngokuba yiNa, ingaphezulu kwe-145mEq / L. Ukuvavanya uxinzelelo lwe-sodium kumchamo, okanye i-osmolarity ye-urinary, kunceda ekuchongeni ukwakheka komchamo kunye nokuchonga unobangela wehypernatremia.