Indlela yokunciphisa amanqanaba akho ePotassium

Umxholo

• Ushwankathelo
• Unyango olunamandla lwe-hyperkalemia
• Unyango lwe-hyperkalemia engapheliyo
• Iindidi zamayeza
• Womchamo
• Iimbumba zePotassium
• Ukutshintsha amayeza
• Utshintsho kwizidlo
• Yise kude

Ushwankathelo

I-Hyperkalemia ithetha ukuba amanqanaba e-potassium egazini lakho aphezulu kakhulu.

I-potassium ephezulu yenzeka kakhulu kubantu abanesifo sezintso esinganyangekiyo (CKD). Kungenxa yokuba izintso zinoxanduva lokususa i-potassium egqithileyo kunye nezinye ii-electrolyte ezinje ngetyuwa.

Ezinye izizathu zehyperkalemia zibandakanya:

• metabolic acidosis
• umothuko
• amayeza athile

I-Hyperkalemia ihlala ingenazo iimpawu.

Ukufumana amanqanaba akho e-potassium, umboneleli wakho wezempilo uya ku-oda uvavanyo lwegazi. Ngokwe-National Kidney Foundation, inqanaba le-potassium yegazi ephezulu kune-5 mmol / L ibonisa ihyperkalemia.

Ukunganyangwa kwehyperkalemia kunokuba sesichengeni sobomi, kukhokelela ekubetheni iintliziyo ngendlela engaqhelekanga kunye nokusilela kwentliziyo.

Kubalulekile ukulandela iingcebiso zomboneleli wakho wezempilo kwaye uthathe amanyathelo okwehlisa amanqanaba akho e-potassium.

Unyango lwakho luya kuxhomekeka:

• Iba namandla kangakanani i-hyperkalemia yakho
• ngokukhawuleza kangakanani ukuza
• ibangelwa yintoni

Nazi iindlela ezininzi onokuthi unciphise amanqanaba egazi potassium.

Unyango olunamandla lwe-hyperkalemia

Acute hyperkalemia ikhula ngokuhamba kweeyure ezimbalwa okanye usuku. Ingxamiseko yezonyango efuna unyango esibhedlele.

Esibhedlele, oogqirha bakho kunye nabongikazi baya kuqhuba iimvavanyo, kubandakanya i-electrocardiogram yokujonga intliziyo yakho.

Unyango lwakho luya kuxhomekeka kwisizathu kunye nobukrakra behyperkalemia yakho. Oku kunokubandakanya ukususa i-potassium egazini lakho nge-potassium binders, diuretics, okanye kwiimeko ezinzima, i-dialysis.

Unyango lunokubandakanya ukusebenzisa indibaniselwano ye-insulin efakwa ngaphakathi, kunye neglucose, albuterol, kunye nesodium bicarbonate. Oku kunceda ukuhambisa i-potassium egazini lakho ukuya kwiiseli zakho.

Inokunyanga i-metabolic acidosis, enye imeko eqhelekileyo enxulunyaniswa ne-CKD, eyenzeka xa kukho i-asidi eninzi egazini lakho.

Unyango lwe-hyperkalemia engapheliyo

I-hyperkalemia engapheliyo, ekhula ngokuhamba kweeveki okanye iinyanga, zihlala zilawulwa ngaphandle kwesibhedlele.

Ukunyanga i-hyperkalemia engapheliyo kuhlala kubandakanya utshintsho kwindlela otya ngayo, utshintsho kunyango lwakho, okanye ukuqala amayeza afana ne-potassium binders.

Wena kunye nomboneleli wakho wezempilo uya kujonga ngononophelo amanqanaba akho e-potassium.

Iindidi zamayeza

I-diuretics kunye ne-potassium binders zimbini iintlobo eziqhelekileyo zamayeza anokunyanga i-hyperkalemia.

Womchamo

I-diuretics yonyusa ukuhamba kwamanzi, isodiyam, kunye nezinye ii-electrolyte ezinjenge potassium ngaphandle komzimba. Ziyinxalenye eqhelekileyo yonyango lwe-hyperkalemia ebukhali nengapheliyo. I-diuretics inokunciphisa ukudumba kunye nokunciphisa uxinzelelo lwegazi, kodwa kunokubangela ukomisa emzimbeni kunye nezinye iziphumo ebezingalindelekanga.

Iimbumba zePotassium

Izibophelelo zePotassium zisebenza ukunyanga i-hyperkalemia ngokwandisa inani le-potassium umzimba wakho uphuma ngokuhamba kwamathumbu.

Kukho iintlobo ezahlukeneyo zokubopha i-potassium ezinokuthi zichazwe ngugqirha wakho, ezinje:

• isodiyam polystyrene sulfonate (SPS)
• I-calcium polystyrene sulfonate (CPS)
• umphathi (uVeltassa)
• Isodiyam zirconium cyclosilicate (Lokelma)

I-Patiromer kunye ne-sodium zirconium cyclosilicate ezimbini zonyango ezitsha ze-hyperkalemia. Zombini ezi zinto zinokuba lukhetho olusebenzayo ngakumbi kubantu abanesifo sentliziyo okanye isifo seswekile, kuba zenza ukuba kuqhubeke ukusetyenziswa kwamayeza athile anokukhokelela kwihyperkalemia.

Ukutshintsha amayeza

Ngamanye amayeza ngamanye amaxesha kunokubangela i-hyperkalemia. Amayeza oxinzelelo lwegazi aphezulu abizwa ngokuba yi-renin-angiotensin-aldosterone system (RAAS) inhibitors ngamanye amaxesha anokukhokelela kumanqanaba aphezulu e-potassium.

Ezinye iziyobisi ezinxulumene ne-hyperkalemia zibandakanya:

• iziyobisi ezingasebenziyo ezichasayo (ii-NSAID)
• ii-beta-blockers zoxinzelelo lwegazi oluphezulu
• heparin, igazi elincinci
• i-calcineurin inhibitors yonyango lwe-immunosuppressive

Ukuthatha izongezo zepotassium kungakhokelela kumanqanaba aphezulu e-potassium.

Kubalulekile ukuba uthethe nabanikezeli bezempilo malunga nalo naluphi na amayeza kunye nezibonelelo ozithathayo ukunceda ukumisela unobangela wehyperkalemia yakho.

Oku kuya kubavumela ukuba benze iingcebiso ezifanelekileyo zokunciphisa i-potassium yakho.

Ukuba i-hyperkalemia yakho ibangelwa ngamayeza owathathayo ngoku, umboneleli wakho wezempilo unokucebisa ukuba utshintshe okanye uyeke amayeza.

Okanye, banokucebisa utshintsho oluthile kwindlela otya ngayo okanye indlela opheka ngayo. Ukuba utshintsho lokutya alunakunceda, banokumisela amayeza e-hyperkalemia, njengezibopheleli ze-potassium.

Utshintsho kwizidlo

Ukhathalelo lwakho lwempilo lunokucebisa ukutya okusezantsi kwe-potassium ukulawula i-hyperkalemia yakho.

Zimbini iindlela ezilula zokwehlisa ngokwendalo isixa se potassium osityayo, ezi:

• ukunqanda okanye ukunciphisa ukutya okuthile okuphezulu kwe-potassium
• ukubilisa ukutya okuthile ngaphambi kokuba utye

Ukutya okuphezulu kwe-potassium ukunciphisa okanye ukunqanda kubandakanya:

• iingcambu zemifuno ezinje ngee-beet kunye nemifuno ye-beet, i-taro, iparsnips, kunye neetapile, ii-yam, kunye neebhatata (ngaphandle kokuba zibilisiwe)
• Iibhanana kunye nee-plantain
• ispinatshi
• iponyoponyo
• Iiprune kunye nejusi yethena
• Iirayisi
• imihla
• iitumato ezomiswe lilanga okanye ezicocekileyo, okanye intlama yetumato
• iimbotyi (njengeembotyi ze-adzuki, iimbotyi zezintso, iichickpeas, iimbotyi zesoya, njl.
• bran
• iitshiphs zamazambane
• iifrayizi zamafrentshi
• itshokholethi
• amandongomane
• iyogathi
• ityiwa endaweni

Iziphuzo eziphezulu ze-potassium ukunciphisa okanye ukuphepha zibandakanya:

• kofu
• iziqhamo okanye ijusi yemifuno (ngakumbi iziqhamo zothando kunye nejusi yeminqathe)
• isiselo somdiliya
• ibhiya
• cider
• ubisi

Ukubilisa ukutya okuthile kunokwehlisa isixa se-potassium kuzo.

Umzekelo, iitapile, ii-yam, iitapile kunye nesipinatshi zinokubiliswa okanye zibiliswe ngokuyinxenye kwaye zicocwe. Emva koko, unokuzilungiselela indlela oqhele ukwenza ngayo ngokuqhotsa, ukuwosa, okanye ukubhaka.

Ukutya okubilayo kususa enye ye-potassium. Nangona kunjalo, kuphephe ukusebenzisa amanzi obilise kuwo ukutya, apho kuya kuhlala i-potassium.

Ugqirha wakho okanye ingcali yesondlo iya kuthi ikwacebise ukuba uphephe izinto ezingena endaweni yetyuwa, ezenziwe nge potassium chloride. Oku kunokunyusa amanqanaba e-potassium egazi.

Yise kude

Umboneleli wakho wezononophelo lwempilo uya kusebenza nawe ukufumana unyango olufanelekileyo lokulawula i-hyperkalemia yakho engapheliyo okanye akuncede uphephe isiqendu esibukhali.

Ukutshintsha amayeza akho, ukuzama amayeza amatsha, okanye ukulandela ukutya okusezantsi kwe-potassium kunokunceda.