Yintoni i-Potassium Binders kwaye isebenza njani?

Umxholo

• Yintoni i-potassium binders?
• Iindidi ze-potassium binders
• Iziphumo ze-potassium binder
• Yintoni ingozi yepotassium eninzi?
• Ukuthatha

Umzimba wakho ufuna i-potassium kwiseli esempilweni, kwimithambo-luvo, kunye nokusebenza kwezihlunu. Le minerali ibalulekileyo ifunyanwa kukutya okwahlukeneyo, kubandakanya iziqhamo, imifuno, inyama, intlanzi kunye neembotyi. NgokweZiko lezeMpilo leSizwe, abantu abadala abasempilweni bafuna malunga ne-4,700 milligrams (mg) ye-potassium ngosuku.

Uninzi lwethu alufumani potassium yaneleyo kwizidlo zethu. Kodwa ukufumana i-potassium eninzi kunokubangela imeko enobungozi eyaziwa ngokuba yi-hyperkalemia.

Le meko ixhaphake kakhulu kubantu abaneemeko ezithile zempilo ezingapheliyo. Ikwanxulunyaniswa nokuthatha amayeza athile okanye isongezelelo se potassium kunye nokutya okunepotassium eninzi.

Ukutya ukutya okune-potassium ephantsi ekucetyiswa ngugqirha kunokunceda ukunciphisa amanqanaba akho e-potassium. Ugqirha wakho unokuyalela amayeza abizwa ngokuba yi-potassium binder ukuba utshintsho kwindlela otya ngayo alonelanga.

Yintoni i-potassium binders?

Iipotassium ezibopha iziyobisi ezibophelela kwi-potassium eyongezelelweyo emathunjini akho. Le potassium igqithisileyo isuswe emzimbeni wakho ngesihlalo sakho.

La mayeza ahlala eza nomgubo oxutywe namanzi kunye nokusela ngokutya. Ngamanye amaxesha athathwa emacaleni nge-enema.

Kukho iintlobo ezahlukeneyo zokubopha i-potassium ezenziwe ngezithako ezahlukeneyo. Kubalulekile ukulandela imiyalelo yamayeza ngononophelo. Ngamaxesha onke thatha i-potassium binder iiyure ezingama-6 ngaphambi okanye emva kokuthatha amanye amayeza.

Ugqirha wakho uya kuphakamisa amanye amanyathelo okunceda ukulawula amanqanaba akho e-potassium. Oku kunokubandakanya:

• Ukutya ukutya okune-potassium eninzi
• ukunciphisa okanye ukuhlengahlengisa idosi yalo naliphi na iyeza elibangela ukuba umzimba wakho ugcine i-potassium
• ukumisela i-diuretic yokunyusa ukuphuma komchamo kunye nokukhupha i-potassium engaphezulu
• dialysis

Iindidi ze-potassium binders

Kukho iintlobo ezahlukeneyo zokubopha i-potassium ugqirha anokumisela:

• isodiyam polystyrene sulfonate (SPS)
• I-calcium polystyrene sulfonate (CPS)
• umphathi (uVeltassa)
• Isodiyam zirconium cyclosilicate (ZS-9, Lokelma)

I-Patiromer kunye ne-ZS-9 ziindidi ezintsha zokubopha i-potassium. Bakhuselekile ukuthatha amayeza ahlala emiselwe isifo sentliziyo esinokunyusa umngcipheko wehyperkalemia.

Iziphumo ze-potassium binder

Njengalo naliphi na iyeza, izibopheleli ze potassium zinokubangela iziphumo ebezingalindelekanga. Iziphumo eziqhelekileyo ze-potassium binder ziquka:

• ukuqhina
• urhudo
• ukugabha
• isicaphucaphu
• ukuqumba
• ukuqunjelwa
• intlungu zesisu
• isilungulela

La machiza anokuchaphazela amanqanaba akho e-calcium kunye nemagnesium. Thetha nogqirha wakho malunga nemiphumo emibi.

Yintoni ingozi yepotassium eninzi?

Amanani aphakathi enkxaso yeeseli potassium esebenza emzimbeni wakho kunye nokusebenza komqondiso wombane entliziyweni yakho. Kodwa ngaphezulu akusoloko kungcono.

Izintso zakho zicoca i-potassium engaphezulu emzimbeni wakho kwaye uyikhulule kumchamo wakho. Ukusebenzisa i-potassium engaphezulu kuneentso zakho kunokukhokelela kwi-hyperkalemia, okanye amanqanaba aphezulu e-potassium egazini lakho. Le meko iphazamisa imiqondiso yombane entliziyweni.

Abantu abaninzi abane-hyperkalemia baqaphela ezimbalwa ukuba zikhona iimpawu. Abanye banokuba namava okanye ukurhawuzelela, ukuba buthathaka kwezihlunu, kunye nokubetha kancinci okanye okungaqhelekanga. IHyperkalemia ekugqibeleni inokubangela ukubetha kwentliziyo ngokungaqhelekanga kwaye ikhokelele kwiingxaki ezinzulu kunye nokufa ukuba iyekwe inganyangwa.

Unokuba semngciphekweni ophezulu we-hyperkalemia ukuba unayo:

• isifo esinganyangekiyo sezintso
• uhlobo lweswekile 1
• ukusilela kwentliziyo
• isifo sesibindi
• ukungoneli kwe-adrenal (xa amadlala eadrenal engavelisi iihormoni ezaneleyo)

Kuyenzeka ukuba uphuhlise i-hyperkalemia ukuba udibanisa izongezo zepotassium kunye nokutya okuphezulu kwe-potassium. Le meko ikwadityaniswa namayeza afana ne-ACE inhibitors kunye ne-beta-blockers.

Ugqirha wakho uya kukucebisa ngonyango ukuze ufumane inqanaba legazi le-potassium kuluhlu olusempilweni, ngesiqhelo phakathi kwe-3.5 kunye ne-5.0 millimoles kwilitha nganye (mmol / L).

Amanqanaba aphezulu e-potassium ngequbuliso anokubangela ukubetha kwentliziyo, ukuphefumla kancinci, iintlungu esifubeni, isicaphucaphu, okanye ukugabha. Yiya kugqirha ngokukhawuleza ukuba ufumana ezi mpawu njengoko zisongela ubomi.

Ukuthatha

I-Potassium yiminerali ebalulekileyo esiyidingayo kwizidlo zethu. Kodwa ukufumana okuninzi kunokukhokelela ekwakhiweni kwe potassium egazini lakho elibizwa ngokuba yihyperkalemia. Le meko ixhaphake kakhulu ukuba uneemeko ezithile zezempilo okanye uthatha amayeza athile.

IHyperkalemia inokukhokelela kubungozi obusongela ubomi. Abantu abaninzi abanazimpawu zehyperkalemia, ke thetha nogqirha wakho ukuba ngaba usemngciphekweni omkhulu wale meko.

IHyperkalemia iyanyangeka kakhulu. Ugqirha wakho unokucebisa ukuba usebenzise i-potassium binder ngokudibanisa nokutya okune-potassium encinci ukukunceda ugcine amanqanaba e-potassium kuluhlu olusempilweni.