Yakawedzera potassium muropa; Zvinokonzera neMarapirwo

Blood sezvamunoita iri siyana chaizvo. It ane zvakawanda nevamiririri basa pakuitisa pezvakaitwa siyana mumuviri. Zvakakosha chaizvo kuti tirambe chenguva Ionic Zvinoumba Ropa. Chete mamiriro ichi kunogona zvakanaka ichiyerera muchitokisi mhinduro. A rinokosha runobva pakati potassium ions. Trace chaikosha chendangariro kunowanzoitika kushanda mwoyo. Iye paChikoro nokukanganisika pezvakaitwa muuropi nedzimwe nhengo dzose zvomudumbu turakiti. Zvose izvi hurongwa anogona kukundikana kana pane zvakawanda potassium muropa. The zvinokonzera ichi zvinoda hwakadzama kudzidza.

Basa potassium kuti muviri

The zvisaririra zvinhu zviri mumasero, riri basa vakawanda kwemasayendisiti kuitika mumuviri. It anoita mitemo mvura nechiyero, normalize mwoyo mutinhimira. Uyezve, potassium kunokanganisa kushanda masero akawanda, kunyanya tsandanyama uye tsinga.

Izvi zvisaririra chicherwa zvinosimudzira yakajeka mupfungwa, zvinobatsira muviri kurasa tsvina, kunonatsiridza oxygenation wouropi. Zvazvinoita rakafanana potassium immunomodulators. Trace chaikosha zvinobudirira kunobatsira kurwisa Kurwara uye kunobatsira kutapudzwa kufurirwa.

Saka, basa potassium nokuti muviri sezvinotevera:

1. Nokugadzirisa asidhi-nechigadziko mwero muropa, mvura nengaidzo muchitokisi uye intercellular fluid mvura-munyu dzakagadzikana osmotic kuvafurira.
2. kupararira tsinga nomunhu.
3. Activation zvimwe makemikari ari carbohydrate uye mapuroteni muviri.
4. Kwerunyararo kwomuzvarirwo mwoyo mutinhimira.
5. Protein reongororo, kutendeuka shuga kupinda glycogen.
6. Kupa normalization pamusoro itsvo (excretory shanda).
7. Vandudza bowel basa.
8. Muzvarirwo kumanikidzwa rutsigiro.

Akapiwa izvi zvose, zvakakosha chaizvo kuti kunzwisisa zvakavanzwa, kana anoona zvakawanda potassium muropa, zvikonzero chiitiko ichi. Asi usati kunzwisisa zvokurwara zvinyorwa vanofanira kutaurawo chimwe nyaya inokosha.

The zvakawedzera pamwero ngozi?

Zviri zvisaririra chinhu mumuviri kunobva zvachose pezvakaitwa akadai:

• kushandiswa potassium nezvokudya;
• kuparadzirwa kwayo mumuviri;
• kushaya yacho chero chinhu.

hapana "dhepoti" haina waiti mumuviri womunhu kuti potassium. Saka, chero yakatsauka kubva aida pamwero kungakonzera zvakasiyana siyana zvirwere. Ngativerengei nei potassium muropa yakawedzera kana yakaderera, uye mwero ndezvipi.

Pakutanga, funga kuti tigutsikane micronutrient sechinhu chinogamuchirika.

Nekuti murume ngozi uye kushayikwa nekusazvidzora potassium. Yakawedzera potassium muropa, kana kuongorora kunoratidza zviri zvisaririra zvinhu zviri plasma, kupfuura kukosha 5.5. Muchiitiko chino, murwere chirwere hyperkalemia.

Zvichienderana nokuwanda "zvakawandisa" potassium murwere anogona kuva:

1. Kuoma tsandanyama tishu. Mamiriro anogona kuva pfupi. Ari pamwe vakawanda simba.
2. Cardiac arrhythmias. Murwere kuonekwe ventricular paroxysmal tachycardia uye zvimwe zvakafanana hachifadzi ezvinhu. Vamwe vavo vanogona kunyange kurufu.
3. Kutyora kufema basa, kusvikira chemabhazi.

zvikonzero zvenhema kuti kuwedzera

Saka nei yakawedzera potassium muropa inogona kuchengetwa? Zvinokonzera ichi ndezvechokwadi kana nhema. Pazuva rokutanga, tichataura gare gare. Uye ikozvino tarira chii zvingakonzera kuratidza hyperkalemia venhema. Vose vari chokuita havachanyatsogoni ropa zvakabudiswa unyanzvi.

The kuongorora anogona kuratidza zvakawanda zviri potassium, apo:

• papfudzi kwenguva refu nguva yave compressed joko (kupfuura 2-3 maminitsi);
• chaivo zvinhu zvakachengetwa kururama;
• ropa zvakabudiswa yakaitika tapinda muviri potassium kugadzirira;
• munguva kuongorora akakuvara Vienna;
• murwere ane wakawedzera pamwero chena masero eropa, maplatelet.

Kana chiremba chokwadi zvabuda kuti kudzidza, murwere inokurudzirwa kuti dzokorora bvunzo.

The zvikonzero

Zvino tinosvika kunobva wechokwadi, iyo pane rakawedzera pamwero potassium muropa. Zvikonzero zvinogona nokuda kufurirwa nechitarisiko zvinhu kana kuva pamusana pezviri pathologies.

Kazhinji zvinokonzera hyperkalemia dzinosanganisira:

1. Kunwisa kushungurudzwa zvigadzirwa ane yakawanda potassium. zvokudya zvakadaro nzungu, konifurawa, michero yakaomeswa, howa, molasses, mabhanana, kunoita zvisaririra chinhu plasma. Zvisinei, mashoko pathological ezvinhu anogona kuitika chete kana murwere vasingadzoreki renal basa, kunyanya excretory basa.
2. Nouchapupu voga masero potassium. redistribution rwakadaro ions anogona zvinosiyana zvinetso siyana mumuviri. Kazhinji, zviratidzo zvakadai kuonekwa panguva yakaderera zviri jekiseni, yakawedzera shuga wevasungwa, acidosis (acidification interstitial mvura). Kukundikana metabolic urongwa, umo nemvura rinobuda muna intercellular potassium, inogona kuchengetwa ari kuora kuti bundu idzodzo, zvakawanda kutsva, hombe kuzotadzira mhasuro fibers.
3. Low Urinary excretion. The chikuru chinokonzera wehurumende ichi - iri renal kukundikana umo kukundikana kunokwanisa kuonekwa excretory mabasa. Kusingafadzi Fani anogona zvinosiyana uye dzimwe zvirwere. Hyperkalemia rinowanzoberekera pamusoro colour kubva adrenocortical insufficiency, chirwere cheshuga nephropathy, systemic zvirwere (zvakadai lupus, amyloidosis).

mishonga zvikonzero

Pane imwe tsime, zvakazoita vanachiremba vanoti potassium muropa yakawedzera. The zvinokonzera ichi kunogona akavanzwa kushanda mamwe gadziriro dzokurapa. Tapota ziva kuti vamwe mishonga kazhinji pave pane hachifadzi zviratidzo.

Hyperkalemia kungamutsawo:

1. NSAIDs.
2. Potassium-kuuraya diuretics, "Triamterene", "Spironolokton".
3. Zvinhu kuva mukuru Kuwanda cations. Izvi siyana chirimwa akaunganidzwa yorukato, milkweed, voikukka.
4. Medicaments kuti zvinogona kuvhiringa chokufambisa potassium kuburikidza muchitokisi membrane. mishonga ava cardiac glycosides, Beta-blockers, mishonga "Mannitol".
5. Kudzikira kusunungurwa aldosterone. Ichi antifungal mishonga, ACE blockers zvinodhaka "Heparin".

The mamirire Zviratidzo

Nemazvo kuziva zvinokonzera mukuru potassium mu plasma kunogona kuva chiremba. Asi murwere unofanira kuteerera zvingangokubatsira kuti muviri kunoratidza dambudziko.

Kana hyperkalemia murwere ane zvinotevera zviratidzo:

• wokusagadzikana, kushatirwa, kutya, kuzvidya mwoyo, kunonyengedza vangadikitira;
• chinopedza tsandanyama-tsinga zvinetso, tsandanyama simba kunoratidza pachayo;
• arrhythmia kunoitika cardiopsychoneurosis ;
• pane kuoma tsandanyama tishu;
• kwakakanganiswa bowel, murwere unotambudzika chinyamunhari chinorwadza;
• Rinooneka dysuria (ndiko unoraramisa acho).

nzira nechirwere

Ziva mukuru zviri potassium muropa vanogona chete mumarabhoritari zvidzidzo.

Nokuti nechirwere wevarwere ushandiswe miedzo izvi:

1. Blood kuzozvidzorerwa. The ndeyokuva zviri 3.5-5.5 mmol / L mu serum. In kuvapo nokuo- nga zviri chirwere yakawedzera.
2. Urinalysis. Rokuongorora wevasungwa kuti potassium inova goho kubva mumuviri.
3. ECG. Zvokurwara rinoratidza yakawedzerwa amplitude of T chinozunguzirwa, imwe elongated ventricular yakaoma.

kurapwa chirwere

Rangarirai, ndizvo chaizvo kwakakomba ezvinhu, kana murwere ane yakawedzerwa potassium muropa. Zvinokonzera uye pakurapa chirwere chinogona kurapwa zvakakwana chete nyanzvi.

Uyezve, zvikuru hyperkalemia kungaita iyerere sezvo pamusoro apa, kune ngozi evanhu: kufema kusungwa kana mwoyo. Ndokusaka kurapwa iri rakatanga panongovira murwere chirwere.

Zvipatara zvinosanganisira zvinotevera mabasa:

1. Intravenous raitongwa potassium mhandu. Kunyatsoteerera nokudzora basa mumwoyo, chiremba ibasa munhu "karusiyamu gluconate".
2. Redistribution nokuo- nga mukati masero. Izvi zvinoderedza wevasungwa kwayo muropa. Zvinangwa zvakadaro, intravenous zvinodhaka, "jekiseni" uye "shuga".
3. Kwerunyararo kwomuzvarirwo potassium yabudiswa muna weti. Varumbidzwa thiazide diuretics akadai mushonga "Furosemide".
4. Dialysis. Kushandisa chaiyo muchina inochenesa ropa. Chiitiko ichi zvinoratidzwa kuti chirwere chakakomba.
5. Laxatives vari zvinodhaka, Ion chinjanai Inogadzirwa nemasiridzi anobuda mumiti. Ezvemutauro izvi zvinovavarira panguva nokuo- nga kunonoka ura goho kuna mutsvina yadzo.
6. Beta-mimetics. Drug "Salbutamol" kunomutsa kufamba potassium muzvitokisi.

zano rinokosha

Asi yeuka: zvakakosha kumisa wechokwadi kana chirwere yakawedzera potassium muropa, zvikonzero ezvinhu akadaro. Handiti, zvakakodzera kubata runotikurudzira chirwere pane ayo zviratidzo. Kana chirwere kushatiriswa negashiro mishonga, chiremba achaita kudzikisa dose kana abolishes zvinodhaka wakatsamwisa zvokurwara. Uyezve, varwere akataura zvokudya, zvichiratidza achisiya zvokudya ine mukuru wevasungwa pamusoro nokuo- nga.