Cov ntshav poov tshuaj tsawg

Kev noj cov ntshav poov xab mentsis tsawg yog ib hom mob uas cov lej poov tshuaj nyob hauv cov ntshav qis dua li ib txwm. Lub npe tshuaj kho mob ntawm tus mob no yog hypokalemia.

Cov tshuaj poov tshuaj yog electrolyte (ntxhia pob zeb). Nws yog qhov tsim nyog rau lub hlwb ua haujlwm kom zoo. Koj tau txais poov tshuaj los ntawm cov khoom noj. Lub raum tshem cov poov tshuaj ntau dhau ntawm cov kab mob tso zis rau lub cev ua kom sib luag.

Cov ua rau cov ntshav qis poov tshuaj muaj xws li:

• Cov tshuaj noj, xws li diuretics (dej tshuaj), qee yam tshuaj tua kab mob
• Mob plab zawv lossis ntuav
• Noj kev ntshawv siab (xws li bulimia)
• Hyperaldosteronism
• Mob ncau ntau dhau, uas tuaj yeem ua rau mob raws plab
• Mob raum
• Qib magnesium qib qis
• Tawm hws
• Kev mob caj ces, xws li hypokalemic periodic tuag tes tuag taw, Bartter mob

Kev poob qis me me ntawm cov poov tshuaj feem ntau tsis ua rau cov tsos mob, uas tej zaum yuav mob sib khuav xwb, thiab yuav suav nrog:

• Cem quav
• Zoo nkaus li lub plawv dhia dhau los lossis tshee
• Nkees
• Kev puas tsuaj rau cov leeg
• Nqaij leeg tsis muaj zog lossis txha caj qaum
• Qoj ib ce los sis loog

Kev poob qis hauv cov qib potassium yuav ua rau lub plawv tsis txaus, tshwj xeeb tshaj yog rau cov neeg muaj kab mob plawv. Qhov no tuaj yeem ua rau koj lub siab lossis tsaus muag. Muaj cov poov tshuaj tsawg kawg nkaus tuaj yeem ua rau koj lub plawv nres.

Koj tus neeg muab kev pab kho mob yuav xaj kuaj ntshav mus saib seb koj cov poov tshuaj ntau ntau npaum li cas. Qhov ntau thiab tsawg yog 3.7 mus rau 5.2 mEq / L (3.7 txog 5.2 mmol / L).

Lwm qhov kev kuaj ntshav yuav raug txiav txim kom kuaj xyuas theem:

• Cov piam thaj, magnesium, calcium, sodium, phosphorous
• Cov thyroid hormones
• Aldosterone

Ib qho electrocardiogram (ECG) los kuaj xyuas lub plawv kuj tseem ua tau.

Yog tias koj tus mob me, koj tus kws kho mob yuav kom yuav cov tshuaj noj poov tshuaj poov tshuaj. Yog tias koj tus mob hnyav, koj yuav tsum tau txais cov poov tshuaj hla txoj hlab ntshav (IV).

Yog tias koj xav tau diuretics, koj tus kws kho mob yuav:

• Hloov koj mus rau ib daim ntawv uas khaws tau cov poov tshuaj hauv lub cev. Hom kab mob diuretic no yog hu ua potassium-sparing.
• Khaws tshuaj potassium ntau ntxiv rau koj noj txhua hnub.

Kev noj zaub mov ntau nyob hauv poov tshuaj tuaj yeem pab kho thiab tiv thaiv cov poov tshuaj qis. Cov zaub mov no suav nrog:

• Avoc
• Ci qos
• Tsawb
• Kwv Tuag
• Carrots
• Siav nqaij nyug
• Mis
• Txiv kab ntxwv
• Txiv laum huab xeeb
• Taum thiab taum
• Salmon
• Dej hiav txwv
• Hlais nplej
• Txiv lws suav
• Nplej kab mob

Kev noj cov tshuaj poov tshuaj feem ntau tuaj yeem kho qhov teeb meem. Thaum muaj mob hnyav, yog tias tsis raug kho kom zoo, ib qho kev poob rau ntau ntau hauv potassium yuav ua rau muaj teeb meem mob plawv hnyav tuaj yeem ua rau tuag tau.

Nyob rau hauv cov mob loj, tuag tes tuag taw tuag tes tuag taw tej zaum yuav muaj, xws li nrog hypokalemic periodic tuag tes tuag taw.

Hu rau koj tus kws kho mob sai li sai tau yog tias koj ntuav lossis ntuav mob raws plab heev, lossis yog tias koj noj tshuaj diuretics thiab muaj cov tsos mob hypokalemia.

Cov poov tshuaj - qis; Cov ntshav qab zib tsawg; Kev Hypokalemia

• Kuaj ntshav

Pem Roob DB. Kev ua kom tsis haum cov poov tshuaj sib npaug. Hauv: Skorecki K, Chertow GM, Marsden PA, Taal MW, Yu ASL, eds. Brenner thiab Rector's RaumCov. 10 tus ed. Philadelphia, PA: Elsevier; 2016: chap 18.

Seifter JL. Cov poov tshuaj tsis haum. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 117.