Kev ntsuas cov poov tshuaj

Qhov ntsuas no ntsuas seb cov poov tshuaj ntau npaum li cas nyob hauv feem kua dej (ntshav dej) ntawm cov ntshav. Poov tshuaj (K +) pab cov leeg thiab cov leeg sib txuas lus. Nws tseem yuav pab tshem cov as-ham rau hauv lub hlwb thiab cov khoom pov tseg tawm ntawm cov hlwb.

Cov poov tshuaj ntau ntau hauv lub cev feem ntau yog tswj los ntawm hormone aldosterone.

Xav tau cov ntshav ntxiv. Feem ntau lub sijhawm tso ntshav tawm los ntawm txoj hlab ntsha nyob rau sab hauv ntawm lub luj tshib lossis sab tes sab tes.

Ntau yam tshuaj tuaj yeem cuam tshuam nrog cov kev kuaj ntshav.

• Koj tus kws kho mob yuav qhia koj yog tias koj yuav tsum tsis noj tshuaj ua ntej koj mus kuaj ntshav.
• TSIS TXHOB txiav lossis hloov koj cov tshuaj yam tsis tau tham nrog koj tus kws kho mob ua ntej.

Tej zaum koj yuav hnov ​​mob me ntsis lossis plev thaum koob tau ntxig. Koj tuaj yeem hnov ​​zoo ib yam li mob ncus ntawm qhov chaw tom qab kos cov ntshav.

Qhov kev ntsuas no yog qhov ib txwm ua ntawm cov txheej txheem theem pib lossis txhua yam ntawm cov zaub mov muaj zog metabolic.

Koj tuaj yeem kuaj ntsuas no los soj ntsuam lossis saib xyuas lub raum. Feem ntau ua rau muaj cov ntshav siab potassium yog lub raum mob.

Cov poov tshuaj tseem ceeb rau lub siab ua haujlwm.

• Koj tus kws kho mob yuav xaj kom kuaj mob no yog tias koj muaj cim ntshav siab lossis lub plawv muaj teeb meem.
• Cov kev hloov me me ntawm cov poov tshuaj qib tuaj yeem cuam tshuam loj rau cov kev ua ntawm cov leeg thiab cov leeg, tshwj xeeb yog lub siab.
• Kev noj cov poov tshuaj tsawg yuav ua rau lub plawv dhia tsis xwm yeem lossis lwm yam hluav taws xob cuam tshuam ntawm lub plawv.
• Theem siab ua rau lub plawv dhia tsis ua haujlwm.
• Ob qhov xwm txheej tuaj yeem ua rau muaj teeb meem phom sij hauv lub neej.

Nws kuj tseem yuav ua tau yog tias koj tus kws kho mob xav tias metabolic acidosis (piv txwv, los ntawm kev tsis mob ntshav qab zib) lossis alkalosis (piv txwv, los ntawm ntuav ntau dhau).

Qee zaum, kev kuaj xyuas cov tshuaj potassium yuav ua tau rau cov neeg muaj kev tuag tes tuag taw.

Qhov ib txwm ua yog yog 3.7 txog 5.2 milliequivalents ib litre (mEq / L) 3.70 txog 5.20 millimoles ib liter (millimol / L).

Cov kab ke tus nqi yuav txawv me ntsis ntawm ntau lub chaw soj nstuam. Tham nrog koj tus kws kho mob txog cov ntsiab lus ntawm koj cov kev kuaj sim.

Cov piv txwv saum toj no qhia cov kev ntsuas sib xws rau cov txiaj ntsig rau cov kev xeem no. Qee lub chaw soj nstuam siv cov kev ntsuas sib txawv los yog sim cov qauv sib txawv.

Theem siab ntawm cov poov tshuaj (hyperkalemia) yuav yog vim:

• Kab mob Addison (tsawg)
• Kev txhaj ntshav
• Qee yam tshuaj suav nrog angiotensin hloov mus rau enzyme (ACE) inhibitors, angiotensin receptor blockers (ARBs), thiab cov tshuaj potassium-sparing diuretics spironolactone, amiloride thiab triamterene
• Crushed nqaij raug mob
• Hyperkalemic sij hawm tuag tes tuag taw
• Hypoaldosteronism (muaj tsawg kawg)
• Raum tsis txaus lossis tsis ua haujlwm lawm
• Kev mob plab lossis ua pa acidosis
• Cov ntshav liab ua kom puas tsuaj
• Ntau cov poov tshuaj nyob hauv koj cov zaub mov

Qib kom qis ntawm poov tshuaj (hypokalemia) yuav yog vim:

• Mob hnyav lossis mob raws plab
• Cushing mob (tsis tshua muaj)
• Diuretics xws li hydrochlorothiazide, furosemide, thiab indapamide
• Hyperaldosteronism
• Hypokalemic periodic tuag tes tuag taw
• Tsis muaj poov tshuaj txaus hauv cov khoom noj
• Plab leeg mob leeg
• Tubular acidosis leeg (tsis tshua muaj)
• Ntuav

Yog tias nws nyuaj rau kev xa cov koob mus rau txoj leeg txhawm rau coj cov ntshav, kev raug mob rau cov ntshav liab yuav ua rau muaj cov poov tshuaj tawm. Qhov no yuav ua rau lub cev tsis raug.

Kev Kuaj Mob Hypokalemia; K +

• 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.

Patney V, Whaley-Connell A. Hypokalemia thiab hyperkalemia. Hauv: Lerma EV, Sparks MA, Topf JM, eds. Lub Neej Ntsab Ntse Tsis Txaus NtseegCov. 4 tug ed. Philadelphia, PA: Elsevier; 2019: chap 74.

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