Hyperkalaemia: nws yog dab tsi, cov tsos mob tseem ceeb thiab kev kho mob

Zoo Siab

• Cov tsos mob tseem ceeb
• Muaj peev xwm ua rau hyperkalaemia
• Yuav kho tus mob li cas

Hyperkalaemia, tseem hu ua hyperkalemia, sib raug rau qhov nce ntawm cov poov tshuaj nyob rau hauv cov ntshav, nrog cov ntsiab lus siab dua tus nqi siv, uas yog nruab nrab ntawm 3.5 thiab 5.5 mEq / L.

Qhov nce ntawm cov poov tshuaj hauv cov ntshav tuaj yeem ua rau qee qhov mob xws li leeg tsis muaj zog, hloov lub plawv dhia thiab ua pa nyuaj.

Cov poov tshuaj ntau nyob hauv cov ntshav tuaj yeem muaj ntau yam ua rau, txawm li cas los xij nws tshwm sim feem ntau vim yog lub raum teeb meem lub raum, qhov no yog vim tias lub raum tswj tau qhov nkag thiab tawm ntawm cov poov tshuaj hauv hlwb. Ntxiv rau cov teeb meem lub raum, hyperkalaemia tuaj yeem tshwm sim los ntawm hyperglycemia, congestive heart tsis ua haujlwm lossis metabolic acidosis.

Cov tsos mob tseem ceeb

Qhov kev nce ntxiv ntawm cov poov tshuaj hauv cov ntshav tuaj yeem ua rau qhov pom ntawm qee qhov cim thiab cov tsos mob, uas yuav xaus rau qhov tsis saib xyuas, xws li:

• Kev mob hauv siab;
• Hloov lub plawv dhia;
• Ncauj lossis tingling ncus;
• Nqaij tsis muaj zog thiab / los yog tuag tes tuag taw.

Ib qho ntxiv, kuj yuav muaj xeev siab, ntuav, ua pa nyuaj thiab puas hlwb. Thaum qhia cov tsos mob no, tus neeg yuav tsum nrhiav kev pab kho mob sai li sai tau los soj ntsuam ntshav thiab tso zis thiab, yog tias tsim nyog, pib kho kom tsim nyog.

Cov ntshav cov ntshav potassium muaj nuj nqis yog li ntawm 3.5 thiab 5.5 mEq / L, nrog cov nuj nqis saum toj no 5.5 mEq / L qhia txog kev tiv thaiv hyperkalaemia. Saib ntxiv txog cov poov tshuaj ntshav thiab vim li cas lawv tuaj yeem hloov kho.

Muaj peev xwm ua rau hyperkalaemia

Hyperkalaemia tuaj yeem tshwm sim los ntawm qhov tshwm sim ntawm ntau lub sijhawm, xws li:

• Cov tshuaj insulin tsis txaus;
• Hyperglycemia;
• Kev mob plab acidosis;
• Kab mob sib kis;
• Mob raum tsis ua haujlwm;
• Mob raum tsis ua hauj lwm;
• Ua kom lub siab tsis zoo;
• Cov leeg ntshav siab;
• Kab mob ntsws.

Ntxiv rau, qhov nce ntxiv ntawm cov poov tshuaj hauv cov ntshav yuav tshwm sim vim yog siv qee yam tshuaj, tom qab hloov ntshav lossis tom qab siv hluav taws xob.

Yuav kho tus mob li cas

Kev kho mob rau hyperkalemia yog ua tiav raws li qhov ua rau muaj qhov hloov pauv, thiab kev siv tshuaj kho mob hauv tsev kho mob ib puag ncig tuaj yeem qhia tau. Cov mob loj uas tsis kho tamsid tuaj yeem ua rau lub plawv dhia thiab lub hlwb lossis lwm yam hauv lub cev puas.

Thaum cov poov tshuaj ntau hauv cov ntshav tshwm sim vim lub raum tsis ua haujlwm lossis siv cov tshuaj xws li calcium gluconate thiab diuretics, piv txwv li, hemodialysis tej zaum yuav qhia tau.

Txhawm rau tiv thaiv hyperkalaemia, ntxiv rau kev noj tshuaj, nws yog ib qho tseem ceeb rau tus neeg mob muaj lub cwj pwm ntawm kev noj ntsev me ntsis hauv lawv cov zaub mov noj, kuj zam lawv cov khoom noj hloov chaw xws li lub caij ntsuas lub ncuav, uas kuj muaj ntau hauv potassium. Thaum ib tus neeg muaj cov poov tshuaj me me hauv cov ntshav, txoj kev kho mob hauv tsev zoo yog haus dej ntau thiab txo kev noj zaub mov ntau nyob hauv cov potassium, xws li txiv ntoo, txiv tsawb thiab mis. Saib cov npe ntawm cov khoom noj poov tshuaj uas koj yuav tsum tau zam.