Dab tsi yog hypokalemia, tsos mob, ua rau thiab kho mob

Zoo Siab

• Cov tsos mob ntawm hypokalemia
• Cov tseem ceeb ua
• Yuav kho tus mob li cas

Hypokalaemia, tseem hu ua hypokalemia, yog qhov xwm txheej ntawm cov poov tshuaj tsawg nyob hauv cov ntshav, uas tuaj yeem ua rau cov leeg tsis muaj zog, cramps thiab hloov plawv, piv txwv, uas yuav tshwm sim vim yog siv tshuaj laxatives, ntuav nquag lossis raws li qhov tsim nyog tau los siv qee yam tshuaj.

Cov poov tshuaj yog electrolyte uas tuaj yeem nrhiav tau yooj yim hauv cov zaub mov ntau yam, xws li tsawb, noob taub, txiv kab ntxwv thiab zaub ntsuab, piv txwv, thiab nws yog qhov tseem ceeb rau kev ua haujlwm zoo ntawm cov leeg thiab kev sib kis ntawm cov leeg. Kev tsis tshua muaj cov tshuaj electrolyte hauv cov ntshav no tuaj yeem ua rau qee cov tsos mob thiab ua rau muaj kev mob tshwm sim rau lub sijhawm ntev, yog li nws tseem ceeb heev uas yuav tsum tau kuaj ntshav hypokalemia thiab kho kom raug raws li tus kws kho mob qhia. Kawm ntxiv txog poov tshuaj.

Cov tsos mob ntawm hypokalemia

Kev noj cov poov tshuaj tsawg hauv cov ntshav tuaj yeem ua rau muaj qhov tshwm sim ntawm qee cov tsos mob thiab cov tsos mob, vim qhov electrolyte no tseem ceeb rau ntau lub zog hauv lub cev. Cov tsos mob tuaj yeem sib txawv ntawm ib tus neeg mus rau lwm tus thiab kuj ua raws li kev ua txhaum ntawm tus mob hypokalemia, tab sis, feem ntau, cov tsos mob tseem ceeb yog:

• Cramps;
• Kev cuam tshuam cov leeg nqaij leeg;
• Lub cev tsis muaj zog tas li;
• Ua pa nyuaj;
• Hloov lub plawv dhia;
• Tuag tes tuag taw, hauv cov mob hnyav tshaj plaws.

Cov pa roj ntau ntau hauv cov ntshav yog li ntawm 3.5 mEq / L thiab 5.5 mEq / L, thiab kuj yuav sib txawv ntawm lub chaw soj nstuam. Yog li, ntau dua li ntawm 3.5 mEq / L txhawm rau hypokalemia.

Cov tseem ceeb ua

Cov laj thawj tseem ceeb uas ua rau kom cov potassium nyob hauv cov ntshav txo qis yog:

• Ntuav thiab raws plab, uas yog cov teeb meem feem ntau uas txo cov poov tshuaj nyob hauv cov ntshav vim poob los ntawm kev mob plab;
• Kev siv qee cov tshuaj, piv txwv li insulin, salbutamol thiab theophylline, piv txwv li, vim lawv txhawb kev nkag ntawm cov poov tshuaj hauv hlwb, nrog kev poob qis hauv nws cov concentration hauv cov ntshav;
• Hyperthyroidism, nyob rau hauv uas tseem muaj kev txav ntawm cov poov tshuaj mus rau hauv cov hlwb;
• Hloov kev ua haujlwm ntawm cov qog adrenal, ua rau muaj kev nce ntxiv hauv kev tsim cov tshuaj aldosterone, uas yog ib yam tshuaj hormones uas tswj qhov sib npaug ntawm sodium thiab potassium thiab uas thaum nce siab txhawb kom tshem tawm cov poov tshuaj hauv cov zis, uas ua rau hypokalemia;
• Kev siv cov tshuaj pleev cev rau li niaj zaus, vim tias nws tuaj yeem ua rau cov ntshav electrolytes ploj thiab tej zaum, hauv kev ua haujlwm ntev, ua rau lub raum thiab lub plawv muaj teeb meem;
• Cushing's syndrome, uas yog ib qho kab mob uas tshwm sim vim qhov kev nce ntxiv ntawm cortisol hauv cov ntshav thiab, vim li ntawd, muaj ntau dua cov plaw (potassium) tso rau hauv cov zis, ua rau hypokalemia.

Kev noj cov poov tshuaj hauv ntshav tsis tshua cuam tshuam nrog cov zaub mov, vim tias feem ntau ntawm cov zaub mov noj txhua hnub muaj cov poov tshuaj txaus. Paub cov khoom noj muaj protein ntau.

Kev kuaj mob ntawm tus mob hypokalemia yog ua los ntawm kev ntsuas cov poov tshuaj hauv ntshav thiab zis, ntxiv rau ib qho electrocardiogram, txij li muaj tej zaum yuav hloov pauv ntawm lub siab. Nws yog ib qho tseem ceeb uas ua rau hypokalemia tau pom thiab kho, vim tias muaj cov poov tshuaj ntau nyob rau hauv cov ntshav tuaj yeem ua rau cov leeg tuag tes tuag taw thiab lub raum tsis ua haujlwm, piv txwv, thiab qhov xwm txheej no nws hnyav heev rau cov neeg muaj teeb meem plawv.

Yuav kho tus mob li cas

Kev kho mob rau cov poov tshuaj tsis muaj ntshav hauv cov ntshav yog ua tiav vim qhov ua kom muaj ntshav nce siab, cov tsos mob tau nthuav tawm los ntawm tus neeg thiab potassium cov ntshav hauv cov ntshav. Yuav luag txhua txhua lub sijhawm, cov kws kho mob tshaj tawm pom zoo kom siv cov tshuaj noj poov tshuaj potassium, uas yuav tsum tau siv rau hauv cov koob tshuaj me me thaum noj mov kom tsis txhob khaus lub plab.

Hauv qhov xwm txheej loj tshaj plaws, uas yog thaum cov tshuaj tua poov tshuaj kom siab sib npaug los yog qis dua 2.0 mEq / L, nws raug nquahu kom tswj cov poov tshuaj ncaj qha mus rau txoj leeg txhawm rau kom cov qib no electrolyte tswj tau sai dua. Cov poov tshuaj kuj tseem qhia ncaj qha rau hauv cov leeg ntshav thaum muaj kev hloov pauv hauv lub plawv lossis lossis thaum siv tshuaj pab qhov ncauj ntau ntxiv, cov qib poov tshuaj tseem poob qis.