Qib Ntshav Qib Ntshav (Hyponatremia)

Zoo Siab

• Cov tsos mob ntawm cov sodium qis hauv ntshav
• Cov ua rau muaj ntsev tsawg nyob rau hauv cov ntshav
• Leej twg yuav muaj feem tsis muaj ntsev nyob hauv ntshav?
• Kev ntsuam xyuas rau cov sodium tsawg hauv cov ntshav
• Kev kho mob rau cov ntshav ntsev tsawg
• Kev tiv thaiv ntawm cov tshuaj sodium tsawg
• Lwm cov xaim electrolyte: Hypernatremia

Peb suav nrog cov khoom uas peb xav tias tseem ceeb rau peb cov nyeem. Yog tias koj yuav los ntawm cov txuas hauv nplooj ntawv no, peb yuav khwv tau nyiaj me me. Ntawm no yog peb cov txheej txheem.

Nws txhais li cas thaum tsis muaj ntshav ntsev tsawg?

Sodium yog ib qho tseem ceeb electrolyte uas pab tuav tswj kev sib luag ntawm cov dej hauv thiab ib puag ncig koj lub hlwb. Nws yog qhov tseem ceeb rau cov leeg ua haujlwm thiab cov hlab. Nws kuj tseem pab tswj cov ntshav siab nyob ruaj.

Cov tshuaj sodium tsis txaus hauv koj cov ntshav kuj tseem muaj lub npe hu ua tshuaj mob siab ntswsCov. Nws tshwm sim thaum dej thiab sodium tawm ntawm kev sib npaug. Hauv lwm lo lus, muaj cov dej ntau dhau los yog tsis muaj ntsev txaus hauv koj cov ntshav.

Nquag, koj cov ntsev dej yuav tsum nyob li ntawm 135 thiab 145 milliequivalents ib litres (mEq / L). Hyponatremia tshwm sim thaum koj qib ntsev mus qis dua 135 mEq / L.

Cov tsos mob ntawm cov sodium qis hauv ntshav

Cov tsos mob ntawm cov ntshav sodium tsawg yuav txawv ntawm ib tug neeg mus rau lwm tus. Yog tias koj qib ntsev poob qis dua, koj yuav tsis pom muaj tsos mob dab tsi. Yog tias lawv tso sai sai, koj tus mob yuav mob hnyav dua.

Kev poob kua ntsev sai sai yog ib qho mob ti tes ti taw. Nws tuaj yeem ua rau tsis nco qab, qaug dab peg, thiab tsis xeev.

Cov tsos mob tshwm sim ntawm cov ntshav qis sodium muaj:

• tsis muaj zog
• qaug zog lossis tsis muaj zog noj
• mob taub hau
• xeev siab
• ntuav
• mob pob ntseg los yog txha nqaj qaum
• tsis meej pem
• txob taus

Cov ua rau muaj ntsev tsawg nyob rau hauv cov ntshav

Ntau yam tuaj yeem ua rau cov ntshav ntsev tsawg. Koj cov qib ntsev yuav poob qis yog tias koj lub cev poob dej ntau thiab electrolytes. Mob Hyponatremia kuj tseem yog cov tsos mob ntawm qee qhov mob.

Cov ua rau muaj ntsev tsawg tsawg yog:

• ntuav heev los sis raws plab
• noj qee yam tshuaj, nrog rau cov tshuaj tiv thaiv kab mob thiab tshuaj pab rau qhov mob
• noj tshuaj diuretics (dej tshuaj)
• haus dej ntau dhau thaum qoj ib ce (qhov no tsis tshua muaj heev)
• lub cev qhuav dej
• raum mob raum lossis raum tsis ua haujlwm
• daim siab mob
• teeb meem mob plawv, suav nrog congestive plawv nres
• cov qog adrenal ua rau lub hlwb khiav tsis zoo, xws li Addison's disease, uas cuam tshuam rau koj lub qog adrenal cov peev xwm tswj tau cov dej qab ntsev, potassium, thiab dej hauv koj lub cev.
• hypothyroidism (tsis zoo li lub qog)
• thawj polydipsia, ib qho mob uas nqhis dej ntau dhau ua rau koj haus ntau dhau
• siv ecstasy
• Cov tsos mob ntawm cov tshuaj tiv thaiv kab mob tsis haum (SIADH), uas ua rau koj lub cev khaws dej
• ntshav qab zib insipidus, ib qho mob uas tsis tshua muaj lub cev tsis ua antidiuretic
• Cushing's syndrome, uas ua rau muaj cortisol ntau ntau (qhov no tsis tshua muaj)

Leej twg yuav muaj feem tsis muaj ntsev nyob hauv ntshav?

Qee yam ua rau koj cov ntshav qis, nrog rau:

• laus lawm
• diuretic siv
• tshuaj tiv thaiv kev siv
• ua ib tug neeg ua kis las zoo
• nyob rau hauv ib qho kev nyab xeeb
• noj zaub mov kom tsawg ntsev
• muaj lub plawv tsis ua hauj lwm, raum mob raum, tsos mob ntawm tsis tsim nyog anti-diuretic hormone (SIADH), lossis lwm yam mob

Yog tias koj muaj kev pheej hmoo rau cov dej qab ntsev tsawg, koj yuav tsum ceev faj txog koj txoj kev nqus dej thiab dej.

Kev ntsuam xyuas rau cov sodium tsawg hauv cov ntshav

Kev kuaj ntshav tuaj yeem pab koj tus kws kho mob kuaj xyuas seb puas muaj ntsev tsawg. Txawm hais tias koj tsis muaj cov tsos mob ntawm cov ntshav ntsev tsawg, koj tus kws kho mob yuav hais kom ua cov teeb meem metabolic. Qhov ntsuas no yuav ntau npaum li cas hauv cov roj ntsha thiab cov zaub mov hauv koj cov ntshav. Lub vaj huam sib luag metabolic yooj yim feem ntau yog ib qho ntawm lub cev niaj hnub. Nws yuav qhia tau cov ntshav ntsev tsawg nyob hauv ib tus neeg tsis muaj tsos mob dab tsi.

Yog tias koj cov qib tsis zoo, koj tus kws kho mob yuav xaj kuaj zis mus xyuas seb koj cov ntsev muaj pes tsawg ntsev. Cov txiaj ntsig ntawm kev ntsuas no yuav pab koj tus kws kho mob txiav txim qhov ua rau koj cov ntshav qis sodium:

• Yog tias koj cov ntshav sodium qis tab sis koj cov zis sodium sodium siab heev, koj lub cev poob sodium ntau.
• Cov sodium ntsev qis hauv koj cov ntshav thiab koj cov zis txhais tau tias koj lub cev tsis noj ntsev ntau. Nws kuj tseem yuav muaj dej ntau dhau hauv koj lub cev.

Kev kho mob rau cov ntshav ntsev tsawg

Kev kho rau cov ntshav ntsev tsawg dua nws txawv raws li qhov ua. Nws yuav suav nrog:

• txiav rov qab ntawm cov kua dej ntxiv
• kho qhov tsuas tshuaj ntawm cov tshuaj diuretics
• noj tshuaj rau cov tsos mob xws li mob taub hau, xeev siab, thiab qaug dab peg
• kho lwm yam mob
• infusing kev tso tshuaj sodium (IV) tshuaj sodium

Kev tiv thaiv ntawm cov tshuaj sodium tsawg

Ua kom koj cov dej thiab cov tshuaj electrolyte nyob rau hauv kev sib npaug yuav pab tiv thaiv kom tsis txhob muaj ntsev ntsev ntau.

Yog tias koj yog ib tus neeg ua kis las, nws yog ib qho tseem ceeb uas yuav tsum haus cov dej kom txaus thaum ua kev tawm dag zog. Koj yuav tsum xav txog haus cov dej haus uas muaj dej kom tsawg, xws li Gatorade lossis Powerade. Cov dej haus no muaj cov tshuaj electrolytes, suav nrog sodium. Lawv pab ua kom cov ntsev ploj los ntawm kev tawm hws. Cov dej qab zib no tseem siv tau yog tias koj poob dej ntau dhau ntuav los yog raws plab.

Thaum lub sij hawm ib hnub, cov poj niam yuav tsum taw rau haus dej 2.2 liv dej. Cov txiv neej yuav tsum taw rau 3 liv. Thaum koj lub cev haus dej txaus, koj cov zis yuav daj daj lossis ntshiab thiab koj yuav tsis nqhis dej.

Nws yog ib qho tseem ceeb kom koj cov dej haus ntau yog tias:

• huab cua sov heev
• koj nyob ntawm qhov siab
• koj cev xeeb tub los yog pub niam mis
• koj ntuav
• koj muaj mob raws plab
• koj ua npaws

Koj yuav tsum haus tsis pub ntau tshaj 1 liter dej ib teev twg. Tsis txhob hnov ​​qab tias nws muaj peev xwm haus dej ntau dhau nrawm.

Lwm cov xaim electrolyte: Hypernatremia

Hypernatremia yog tsawg. Nws tshwm sim thaum ib tus neeg tsis tau txais dej txaus vim yog qee qhov kev nkag mus rau cov dej tsis txaus lossis lub tshuab tsis nqhis dej. Nws ua rau mob ntshav qab zib tsawg dua insipidus. Nws tshwm sim thaum koj cov dej ntsev ntau tshaj 145 mEq / L.

Hypernatremia tuaj yeem ua rau:

• tsis meej pem
• neuromuscular excitability
• hyperreflexia
• qaug dab peg
• coma