Hyperkalemia - zizindikiro

Kuwonjezera potaziyamu m'magazi a magazi kumabweretsa mavuto osiyanasiyana. Zizindikiro za hyperkalemia ndizobisika, kotero n'zosavuta kupeza matenda nthawi. Pali njira ziwiri zolondola zodziwira hyperkalemia - ECG ndikuyesera magazi.

Zomwe zimayambitsa hyperkalemia

Kuwonjezeka kwa potaziyamu mu zakudya kumayambitsa hyperkalemia kwambiri kawirikawiri. Thupi lathu limatha kuthetsa kuchuluka kwa macronutrient omwe amatengedwa kuchokera ku chakudya, ndipo ngati potaziyamu ndi yochuluka kwambiri, sichimangodya, imachotsa mwamsanga msampha. Choncho, ngati kuyezetsa magazi kumasonyeza k oposa 5.5 mmol pa lita imodzi, mwinamwake impso zimalephera kuthana ndi ntchitoyo. Inde, ngati matendawa sali chifukwa chomwa mankhwala ena.

Mitundu ina ya mankhwala imalimbikitsa kutulutsa potasiyamu kuchokera m'maselo a thupi lathu kulowa mu dera la intercellular, lomwe limatulutsanso ku hyperkalemia. Choyamba, tikulankhula za beta-blockers, mankhwala ochizira chibayo mwa odwala Edzi, Trimethoprim, Pentamidine ndi mankhwala ena.

Kawirikawiri kuwonjezeka kwa potaziyamu kumagwirizanitsa ndi matenda ngati amenewa a ziwalo monga:

Ndiponso, hyperkalemia ikhoza kukhala ndi matenda a shuga ndi kuyesetsa mwamphamvu. Komanso, pamapeto pake, pakapita nthawi mankhwalawa amayamba kuchitika.

Zizindikiro za hyperkalemia

Kuwonjezera pa potaziyamu m'magazi kungasonyezedwe ndi zizindikiro zotere:

Zizindikiro za hyperkalemia sizinali zoonekeratu nthawi zonse osati zonse. Kodi tingadziwe bwanji matendawa?

Kawirikawiri, ndi hyperkalemia, palinso chizindikiro chodziwika bwino monga kupweteka kwa minofu ndi kupuma. Ngati zimakuvutani ngakhale kubweretsa chikho pamilomo yanu, kapena chotupa sichikuchepa mokwanira kuti chitenge mpweya waukulu, chimalepheretsa kutulutsa mpweya wabwino, izi zimasonyeza matenda.

Chifukwa chakuti potaziyamu m'magazi amakhudza mwachindunji ntchito yachibadwa ya minofu ya mtima, bwino kwambiri hyperkalemia imawonekera pa ECG . Ndi chithandizo cha cardiogram ndizotheka kudziwa zonse zomwe zimapangitsa kuti chisokonezeko ndi kusowa kwachisankho ichi. Zizindikiro za hyperkalemia pa ECG zikuwonekera makamaka m'ma mano oyamba a T. Izi ndi umboni wa matenda ofatsa. Ngati matendawa adutsa pakati, gawo la PQ limaphatikizidwa pa cardiogram ndipo ma QRS amakhala ochuluka. Pa nthawi yomweyo AV-imakhala yocheperachepera ndipo, pozunzika kwambiri, dzino la P. likusowa. Nthawi yamba imayamba kufanana ndi sinusoid. Mu Matenda aakulu a hyperkalemia amachititsa ventricular fibrillation ndi asystole.

Ndi hypokalemia cardiologists adzawona chithunzi chosiyana kwambiri - Dzino lachitsulo T ndi kukula kwake kwa dzino kumawonjezeka. Ndi chithandizo cha cardiogram kuti matenda a matendawa ndi osavuta kupeza. Ngakhale kuyesedwa kwa magazi nthawi zonse sikutsimikiziranso za matendawa. Chowonadi ndi chakuti ndi mwazi wa sampuli, bodza la hyperkalemia nthawi zambiri limawonedwa. Popeza kuti kusanthula kumachokera ku mitsempha, ndikumangirira thupi, ndipo potaziyamu imadziwika kuchokera m'maselo mosagwirizana ndi malo osungirako zinthu. Ndiponso, chifukwa cha kuchuluka kwa kuchuluka kwa chinthuchi chachikulu mu magazi kungakhale kanyumba kokongola kotchuka kwambiri pa mkono, kapena zovala zolimba kwambiri.