He aha ka Hyperkalemia? Nā Hōʻailona, ​​Nā Kumu, & Lapaʻau ma ka Home

Hiki mai ka hyperkalemia ke loaʻa iā ʻoe ka nui o ka potassium i loko o kou koko. Pono kou kino i ka potassium e kōkua i kou puʻuwai e paʻi pono a hana kou mau ʻiʻo, akā ke kiʻekiʻe loa nā pae, hiki iā ia ke hoʻopilikia nui i ka puʻuwai a me ka hana ʻana o ka ʻiʻo.

ʻOi aku ka maʻamau o kēia maʻi ma mua o kou manaʻo, ʻoiai inā he pilikia kou puʻupaʻa a i ʻole e lawe i kekahi mau lāʻau. ʻO ka nūhou maikaʻi, me ka mālama olakino kūpono, hiki ke mālama pono ʻia ka hyperkalemia.

He aha ka Hyperkalemia?

ʻO ka hyperkalemia kahi maʻi olakino kahi e piʻi ai nā pae potassium koko ma luna o 5.0 milliequivalents per liter (mEq/L). ʻO nā pae potassium maʻamau ma waena o 3.5 a 5.0 mEq/L.

Hana maikaʻi kāu mau puʻupaʻa i ka mālama ʻana i nā pae potassium ma ke kāpae ʻana i ka potassium keu ma ka mimi. Ke hana ʻole kēia ʻōnaehana, kūkulu ʻia ka potassium i loko o kou kahe koko.

E noʻonoʻo i ka potassium e like me ka ʻōnaehana uila i loko o kou kino. Hiki i ka nui ke hoʻopilikia i ka uea, e pili ana i kou puʻuwai a me nā ʻiʻo.

Pehea ka Manaʻo o ka Hyperkalemia?

ʻAʻole nui ka poʻe me ka hyperkalemia maʻalahi e ʻike i nā hōʻailona. Ke ʻike ʻia nā hōʻailona, ​​hoʻomohala pinepine lākou i ka mālie a hiki ke maʻalahi ke nalo.

ʻO nā hōʻailona mua maʻamau e pili ana i ka nāwaliwali o ka ʻiʻo a me ka luhi e ʻokoʻa mai ka luhi maʻamau. Hiki iā ʻoe ke ʻike i kou mau ʻiʻo e kaumaha a i ʻole he paʻakikī nā hana maʻalahi ma mua o ka maʻamau.

Eia nā hōʻailona āu e ʻike ai, e hoʻomaka ana me ka mea maʻamau:

• Nāwaliwali o ka ʻiʻo, ʻoiai i kou mau lima a me nā wāwae
• Luhi ʻaʻole e hoʻomaikaʻi me ka hoʻomaha
• Nausea a i ʻole ka maʻi i kou ʻōpū
• ʻO ka ʻūlū a i ʻole ka ʻūlū i kou mau lima a me nā wāwae
• Nā ʻiʻo ʻiʻo a i ʻole ka ʻūlū
• Puʻuwai puʻuwai ʻole a i ʻole palpitations
• Paʻakikī ka hanu
• ʻEha umauma

Hiki i ka hyperkalemia koʻikoʻi ke hana i nā hōʻailona koʻikoʻi e like me ka paralisis a i ʻole nā loli ʻino i ka puʻuwai. Pono kēia mau hōʻailona i ka mālama olakino koke.

He aha ke kumu o ka Hyperkalemia?

Hiki mai ka hyperkalemia ke komo nui kou kino i ka potassium, ʻaʻole e hoʻopau i ka nui ma o kou mau puʻupaʻa, a i ʻole e hoʻololi i ka potassium mai loko o kou mau keena i loko o kou kahe koko.

ʻO nā pilikia o ka puʻupaʻa ke kumu maʻamau no ka mea e wehe ai nā puʻupaʻa olakino ma kahi o 90% o ka potassium āu e ʻai ai. Ke hana ʻole nā puʻupaʻa, hōʻiliʻili ka potassium i loko o kou koko.

Hiki i kekahi mau mea ke alakaʻi i ka hyperkalemia, a ʻo ka hoʻomaopopo ʻana i kēia mau mea hiki ke kōkua iā ʻoe e hana me kāu kauka e pale aku iā ia:

• Maʻi puʻupaʻa maʻi a i ʻole ka hāʻule ʻana o ka puʻupaʻa
• Nā lāʻau lapaʻau e like me ACE inhibitors, ARBs, a i ʻole nā diuretics e mālama ana i ka potassium
• Diabetes, ʻoiai ke hoʻomalu ʻole ʻia ke kō koko
• Maʻi o Addison (adrenal insufficiency)
• Dehydration koʻikoʻi
• ʻAi ʻana i nā meaʻai momona i ka potassium a i ʻole ka lawe ʻana i nā mea hoʻohui potassium
• Nā maʻi koʻikoʻi a i ʻole ka wāwahi ʻana o ka ʻiʻo
• Nā hoʻoili koko (i nā hihia kakaikahi)

Hiki i kekahi mau lāʻau lapaʻau ke hoʻonui i kou pilikia ʻoiai inā olakino kou mau puʻupaʻa. E haʻi mau i kāu kauka e pili ana i nā lāʻau lapaʻau a me nā mea hoʻohui āu e lawe nei.

He aha ka Hyperkalemia he hōʻailona a hōʻailona paha o?

He hōʻailona pinepine ka Hyperkalemia e hana ana kekahi mea ʻē aʻe i loko o kou kino, ʻoiai me kou mau puʻupaʻa a i ʻole nā ʻōnaehana hormone. He maʻi kū hoʻokahi ia.

ʻO nā maʻi maʻamau e pili ana me ka maʻi puʻupaʻa maʻi, e pili ana i ka maikaʻi o kāu mau puʻupaʻa e kānana i ka ʻōpala a me ka potassium nui mai kou koko.

Eia nā kūlana nui e hōʻike ai ka hyperkalemia:

• Maʻi kīkī mau (pae 3-5)
• ʻEha kīkī nui
• Maʻi kō me ka mālama ʻole i ke kō koko
• Maʻi o Addison (nā pilikia o ka ʻāʻī adrenal)
• ʻAʻole pono o ka naʻau (i ka wā e lawe ana i kekahi mau lāʻau)
• ʻAʻole lawa ka wai nui
• Rhabdomyolysis (ka wāwahi ʻana o ka ʻiʻo)
• Hemolysis (ka wāwahi ʻana o nā keʻena koko ʻulaʻula)

I kekahi mau hihia, ʻo ka hyperkalemia paha ka hōʻailona mua e makaʻala ai i kāu kauka i kahi pilikia kīkī i ʻike ʻole ʻoe.

Hiki i ka Hyperkalemia ke hele wale aku?

Hoʻomaikaʻi kekahi hyperkalemia maʻalahi ma kāna iho inā he manawa pōkole ke kumu, e like me ka nele o ka wai a i ʻole ka maʻi pōkole. Eia naʻe, ʻaʻole pono ʻoe e kali e ʻike inā e hoʻoponopono ʻia me ka ʻole o ke alakaʻi olakino.

Pono ka hapa nui o nā hihia o ka hyperkalemia i ka lāʻau lapaʻau no ka mea e pono ai nā kumu e mālama mau ʻia. ʻOiai inā e hoʻomaikaʻi nā pae no ka manawa, hoʻi pinepine ke kūlana me ka ʻole o ka lāʻau kūpono.

Pono kāu kauka e ʻike i ke kumu o kāu mau pae potassium kiʻekiʻe a e hoʻoponopono i kēlā kumu kumu. Hiki i kēia ke hoʻololi i nā lāʻau lapaʻau, ka mālama ʻana i nā pilikia kīkī, a i ʻole ka mālama ʻana i ka maʻi kō me ka maikaʻi.

Pehea e hiki ai ke mālama ʻia ka Hyperkalemia ma ka home?

ʻOiai e pono ai ka hyperkalemia i ka mālama olakino, aia kekahi mau loli meaʻai e hiki ke kōkua i kāu hoʻolālā lapaʻau. Pono e hana mau ʻia kēia ma lalo o ke alakaʻi a kāu kauka.

ʻO ka hoʻolālā hoʻokele home nui e pili ana i ka kaupalena ʻana i nā meaʻai potassium kiʻekiʻe i kāu ʻai. ʻAʻole kēia manaʻo e hoʻopau i nā potassium a pau, akā e koho i nā koho potassium haʻahaʻa ke hiki.

Eia nā ala meaʻai e hiki ke kōkua:

• E kaupalena i nā maiʻa, nā ʻalani, a me nā huaʻai kiʻekiʻe-potassium ʻē aʻe
• E koho i ka berena keʻokeʻo a me ka pasta ma mua o nā ʻano huaʻai holoʻokoʻa
• E pale i nā mea kanu waiwai i ka potassium e like me ka spinach, nā ʻuala, a me nā ʻōmato
• E heluhelu pono i nā lepili meaʻai no ka potassium i hoʻohui ʻia
• E pale i nā mea pani paʻakai i loaʻa ka potassium chloride
• E noho hydrated me ka wai (inā ʻaʻole e ʻōlelo kāu kauka i ka palena wai)
• E lawe i nā lāʻau lapaʻau e like me ke kau ʻia

Mai hooki i ka lawe ʻana i nā lāʻau lapaʻau i kau ʻia me ka ʻole e kamaʻilio mua me kāu kauka. He mea nui kekahi mau lāʻau lapaʻau e hiki ke hoʻonui i ka potassium no ka mālama ʻana i nā maʻi koʻikoʻi ʻē aʻe.

He aha ka Lapaʻau Lapaʻau no ka Hyperkalemia?

Aia ka lapaʻau lapaʻau no ka hyperkalemia i ke kiʻekiʻe o kāu mau pae potassium a me ka wikiwiki e pono ai lākou e hoʻohaʻahaʻa ʻia. E koho kāu kauka i ke ala kūpono loa no kāu kūlana.

No ka hyperkalemia maʻalahi, hiki i ka lapaʻau ke hoʻoponopono i kāu ʻai a me nā lāʻau lapaʻau. Pono nā hihia koʻikoʻi i ka hana koke e pale aku i nā pilikia o ka naʻau.

ʻO nā koho lapaʻau e komo pū ana:

• Ka palena potassium meaʻai me ke alakaʻi ʻana o ka meaʻai
• Hoʻoponopono a hoʻololi paha i nā lāʻau lapaʻau
• Nā lāʻau lapaʻau hoʻopaʻa potassium e kōkua i ka wehe ʻana i ka potassium keu
• Nā diuretics e hoʻonui i ka hoʻopau ʻana o ka potassium ma ka mimi
• Calcium gluconate no ka pale ʻana i ka naʻau (i nā hihia koʻikoʻi)
• Insulin a me ka glucose e hoʻololi i ka potassium i loko o nā cell
• Dialysis no nā hihia koʻikoʻi a i ʻole ka maʻi kīkī

E nānā kāu kauka i kāu mau pae potassium i nā manawa maʻamau e hōʻoia i ka hana pono ʻana o ka lapaʻau. Hoʻopili maʻamau kēia i nā hoʻokolohua koko i kēlā me kēia manawa e nānā i kāu holomua.

I ka manawa hea e ʻike ai au i ke kauka no ka Hyperkalemia?

Pono ʻoe e ʻike i ke kauka i ka wā koke inā ʻike ʻoe i nā hōʻailona e like me ka ʻeha o ka umauma, ka puʻuwai puʻuwai ʻole, ka nāwaliwali o nā ʻiʻo, a i ʻole ka pilikia o ka hanu ʻana. Hiki i kēia mau mea ke hōʻailona o ka hyperkalemia weliweli.

Inā he mau mea pilikia kou no ka hyperkalemia, he mea nui ka nānā mau ʻana me kāu mea mālama ola, ʻoiai inā maikaʻi kou manaʻo. ʻAʻole nui ka poʻe i nā hōʻailona a hiki i ka wā e kiʻekiʻe loa ai nā pae.

E ʻimi i ka lāʻau lapaʻau inā ʻoe e ʻike i kēia mau mea:

• ʻEha o ka umauma a i ʻole ka puʻuwai ʻole
• Nāwaliwali nui o nā ʻiʻo a i ʻole ka maʻi lolo
• Paʻakikī ka hanu
• Nausea mau a me ka luaʻi
• Luhi nui e keakea ana i nā hana o kēlā me kēia lā
• ʻOʻoleʻo a i ʻole ke kaniʻana e ʻino nei

Inā ʻoe e lawe i nā lāʻau lapaʻau e hiki ke hoʻonui i nā pae potassium, pono i kāu kauka e nānā mau i kou pae koko. Mai haʻalele i kēia mau manawa, ʻoiai inā maikaʻi kou manaʻo.

He aha nā mea pilikia no ka hoʻomohala ʻana i ka Hyperkalemia?

Nui nā mea e hiki ke hoʻonui i kou manawa e hoʻomohala ai i ka hyperkalemia. ʻO ka hoʻomaopopo ʻana i kēia mau mea pilikia e kōkua iā ʻoe a me kāu kauka e hana i nā hana e pale ai i nā pilikia.

He hana ko ka makahiki no ka mea e emi ana ka hana o ka puʻupaʻa i ka wā e ʻelemakule ai kākou. ʻOi aku ka pilikia o ka poʻe ma luna o 65 mau makahiki, ʻoiai inā he mau maʻi olakino ʻē aʻe ko lākou.

ʻO nā mea pilikia maʻamau e komo pū ana:

• Maʻi puʻupaʻa maʻi a i ʻole ka hana puʻupaʻa i hōʻemi ʻia
• Diabetes, ʻoiai me ka mana maikaʻi ʻole o ke kō koko
• ʻO ka puʻuwai e koi ana i kekahi mau lāʻau lapaʻau
• Ke lawe nei i nā mea pale ACE, ARB, a i ʻole nā diuretics mālama potassium
• Dehydration a i ʻole ka pau ʻana o ka wai
• Maʻi a Addison a i ʻole nā pilikia ʻē aʻe o ka ʻāʻī adrenal
• ʻOi aku ka makahiki ma mua o 65 mau makahiki
• Hoʻohana mau i nā NSAID (ibuprofen, naproxen)

ʻO ka loaʻa ʻana o hoʻokahi a ʻoi aku paha nā mea pilikia ʻaʻole ia he manaʻo e hoʻomohala maoli ʻoe i ka hyperkalemia, akā ʻo ia hoʻi e pono e nānā pono ʻia e kāu mea mālama ola.

He aha nā pilikia hiki ke loaʻa o ka Hyperkalemia?

ʻO ka pilikia nui loa o ka hyperkalemia e pili ana i kou puʻuwai. Hiki i nā pae potassium kiʻekiʻe ke hana i nā puʻuwai ʻino ʻole e hiki ke hoʻoweliweli i ke ola inā ʻaʻole e mālama koke ʻia.

Ke hilinaʻi nei kou puʻuwai i nā hōʻailona uila pololei e paʻi pono ai. Ke kiʻekiʻe loa nā pae potassium, e hoʻopilikia ʻia kēia mau hōʻailona, ​​e hiki ai i kou puʻuwai ke paʻi lohi loa, wikiwiki loa, a i ʻole me ka maʻamau ʻole.

ʻO nā pilikia e hiki mai ana:

• Nā arrhythmias cardiac (puʻuwai puʻuwai ʻole)
• Hoʻopaʻa puʻuwai piha
• Hoʻopaʻa puʻuwai
• Palekana ʻiʻo
• ʻO ka hāʻule ʻana o ka hanu (i nā hihia koʻikoʻi)
• ʻO ka hana ʻino ʻana o ka puʻupaʻa

ʻOi aku ka nui o kēia mau pilikia ke piʻi koke nā pae potassium a i ʻole e kiʻekiʻe loa. Me ka mālama olakino kūpono a me ka nānā ʻana, hiki i ka hapa nui o ka poʻe me ka hyperkalemia ke pale i kēia mau pilikia koʻikoʻi.

He aha ka mea e hiki ai ke kuhi hewa ʻia ʻo Hyperkalemia?

Hiki ke maopopo ʻole nā ​​hōʻailona hyperkalemia a like me nā kūlana ʻē aʻe. ʻO ia ke kumu he mea nui nā hoʻokolohua koko no ka hōʻoia kūpono.

ʻO ka nāwaliwali o ka ʻiʻo a me ka luhi mai ka hyperkalemia e kuhi hewa ʻia no ka luhi maʻalahi, ke kaumaha, a i ʻole nā ​​maʻi ʻiʻo ʻē aʻe. Hiki ke hāʻawi ʻia nā loli o ka puʻuwai i ka hopohopo a i ʻole nā ​​maʻi puʻuwai ʻē aʻe.

I kekahi manawa ua huikau ʻo Hyperkalemia me:

• ʻO ka maʻi luhi mau
• Kaumaha a i ʻole hopohopo
• Nā maʻi ʻiʻo e like me ka myasthenia gravis
• Nā maʻi puʻuwai puʻuwai mai nā kumu ʻē aʻe
• Dehydration a i ʻole nā ​​kaulike electrolyte
• Nā hopena ʻaoʻao lāʻau
• Fibromyalgia

E hoʻohana kāu kauka i nā hoʻokolohua koko e ana i kāu mau pae potassium a e kāpae i nā kūlana ʻē aʻe. I kekahi manawa pono nā hoʻokolohua hou e ʻimi i ke kumu.

Nā nīnau i nīnau pinepine ʻia e pili ana iā Hyperkalemia

Q1: Hiki iaʻu ke ʻai i nā maiʻa inā loaʻa iaʻu ka hyperkalemia?

Pono paha ʻoe e kaupalena i nā maiʻa a me nā huaʻai potassium kiʻekiʻe ʻē aʻe, akā pili kēia i kāu mau pae potassium kikoʻī a me ka hoʻolālā lapaʻau holoʻokoʻa. E hana pū me kāu kauka a i ʻole ka meaʻai meaʻai e hana i kahi hoʻolālā meaʻai palekana iā ʻoe me ka hāʻawi ʻana i ka meaʻai maikaʻi.

Nīnau 2: Ua like anei ka hyperkalemia me ke koko kiʻekiʻe?

ʻAʻole, ʻo ka hyperkalemia he potassium kiʻekiʻe i loko o kou koko, ʻoiai ʻo ke koko kiʻekiʻe e pili ana i ka ikaika o ke koko e kūʻē i nā paia o kou aʻa. Eia naʻe, hiki i kekahi mau lāʻau lapaʻau i hoʻohana ʻia e mālama i ke koko kiʻekiʻe ke hoʻonui i nā pae potassium, no laila, hiki ke loaʻa nā kūlana ʻelua i kekahi manawa.

Nīnau 3: Pehea ka wikiwiki o ka hyperkalemia e ulu ai?

Hiki i ka hyperkalemia ke ulu i nā lā a i nā pule, ma muli o ke kumu. Hiki i ka ʻeha o ka puʻupaʻa acute ke hoʻonui wikiwiki i nā pae, ʻoiai ʻo ka maʻi puʻupaʻa maʻi maʻamau e alakaʻi i ka piʻi mālie. ʻO ia ke kumu he mea nui ka nānā mau ʻana inā he mau mea pilikia kāu.

Nīnau 4: Hiki i ke kaumaha ke hoʻoulu i ka hyperkalemia?

ʻAʻole i hana pololei ke kaumaha i ka hyperkalemia, akā hiki i ke kaumaha kino nui a i ʻole ka maʻi ke kōkua i kekahi manawa. Hiki nō hoʻi i ke kaumaha ke hoʻopilikia i ka mana o ke kō koko i ka poʻe me ka maʻi diabetes, kahi e hiki ai ke hoʻopilikia i nā pae potassium.

Nīnau 5: Pono anei au e ʻai i ka meaʻai haʻahaʻa-potassium no ke ola?

Aia kēia i ke kumu o kāu hyperkalemia. Inā pili ia i ka maʻi puʻupaʻa, pono paha ʻoe i nā loli meaʻai lōʻihi. Inā hana ʻia e kahi lāʻau lapaʻau hiki ke hoʻololi ʻia a i ʻole kahi maʻi manawa, hiki ke pōkole nā ​​palena meaʻai. E alakaʻi kāu kauka iā ʻoe e pili ana i kāu kūlana kikoʻī.