Symptom o hyperkalemia - he hoailona o ka maʻi i loko o i mahuahua ai i nā loina oi aku mamua o 5 mmol / H potasiuma pae i loko o ke koko lāʻau lapaʻau. Ma kānaka, potasiumaʻano nui i kia ma ka keena ma ka hoʻolako 'DNA a me ka kumuʻiʻo hoʻololi kemikala, ke kelepona hele ulu, maʻamau functioning o nā'ūhū a me ka' ole. D. wale nō 2% o ka potasiuma mea i loko o ka extracellular loli. ʻaʻa puʻuwai a me ka extrarenal maomeka potasiuma homeostasis ua malamaia, ka mua malama o potasiuma excreted, a me ka lua o ka hooholo ia ua hoakaka ia ma ka potasiuma i keena mai o ka extracellular loli. Hana potasiuma mea he uilaʻia o ka halepaahao membranes e hoʻolako. Symptom o hyperkalemia i loko o ka lōpū kahua - ka ho'ēmiʻana o kaʻili lahilahi e kau mai ana Loaʻaʻia o nā aʻalolo a me ka Muscle keena, a e loli ai i ka hua i loko o ka excitability o aeee. Inā ka potasiuma lehulehu i loko o ke koko punohu i 7,5 mmol / L, na keena lilo lākou excitability loa.
Hyperkalemia: symptoms
Hyperkalemia ua pu depolarization o na keena a me ka ho'ēmiʻana o ko lākou excitability i ke kumu no Muscle nawaliwali, naehana hanu ole a me ka paresis. Cardiotonic 'ana hoike mai ai ia kiʻekiʻe potasiuma heʻoiʻoi T hawewe i loko o ka electrocardiogram. Ma kekahi mau hihia, i ka maʻi e loli ai i ka elongation o ka PQ-wā mawaena, a me ke anoe o na QRS-luna 'a me ka meheu o door a me ka poho o ka P nalu a pau kēia mau symptoms alakai i ka ventricular fibrillation a me ka asystole.
Symptom o hyperkalemia: mea, lalau mai
I ola kanaka i kaʻai ana o ka potasiuma ma kiʻekiʻe nā māhele kākaʻikahi ke kumu maʻi. Ke iniiaiie kumu o ka maʻi i loko o maʻamauʻaʻa puʻuwai kuleana pili i - adrenal insufficiency. Akä naÿe, oliguric huʻiʻaʻa puʻuwai hoʻokō 'ole' piʻina ma loko o ke koko potasiuma pae i loko o ka pōkole manawa ole māhuahua potasiuma haawe ana. A helu o nā mea maʻi me ka maʻiʻaʻa puʻuwai insufficiency ma ke degere o ka hyperkalemia kanawai o ka aldosterone deficiency, i mea kuleana no ka secretion o potasiuma. Keia ano ua ana malamaia ma diabetic nephropathy, tubulointerstitial hakuʻala maʻi a me ka poho juxtaglomerular i hoʻomākaukauʻia.
ʻike,
Hyperkalemia ua ia akulla ma keʻena hoʻokolohua ho'āʻo ma o ka lāʻau lapaʻau no ka potasiuma a me electrocardiographic ninaninau.
lapaʻau o hyperkalemia
Ka mua hoailona o ka hyperkalemia E ole e AOON. Huʻi hookahi, a Hoʻoweliweli 'o ia i ke ola o ka hoʻomanawanui ua malamaia lakou nei, me ka intravenous mau hoʻoponopono o ke kalipuna gluconate pāʻoihana kela 2-3 hola. E māhuahua kalipuna maʻiʻo ma ke koko emi iho, a maoli he ka paepae Loaʻaʻia likeʻole ma waena o hanaʻia a me nā mea i koe, hoemi i ka excitability o na keena. Intravenous hoʻoponopono o ka paʻakai hydrogencarbonate paipai 'ia ka hoʻololi o potasiuma mai ka extracellular loli i loko o na keena ponoi. A no ka pale hypokalemia intravenously lawelawe insulina-ō a mama no hoi o ka paʻakai-potasiuma EII ni, a ma ia - i loko o ke kahe o ka potasiuma keena. E emi i ka lehulehu o ka potasiuma i ka lāʻau lapaʻau paʻakai i hoʻokohu 'ia ion mail kēpau fosfattsellyuloznuyu, pinepine hoʻohuiʻia ia me ka sorbitol. Ka hoʻokohu 'ana i kēpau pono no ka Kāohiʻana o ka maʻi i loko o huʻiʻaʻa puʻuwai ole. Symptom o hyperkalemia i aʻoʻia i loko o ka anu u wehe 'ia me ka hemodialysis a peritoneal dialysis me ka bezkalievym pāʻoihana.