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Letsatsi La Creation: 12 Phato 2021
Ntlafatsa Letsatsi: 15 December 2024
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Tekanyo e phahameng ea potasiamo ke bothata boo palo ea potasiamo e maling e leng holimo ho feta e tloaelehileng. Lebitso la bongaka la boemo bona ke hyperkalemia.

Potassium e ea hlokahala hore lisele li sebetse hantle. U fumana potasiamo ka lijo. Liphio li tlosa potasiamo e feteletseng ka moroto ho boloka tekano e nepahetseng ea diminerale ena 'meleng.

Haeba liphio tsa hau li sa sebetse hantle, li kanna tsa se khone ho tlosa palo e nepahetseng ea potasiamo. Ka lebaka leo, potasiamo e ka haella maling. Sehahi sena se ka boela sa bakoa ke:

  • Addison disease - Lefu moo litšoelesa tsa adrenal li sa etse lihormone tse lekaneng, li fokotsa bokhoni ba liphio ba ho tlosa potasiamo 'meleng
  • Ho chesa libaka tse kholo tsa 'mele
  • Khatello ea mali e theolelang lithethefatsi, hangata li-enzyme tse fetolang angiotensin (ACE) inhibitors le angiotensin receptor blockers
  • Tšenyo ea mesifa le lisele tse ling tsa lithethefatsi tse ling tsa seterateng, tšebeliso e mpe ea joala, ho oa ntle le kalafo, ho buuoa, ho tsoa likotsi le ho oa, chemotherapy e itseng kapa mafu a itseng
  • Mathata a etsang hore lisele tsa mali li phatlohe (hemolytic anemia)
  • Ho tsoa mali a mangata mpeng kapa mala
  • Ho nka potasiamo e eketsehileng, joalo ka lintho tse nkeloang letsoai kapa tse tlatsetsang
  • Lihlahala

Hangata ha ho na matšoao a nang le potasiamo e phahameng. Ha matšoao a hlaha, a ka kenyelletsa:


  • Ho nyekeloa kapa ho hlatsa
  • Ho phefumoloha ho thata
  • Ho otla butle, ho fokola kapa ho sa tloaelehang
  • Bohloko ba sefuba
  • Liphetolelo
  • Ho putlama ka tšohanyetso, ha ho otla ha pelo ho lieha haholo kapa ho emisa

Mofani oa tlhokomelo ea bophelo o tla etsa tlhahlobo ea 'mele mme a botse ka matšoao a hau.

Liteko tse ka laeloang li kenyelletsa:

  • Electrocardiogram (ECG)
  • Tekanyo ea potasiamo ea mali

Mofani oa hau o kanna a lekola potassium ea mali a hau mme a etsa liteko tsa mali tsa liphio khafetsa haeba u:

  • E laetsoe potasiamo e eketsehileng
  • E-na le lefu la liphio la nako e telele (le sa foleng)
  • Nka meriana ho alafa lefu la pelo kapa khatello e phahameng ea mali
  • Sebelisa lintho tse nkeloang letsoai sebakeng

U tla hloka kalafo ea tšohanyetso haeba boemo ba hau ba potasiamo bo phahame haholo, kapa haeba u na le matšoao a kotsi, joalo ka liphetoho ho ECG ea hau.

Kalafo ea tšohanyetso e ka kenyelletsa:

  • Calcium e fanoang methapong ea hau (IV) ho phekola mesifa le litlamorao tsa pelo tsa maemo a phahameng a potasiamo
  • Tsoekere le insulin tse fuoang methapong ea hau (IV) ho thusa ho theola maemo a potasiamo nako e telele ho lekana ho lokisa sesosa
  • Dialysis ea liphio haeba ts'ebetso ea liphio e le mpe
  • Meriana e thusang ho tlosa potasiamo ka maleng pele e monyela
  • Bicarbonate ea sodium haeba bothata bo bakoa ke acidosis
  • Lipilisi tse ling tsa metsi (diuretics) tse eketsang phallo ea potasiamo ke liphio tsa hau

Liphetoho lijong tsa hau li ka thusa ho thibela le ho alafa maemo a phahameng a potasiamo. U ka kopuoa ho:


  • Fokotsa kapa u qobe asparagus, li-avocado, litapole, tamati kapa mongobo oa langa le le lej, squash ea mariha, mokopu le spinach e phehiloeng
  • Fokotsa kapa u qobe lilamunu le lero la lamunu, li-nectarine, kiwifruit, morara o omisitsoeng, kapa litholoana tse ling tse omisitsoeng, libanana, cantaloupe, honeydew, prunes le li-nectarine
  • Fokotsa kapa u qobe ho nka lintho tse nkeloang sebaka sa letsoai haeba u kopuoa ho latela lijo tse letsoai le tlase

Mofani oa hau a ka etsa liphetoho tse latelang meriana ea hau:

  • Fokotsa kapa emisa li-supplement tsa potasiamo
  • Emisa kapa u fetole tekanyetso ea meriana eo u e sebelisang, joalo ka ea lefu la pelo le khatello e phahameng ea mali
  • Nka mofuta o itseng oa pilisi ea metsi ho fokotsa maemo a potasiamo le mokelikeli haeba o na le ho hloleha ho sa foleng ha liphio

Latela litaelo tsa mofani oa hau ha u noa meriana ea hau:

  • O SE KE WA emisa kapa oa qala ho noa meriana ntle le ho bua le mofani oa hau pele
  • Nka meriana ea hau ka nako
  • Bolella mofani oa hau ka meriana efe kapa efe, livithamini kapa li-supplement tseo u li nkang

Haeba sesosa se tsejoa, joalo ka potasiamo e ngata lijong, pono e ntle hang ha bothata bo lokisoa. Maemong a boima kapa a nang le mabaka a kotsi, potasiamo e phahameng e kanna ea khutla.


Mathata a ka kenyelletsa:

  • Pelo e emisa ka tšohanyetso (ho ts'oaroa ha pelo)
  • Bofokoli
  • Ho hloleha ha liphio

Bitsa mofani oa hau hang-hang haeba u hlatsa, ho otloa ke pelo, bofokoli, kapa ho hema ka thata, kapa haeba u nka setlatse sa potasiamo 'me u na le matšoao a potasiamo e phahameng.

Hyperkalemia; Potasiamo - e phahameng; Potasiamo e phahameng ea mali

  • Teko ea mali

Thaba ea DB. Mathata a potasiamo. Ka: Skorecki K, Chertow GM, Marsden PA, Taal MW, Yu ASL, li-eds. Brenner le Rector ea Liphio. 10th ed. Philadelphia, PA: Elsevier; 2016: khaolo ea 18.

Seifter JL. Mathata a potasiamo. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 26th. Philadelphia, PA: Elsevier; 2020: khaolo ea 109.

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