Teko ea moroto oa potasiamo
Teko ea moroto oa potasiamo e lekanya palo ea potasiamo ka bongata ba moroto.
Kamora hore o fane ka sampole ea moroto, e ea lekoa labong. Haeba ho hlokahala, mofani oa tlhokomelo ea bophelo a ka u kopa hore u bokelle moroto oa hau lapeng nako e fetang lihora tse 24. Mofani oa hau o tla u joetsa hore na u ka etsa sena joang. Latela litaelo hantle hore liphetho li nepahale.
Mofani oa hau a ka u kopa hore u emise ho noa meriana ka nakoana e ka amang litholoana tsa liteko. Bolella mofani oa hau ka meriana eohle eo u e nkang, ho kenyelletsa:
- Corticosteroids
- Lithethefatsi tse seng khahlanong le ho ruruha (li-NSAID)
- Lisebelisoa tsa potasiamo
- Lipilisi tsa metsi (diuretics)
U SE KE UA emisa ho noa moriana pele u bua le mofani oa litšebeletso.
Teko ena e kenyelletsa feela ho ntša metsi ka mokhoa o tloaelehileng. Ha ho na bothata.
Mofani oa hau a ka laela tlhahlobo ena haeba u na le matšoao a boemo bo amang maro a 'mele, joalo ka ho felloa ke metsi' meleng, ho hlatsa kapa letshollo.
E kanna ea etsoa ho fumana kapa ho netefatsa mathata a liphio kapa litšoelesa tsa adrenal.
Bakeng sa batho ba baholo, litekanyetso tse tloaelehileng tsa potine ea moroto hangata e ka ba 20 mEq / L ka sampole e sa reroang ea moroto le 25 ho isa ho 125 mEq ka letsatsi pokellong ea lihora tse 24. Tekanyo e tlase kapa e phahameng ea ho ntša metsi e ka hlaha ho latela palo ea potasiamo lijong tsa hau le palo ea potasiamo 'meleng oa hau.
Mehlala e kaholimo ke litekanyo tse tloaelehileng bakeng sa liphetho tsa liteko tsena. Mekhahlelo e tloaelehileng ea boleng e ka fapana hanyane hara lilaboratori tse fapaneng. Li-lab tse ling li sebelisa litekanyo tse fapaneng kapa li leka liteko tse fapaneng. Bua le mofani oa hau ka moelelo oa sephetho sa hau sa liteko.
Boemo bo phahameng ho feta bo tloaelehileng ba potassium bo ka bakoa ke:
- Lefu la tsoekere acidosis le mefuta e meng ea metabolic acidosis
- Mathata a ho ja (anorexia, bulimia)
- Mathata a liphio, joalo ka tšenyo ea lisele tsa liphio tse bitsoang li-tubule cell (acute tubular necrosis)
- Tekanyetso e tlase ea mali ea mali (hypomagnesemia)
- Tšenyo ea mesifa (rhabdomyolysis)
Potassium e tlase ea moroto e ka bakoa ke:
- Meriana e meng, ho kenyeletsoa beta blockers, lithium, trimethoprim, potassium-sparing diuretics, kapa li-nonsteroidal anti-inflammatory (NSAIDs)
- Litšoelesa tsa Adrenal li ntša hormone e nyane haholo (hypoaldosteronism)
Ha ho na likotsi ka tlhahlobo ena.
Potassium ea moroto
- Mosali pampitšana ea mosese
- Mokhoa oa banna oa ho ntša metsi
Kamel KS, Halperin ML. Tlhaloso ea li-parameter tsa electrolyte le acid-maling le mosese. Ka: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, li-eds. Brenner le Rector ea Liphio. 11th ed. Philadelphia, PA: Elsevier; 2020: khaolo ea 24.
Villeneuve PM, Bagshaw SM. Tlhahlobo ea biochemistry ea moroto. Ka: Ronco C, Bellomo R, Kellum JA, Ricci Z, bahlophisi. Tlhokomelo e Bohlokoa Nephrology. 3rd ed. Philadelphia, PA: Elsevier; 2019: khaolo ea 55.