Zomwe zimayambitsa komanso momwe mungathandizire hypernatremia

Zamkati

• Zomwe zimayambitsa hypernatremia
• Momwe mankhwalawa amachitikira
• Zizindikiro ndi zizindikilo

Hypernatremia amatanthauzidwa kuti ndi kuchuluka kwa sodium m'magazi, kukhala pamwamba pamalire, omwe ndi 145mEq / L. Kusintha uku kumachitika matendawa atayika madzi ambiri, kapena sodium ikawonongedwa, ndikusowa malire pakati pa kuchuluka kwa mchere ndi madzi m'magazi.

Chithandizo cha kusinthaku chikuyenera kutsogozedwa ndi adotolo kutengera chifukwa chake komanso kuchuluka kwa mchere m'magazi a munthu aliyense, ndipo nthawi zambiri kumakhala ndi kuchuluka kwa madzi, komwe kumatha kukhala pakamwa kapena, pakavuta kwambiri, ndi seramu mumtsempha.

Zomwe zimayambitsa hypernatremia

Nthawi zambiri, hypernatremia imachitika chifukwa chakuchepa kwa madzi owonjezera ndi thupi, ndikupangitsa kusowa kwa madzi m'thupi, zomwe zimafala kwambiri kwa anthu ogona kapena ogonekedwa chifukwa cha matenda ena, momwe amagwirira ntchito ya impso. Itha kukhalanso ngati:

• Kutsekula m'mimba, ofala m'matenda opatsirana kapena kugwiritsa ntchito mankhwala ofewetsa tuvi tolimba;
• Kusanza kwambiri, chifukwa cha gastroenteritis kapena mimba, mwachitsanzo;
• Thukuta lochuluka, zomwe zimachitika ngati munthu akuchita masewera olimbitsa thupi, kutentha thupi kapena kutentha kwambiri.
• Matenda omwe amakupangitsani kukodza kwambiri, monga matenda a shuga insipidus, amayambitsidwa ndi matenda muubongo kapena impso, kapena ngakhale kugwiritsa ntchito mankhwala. Phunzirani zambiri zamomwe mungazindikire ndikuchizira insipidus ya matenda ashuga.
• Kutentha kwakukuluchifukwa amasintha khungu kukhala lotuluka thukuta.

Kuphatikiza apo, anthu omwe samamwa madzi tsiku lonse, makamaka okalamba kapena anthu omwe amadalira omwe sangathe kupeza madzi, amatha kudwala matendawa.

Chifukwa china chofunikira cha hypernatremia ndikumamwa kwambiri sodium tsiku lonse, mwa anthu omwe amakonzedweratu, monga kudya zakudya zamchere. Onani zakudya zomwe zili ndi sodium yambiri ndipo mudziwe zoyenera kuchita kuti muchepetse kudya mchere.

Momwe mankhwalawa amachitikira

Chithandizo chitha kuchitidwa kunyumba, m'malo ovuta, ndikuwonjezera madzimadzi, makamaka madzi. Nthawi zambiri, kumwa madzi ochuluka ndikokwanira kuthana ndi vutoli, koma kwa anthu omwe sangathe kumwa madzi kapena zikavuta kwambiri, adotolo amalimbikitsa kuti m'malo mwa madzi mulowe mchere wambiri, kuchuluka ndi liwiro lomwe likufunika pa chilichonse.

Kuwongolera kumeneku kumapangidwanso mosamala kuti asayambitse mwadzidzidzi magazi, chifukwa cha chiwopsezo cha edema wamaubongo ndipo, kuphatikiza apo, chisamaliro chiyenera kutengedwa kuti muchepetse kuchuluka kwa sodium wochulukirapo chifukwa, ngati ndiwotsika kwambiri, ndizovulaza. Onaninso zomwe zimayambitsa ndi chithandizo cha sodium wocheperako, womwe ndi hyponatremia.

Ndikofunikanso kuthandizira ndikukonza zomwe zikuyambitsa kusamvana kwa magazi, monga kuchiritsa matenda am'mimba, kumwa seramu yokometsera m'mimba ndi kusanza, kapena kugwiritsa ntchito vasopressin, yomwe ndi njira yovomerezeka yothandizira matenda ena ashuga insipidus.

Zizindikiro ndi zizindikilo

Hypernatremia imatha kubweretsa kuwonjezeka kwa ludzu kapena, chifukwa zimachitika nthawi zambiri, sizimayambitsa zizindikiro. Komabe, kusintha kwa sodium ndikowopsa kapena kumachitika modzidzimutsa, mchere wambiri umayambitsa kupindika kwa ma cell amuubongo ndipo zizindikilo ndi zizindikilo zitha kuwoneka, monga:

• Kupweteka;
• Zofooka;
• Kuchuluka kwa kusinkhasinkha kwa minofu;
• Kusokonezeka maganizo;
• Kulanda;
• Ndi fayilo ya.

Hypernatremia imadziwika ndi kuyesa magazi, momwe mulingo wa sodium, womwe umadziwikanso kuti Na, uli pamwamba pa 145mEq / L. Kuwona kuchuluka kwa sodium mumkodzo, kapena osmolarity yamikodzo, kumathandizanso kuzindikira kapangidwe kake mkodzo ndikuzindikira chomwe chimayambitsa hypernatremia.