Kodi zomangira potaziyamu ndi chiyani zimagwira ntchito?

Zamkati

• Kodi zomangira potaziyamu ndi chiyani?
• Mitundu ya potaziyamu binders
• Zotsatira za potaziyamu binder
• Kodi kuopsa kwa potaziyamu wochuluka bwanji?
• Kutenga

Thupi lanu limafunikira potaziyamu kuti mukhale ndi maselo athanzi, mitsempha, komanso minofu. Mchere wofunikirawu umapezeka mu zakudya zosiyanasiyana, kuphatikizapo zipatso, ndiwo zamasamba, nyama, nsomba, ndi nyemba. Malinga ndi National Institute of Health, achikulire athanzi amafunikira potaziyamu pafupifupi 4,700 milligrams (mg) patsiku.

Ambiri aife sitimapeza potaziyamu wokwanira mu zakudya zathu. Koma kupeza potaziyamu wambiri kumatha kuyambitsa chiwopsezo chotchedwa hyperkalemia.

Matendawa amapezeka kwambiri kwa anthu omwe ali ndi matenda ena okhalitsa. Zimaphatikizidwanso ndikumwa mankhwala enaake kapena potaziyamu chowonjezera pamodzi ndi zakudya za potaziyamu.

Kudya zakudya zochepa za potaziyamu zomwe dokotala wanu amalimbikitsa kungakuthandizeni kuchepetsa kuchuluka kwa potaziyamu. Dokotala wanu amathanso kukupatsirani mankhwala otchedwa potaziyamu binder ngati kusintha kwa zakudya sikokwanira.

Kodi zomangira potaziyamu ndi chiyani?

Omangika potaziyamu ndi mankhwala omwe amangiriridwa ndi potaziyamu owonjezera m'matumbo mwanu. Potaziyamu wochulukirayo amachotsedwa m'thupi lanu kudzera pampando wanu.

Mankhwalawa nthawi zambiri amabwera mu ufa womwe mumasakaniza ndi madzi ndikumwa ndikudya. Nthawi zina amatengedwa molakwika ndi enema.

Pali mitundu yosiyanasiyana ya potaziyamu binders yopangidwa ndi zosakaniza zosiyanasiyana. Ndikofunika kutsatira malangizo a mankhwala anu mosamala. Nthawi zonse tengani potaziyamu binder maola 6 musanamwe kapena mutamwa mankhwala ena aliwonse.

Dokotala wanu anganene njira zina zokuthandizani kusamalira potaziyamu wanu. Izi zingaphatikizepo:

• kudya zakudya zochepa za potaziyamu
• kuchepetsa kapena kusintha mlingo wa mankhwala omwe amachititsa kuti thupi lanu lisunge potaziyamu
• kukulemberani diuretic kuti muwonjezere mkodzo wanu ndikutulutsa potaziyamu wochulukirapo
• dialysis

Mitundu ya potaziyamu binders

Pali mitundu ingapo ya potaziyamu binders yomwe dokotala angakupatseni:

• sodium polystyrene sulfonate (SPS)
• calcium polystyrene sulfonate (CPS)
• woyang'anira (Veltassa)
• sodium zirconium cyclosilicate (ZS-9, Lokelma)

Patiromer ndi ZS-9 ndi mitundu yatsopano ya potaziyamu binders. Iwo ndi otetezeka kumwa ndi mankhwala omwe nthawi zambiri amapatsidwa matenda amtima omwe angapangitse chiopsezo cha matenda a hyperkalemia.

Zotsatira za potaziyamu binder

Monga mankhwala aliwonse, omanga potaziyamu amatha kuyambitsa zovuta. Zotsatira zoyipa za potaziyamu binder ndi monga:

• kudzimbidwa
• kutsegula m'mimba
• kusanza
• nseru
• kunyada
• kudzimbidwa
• kupweteka m'mimba
• kutentha pa chifuwa

Mankhwalawa amathanso kukhudza calcium ndi magnesium yanu. Lankhulani ndi dokotala wanu za zovuta zomwe zingachitike.

Kodi kuopsa kwa potaziyamu wochuluka bwanji?

Kuchuluka kwa potaziyamu yama cell othandizira m'thupi lanu komanso zizindikilo zamagetsi zomwe zikugwira ntchito mumtima mwanu. Koma zambiri sizili bwino nthawi zonse.

Impso zanu zimasefa potaziyamu wochuluka mthupi lanu ndikumamasula mumkodzo wanu. Kudya potaziyamu wochulukirapo kuposa momwe impso zanu zingathere kungayambitse hyperkalemia, kapena potaziyamu wochuluka m'magazi anu. Vutoli limasokoneza magetsi pamagetsi.

Anthu ambiri omwe ali ndi hyperkalemia sazindikira zochepa ngati pali zizindikiro zina. Ena amatha kuchita dzanzi kapena kumva kupweteka, kufooka minofu, komanso kuyenda pang'onopang'ono. Hyperkalemia pamapeto pake imatha kubweretsa kugunda kwamtima kosazolowereka ndipo imabweretsa mavuto akulu ndiimfa ngati singachiritsidwe.

Mutha kukhala pachiwopsezo chachikulu cha hyperkalemia ngati muli:

• matenda a impso
• mtundu wa 1 shuga
• congestive mtima kulephera
• matenda a chiwindi
• kusakwanira kwa adrenal (pomwe ma adrenal gland samatulutsa mahomoni okwanira)

Ndizotheka kupanga hyperkalemia ngati muphatikiza zowonjezera potaziyamu ndi chakudya cha potaziyamu. Vutoli limalumikizananso ndi mankhwala monga ACE inhibitors ndi beta-blockers.

Dokotala wanu amalangiza zamankhwala kuti magazi anu a potaziyamu azikhala bwino, nthawi zambiri pakati pa 3.5 ndi 5.0 millimoles pa lita (mmol / L).

Potaziyamu mwadzidzidzi amatha kupweteketsa mtima, kupuma movutikira, kupweteka pachifuwa, nseru, kapena kusanza. Onani dokotala wanu nthawi yomweyo ngati mukumane ndi izi chifukwa zitha kupha moyo wanu.

Kutenga

Potaziyamu ndi mchere wofunikira womwe timafuna mu zakudya zathu. Koma kupeza zochulukirapo kumatha kubweretsa potaziyamu wambiri m'magazi anu otchedwa hyperkalemia. Matendawa amapezeka kwambiri ngati muli ndi matenda enaake kapena mumamwa mankhwala ena.

Hyperkalemia imatha kubweretsa zovuta zowopsa pamoyo. Anthu ambiri alibe zizindikiro za matenda a hyperkalemia, choncho lankhulani ndi dokotala ngati muli pachiwopsezo chachikulu cha vutoli.

Hyperkalemia imachiritsidwanso kwambiri. Dokotala wanu angakulimbikitseni kugwiritsa ntchito potaziyamu binder kuphatikiza zakudya zochepa za potaziyamu kuti muthane ndi potaziyamu woyenera.