Tijaabada baradhada
Tijaabadani waxay cabireysaa xaddiga kaalshiyamka ku jira qaybta dareeraha (serum) ee dhiigga. Botaasiyamta (K +) waxay caawisaa neerfaha iyo muruqyada inay xiriir yeeshaan. Waxay kaloo ka caawisaa dhaqaajinta nafaqooyinka unugyada iyo qashinka waxyaabaha ka soo baxa unugyada.
Heerarka macdanta 'Potassium' waxaa inta badan gacanta ku haya hormoonka aldosterone.
Sambal dhiig ayaa loo baahan yahay. Inta badan dhiigga waxaa laga soo qaataa xididka ku yaal gudaha xusulka ama dhabarka gacanta.
Daawooyin badan ayaa faragelin kara natiijooyinka baaritaanka dhiigga.
- Bixiyahaaga daryeelka caafimaad ayaa kuu sheegi doona haddii aad u baahan tahay inaad joojiso qaadashada wax daawo ah ka hor baaritaankaan.
- HA JOOJIN ama ha beddelin dawooyinkaaga adiga oo aan marka hore la hadlin takhtarkaaga.
Waxaa laga yaabaa inaad dareento xanuun yar ama qaniinyo markii cirbadda la gelinayo. Waxa kale oo laga yaabaa inaad dareento xoogaa jug ah goobta ka dib markii dhiigga lagaa qaado.
Tijaabadani waa qayb caadi ah oo ka mid ah guddi dheef-shiid kiimikaad asaasi ah ama dhammaystiran.
Waxaa laga yaabaa in lagugu sameeyo baaritaankaan si loo ogaado ama loola socdo cudurka kelyaha. Sababta ugu badan ee keenta heerka dhiigga dhiigga dhiigga ee sarreeya waa cudur kelyaha.
Botaasiyamta waxay muhiim u tahay shaqada wadnaha.
- Bixiyahaaga ayaa laga yaabaa inuu dalbado baaritaankaan haddii aad leedahay calaamado dhiig kar ama wadno xanuun leh.
- Isbedelada yar ee heerarka potassium waxay saameyn weyn ku yeelan karaan dhaqdhaqaaqa neerfaha iyo muruqyada, gaar ahaan wadnaha.
- Heerarka hoose ee potassium waxay u horseedi kartaa garaaca wadnaha oo aan joogto ahayn ama cillad kale oo koronto oo wadnaha ah.
- Heerarka sare waxay keenaan hoos u dhaca dhaqdhaqaaqa murqaha wadnaha.
- Labada xaaladoodba waxay u horseedi karaan dhibaatooyin wadnaha oo nafta halis geliya.
Waxa kale oo la samayn karaa haddii bixiyahaagu ka shakiyo aashitada dheef-shiid kiimikaadka (tusaale ahaan, oo uu keeno kaadi macaan aan la xakamayn) ama alkalosis (tusaale ahaan, oo uu keeno matag badan).
Mararka qaarkood, baaritaanka macdanta 'potassium' waxaa laga yaabaa in lagu sameeyo dadka uu ku dhacayo curyaannimo.
Heerka caadiga ah waa 3.7 ilaa 5.2 milliequivalents halkii litir (mEq / L) 3.70 ilaa 5.20 millimoles halkii litir (millimol / L).
Heerarka qiimaha caadiga ahi way ku kala duwanaan karaan shaybaarada kala duwan. Kala hadal adeeg bixiyahaaga macnaha natiijooyinka baaritaankaaga gaarka ah.
Tusaalooyinka kor ku xusan waxay muujinayaan cabirka guud ee natiijooyinka imtixaanadan. Shaybaarada qaarkood waxay isticmaalaan cabbiro kala duwan ama waxay tijaabin karaan tijaabooyin kala duwan.
Heerarka sare ee potassium (hyperkalemia) waxaa sababi kara:
- Cudurka Addison (dhif)
- Dhiiga lagu shubo
- Daawooyinka qaarkood oo ay ka mid yihiin xannibaadayaasha angiotensin enzyme (ACE) inhibitors, angiotensin receptor blockers (ARBs), iyo potassium-sparing diuretics spironolactone, amiloride iyo triamterene
- Dhaawaca unugga
- Curyaannimo xilliyeed Hyperkalemic ah
- Hypoaldosteronism (aad dhif u ah)
- Kelyaha oo yaraada ama hawlgab ah
- Dheef-shiid kiimikaad ama aashitada neefsashada
- Burburinta unugyada dhiigga cas
- Kaalshiyam aad u badan oo ku jirta cuntadaada
Heerarka hoose ee kaalshiyamka (hypokalemia) waxaa sababi kara:
- Shuban ba'an ama daba-dheer
- Cushing syndrome (dhif)
- Diuretics sida hydrochlorothiazide, furosemide, iyo indapamide
- Hyperaldosteronism
- Curyaannimo xilliyeed Hypokalemic ah
- Kuma filna macdanta ku jirta cuntada
- Xanuunka kiliyaha halbowlaha
- Kondhiksosis-ka kiliyaha kilyaha (dhif)
- Matagid
Haddii ay adag tahay in irbadda la geliyo xididka si shaybaarka dhiigga looga qaado, dhaawaca unugyada dhiigga cas ayaa sababi kara in la sii daayo macdanta 'potassium'. Tani waxay sababi kartaa natiijo been abuur sare ah.
Imtixaanka Hypokalemia; K +
- Baaritaanka dhiigga
Buurta DB. Cilladaha isu dheelitirka dheellitirka. Gudaha: Skorecki K, Chertow GM, Marsden PA, Taal MW, Yu ASL, eds. Brenner iyo Raktarka kilyaha. 10aad ed. Philadelphia, PA: Elsevier; 2016: cutubka 18.
Patney V, Whaley-Connell A. Hypokalemia iyo hyperkalemia. Gudaha: Lerma EV, Sparks MA, Topf JM, eds. Sirta Nefrolojiga. 4aad. Philadelphia, PA: Elsevier; 2019: cutubka 74.
Seifter JR. Ciladaha ku dhaca jirka. Gudaha: Goldman L, Schafer AI, eds. Daawada Goldman-Cecil. 25aad. Philadelphia, PA: Elsevier Saunders; 2016: cutubka 117.