Ukuntuleka kwe-potassium emzimbeni kuyathinta kabi umsebenzi wawo wonke imisipha, kuhlanganise nenhliziyo. Ukungasebenzi kahle kwe-Dyspnea ne-pulmonary akude nezezinkinga ezimbi kunazo zonke ezingenziwa yi-hypokalemia, ngakho-ke izimpawu zalesi sifo kufanele zaziwe kuwo wonke umuntu ukuze zixwayise ngengozi ngesikhathi.
Izimbangela ze hypokalemia
I-hypokalemia syndrome cishe ayiphumeli ekungeneni kwe-macronutrient ekudleni. Lokhu kwenzeka kuphela kubantu abadinga amadolobha nasemadolobheni abalambile. I-Potassium iqukethe cishe yonke imikhiqizo, ngakho-ke, ngaphansi kwezimo ezijwayelekile zokudla, ingena emzimbeni wethu ngobuningi obuphakeme kakhulu kunalokho okudingekayo. Ngenxa yalokhu, izinso ziyasebenza kanzima ukususa i-potassium engaphezulu. Kulezo zimo, uma umzimba uqala ukusebenza kanzima, i-hypokalemia iqala. Izimbangela zalesi simo zingahluka kakhulu, kodwa izinkomba ezintathu eziyinhloko ziyahlukaniswa:
- I-Potassium iyanqamuleka ukugonywa ngumzimba.
- I-Potassium idonswa ngokushesha kakhulu.
- Wonke i-potassium engena emzimbeni iya kwesakhiwo samaseli amasha.
Njengoba lesi sakhi samakhemikhali sibamba iqhaza ekwakheni amangqamuzana amasha, ezimweni ezimbi kakhulu, i-potassium egazini isetshenziselwa le njongo, ngenxa yalokho, ukuhlaziywa kwe-plasma yegazi kuzolungisa i-hypokalemia. Eqinisweni, kuyoba hypokalemia yamanga, ngoba lapho ukukhula kwamaseli amasha kuphela, ibhalansi izosinda.
Ngezinye izikhathi imbangela ye hypokalemia yisifo. Okokuqala, lezi ziyizinso, isibindi nesifo se-endocrinological:
- i-ketoacidosis yesifo sikashukela;
- i-hyperglycemia ;
- ukukhula kwama-neoplasms;
- ukukhubazeka komndeni we-hypokalemic;
- umsebenzi owandayo wezinso.
Futhi, i-potassium ihlanzwa emzimbeni ngokuthuthumela nezinye iziphuzo zomzimba, ngakho-ke ngezinye izikhathi hypokalemia iqala ngenxa yokujuluka okukhulu, ukuhuda, nezinye izifo.
Izimpawu eziyinhloko ze-hypokalemia
I-Hypoglycemia ithinta i-ECG. Njengoba ukuhlukana kwemisipha ejwayelekile ezimweni ezinjalo kungenakwenzeka, nenhliziyo iqala nokusebenza kabi. Ngenxa yalokho, izimpawu ze-hypoglycaemia kwi-ECG zibonakala kangcono kunokuba kuhlolwa okuningiliziwe kwegazi. Isigaba T nesigaba se-U condense, isigqi senhliziyo sinzima kakhulu. Uma kuyinkinga ye-glycemia eqinile, ku-cardiogram, ukulinywa kwesigaba se-PQ kubonakala, futhi ukuhlanganiswa kwe-QRS ngesikhathi esisodwa kuyanda kakhulu. Kodwa lokhu akusho ukuthi kukhona ubudlelwane obuqondile phakathi kwezinga le hypokalemia kanye nesimo senhliziyo, lezi zikhombisi ziqondene nomuntu ngamunye. Futhi, izazi ze-cardiologists ziqaphele ukuthi kwabanye abantu ngisho nokuntula kalula kwe-potassium kungabangela izifo ezinjenge-arramthmias ye-ventricular, i-myocardial ischemia kanye ne-hypertrophy ye-ventricular eyashiywe, kanti abanye ngisho nokulahlekelwa kanzima akulethe ukulimala kwenhlalakahle.
Izimpawu ze-hypokalemia zendlela yesibili nazo azijabulisi neze. Lezi yizi:
- i-myopia ;
- ukuxubha;
- kunciphise umsebenzi wokuphefumula;
- ukuphefumula;
- ubuthakathaka bemisipha;
- ukwanda kwentando yenhliziyo;
- ocindezelwe isimo sengqondo;
- ukulala;
- izidakamizwa.
Uma noma yikuphi kwalezi zibonakaliso zitholakala, igazi elivela emthanjeni kufanele lihanjiswe ekuhlaziyweni okuningiliziwe kwe-biochemical kanye ne-ECG.
Ukulungiswa kwe-hypokalemia kulula, uma lokhu kuphambuka kutholakala ngokuhamba kwesikhathi, ungakwazi ukubuyisela ibhalansi ezinsukwini ezimbalwa. Lokhu kuzovimbela zonke izinkinga ezingenzeka. Njengomthetho, isiguli imisiwe izidakamizwa ezinciphisa umsebenzi wezinso futhi zivimbela ukwakheka kwamaseli amasha. Ama-beta-blockers nezinye izidakamizwa ezisiza ukugcina i-potassium emzimbeni zinganqunywa.