Calaamadaha of hyperkalemia - calaamad u tahay cudur ay kor u qiimeeyo ka weyn yahay 5 mmol heerka potassium / l ee serum dhiigga. In aadanaha, potassium badiba ku urursan yihiin unugyada by bixinta DNA iyo Avv borotiinka, koritaanka unugyada, hawlaha caadiga ah ee falgalka iyo t. D.% of potassium Kaliya 2 waa in dheecaanka extracellular. Kelyaha iyo habab extrarenal homeostasis potassium la hayo, dacwadii koowaad ee potassium raaca, iyo marinka labaad waxaa bixiya potassium unugyada ka dheecaanka extracellular. potassium Action waa in ay bixiso iman kara korontada ee xuubka unug. Calaamadaha of hyperkalemia in marxaladda dhexdhexaad ah - yareynta xuub iman kara nasasiiyay of unugyada dareenka iyo murqaha, taas oo saameyn ku korodhka excitability ee unugyada. Haddii fiirsashada potassium in dhiigga gaartay 7.5 mmol / L, unugyada lumiyaan excitability gebi ahaanba.
Hyperkalemia: calaamadaha
Hyperkalemia waxaa la socda depolarization oo ka mid ah unugyada iyo yaraynta of ay excitability keena tabar-dari muruq, neefta iyo paresis. tallaabo Cardiotonic teedu potassium sare afaysteen hirarka T ee wadnaha ah. Xaaladaha qaarkood, cudurka saamayn ku muruqa ah ee PQ bareeg, iyo ballaarinta ah AV iyo khasaaro of ruxruxo P QRS-adag iyo gaabis calaamadaha intaas oo dhammu waxay keeni aamba ventricular iyo asystole.
Calaamadaha of hyperkalemia: sababaha
In shaqsiyaadka caafimaad qaadashada ee potassium in qaadasho sare dhif keena cudurka. Sababta ugu weyn ee cudurka ee function kelyaha caadi ah - yaridu adrenal. Taas bedelkeeda, oliguric korodhka kelyaha ba'an ee heerarka potassium dhiig muddo gaaban oo aan load potassium kordhay. Tiro ka mid ah bukaannada qaba la'aan kelyaha chronic on heerka uu saamayn hyperkalemia of deficiency aldosterone, kaas oo masuul ka ah dheecaan ah ee potassium. xaalad waxaa inta badan lagu arkay nephropathy diabetic, tubulointerstitial cudurka kelyaha iyo dhaawac qalab juxtaglomerular.
cudurka
Hyperkalemia waxa lagu ogaan karaa baaritaan sheybaar ee serum for potassium iyo baaritaan electrocardiographic.
daaweynta hyperkalemia
Calaamadaha ugu horeeya ee hyperkalemia waa in aan la iska indha tiray. bilawga Ba'an, kaas oo halis ku ah nolosha bukaanka waxaa lagu daaweeyaa maamulka xididka of xal calcium gluconate saac oo kasta 2-3. Kordhinta content calcium in hoos u dhiig iyo kordhisaa farqiga marinka iman kara ee u dhexeeya iman kara tallaabo iyo inta kale, yaraynta excitability ee unugyada. Maamulka xididka of hydrogencarbonate sodium kor kala guurka ah ee potassium ka dheecaanka extracellular unugyada si toos ah. Iyo ka hortagga hypokalemia intravenously maamulo hawlaha insulin-qaadidda ee bamka sodium-potassium, Kuna - in socodka unugyada potassium. Si loo yareeyo fiirsashada of potassium in sodium serum igmadey fosfattsellyuloznuyu cusbi sarrifka ra'iyi, inta badan waxa ay isku la sorbitol. Magacaabidda Beeyada haboon hortagga cudurka in kelyaha ee daran. Calaamadaha of hyperkalemia oo sameeyay in tallaabo laga saaro oo la kelyaha ama saarista xuubka hoose xal bezkalievym.