Yambiro dzinoverengeka dzekupisa dzakaburitswa muShanghai svondo rino, uye iyo yakanyanya tembiricha yadarika 37 degrees. Zvinogona kutaurwa kuti "barbecue mode" yakashandurwa zvakananga.
Mhepo inotonhodza muhofisi yechikwata chevaSuo haishande, uye ikozvino fan yemagetsi uye mhepo-kutonhodza zvese zviri kushandiswa pamwechete, izvo zvisingatomboite kuti zviite. Neraki, iyo yekurovedza ine mhepo-inodzikamisa, asi kune zvakare vakawanda vanhu vangadikitira.
Muzuva rino rakadikitira, pane chimwe chinhu chinofanirwa kuburitswa uye kutaurwa, kupa munhu wese yambiro shoma——
Hypokalemia.
Bvisa nhau dzekare uye upe munhu wese anzwe:
Sekureva kwenhau dzeShanghai, pa14: 28 muna Chikunguru 4, Zhongshan Hospital Yakabatana neYunivhesiti yeFudan yakagamuchira murwere wechikadzi ane makore makumi maviri ekuberekwa kubva ku120 amburenzi.
Musikana uyu airovedza muviri munzvimbo yekurovedza pamberi pechiitiko ichi, uye akabva awira pasi achizorora. Vanhu vakamukomberedza vakabva vaita kumutsidzira cardiopulmonary uye vakadaidzira kuti zana nemakumi maviri vaendeswe kuchipatara. Musikana uyu akange asina kurova kana kufema paakange aendeswa kuchipatara, uye vashandi vezvekurapa vechimbichimbi vakaedza napose pavanogona napo kumununura, asi akatadza kumudzorera.
Iyo yekurovedza ine shati, uye musikana anogona kunge ari mune ye hypoxia uye ziya zvakanyanya.
“Kudikitira kwakawanda ndiko kunokonzera chirwere chemoyo. Muzhizha, kune yakawanda yekurovedza muviri uye ziya. Mvura yemuviri inoputika kuburikidza nedikita, uye viscosity yeropa inowedzera. Kana yasvika pane imwe nhanho, inokonzeresa hypokalemia uye kunyange thrombosis. Tungamira kune yakaipa arrhythmia uye chirwere chemwoyo. ”
Chii chinonzi hypokalemia
Hypokalemia, sekureva kunoita zita, iri pasi potasium muropa.
Nhengo dzemasero emuviri wemunhu dzakanyatso kusimba. Kana zvirimo zvekutsvaga zvinhu muropa zvikachinja zvakanyanya, mamwe maseru nema enzymes anomira kushanda. Kuvhiringidzwa kwemvura-munyu muyero kunogona kutungamira ku arrhythmia, kana kufa kamwe kamwe mune zvakakomba zviitiko.
Hosha yacho pachayo inowanzoitika kune vanhu vane matambudziko neiyo endocrine system (senge matambudziko ane basa reitsvo).
Zvisinei, pasi pemamiriro ekushisa kwakanyanya muzhizha, zviitiko zvevakuru vechidiki zvichawedzerawo, kunyanya nekuti kutora chikamu mukuremedza kurovedza muviri kunotungamira mukushaya mvura uye kusaenzana kwenzvimbo ye electrolyte mumuviri.
Kazhinji, varwere vakapfava vanongoda kutora potasium ekuwedzera kuti vave nani. Muzviitiko zvakakomba, endocrine kusagadzikana kunogona kuitika, kuchida mvura neoksijeni muICU.
Pasi pemamiriro api ezvinhu iro boka rezvehutano rinogona kuva ne hypokalemia
Kune vanhu vane hutano, hypokalemia ishoma.
Asi kana zvangoitika, mamiriro acho achanyanya kuve akaomarara. Uye nekuti izvo zvekutanga zviratidzo zvakafanana nekushomeka kwemvura uye kurasikirwa nemagetsi, zvinowanzoomera kuiteerera, zvichikonzera kunonoka kurapwa.
Kune vanofarira kuvaka muviri, kana kudya kwakanyanyisa (kushomeka kwemunyu kushomeka) uye chaiwo madhiragi (senge diuretics) anoshandiswa panguva yekugadzirira mwaka, njodzi yehypokalemia ichawedzerwa zvakanyanya.
Hazvishamise kuti vavaki vemuviri vave ne hypokalemia inoda kupinda ICU nekuda kwezvirongwa zvisina kunaka zvekudya uye mishonga inokonzeresa kuonda kwemitezo yezasi.
Isu tinomhan'ara nyaya yemurume ane makore makumi maviri nemasere anovaka muviri ane hupenyu hunotyisidzira hypokalemia. Akangoerekana atambura nekufa mitezo yemakumbo maviri ezasi mazuva mashoma mushure mekukwikwidza kwekuvaka muviri. Nekuda kweakanyanya hypokalemia (serum potasium 1.6 mmol / L, bhuku renongedzo (RR) 3.5-5.0 mmol / L), yake electrocardiogram (ECG) yakaratidza yakajairika u wave. Akabvumidzwa kuIntensive Care Unit (ICU) uye akagashira potassium yekuwedzera. Murwere akazobvuma kuti anga aoneswa zvisina tsananguro uremu-kurasikirwa zvinodhaka zvakatengwa pamhepo uye huwandu hwakawanda hwe makabhohaidhiretsi mukugadzirira makwikwi. Akapora zvizere mazuva mashoma gare gare uye akaburitswa zvisinei nezvakakurudzirwa nachiremba. Yakakomba hypokalemia inofungidzirwa kuti inokonzerwa nenzira dzinoverengeka dzinozokurukurwa mune ino mushumo.
——Nyaya yenyaya mu Zvinyorwa zveEndocrinology muna 2014.
Chii chekuteerera panguva yakanyanya kupisa tembiricha
Mamiriro okunze anopisa anonetsa pachawo.
Kana iwe usina’Ini ndinovandudza, iwe unofa gore rega rega. Ingo taura kuti vashandi vazhinji vanga vakagara muhofisi kwenguva yakareba vane moyo usina kusimba uye kazhinji havagone kumira mukuchinja-chinja kwemamiriro avo epanyama.
Isu vanofarira kugwinya, chakanyanya kukosha hutano hwakanaka.
Kana iwe uchinge wakurema kana maekisesaizi, iwe unofanirwa kugara uchiteerera kune chako chimiro chemuviri, kungave kuri kudikitira zvakanyanya, kana kunzwa chiveve chemaoko nemakumbo, kuderera kweropa, kuputika kwemhasuru, dzungu, kumeso kunopisa, kusvotwa, kusvotwa, kukurumidza kurova kwemoyo. , nezvimwe. Zviratidzo izvi zvinofanirwa kugadziriswa nekufamba kwenguva. Kana zviratidzo zvisati zvave nani, iwe unofanirwa kufunga nezvekutsvaga kurapwa.
Kubva pakushaya mvura, kurasikirwa nemagetsi kusvika ku hypokalemia, uye nekufa kamwe kamwe kwemoyo, panowanzo kuve nemasaini epamberi pamhedzisiro isingagadzirisike - isu hatidi chete kuwedzera tsandanyama, asiwo teerera muviri’maonero. . Kana vanhu vasina kugadzikana, usabatisisa zvakaoma. Ita maekisesaizi nechisimba. Mhedzisiro yekuwana mhasuru ishoma uye ine njodzi.
Kupfupisa, mune inopisa mamiriro ekunze, iwe unofanirwa kuteerera kune ——
●Teerera kuzadza mvura uye maelektrolyte paunenge uchirovedza muviri. Semuenzaniso, tora bhanana panguva yekudzidzira, kana gadzirira mapiritsi emunyu kana emagetsi mubhegi rako.
●Idya kudya kwakaringana mukati mevhiki uye udye mhando dzakawanda dzechikafu sezvinobvira. Muriwo nemichero ndizvo zvinyowani zve potassium. Mamiriro ezvinhu anogona kuwedzera zvicherwa zvevithamini zvigadzirwa.
●Usateedzere kudya kwakaderera-munyu zvakanyanya, kunyanya muzhizha paunodikitira zvakanyanya uye uchirasa munyu. Vanhuwo zvavo havana chikonzero chemakwikwi, uye nekungotora munyu wakaringana ndipo pavanogona kuona kuenzana kwemvura nemunyu mumuviri panguva yekurovedza muviri.
●Usati waedza zvimwe zvekuwedzera zvinowedzera kana kunyangwe zvinodhaka, zvirinani uve nekunzwisisa kwavo mhedzisiro, uye zviri nani kuzvishandisa uchitungamirwa nevanyanzvi. Unogona kuverenga zvimwe zvinyorwa kubva kuchikwata chevaSuo, kudzidza kubva kuchikwata cheSuo chekuwedzera makosi uye zvichingodaro.
Muchidimbu, kugwinya hachisi chinhu chezhizha, chinhu cheupenyu hwese, ndinovimba munhu wese anogona kushandisa achifara kuburikidza nemazuva embwa kana paine yambiro yepamusoro yekushisa nguva nenguva.
Hypokalemia haina kutyisa, sekureba sekunge takagadzirira. Iye zvino sezvo mamiriro ekunze apisa, unogona zvakare kusarudza amino acid ine maelectrolyte uye inogona kuzadza mvura. Izvi hazvigone chete kuzadza amino acids, asi zvakare simbisa yedu maelectrolitet.
Post nguva: Jul-20-2021