Sodium yog cov roj ntsha tseem ceeb hauv lub cev. Nws pab tswj cov ntshav siab thiab xav tau rau cov leeg nqaij thiab cov leeg ua haujlwm ntawm tes. Cov ntshav qis sodium, lossis hyponatremia, yog lo lus siv los piav qhia qib sodium hauv cov ntshav qis dua 135 mmol/L ntawm cov txheej txheem zom zaub mov yooj yim. Feem ntau ua rau kub hnyiab, raws plab, tawm hws ntau, ntuav thiab qee yam tshuaj uas ua rau kom tso zis ntau ntxiv, xws li cov tshuaj diuretics. Yog tsis muaj kev kho mob kom raug, cov ntshav sodium tsawg tuaj yeem ua rau cov leeg tsis muaj zog, mob taub hau, ua rau pom tsis meej thiab, hauv qhov xwm txheej tsis zoo, txawm tias tuag. Hu rau koj tus kws kho mob yog tias koj pom cov tsos mob ntawm cov ntshav sodium tsawg, lossis nrhiav kev kho mob xwm txheej ceev rau cov tsos mob hnyav. Kev hloov pauv yooj yim hauv kev siv tshuaj lossis kho qhov teeb meem hauv qab yuav yog txhua yam nws yuav siv los nce koj cov ntshav sodium ntau ntau.
Cov kauj ruam
Txoj Kev 1 ntawm 3: Nrhiav Kev Pab Kho Mob rau Cov tsos mob Sodium tsawg
Kauj Ruam 1. Saib xyuas cov tsos mob yog tias koj muaj tus mob uas ua rau koj muaj kev pheej hmoo
Kev kuaj pom tus mob ua rau koj muaj feem yuav muaj ntshav sodium tsawg. Qhov no txhais tau tias koj yuav tsum tau ceev faj ntxiv thiab saib xyuas cov tsos mob. Qee qhov xwm txheej kev noj qab haus huv uas ua rau koj muaj kev pheej hmoo ntawm cov ntshav qis sodium suav nrog:
- Muaj kab mob hauv lub raum, kab mob hauv lub plawv, lossis kab mob siab
- Ua neeg laus, xws li muaj hnub nyoog 65 xyoos
- Koom nrog kev tawm dag zog ib txwm muaj, xws li triathlons, marathons, thiab ultramarathons
- Noj qee yam tshuaj, xws li tshuaj tiv thaiv kev nyuaj siab, diuretics (tshuaj ntshav siab), thiab qee yam tshuaj kho mob
Kauj Ruam 2. Hu koj tus kws kho mob yog tias koj muaj cov tsos mob ntawm sodium tsawg
Ib qho me me lossis nruab nrab ntawm cov sodium qis feem ntau tsis yog xwm txheej ceev, tab sis nws yog ib qho tseem ceeb kom saib xyuas cov tsos mob yog tias koj muaj kev pheej hmoo ntawm cov ntshav sodium tsawg. Txawm li cas los xij, nco ntsoov tias cov tsos mob ntawm sodium tsawg kuj tseem yuav yog cov tsos mob ntawm lwm qhov teeb meem kev kho mob. Hu rau koj tus kws kho mob yog tias koj muaj:
- Xeev siab
- Mob taub hau
- Cramping
- Tsis muaj zog
Kauj Ruam 3. Nrhiav kev kho mob tam sim rau cov tsos mob hnyav ntawm sodium tsawg
Kev txo sodium electrolytes hauv lub cev tuaj yeem ua teeb meem rau koj, tshwj xeeb tshaj yog tias nws mob hnyav. Tus mob tuaj yeem tuag taus yog tias nws tsis kho. Nrhiav kev kho mob tam sim yog tias koj tau ntsib ib qho ntawm cov hauv qab no:
- Xeev siab thiab ntuav
- Tsis meej pem
- Qaug dab peg
- Tsis nco qab
Kauj Ruam 4. Ntsuas koj cov ntshav sodium qib yog tias koj xav tias nws yuav qis
Yog tias koj pom cov tsos mob ntawm sodium tsawg lossis lwm yam xav tias koj qib sodium tsawg, mus ntsib koj tus kws kho mob. Tib txoj hauv kev kom paub tseeb tias cov ntshav sodium qis yog nrog kuaj ntshav lossis tso zis.
Cov ntshav sodium tsawg tuaj yeem yog mob hnyav, yog li nws tseem ceeb kom tau txais kev kho mob tam sim yog tias koj xav tias muaj teeb meem
Txoj Kev 2 ntawm 3: Kho Tus Mob Ntshav Qab Zib Ntshav
Kauj Ruam 1. Tsis txhob noj koj cov tshuaj yog tias koj tus kws kho mob qhia kom koj ua
Muaj ntau ntau yam tshuaj uas tuaj yeem ua rau cov ntshav muaj sodium tsawg, thiab nres cov tshuaj yuav yog txhua yam nws siv los kho qhov teeb meem. Qhia koj tus kws kho mob txog cov ntawv yuav tshuaj, tom khw, lossis tshuaj txhaum cai uas koj siv tas li. Qee yam tshuaj uas nquag ua rau mob hyponatremia suav nrog:
- Thiazide diuretics
- Xaiv serotonin reuptake inhibitors (SSRIs)
- Tegretol (Carbamazepine) hmoov
- Chlorpromazine (Thorazine)
- Indapamide (Natrilex) hmoov
- Theophylline
- Amiodarone (Cordarone) hmoov
- Ecstasy (MDMA)
Kauj Ruam 2. Kho tej yam hauv paus uas yuav ua rau muaj sodium tsawg
Yog tias koj cov qib sodium qis yog qhov tshwm sim ntawm lwm yam mob, nws yuav xav tau kev kho mob. Kho cov teeb meem hauv qab tuaj yeem daws qhov qis sodium. Txawm li cas los xij, yog tias tus mob tsis tuaj yeem kho tau, ces koj yuav xav tau tshuaj. Teeb meem kev noj qab haus huv uas tuaj yeem ua rau cov ntshav qis sodium suav nrog:
- Mob raum
- Mob plawv
- Mob siab rau
- Syndrome ntawm cov tshuaj tiv thaiv diuretic tsis tsim nyog (SIADH)
- Hypothyroidism
- Hyperglycemia (ntshav qab zib ntau)
- Kub hnyiab heev
- Cov kab mob plab zom mov uas ua rau raws plab thiab ntuav
Kauj Ruam 3. Nug txog cov tshuaj los kho cov qib sodium tsawg
Yog tias koj cov qib sodium qis tsis txhim kho siv lwm txoj hauv kev kho lossis yog tias tsis muaj lwm txoj hauv kev, tom qab ntawd koj tus kws kho mob yuav sau ntawv tshuaj uas yuav ua rau koj cov ntshav sodium ntau ntxiv. Siv nws raws nraim li qhia thiab tsis txhob noj ntau tshaj qhov tau txais kev pom zoo.
Tolvaptan (Samsca) yog ib hom tshuaj uas siv los kho cov tshuaj sodium tsawg. Qhia koj tus kws kho mob txog lwm yam tshuaj uas koj tab tom noj thiab ua raws koj tus kws kho mob cov lus qhia yuav ua li cas noj cov tshuaj no. Yog tias koj noj Tolvaptan, sab laj nrog kws kho mob paj hlwb kom koj tsis txhob nce koj cov ntshav sodium ntau ntau
Kauj Ruam 4. Tau txais cov kua dej tso rau cov qib sodium tsawg heev
Kev txhaj tshuaj isotonic saline yuav tsum tau yog tias tus neeg mus rau qhov poob siab vim qhov ntim qis los ntawm sodium tsawg. Qhov no yuav yog mob hnyav lossis hnyav ntawm sodium tsawg. Kev tso kua dej tam sim tam sim ntawd yuav tsum pab rov qab sib npaug, tab sis tsev kho mob tseem yuav xav tau nyob rau qhov xwm txheej no.
Sepsis lossis kis mob ntshav tuaj yeem ua rau koj cov ntshav sodium ntau ntau
Txoj Kev 3 ntawm 3: Ntsuas Koj Cov Dej Hnyav thiab Cov Zis
Kauj Ruam 1. Txwv koj cov dej kom tsawg rau 1-1.5 L (34-51 fl oz) ib hnub yog tias koj tus kws kho mob qhia rau nws
Kev haus dej ntau dhau tuaj yeem ua rau sodium hauv koj cov ntshav ua rau koj cov qib sodium tsawg. Nws tuaj yeem tuaj yeem nce koj cov ntshav sodium ntau ntau los ntawm kev txiav koj cov dej kom tsawg. Txawm li cas los xij, nrog koj tus kws kho mob tham ua ntej ua qhov no.
- Txwv tsis pub haus dej feem ntau tsuas yog tshwm sim yog tias koj kuaj pom tias muaj sodium tsawg vim yog cov tsos mob ntawm kev tsis haum tshuaj tiv thaiv kab mob (SIADH).
- Koj cov zis thiab qib nqhis dej yog qhov ntsuas zoo ntawm seb koj puas tau txais dej txaus. Yog tias koj cov zis zoo li daj daj thiab koj tsis nqhis dej, tom qab ntawd koj muaj dej txaus.
Kauj Ruam 2. Haus dej qab zib yog tias koj nquag
Yog tias koj yog tus ncaws pob lossis tus neeg uas ua ntau yam dej num thiab ua rau lub cev tawm hws ntau, koj yuav pom cov dej qab zib ua kis las pab tau kom tswj tau cov qib sodium zoo ib yam. Kev haus cov dej haus ua kis las yuav pab koj ntxiv cov sodium electrolytes uas ploj hauv koj cov ntshav. Haus dej haus ua kis las ua ntej, sijhawm, lossis tom qab koj tawm dag zog.
Cov dej haus kis las muaj cov electrolytes tseem ceeb, xws li sodium thiab potassium
Kauj Ruam 3. Tsis txhob noj tshuaj diuretics tshwj tsis yog koj tus kws kho mob qhia koj kom ua li ntawd
Tshwj tsis yog tias koj muaj mob ua ntej thiab muaj ntawv xaj los ntawm koj tus kws kho mob, tsis txhob noj tshuaj diuretics. Cov no yog lub npe hu ua "ntsiav tshuaj dej" vim tias lawv txhawb kev tso zis ntau li no tiv thaiv cov dej hauv lub cev. Txawm li cas los xij, cov tshuaj no tseem tuaj yeem ua rau lub cev qhuav dej.
