Machenjezo angapo otentha adaperekedwa ku Shanghai sabata ino, ndipo kutentha kwakukulu kwapitilira madigiri 37. Zitha kunenedwa kuti "kanyenya kanyumba" kwatsegulidwa mwachindunji.
Zowongolera mpweya muofesi ya timu ya Suo sizothandiza, ndipo tsopano zida zamagetsi ndi zowongolera mpweya zonse zimagwiritsidwa ntchito limodzi, zomwe sizingatheke. Mwamwayi, masewera olimbitsa thupi amakhala ndi mpweya, koma palinso anthu ambiri thukuta.
M'masiku otuluka thukutawa, pali china chake chomwe chiyenera kutulutsidwa ndikulankhulidwa, kupatsa aliyense chidwi pang'ono——
Hypokalemia.
Onetsani nkhani zakale ndikupatsa aliyense kumverera:
Malinga ndi malipoti aku Shanghai, pa 14: 28 pa Julayi 4, Chipatala cha Zhongshan Cholumikizana ndi Yunivesite ya Fudan chidalandira wodwala wamkazi wazaka 20 kuchokera ku ambulansi 120.
Mtsikanayo anali kuchita masewera olimbitsa thupi izi zisanachitike, ndipo mwadzidzidzi adagwa pansi kwinaku akupuma. Anthu omuzungulira nthawi yomweyo adatsitsimutsa mtima ndipo adaitanitsa anthu 120 kuti apite nawo kuchipatala. Msungwanayo analibe kugunda kapena kupuma atagonekedwa mchipatala, ndipo ogwira ntchito zachipatala amayesetsa momwe angathere kuti amupulumutse, koma sanamubwezere.
Kuchita masewera olimbitsa thupi ndikotentha, ndipo msungwanayo akhoza kukhala atagona komanso atuluke thukuta kwambiri.
“Thukuta kwambiri limayambitsa matenda a mtima. M'chilimwe, pali masewera olimbitsa thupi komanso thukuta. Madzi amthupi amatuluka thukuta, ndipo mamasukidwe akayendedwe amwazi amakula. Akafika pamlingo winawake, amathandizira hypokalemia ngakhale thrombosis. Zimayambitsa matenda owopsa ndi matenda a mtima. ”
Kodi hypokalemia ndi chiyani
Hypokalemia, monga dzina limanenera, ndi potaziyamu wochepa m'magazi.
Ziwalo zam'thupi la munthu ndizofooka kwambiri. Ngati zomwe zimapezeka m'magazi zimasintha kwambiri, ma cell ndi ma enzyme amasiya kugwira ntchito. Kusokonezeka kwamchere wamadzi kumatha kubweretsa arrhythmia, kapena kufa mwadzidzidzi pamavuto akulu.
Matendawa amapezeka kwambiri mwa anthu omwe ali ndi vuto la endocrine system (monga mavuto a impso).
Komabe, pakakhala kutentha kwambiri nthawi yotentha, kuchuluka kwa achinyamata kudzawonjezeranso, makamaka chifukwa chochita masewera olimbitsa thupi kumabweretsa kuchepa kwa madzi m'thupi komanso kusalinganizika kwa chilengedwe cha ma electrolyte mthupi.
Nthawi zambiri, odwala ofatsa amangofunika kumwa potaziyamu kuti akhale bwino. Pazovuta kwambiri, vuto la endocrine limatha kuchitika, likufuna madzi ndi mpweya ku ICU.
Pansi pazochitika zotani kuti gulu lolimbitsa thupi likhale ndi hypokalemia
Kwa anthu athanzi, hypokalemia ndiyochepa.
Koma zikadzachitika, vutoli likhala lovuta kwambiri. Ndipo chifukwa chakuti zisonyezo zoyambirira zimafanana ndi kuchepa kwa madzi m'thupi komanso kutayika kwa ma electrolyte, nthawi zambiri kumakhala kovuta kuzisamalira, zomwe zimabweretsa kuchedwa kuchipatala.
Kwa okonda kumanga thupi, ngati zakudya zopitilira muyeso (kuchepa kwa madzi m'thupi) ndi mankhwala (monga okodzetsa) amagwiritsidwa ntchito pokonzekera nyengo, chiopsezo cha hypokalemia chidzawonjezeka kwambiri.
Si zachilendo kwa omanga thupi kukhala ndi hypokalemia omwe amafunika kulowa ICU chifukwa chazakudya zopanda pake komanso mankhwala omwe amayambitsa ziwalo za m'munsi.
Tikuyimba mlandu wazomangamanga wazaka 28 wokhala ndi hypokalemia yowopsa. Mwadzidzidzi adadwala ziwalo zonse ziwiri m'munsi masiku angapo pambuyo pa mpikisano womanga thupi. Chifukwa cha hypokalemia yoopsa (potaziyamu wa seramu 1.6 mmol / L, reference range (RR) 3.5-5.0 mmol / L), electrocardiogram yake (ECG) idawonetsa mawonekedwe anu. Adalandiridwa ku Intensive Care Unit (ICU) ndipo adalandira thandizo la potaziyamu. Wodwalayo pambuyo pake adavomereza kuti adapezeka ndi mankhwala osokoneza bongo omwe sanagwiritsidwe ntchito pa intaneti komanso chakudya chambiri pokonzekera mpikisano. Anachira kokwanira masiku angapo pambuyo pake ndipo anatulutsidwa mosatengera malingaliro a adotolo. Hypokalemia yoopsa imakhulupirira kuti imayambitsidwa ndi njira zingapo zomwe zikambirane mu lipotili.
——Lipoti lamilandu mu Journal of Endocrinology mu 2014.
Zomwe muyenera kuzisamalira mukamazizira kwambiri
Nyengo yotentha ndiyovuta yokha.
Ngati simukutero’Ndikusintha, mudzafa chaka chilichonse. Ingonenani kuti antchito ambiri omwe akhala muofesi kwanthawi yayitali amakhala ndi mtima wofooka kwambiri ndipo nthawi zambiri samatha kupirira kusinthasintha kwa mthupi lawo.
Ife okonda kulimbitsa thupi, chinthu chofunikira kwambiri ndi thanzi labwino.
Mukakhala olemera kapena othamanga, nthawi zonse muyenera kumayang'ana momwe thupi lanu lilili, kaya ndi thukuta kwambiri, kapena kumva dzanzi manja ndi miyendo, kuthamanga magazi, kukokana kwa minofu, chizungulire, nkhope yotentha, nseru, nseru, kugunda kwamtima , Zizindikirozi ziyenera kuthandizidwa pakapita nthawi. Ngati zizindikiro sizikulirakulira, muyenera kuganizira zopita kuchipatala.
Kuchokera pakuchepa kwa madzi m'thupi, kutaya kwa electrolyte kupita ku hypokalemia, komanso kufa kwamwadzidzidzi kwa mtima, nthawi zambiri pamakhala zizindikilo zakuthupi zisanachitike zovuta zomwe sizingasinthike - sitiyenera kungowonjezera kulandidwa kwa minofu, komanso tcheru thupi’Maganizo. . Ngati anthu ali omangika, osakakamira. Chitani zolimbitsa thupi mokakamiza. Zotsatira zakupeza minofu ndizochepa komanso zowopsa.
Mwachidule, nyengo yotentha, muyenera kumvetsera ——
●Samalani kuti mudzaze madzi ndi ma electrolyte mukamachita masewera olimbitsa thupi. Mwachitsanzo, tengani nthochi mukamaphunzira, kapena konzani mapiritsi amchere kapena mipiringidzo yamagetsi muchikwama chanu.
●Idyani chakudya choyenera kumapeto kwa sabata ndikudya mitundu yambiri ya chakudya momwe mungathere. Masamba ndi zipatso ndiwo magwero abwino kwambiri a potaziyamu. Zoyenera zitha kuthandizira michere yathanzi.
●Osangodya kwambiri "mchere wochepa", makamaka nthawi yotentha mukatuluka thukuta kwambiri ndikutaya mchere. Anthu wamba alibe kusowa mpikisanowu, ndipo pokhapokha atalandira mchere wokwanira amatha kuwonetsetsa kuti madzi ndi mchere m'thupi mwazochita zolimbitsa thupi.
●Musanayesere zowonjezera zowonjezera kapena mankhwala osokoneza bongo, osachepera muzimvetsetsa zotsatira zake, ndipo ndibwino kuzigwiritsa ntchito motsogozedwa ndi akatswiri. Mutha kuwerenga zolemba zambiri kuchokera mgulu la Suo, phunzirani pamaphunziro owonjezera a timu ya Suo ndi zina zotero.
Mwachidule, kulimba si chinthu cha chilimwe, ndichinthu chamoyo wonse, ndikukhulupirira kuti aliyense atha kukhala mosangalala m'masiku agalu pomwe pali chenjezo lotentha nthawi ndi nthawi.
Hypokalemia siyowopsa, bola ngati tidakonzeka. Tsopano popeza nyengo ili yotentha kwambiri, mutha kusankha amino acid yomwe ili ndi ma elektroliteti ndipo imatha kudzaza madzi. Izi sizingowonjezera amino acid, komanso kuwonetsetsa ma electrolyte athu.
Post nthawi: Jul-20-2021