Izilumkiso ezininzi zobushushu obuphezulu zakhutshwa eShanghai kule veki, kwaye ubushushu obuphezulu budlulile kwi-37 degrees. Kunokuthiwa "imo yebhakhowudi" ivuliwe ngokuthe ngqo.
Imoya-moya kwiofisi yeqela leSuo ayisebenzi, kwaye ngoku ifeni yombane kunye ne-air-conditioning zombini zisetyenziswa kunye, ezingenakukwazi ukuzenza. Ngethamsanqa, indawo yokuzivocavoca inomoya-moya, kodwa baninzi abantu ababilayo.
Kule mini ibilayo, kukho into ekufuneka ikhutshwe kwaye kuthethwe ngayo, ukunika wonke umntu isilumkiso esincinci——
Hypokalemia.
Vala iindaba ezindala kwaye unike wonke umntu imvakalelo:
Ngokwengxelo zeendaba zaseShanghai, nge-14: 28 ngoJulayi 4, iSibhedlele saseZhongshan esiNxulumene neYunivesithi yaseFudan safumana isiguli esingumfazi esineminyaka engama-20 esivela kwi-ambulensi eyi-120.
Intombazana ibizilolonga kwindawo yokwenza umthambo ngaphambi kwesehlo, kwaye ngequbuliso yawa emhlabeni ngelixa iphumle. Abantu ababemngqongile ngoko nangoko benza ukuvuselelwa kwe-cardiopulmonary kwaye babiza i-120 ukuba isiwe esibhedlele. Intombazana leyo yayingenayo impehla okanye ukuphefumla xa yayingeniswa esibhedlele, kwaye abasebenzi bezonyango abakhawulezileyo bazama konke okusemandleni abo ukuyihlangula, kodwa ayabinakho ukumbuyisa.
Indawo yokuzivocavoca ishushu, kwaye intombazana isenokuba kwimeko yehypoxia kwaye ubile kakhulu.
“Ukubila kakhulu ngunobangela wesifo sentliziyo. Ehlotyeni, kuninzi ukuzilolonga kunye nokubila. Amanzi omzimba aphuphuma ngumbilo, kwaye i-viscosity yegazi iyanda. Xa ifikelela kwinqanaba elithile, ikhuthaza i-hypokalemia kunye ne-thrombosis. Kukhokelela kwisifo esibuhlungu kunye nesifo sentliziyo. ”
Yintoni i-hypokalemia
I-Hypokalemia, njengoko igama lisitsho, yi-potassium esezantsi egazini.
Amalungu eseli omzimba womntu abuthathaka kakhulu. Ukuba umxholo wezinto ezilandelwayo egazini utshintsha kakhulu, ezinye iiseli kunye nee-enzymes ziya kuyeka ukusebenza. Ukuphazamiseka kokulingana kwetyuwa yamanzi kunokukhokelela kwi-arrhythmia, okanye ukufa ngesiquphe kwiimeko ezinzima.
Esi sifo ngokwaso sixhaphake kakhulu kubantu abaneengxaki kwinkqubo ye-endocrine (enjengeengxaki zezintso).
Nangona kunjalo, phantsi kweemeko zeqondo lobushushu eliphezulu ehlotyeni, izehlo zabantu abadala ziya kunyuka, ikakhulu ngenxa yokuba ukuthatha inxaxheba kwimithambo enzima kukhokelela ekuphelisweni kwamanzi emzimbeni kunye nokungalingani kwemeko ye-electrolyte emzimbeni.
Ngokubanzi, abaguli abanobulali bafuna kuphela ukuthatha izongezo zepotassium ukuze zibengcono. Kwiimeko ezinzima, ukungasebenzi kwe-endocrine kunokwenzeka, kufuna amanzi kunye neoksijini kwi-ICU.
Kuphantsi kwaziphi iimeko apho isixa somzimba sinokuba ne-hypokalemia
Kubantu abasempilweni, i-hypokalemia inqabile.
Kodwa xa sele yenzekile, imeko iya kubaluleka ngakumbi. Kwaye ngenxa yokuba iimpawu zokuqala ziyafana nokuphelelwa ngamanzi emzimbeni kunye nelahleko ye-electrolyte, kuhlala kunzima ukuyihoya, kukhokelela kulibaziseko kunyango.
Kubathandi bokwakha umzimba, ukuba ukutya okugabadeleyo (ukuthoba amanzi ngetyuwa) kunye neziyobisi ezithile (ezinje nge-diuretics) zisetyenziswa ngexesha lokulungiselela ixesha lonyaka, umngcipheko wehypokalemia uya kwandiswa kakhulu.
Akuqhelekanga ukuba abakhi bomzimba babe ne-hypokalemia efuna ukungena kwi-ICU ngenxa yezicwangciso zokutya ezingafanelekanga kunye neyeza ezibangela ukukhubazeka kwamalungu angaphantsi.
Sixela imeko yomakhi womzimba oneminyaka engama-28 ubudala osongela ubomi kwi-hypokalemia. Ngokukhawuleza wafumana ukukhubazeka kwamalungu omabini asezantsi kwiintsuku ezimbalwa emva kokhuphiswano lokwakha umzimba. Ngenxa yehypokalemia enzima (i-serum potassium 1.6 mmol / L, uluhlu lweereferensi (RR) 3.5-5.0 mmol / L), i-electrocardiogram (ECG) yakhe yabonisa umtshangatshangiso oqhelekileyo. Wangeniswa kwiCandelo loKhathalelo oluKhuselekileyo (ICU) kwaye wafumana isongezelelo se potassium. Isigulana kamva samkela ukuba wayefumene iziyobisi ezingaqondakaliyo zokuphulukana namayeza athengwe kwi-Intanethi kunye nezixa ezikhulu zeecarbohydrate ukulungiselela ukhuphiswano. Waye wachacha ngokupheleleyo kwiintsuku ezimbalwa kamva kwaye wakhululwa ngaphandle kokunconywa ngugqirha. I-hypokalemia eqinileyo ikholelwa ukuba ibangelwa ziindlela ezininzi eziza kuxutyushwa kule ngxelo.
——Ingxelo yecala kwiJenali ye-Endocrinology ngo-2014.
Yintoni ekufuneka uyiqwalasele ngexesha lokuzilolonga kakhulu
Imozulu eshushu ngumceli mngeni ngokwawo.
Ukuba awunikeli’Ukuphucuka, uyakufa minyaka le. Thetha nje ukuba abasebenzi abaninzi abebehleli e-ofisini ixesha elide baneentliziyo ezibuthathaka kakhulu kwaye bahlala bengenako ukumelana nokuhla kweemeko zabo zomzimba.
Thina bathandi bomzimba, eyona nto ibalulekileyo yimpilo entle.
Xa unesisindo okanye i-aerobic, kufuneka uhlale unonophele imeko yakho yomzimba, nokuba uyabila kakhulu, okanye uziva ubundindisholo kwezandla kunye neenyawo, uxinzelelo lwegazi oluphantsi, iicramps, isiyezi, ubuso obushushu, isicaphucaphu, isicaphucaphu, ukubetha kwentliziyo okukhawulezayo njl njl. Ezi mpawu kufuneka kujongwane nazo kwangexesha. Ukuba iimpawu azikaphucuki, kuya kufuneka uthathele ingqalelo ukufumana unyango.
Ukusuka ekuphelelweni ngamanzi emzimbeni, ukulahleka kwe-electrolyte ukuya kwi-hypokalemia, kunye nokufa kwentliziyo ngesiquphe, kuhlala kukho imiqondiso yomzimba ngaphambi kokuba kwenzeke iziphumo ezingenakulungiseka- akufuneki sonyuse kuphela ukugaywa kwemisipha, kodwa sinikele ingqalelo emzimbeni’imbono. . Ukuba abantu abonwabanga, musa ukubambelela nkqi. Yenza umthambo ngenkani. Iziphumo zokufumana izihlunu zilinganiselwe kwaye ziyingozi.
Ukushwankathela, kwimozulu eshushu, kuya kufuneka uthathele ingqalelo ——
●Nika ingqalelo ekugcwaliseni amanzi kunye nee-electrolyte xa usenza umthambo. Umzekelo, fumana ibhanana ngexesha loqeqesho, okanye ulungiselele iipilisi zetyuwa okanye imivalo yamandla kubhaka wakho.
●Yitya ukutya okunezondlo phakathi evekini kwaye utye iintlobo zokutya ezininzi kangangoko kunokwenzeka. Imifuno kunye neziqhamo zezona zinto zingumthombo we potassium. Imiqathango inokuxhasa iimveliso zempilo yezamaminerali.
●Sukulandela ukutya "okunetyuwa encinci" kakhulu, ngakumbi ehlotyeni xa ubile ngakumbi kwaye ulahlekelwe yityuwa. Abantu abaqhelekileyo abanasidingo sokhuphiswano, kwaye kuphela ngokuthatha ityuwa eyaneleyo abanokuthi baqinisekise ukulingana kwamanzi netyuwa emzimbeni ngexesha lokuzilolonga.
●Ngaphambi kokuzama ezinye izongezo okanye iziyobisi, ubuncinci unokuziqonda iziphumo zazo, kwaye kungcono ukuzisebenzisa phantsi kolawulo lweengcali. Unokufunda amanye amanqaku kwiqela le-Suo, ufunde kwiikhosi zokuncedisa iqela le-Suo njalo njalo.
Ngamafutshane, ukomelela akuyona into yasehlotyeni, yinto yokuphila, ndiyathemba ukuba wonke umntu angachitha ngovuyo ngeentsuku zenja xa kukho isilumkiso sobushushu obuphezulu amaxesha ngamaxesha.
I-Hypokalemia ayoyiki, ukuba nje sizilungiselele. Ngoku imozulu ishushu kakhulu, unokukhetha i-amino acid enee-electrolyte kwaye inokugcwalisa amanzi. Oku akunako kuphela ukuzalisa ii-amino acid, kodwa ikwaqinisekisa ii-electrolyte zethu.
Ixesha lokuposa: Jul-20-2021