electrolyte asamatulyata

electrolyte asamatulyata ledhaa neeti-electrolyte asamatulyata anedi sareeramlo electrolytela gaadatalo asaadhaaranata. sareeramlo homeostasisnu nirvahinchadamlo electrolytelu keelaka paatra poeshistaayi. avi gunde mariyu naraala paniteeru, dravam samatulyata, oxygen pampinhee, assid-bays samatulyata mariyu marenno niyantrinchadaaniki sahaayapadataayi. chaalaa takkuva ledhaa chaalaa ekkuva electrolytenu teesukovadam dwara alaage chaalaa takkuva ledhaa chaalaa ekkuva electrolytenu visarjinchadam dwara electrolyte asamatulyata abhivruddhi chendutundi.
vidyudvislaeshanhaku udaaharanalu calcium, chloride, magnitium, fasfate, potassium mariyu sodiyam.
electrolyte aatamkaalu aneka vyaadhi prakriyalalo palgontayi mariyu vaidyamlo roogi nirvahanalo mukhyamaina bhaagam. eee aatamkaalaku kaaranaalu, teevrata, chikitsa mariyu phalitaalu chikkukunna electrolytenu batti chaalaa bhinnamgaa untaayi. atyanta teevramaina electrolyte aatamkaalu sodiyam, potassium ledhaa calcium sthaayilalo asaadhaaranatalanu kaligi untaayi. itara electrolyte asamatulyatalu takkuvagaa untaayi mariyu tarachugaa pradhana electrolyte maarpulatoe kalipi sambhavistaayi. tagina dravam mariyu electrolyte samatulyatanu nirvahinchadamlo moothrapindaalu atyanta mukhyamaina avayavam, ayithe harmonela maarpulu mariyu saareeraka ottidi vanti itara amsaalu paatra poeshistaayi.
sameeksha.
anayans mariyu catayans.
calcium, magnitium, potassium mariyu sodiyam ayanlu catayans (+) kaga, chloride mariyu fasfate ayanlu aanayaanlu (−).
kaaranaalu.
deerghakaalika bhedimandu durviniyogam ledhaa teevramaina atisaaram ledhaa vaantulu nirjaleekaranaaniki mariyu electrolyte asamatulyataku daariteestaayi.
poeshakaahaara lopam.
poeshakaahaara lopam unna vyaktulu mukhyamgaa electrolyte asamatulyataku ekkuva pramaadam kaligi untaaru. teevramaina electrolyte asamatulyatanu jagrattagaa chikitsa cheyali, endukante athi twaragaa sarididdadam valla pramaadaalu unnaayi, idhi asamatulyata kaaranaanni batti arithmias, medadu herniation ledhaa refeeding syndromeku daariteeyavachchu.
saadhaarana function.
electrolytelu mukhyamainavi endukante avi kanaalu (mukhyamgaa naraalu, gunde mariyu kandara kanaalu) vaati kana porallo voltagelanu nirvahinchadaaniki upayogistaayi. electrolytelu ververu vidhulanu kaligi untaayi, mariyu mukhyamainadi kanaala madhya vidyut preranalanu mosukelladam. sareeramlo maarpulu unnappatikee raktamlo electrolyte saandratalanu sthiramgaa unchadaaniki moothrapindaalu panicheestaayi. udaaharanaku, bhaarii vyayamam samayamlo, electrolytelu chematalo kolpotayi, mukhyamgaa sodiyam mariyu potassium roopamlo. sodiyam sthaayilanu samatulyam cheyadaaniki moothrapindaalu paluchana muutraanni kooda utpatti cheyagalavu. shareera dravaala yokka electrolyte saandratalanu sthiramgaa unchadaaniki eee electrolytelanu bharti cheyali. hyponetramia ledhaa takkuva sodiyam anedi saadhaaranamgaa kanipinche electrolyte asamatulyata rakam.
electrolyte asamatulyata chikitsa anedi nirdishta electrolyte meeda aadharapadi untundi mariyu sthaayilu chaalaa ekkuvagaa unnaya ledhaa chaalaa takkuvagaa unnaya anae daanipai aadharapadi untundi. chikitsa yokka dookudu sthaayi mariyu chikitsa yokka empika bhangam yokka teevratanu batti maaravacchu. electrolyte sthaayilu chaalaa takkuvagaa unte, electrolyte asamatulyataku saadhaarana pratispandana anubandham soochinchadam kaavacchu. ayithe, electrolyte sodiyam ayithe, samasya tarachugaa sodiyam lopam kante ekkuva neeru. eee vyaktulaku anubandham electrolyte asamatulyatanu saricheyavachhu, conny valume overload kharchutho. navjata sisuvulaku, idhi teevramaina pramaadaalanu kaligi untundi. prati okka electrolyte saareeraka paniteerunu bhinnamgaa prabhaavitam chestundi kabatti, kaaranaalu, chikitsa mariyu sanklishtatalanu charchinchetappudu vaatini vidigaa pariganinchaali.
calcium.
sareeramlo calcium atyanta samruddhiga electrolyte ayinappatikee, daanilo ekkuva saatam emukalanu roopondinchadaaniki upayoginchabadutundi. idhi pradhanamgaa gi vyavastha dwara grahinchabadutundi mariyu visarjinchabadutundi. calciumlo ekkuva bhaagam bahya kanajaalamlo nivasistundi, mariyu idhi neuronlu, kandara kanaalu, enjaimla paniteeru mariyu gaddakattadam yokka paniteeruku keelakam. sareeramlo calcium saandrata yokka saadhaarana paridhi 8.8-10.5 mg/dl. parathyroid grandhi calcium gaadatalo maarpulanu grahinchadaaniki mariyu parathyroid harmonto electrolytenu niyantrinchadaaniki baadhyata vahistundi.
hyper calcemia.
raktamlo calcium gaadata chaalaa ekkuvagaa unnappudu hyper calcemia vivaristundi. idhi 10.5 mg/dl kante ekkuvagaa sambhavistundi.
kaaranaalu.
hyper calcemiaku atyanta saadhaarana kaaranaalu konni rakaala cancer, hyper parathyroidism, hyper thyroidism, pheochromocytoma, vitamin dini adhikamgaa teesukovadam, sarcoidosis mariyu kshayavyadhi. hyper parathyroidism mariyu praanaantakam pradhana kaaranaalu. idhi kandaraala kanaala vichchinnam, sudeergha sthireekarana, nirjaleekaranaala valla kooda sambhavinchavachhu.
lakshanaalu.
hyper calcemia yokka pradhana lakshanaalu kadupu noppi, malabaddhakam, moothrapindaallo raallu, teevramaina daaham, adhika mootravisarjana, vikaram mariyu vaantulu. calcium saandrata> 14 mg/dl unna teevramaina sandarbhaallo, vyaktulu gandaragolam, manasika sthithi, coma mariyu muurchanu anubhavinchavacchu.
chikitsa.
hyper calcemia yokka praathamika chikitsalo IV dravaalanu ivvadam untundi. hyper calcemia teevramgaa mariyu/ledhaa cancertho mudipadi unte, dheeniki bisphosphonetlatho chikitsa cheyavachu. chaalaa teevramaina sandarbhaallo, raktam nundi calciumnu vaegamgaa tolaginchadaaniki hemodialysisnu pariganinchavacchu.
hypocalsemia.
raktamlo calcium sthaayilu chaalaa takkuvagaa unnappudu, saadhaaranamgaa 8.8 mg/dl kante takkuvagaa unnappudu hypocalsemia vivaristundi.
kaaranaalu.
hypoparathyroidism mariyu vitamin dii lopam hypocalsemia saadhaarana kaaranaalu. idhi poeshakaahaara lopam, rakta marpidi, ethylene glycol matthu mariyu pancreatitis valla kooda sambhavinchavachhu.
lakshanaalu.
naraala mariyu hridaya sambandha lakshanaalu hypocalsemia yokka atyanta saadhaarana vyakteekaranalu. rogulu kandaraala timmiri ledhaa timmiri, mariyu noti mariyu vella chuttoo timmirini anubhavinchavacchu. vaariki swaasa aadakapovadam, takkuva raktapotu mariyu cardiac arithmias kooda undavacchu.
chikitsa.
hypocalsemia unna rogulaku noti dwara ledhaa IV kaalshiyamto chikitsa cheyavachu. saadhaaranamgaa, IV calcium teevramaina hypocalsemia unna rogulaku ketayinchabadutundi. hypocalsemia unna rogulalo magnitium sthaayilanu tanikhi cheyadam mariyu magnitium takkuvagaa unte daanini bharti cheyadam kooda mukhyam.
chloride.
sodiyam taruvaata chloride raktamlo rendava atyanta samruddhiga unde electrolyte, mariyu extra cellular dravam loe chaalaa samruddhiga untundi. sariiramlooni chloridelo ekkuva bhaagam aahaaramlo uppu (enn. yea. sii. ell) nundi vastundi. chloride gastric aamlam (hcl) loe bhaagam, idhi electrolytelanu grahinchadamlo, enjaimlanu sakriyam cheyadamlo mariyu bacterianu champadamlo paatra poeshistumdi. raktamlo chloride sthaayilu antarleena jeevakriya rugmatalu unnaya anie nirnayinchadaaniki sahaayapadataayi. saadhaaranamgaa, chloride bicarbonate viloma sambandhaanni kaligi untundi, idhi assid-bays sthithini soochinche electrolyte. mottammeeda, chloride asamatulyata chikitsalo chloridenu bharti cheyadam ledhaa nivaarinchadam kante antarleena kaaranaanni parishkarinchadam untundi.
hyperchloramia.
kaaranaalu.
hyperchloramia ledhaa adhika chloride sthaayilu saadhaaranamgaa adhika chloride teesukovadamto mudipadi untaayi (udhaa.zii.uppuneeti munigipovadam), dravam nashtam (udhaa.zii., virechanaalu, chemata), mariyu jeevakriya aamlata.
lakshanaalu.
rogulu saadhaaranamgaa telikapati hyperchloramiatho lakshanarahitamgaa untaaru. hyperchloramiatho sambandham unna lakshanaalu saadhaaranamgaa eee electrolyte asamatulyataku antarleena kaaranam valla sambhavistaayi.
chikitsa.
saadhaaranamgaa dravam teesukovadam penchadam vanti antarleena kaaranaaniki chikitsa cheyandi.
hypochloramia.
kaaranaalu.
hypochloramia ledhaa takkuva chloride sthaayilu saadhaaranamgaa jeernasayaantara (udhaa.zii.vaantulu) mariyu moothrapindaalu (udhaa.zii., mootravisarjana) nashtalu. chlorideku sambandhinchi ekkuva neeru ledhaa sodiyam teesukovadam kooda hypochloramiacu dohadam chestundi.
lakshanaalu.
rogulu saadhaaranamgaa telikapati hypochloramiatho lakshanarahitamgaa untaaru. hypochloramiatho sambandham unna lakshanaalu saadhaaranamgaa eee electrolyte asamatulyataku antarleena kaaranam valla sambhavistaayi.
chikitsa.
saadhaaranamgaa dravam teesukovadam penchadam vanti antarleena kaaranaaniki chikitsa cheyandi.
magnitium.
magnitium ekkuvagaa emukalalo mariyu kanaala lopala kanipistundi. sariiramlooni mottam magnesiumlo sumaru 1 saatam raktamlo kanipistundi. magnitium jeevakriya niyantranalo mukhyamainadi mariyu aneka enjaim praticharyalalo paalgontundi. oka saadhaarana paridhi 0.7-1.10 mmol/ell. eee irukaina paridhiloo magnitium sthaayilanu nirvahinchadaaniki moothrapindaalu baadhyata vahistaayi.
hypermagnicia.
hypermagnicia, ledhaa raktamlo asadhaaranamgaa adhika sthaayi magnitium, saadhaarana moothrapindaala paniteeru unna vyaktulalo chaalaa arudu. idhi magnitium saandrata> 2.5 mii. graa/dii. ell. dwara nirvachinchabadutundi.
kaaranaalu.
hypermagnishemia saadhaaranamgaa asaadhaarana moothrapindaala paniteeru unna vyaktulalo sambhavistundi. eee asamatulyata magnitium kaligi unna antasidlu ledhaa bhedimandu vaadakamtho kooda sambhavinchavachhu. magnitium kaligina mandulanu nivaarinchadam dwara hypermagnicia yokka chaalaa kesulanu nivaarinchavacchu.
lakshanaalu.
telikapati lakshanaalalo vikaram, flushing, alasata untaayi. lothaina snayuvu praticharyalu taggadamtho sahaa naraala lakshanaalu saadhaaranamgaa kanipistaayi. teevramaina lakshanaalalo pakshavaatam, swaasakosha vaiphalyam mariyu broadycardia gundepotuku cherukovadam vantivi unnaayi.
chikitsa.
moothrapindaala paniteeru saadhaaranamaithe, magnitium teesukovadam muulaanni apadam saripotundi. moothravisarjanalu moothramlo magnitium visarjanan penchadaaniki sahaayapadataayi. raktam nundi neerugaa magnesiumnu tolaginchadaaniki teevramaina lakshanaalaku dialysis dwara chikitsa cheyavachu.
hypomagnesemia.
aasupatrilo cherina rogulalo 12 saatam varaku hypomagnicia ledhaa raktamlo takkuva magnitium sthaayilu sambhavinchavachhu. hypomagnesemia yokka lakshanaalu ledhaa prabhavalu saapekshamgaa chinna lopaala tarvaata sambhavinchavachhu.
kaaranaalu.
vaantulu mariyu virechanaalu vanti jeernasayaantara nashtalu hypomagnesimiacu pradhana kaaranaalu. mootravisarjana, madyam viniyogam, hyper calcemia mariyu janyu rugmatala valla moothrapindaala nashtam maroka pradhana kaaranam. takkuva aahara viniyogam kooda magnitium lopaniki dohadam chestundi.
lakshanaalu.
hypomagnesemia saadhaaranamgaa hypocalemia mariyu hypocalsemia vanti itara electrolyte asaadhaaranatalatoo mudipadi untundi. eee kaaranamgaa, eee itara electrolyte lopaalalo kanipinche lakshanaalalo ativyaapti undavacchu. teevramaina lakshanaalalo arithmias, muurchalu ledhaa tetany untaayi.
chikitsa.
chikitsalo modati dasha jeernasayaantara ledhaa moothrapindaala samasya valla lopam sambhavinchindaa anie nirnayinchadam. etuvanti ledhaa kaneesa lakshanaalu laeni vyaktulaku noti dwara magnitium ivvabadutundi; ayithe, chaalaa mandhi vyaktulu atisaaram mariyu itara jeernasayaantara asoukaryaanni anubhavistaaru. magnesiumnu sahinchaleni ledhaa sweekarinchaleni vaaru ledhaa teevramaina lakshanaalu unnavaaru intravenous magnesiumnu pondavacchu.
hypomagnesemia itara electrolyte lopaala saadhaaraneekarananu nirodhinchavacchu. itara electrolyte lopaalu sambandham kaligi unte, itara lopalaku chikitsa cheyadaaniki magnitium sthaayilanu saadhaaraneekarinchadam avasaram kaavacchu.
potassium.
potassium pradhanamgaa shareera kanaala lopala untundi, kabatti raktamlo daani gaadata 3.5 mcque/lii nundi 5 mcque/lii varaku untundi. moothrapindaalu sareeram nundi ekkuva potassiumnu visarjinchadaaniki baadhyata vahistaayi. dheeni ardham raktapravaahamlo potassium yokka saraina samatulyatanu nirvahinchadaaniki vaati paniteeru keelakam.
hypercalemia.
hypercalemia antey raktamlo potassium gaadata chaalaa ekkuvagaa untundi. potassium gaadata leetaruku 5 mcque kante ekkuvagaa unnappudu idhi sambhavistundi. idhi cardiac arithmias mariyu maranaaniki kooda daariteeyavachchu. anduvalla idhi atyanta pramaadakaramaina electrolyte bhangamgaa pariganinchabadutundi.
kaaranaalu.
hypercalemia saadhaaranamgaa moothrapindaala dwara visarjana taggadam, potassiumnu extracellular pradaesaaniki marchadam ledhaa moothrapindaala vaiphalyam unna rogulalo potassium adhikamgaa unde aaharaala viniyogam peragadam valla sambhavistundi. hypercalemiaku atyanta saadhaarana kaaranam, namuunaa nundi rakta kanaalu vichchinnam kaavadamtho vidudalayye potassium kaaranamgaa prayogasaala lopam. itara saadhaarana kaaranaalu moothrapindaala vyaadhi, kanaala maranam, acidosis mariyu moothrapindaala paniteerunu prabhaavitam chese mandulu.
lakshanaalu.
hypercalemia pramaadamloo oka bhaagam emitante, idhi tarachugaa lakshanarahitamgaa untundi, mariyu praathamika samrakshana vaidyulu chese saadhaarana prayogasaala pani samayamlo matrame gurtinchabadutundi. potassium sthaayilu perige koddi, vyaktulu vikaram, vaantulu mariyu virechanaalanu anubhavinchadam praarambhinchavacchu. 7 mcque/lii kante ekkuva sthaayila dwara nirvachinchabadina teevramaina hypercalemia unna rogulu, kandaraala timmiri, timmiri, jaladarimpu, praticharaalu lekapovadam mariyu pakshavaatam anubhavinchavacchu. rogulu arithmiyaanu anubhavinchavacchu, idhi maranaaniki daariteeyavachchu.
chikitsa.
hypercalemia chikitsalo moodu pradhana aadharalu unnaayi. ivi hridaya kanaala sthireekarana, potassium kanaalaloki maaradam mariyu sareeram nundi potassium tolaginchadam. calciumnu sirala dwara ivvadam dwara hridaya kandaraala kanaala sthireekarana jarugutundi. insulin mariyu albuterol inhalerlanu upayoginchi potassiumnu kanaalaloki marchadam jarugutundi. sareeram nundi potassium visarjana anedi hemodialysis, loop mootravisarjana ledhaa mala padaarthamloo potassium visarjinchadaaniki kaaranamayye resin upayoginchi jarugutundi.
hypocalemia.
atyanta saadhaarana electrolyte bhangam, hypocalemia antey potassium gaadata <3.5 mcque/lii. idhi tarachugaa takkuva magnitium sthaayilatho ekakaalamlo sambhavistundi.
kaaranaalu.
potassium visarjana peragadam, potassium adhikamgaa unde aaharaala viniyogam taggadam, kanaalaloki potassium kadalika ledhaa konni endocrine vyaadhula valla potassium takkuvagaa untundi. moothra visarjana anedi hypocalemia atyanta saadhaarana kaaranam mariyu mootravisarjana upayogam, jeevakriya aamlata, diabetic ketoasidosis, hyperaldosteronism mariyu moothrapindaala gottapu aamlata valla sambhavinchavachhu. vaantulu mariyu virechanaala dwara kooda potassium kolpovachhu.
lakshanaalu.
hypocalemia tarachugaa lakshanarahitamgaa untundi, potassium saandrata 2.5 maillu/lii kante takkuvagaa unde varaku lakshanaalu kanipinchakapovacchu. saadhaarana lakshanaalu kandaraala balaheenata mariyu timmiri. potassium takkuvagaa undatam valla cardiac aritmias kooda yerpadavachhu.
chikitsa.
sariiramlooni potassiumnu bharti cheyadam dwara hypocalemia chikitsa jarugutundi. idhi noti dwara ledhaa sirala dwara sambhavinchavachhu. takkuva potassium saadhaaranamgaa takkuva magnesiumtho kalisi untundi kabatti, rogulaku tarachugaa potaashiyamtho paatu magnitium ivvabadutundi.
sodiyam.
sodiyam anedi raktamlo atyanta samruddhiga unde electrolyte. maanava sareeramlo sodiyam mariyu daani homeostasis dravaalapai ekkuvagaa aadharapadi untaayi. maanava sareeramlo sumaru 60 saatam neeru undhi, eee saataanni mottam shareera neeru anie kooda pilustaaru. mottam shareera neetini extra cellular fluid (ecf) mariyu intracellular fluid (icf) anie piluvabade rendu compartmentluga vibhajinchavachhu. sariiramlooni sodiyamlo ekkuva bhaagam extracellular fluid compartmentlo untundi. eee compartmentlo kanaala chuttoo unna dravam mariyu rakta naalaala lopala unna dravam untaayi. ecf sumaru 140 mcque/lii sodiyam saandratanu kaligi untundi. kana poralu neetilo paragamyam avtayi conny sodiyam kaadu kabatti, porallo neeti kadalika raktamlo sodiyam gaadatanu prabhaavitam chestundi. sodiyam poralu antataa neetini laage saktigaa panichestundi, mariyu neeru takkuva sodiyam gaadata unna pradaesaala nundi adhika sodiyam gaadata unna pradaesaalaku kadulutundi. idhi osmosis anae prakriya dwara jarugutundi. sodiyam asamatulyatanu anchanaa vesetappudu, mottam shareera neeru mariyu mottam shareera sodiyam rendintinee parigananaloki teesukoovaali.
hyper natremia.
hypernatramia antey raktamlo sodiyam gaadata chaalaa ekkuvagaa untundi. oka vyakti 145 mcque/lii sodiyam kante ekkuva sthaayilo adhika sodiyam kaligi unnatlu pariganinchabadutundi. itara aarogya samasyalu laeni vyaktulalo hypernatramia saadhaaranam kaadu. eee rugmata unna chaalaa mandhi vyaktulu atisaaram valla neeru kolpovadam, daaham yokka maarutunna bhaavam, neeru tinalekapovadam, moothrapindaalu gaadamaina moothram tayaaru cheyalekapovadam ledhaa uppu teesukovadam penchadam vanti vaatini anubhavinchaaru.
kaaranaalu.
moodu rakaala hypernatramia unnaayi, okkokkati ververu kaaranaalatoo untaayi. modatidi takkuva mottam shareera sodiyamtho paatu nirjaleekaranamu. idhi saadhaaranamgaa vaedi stroke, kaalina gayalu, teevramaina chemata pattadam, vaantulu mariyu virechanaala valla sambhavistundi. rendavadi saadhaarana shareera sodiyamtho kuudina mottam shareera neeru takkuvagaa undatam. diabetes insipidus, moothrapindaala vyaadhi, hypotholomic panicheyakapovadam, sikil sell vyaadhi mariyu konni mandula valla idhi sambhavinchavachhu. moodavadi mottam shareera sodiyam perugudala, idhi perigina teesukovadam, cons syndrome ledhaa cushings syndrome valla sambhavistundi.
lakshanaalu.
hypernatramia lakshanaalu rakanni batti mariyu electrolyte bhangam entha twaragaa abhivruddhi chendindane daanipai aadharapadi maaravacchu. nirjaleekaranam, vikaram, vaantulu, alasata, balaheenata, daaham peragadam, adhika mootravisarjana vantivi saadhaarana lakshanaalu. mootravisarjana ledhaa steroid kaani shotha nirodhaka mandulu vanti asamatulyataku kaaranamaina mandulanu rogulu vaadavacchu. kontamandi rogulaku spashtamaina lakshanaalu undakapovachhu.
chikitsa.
roogi yokka sthirathvaanni modata anchanaa veyadam chaalaa mukhyam. tachycardia ledhaa hypotension vanti edainaa shock sankethaalu unte, veetiki ventane IV seline infusiontho chikitsa cheyali.  roogi sthiramgaa unna tarvaata, hypernatramia yokka antarleena kaaranaanni gurtinchadam mukhyam, endukante adhi chikitsa pranaalikanu prabhaavitam cheyavachu. chikitsalo chivari dasha rogiki uchita neeti koratanu lekkinchadam, mariyu noti ledhaa IV dravaala kalayikanu upayoginchi sthiramaina retutho bharti cheyadam.  dravaalanu bharti chese raetu roogi enthakaalam hypernatremicga unnadanna daanipai aadharapadi untundi. sodiyam sthaayini chaalaa twaragaa tagginchadam valla mastishka vaapu yerpadavachhu.
hyponetramia.
hyponetramia antey raktamlo sodiyam gaadata chaalaa takkuvagaa untundi. idhi saadhaaranamgaa 135 mq/l kante takkuva gaadatagaa nirvachinchabadutundi. eee saapekshamgaa saadhaarana electrolyte rugmata vyaadhi prakriya unikini suuchistumdi, conny aasupatri nepadhyamlo tarachugaa hypotonic dravaala nirvahana kaaranamgaa untundi. aasupatrilo cherina rogulalo ekkuva mandhi 130 mq/l kante ekkuva sthaayilatho telikapati hyponetramia matrame anubhavistaaru. rogulalo kevalam 1-4% matrame 130 mq/l kante takkuva sthaayini anubhavistaaru.
kaaranaalu.
hyponetramia gunde vaiphalyam, deerghakaalika moothrapindaala vyaadhi, kaaleya vyaadhi, theazide mootravisarjana chikitsa, cycogenic polydipsia, anuchitamaina mootravisarjana nirodhaka harmon sraavam syndrome vanti aneka kaaranaalu unnaayi. idhi shastrachikitsa anantara sthithilo mariyu pramaadavasaattu neeti matthu amarikalo kooda chudavachu, idhi teevramaina vyaayaamtho chudavachu. pillala rogulalo saadhaarana kaaranaalu atisaaram, paluchana suutramtoe tarachugaa tinadam, adhika viniyogam dwara neeti matthu mariyu enimaalu kaavacchu. sudohyponatramia anedi raktamlo adhika sthaayi kovvulu ledhaa proteinla valla sambhavinche takkuva sodiyam patanam. adhika glucose sthaayilu raktapravaahamloki neetini lagadam valla sodiyam gaadata takkuvagaa undataaniki kaaranamavutaayi kabatti diabetes rogulalo paluchana hyponetramia sambhavinchavachhu. hyponetramia kaaranaanni nirdhaarinchadam moodu karakalapai aadharapadi untundih valume sthithi, plasma draavaneeyata, moothramlo sodiyam sthaayilu mariyu moothra draavaneeyata.
lakshanaalu.
telikapati hyponetramia unna chaalaa mandhi vyaktulu lakshanaalanu anubhavincharu. lakshanaala teevrata hyponetramia teevrata mariyu prarambha vegam thoo neerugaa sambandham kaligi untundi. saadhaarana lakshanaalalo aakali lekapovadam, vikaram, vaantulu, gandaragolam, aandolana mariyu balaheenata unnaayi. marinta sambandhita lakshanaalu kendra naadii vyavasthanu kaligi untaayi mariyu muurchalu, coma mariyu medadu herniation kaaranamgaa maranam vantivi untaayi. sodiyam sthaayilu 120 mcque/lii kante takkuvagaa unde varaku ivi saadhaaranamgaa sambhavinchavu.
chikitsa.
chikitsa kosam pariganinchavalasina amsaalalo lakshanaala teevrata, prarambha samayam, parimaana sthithi, antarleena kaaranam mariyu sodiyam sthaayilu unnaayi. sodiyam sthaayi leetaruku 120 mcque kante takkuvagaa unte, chaalaa takkuva sthaayilu teevramaina naraala lakshanaalatoo mudipadi unnanduna vyaktiki hypertonic seline thoo chikitsa cheyavachu. udbhavinchani paristhitulalo, osmotic demilination syndrome pramaadaanni tagginchadaaniki sodiyamnu nemmadigaa saricheyadam mukhyam. oka vyaktiki sareeramlo mottam neeru takkuvagaa mariyu sodiyam takkuvagaa unte vaariki saadhaaranamgaa dravaalu ivvabadataayi. oka vyaktiki adhika mottam shareera neeru unte (gunde vaiphalyam ledhaa moothrapindaala vyaadhi kaaranamgaa) vaatini dravam parimiti, uppu parimiti meeda unchavacchu mariyu mootravisarjana mandutho chikitsa cheyavachu. oka vyakti sariiramlooni mottam neeti parimaanam saadhaaranamgaa unte, vaatini dravam parimitipai matrame unchavacchu.
aahara vanarulu.
aaharam gananeeyamgaa electrolyte nilvalu mariyu rakta sthaayilaku dohadam chestundi. eee electrolytela adhika sthaayilatho sambandham unna aaharaala jabita krinda ivvabadindi.
sodiyam.
aarogyakaramaina aahaaramlo bhaagamgaa oka vyakti rojuku 2,300 milligramula kante takkuva sodiyamnu tinaalani sifaarsu cheyabadindi. mana sodiyam teesukovadamlo gananeeyamaina bhaagam kevalam konni rakaala aaharaala nundi vastundi, idhi aascharyakaramgaa untundi, endukante sodiyam yokka pedda vanarulu uppagaa undakapovachhu.
fasfate.
khanijaalalo, bhaswaram saadhaaranamgaa phosphatega sambhavistundi. bhaswaram yokka manchi vanarulalo baking pouder, takshana pudding, patthi vittanaalu, janapanara vittanaalu, balavardhakamaina paaneeyaalu, endina palavirugudu unnaayi.
potassium.
potassium yokka manchi vanarulu vividha rakaala pandlu mariyu kooragaayalalo kanipistaayi. vayassu mariyu lingaanni batti peddalaku potassium teesukovadam 2,300 mg nundi 3,400 mg varaku untundani sifaarsu chestaaru.
calcium.
united stateslo aahaaramlo kaalshiyanku paala pradhana dohadam chestundi. vayassu mariyu lingaanni batti peddalaku sifaarsu cheyabadina calcium teesukovadam 1,000 mg nundi 1,300 mg varaku untundi.
magnitium.
magnitium vividha rakaala kuuragaayalu, mamsalu mariyu dhanyalalo kanipistundi. fiber ekkuvagaa unde aaharaalu saadhaaranamgaa magnitium yokka muulam. vayassu mariyu lingaanni batti peddavaariki sifaarsu cheyabadina magnitium teesukovadam 360 mg nundi 420 mg varaku untundi.

