{"id":7567,"date":"2022-11-22T13:00:22","date_gmt":"2022-11-22T10:00:22","guid":{"rendered":"https:\/\/urbancare.clinic\/hyperkalemia-in-diabetes-newer-insights-into-mechanism-and-treatment\/"},"modified":"2022-11-22T13:00:22","modified_gmt":"2022-11-22T10:00:22","slug":"hyperkalemia-katika-ugonjwa-wa-kisukari-ufahamu-mpya-zaidi-juu-ya-utaratibu-na-matibabu","status":"publish","type":"post","link":"https:\/\/urbancare.clinic\/sw\/hyperkalemia-in-diabetes-newer-insights-into-mechanism-and-treatment\/","title":{"rendered":"Hyperkalemia katika ugonjwa wa kisukari: maarifa mapya juu ya utaratibu na matibabu"},"content":{"rendered":"<div><img decoding=\"async\" src=\"https:\/\/urbancare.clinic\/wp-content\/uploads\/2023\/02\/hyperkalemia-in-diabetes-newer-insights-into-mechanism-and-treatment.jpg\" class=\"ff-og-image-inserted\" style=\"display:none\"><\/div>\n<p><span class=\"highwire-journal-article-marker-start\"><\/span><\/p>\n<p id=\"p-1\">Hyperkalemia ni shida inayosumbua katika ugonjwa wa kisukari ambayo inaweza kutokea katika hatua za mwanzo za ugonjwa wa figo wa kisukari. Hyperkalemia mara nyingi hufafanuliwa kama potasiamu ya serum zaidi ya 5.5 mmol\/L, lakini tafiti zingine zinaonyesha kuwa potasiamu ya serum iliyo zaidi ya 5.0 mmol\/L inapaswa kuhitimu kupata hyperkalemia.<span class=\"xref-bibr\">1<\/span> Sio tu kwamba ina athari za moyo na mishipa na tangulizi ya arrhythmia ya moyo lakini pia inazuia matumizi ya dawa zinazojulikana kuzuia kuendelea kwa ugonjwa wa figo katika kisukari ikiwa ni pamoja na ACE\/angiotensin receptor blocker (ARB) na mineralocorticoid receptor antagonist. Madawa mengine kama vile trimethoprim, ambayo hutumika kwa maambukizi ya mfumo wa mkojo, na heparini (hasa fomu ambayo haijagawanywa) inaweza pia kuhusishwa na hyperkalemia.<span class=\"xref-bibr\">2<\/span> Kuenea kwa hyperkalemia kwa wagonjwa wa kisukari wenye utendakazi wa kawaida wa figo ni vigumu kufasirika kwani kreatini ya serum sio alama bora ya kutathmini utendakazi wa figo. Katika utafiti mmoja kati ya wagonjwa 1764 waliohudhuria kliniki ya kisukari kwa muda wa miezi 12, 15% ya wagonjwa waliripotiwa kuwa na potasiamu&gt; 5.0 mmol\/L, ambayo ni wazi zaidi kuliko idadi ya watu wote.<span class=\"xref-bibr\">1<\/span> Tunajadili hapa njia zinazoweza kusababisha hyperkalemia katika ugonjwa wa kisukari, ambayo ina umuhimu katika udhibiti wa ugonjwa huu.<\/p>\n<p id=\"p-2\">Kwa nini hyperkalemia hutokea katika ugonjwa wa kisukari?<\/p>\n<p id=\"p-3\">(1) Hyporeninemic hypoaldosteronism<\/p>\n<p id=\"p-4\">Kimsingi, ugonjwa wa kisukari unajulikana kuhusishwa na hypoaldosteronism ya hyporeninemic, ambayo inaweza kusababisha hyperkalemia nje ya uwiano wa kushindwa kwa figo.<span class=\"xref-bibr\">3<\/span> Taratibu mbalimbali zilizowekwa kwa ajili ya hypoaldosteronism ya hyporeninemic katika ugonjwa wa kisukari zinaonyeshwa katika algorithm 1.<span class=\"xref-bibr\">4<\/span> (takwimu 1)<\/p>\n<div id=\"F1\" class=\"fig pos-float odd\" readability=\"6\">\n<div class=\"fig-caption\" readability=\"7\"><span class=\"fig-label\">Kielelezo cha 1<\/span> <\/p>\n<p id=\"p-5\" class=\"first-child\">Utaratibu ambao unaweza kusababisha hypoaldosteronism ya hyporeninemic katika ugonjwa wa kisukari.<\/p>\n<\/div>\n<\/div>\n<p id=\"p-6\">(2) Ufyonzaji wa sodiamu kupitia neli iliyo karibu na njia za kielektroniki<\/p>\n<p id=\"p-7\">The\u2026 <\/p>\n<p><span class=\"highwire-journal-article-marker-end\"><\/span><a href=\"http:\/\/pmj.bmj.com\/cgi\/content\/short\/98\/1166\/e45?rss=1\">Chanzo cha matibabu cha kila siku<\/a><\/p>\n<p>","protected":false},"excerpt":{"rendered":"<p>Hyperkalemia ni shida inayosumbua katika ugonjwa wa kisukari ambayo inaweza kutokea katika hatua za mwanzo za ugonjwa wa figo wa kisukari. Hyperkalemia mara nyingi hufafanuliwa kama potasiamu ya serum zaidi ya 5.5 mmol\/L, lakini tafiti zingine zinaonyesha kuwa potasiamu ya serum iliyo juu ya 5.0 mmol\/L inapaswa kuhitimu kupata hyperkalemia.<cross-ref type=\"bib\" refid=\"R1\">1<\/cross-ref> Sio tu kwamba ina athari za moyo na mishipa na tangulizi ya arrhythmia ya moyo lakini pia inazuia matumizi ya dawa zinazojulikana kuzuia kuendelea kwa ugonjwa wa figo katika kisukari ikiwa ni pamoja na ACE\/angiotensin receptor blocker (ARB) na mineralocorticoid receptor antagonist. Madawa mengine kama vile trimethoprim, ambayo hutumika kwa maambukizi ya mfumo wa mkojo, na heparini (hasa fomu ambayo haijagawanywa) inaweza pia kuhusishwa na hyperkalemia.<cross-ref type=\"bib\" refid=\"R2\">2<\/cross-ref> Kuenea kwa hyperkalemia kwa wagonjwa wa kisukari wenye utendakazi wa kawaida wa figo ni vigumu kufasiriwa kwani kreatini ya serum sio alama bora ya kutathmini utendakazi wa figo. Katika utafiti mmoja kati ya wagonjwa 1764 waliohudhuria kliniki ya kisukari kwa zaidi ya miezi 12, 15% ya wagonjwa waliripotiwa kuwa na\u2026<\/p>","protected":false},"author":2,"featured_media":7568,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"Default","format":"standard","meta":{"page_builder":"","fifu_image_url":"https:\/\/urbancare.clinic\/wp-content\/uploads\/2023\/02\/hyperkalemia-in-diabetes-newer-insights-into-mechanism-and-treatment.jpg","fifu_image_alt":"","footnotes":""},"categories":[185],"tags":[],"class_list":["post-7567","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-research-medical-articles"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Hyperkalemia in diabetes: newer insights into mechanism and treatment - Urban Care Clinic<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/urbancare.clinic\/sw\/hyperkalemia-katika-ugonjwa-wa-kisukari-ufahamu-mpya-zaidi-juu-ya-utaratibu-na-matibabu\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Hyperkalemia in diabetes: newer insights into mechanism and treatment - Urban Care Clinic\" \/>\n<meta property=\"og:description\" content=\"Hyperkalemia is a troublesome complication in diabetes which may present in early stages of diabetic kidney disease. Hyperkalemia is often defined as serum potassium more than 5.5 mmol\/L, but some studies even suggest serum potassium above 5.0 mmol\/L should qualify for hyperkalemia.1 Not only does it have cardiovascular implications with predisposition to cardiac arrhythmia but it also precludes the use of drugs known to prevent the progression of renal disease in diabetes including ACE\/angiotensin receptor blocker (ARB) and mineralocorticoid receptor antagonist. Other drugs like trimethoprim, which is used for urinary tract infection, and heparin (especially the unfractioned form) may also be associated with hyperkalemia.2 Prevalence of hyperkalemia in diabetics with normal renal functions is difficult to interpret as serum creatinine is not the ideal marker to assess kidney function. In one study among 1764 patients attending diabetic clinic over 12 months, 15% of patients reported to have...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/urbancare.clinic\/sw\/hyperkalemia-katika-ugonjwa-wa-kisukari-ufahamu-mpya-zaidi-juu-ya-utaratibu-na-matibabu\/\" \/>\n<meta property=\"og:site_name\" content=\"Urban Care Clinic\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/urbancarezanzibar\" \/>\n<meta property=\"article:published_time\" content=\"2022-11-22T10:00:22+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/urbancare.clinic\/wp-content\/uploads\/2023\/02\/hyperkalemia-in-diabetes-newer-insights-into-mechanism-and-treatment.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1024\" \/>\n\t<meta property=\"og:image:height\" content=\"1024\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Urban Care Clinic\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Urban Care Clinic\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"dakika 1\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/hyperkalemia-in-diabetes-newer-insights-into-mechanism-and-treatment\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/hyperkalemia-in-diabetes-newer-insights-into-mechanism-and-treatment\\\/\"},\"author\":{\"name\":\"Urban Care Clinic\",\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/#\\\/schema\\\/person\\\/a304a61bcf298680ee41e2e9ae193930\"},\"headline\":\"Hyperkalemia in diabetes: newer insights into mechanism and treatment\",\"datePublished\":\"2022-11-22T10:00:22+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/hyperkalemia-in-diabetes-newer-insights-into-mechanism-and-treatment\\\/\"},\"wordCount\":252,\"publisher\":{\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/hyperkalemia-in-diabetes-newer-insights-into-mechanism-and-treatment\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/urbancare.clinic\\\/wp-content\\\/uploads\\\/2023\\\/02\\\/hyperkalemia-in-diabetes-newer-insights-into-mechanism-and-treatment.jpg\",\"articleSection\":[\"Research Articles\"],\"inLanguage\":\"sw\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/urbancare.clinic\\\/hyperkalemia-in-diabetes-newer-insights-into-mechanism-and-treatment\\\/\",\"url\":\"https:\\\/\\\/urbancare.clinic\\\/hyperkalemia-in-diabetes-newer-insights-into-mechanism-and-treatment\\\/\",\"name\":\"Hyperkalemia in diabetes: newer insights into mechanism and treatment - 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