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البوتاسيوم الغذائي

Potassium is a mineral found naturally in many foods. It is needed in the body for the normal functioning of the heart, nerves and muscles. High potassium levels can lead to dangerous heart rhythms. Low potassium levels can cause muscle weakness and problems with the heart rhythm too. Long-term low levels of potassium has been linked to ارتفاع ضغط الدم, أمراض القلب ,، و السكتة الدماغية. Low potassium is particularly likely to raise your blood pressure if you have a high intake of salt (sodium chloride).

Potassium relaxes the walls of the blood vessels, lowering blood pressure. It also protects against muscle cramping.

نظرة سريعة

  • Potassium is a mineral important for good health.

  • Low potassium can cause tiredness, sickness, and high blood pressure.

  • High potassium can be caused by kidney problems or some medications.

  • Many fruits, vegetables, and other foods contain potassium.

  • Adults should aim for at least 3510 mg of potassium daily.

What are normal levels of potassium?

What can cause low potassium levels?

Having low levels of potassium in the blood is known as نقص بوتاسيوم الدم. It can be caused by the following risk factors:

  • If you lose a lot of fluid in الإسهال and through being sick (القيء).

  • With excessive sweating - for example, in very hot countries.

  • إذا كان لديك فقدان الشهية العصبي (this is due to a combination of being sick and taking too many laxatives, resulting in loss of fluids).

  • After eating too much liquorice, or if high doses of liquorice-containing herbal medicines are taken.

  • As a side-effect of medication, especially 'water' tablets (diuretics). This is the most common cause of low potassium.

A diuretic is a medicine which increases the amount of urine you pass out from your kidneys. There are different types of diuretic tablets and some, particularly loop diuretics and thiazide diuretics, can cause too much potassium to be lost with the extra urine passing out of the body. This can make the potassium levels very low, which can be quite dangerous. مدرات البول الحافظة للبوتاسيوم can prevent this from happening.

What are the symptoms of low potassium?

Low levels of potassium can make you feel tired and sick (nauseous) and can cause high blood pressure. Very low levels can result in muscle weakness, swelling (وذمة) and dangerous heart rhythms.

What can cause high potassium levels?

High potassium in the blood is known as hyperkalaemia. It can be caused by the following risk factors:

If you need to follow a low-potassium diet because of kidney problems (such as kidney stones), you should be referred to a specialist dietician who will be able to advise you.

But for most people, eating potassium-rich foods is important to maintain a healthy diet. A reasonably high potassium intake helps to reduce blood pressure, which in turn reduces the risk of السكتات الدماغية و النوبات القلبية.

How much potassium do you need per day?

The World Health Organization recommends that adults should eat at least 3510 mg of potassium daily. However, studies looking at potassium intake and stroke risk have found that very few people meet that target.

Which foods are high in potassium?

Potassium is present in many different foods, particularly in fruit and vegetables. Therefore, making sure that you have at least five portions of fruit and vegetables daily is very important.

Processed foods tend to contain lower levels of potassium. For example, wholemeal bread and brown rice have higher levels or potassium than their white equivalents.

Salt substitutes, such as potassium chloride, are made from potassium, and using these instead of salt will increase your potassium intake. However, it is probably healthier to get used to food tasting less salty than to replace salt with this alternative.

Vegetables

Some vegetables which contain high levels of potassium are:

  • Medium baked potato (skin on) 925 mg.

  • Medium baked sweet potato (skin on) 450 mg.

  • Medium raw tomato 290 mg.

  • Half an avocado 490 mg.

Dark green leafy vegetables are also rich in potassium.

Fruits

Fruits which contain high levels of potassium include:

  • Medium banana 425 mg.

  • ¼ cup of raisins 270 mg.

  • Small orange 240 mg.

  • Medium pear 200 mg.

Other tropical fruits that are also rich in potassium include mango, papaya, kiwi and melon.

البروتينات

Protein foods which contain high levels of potassium include:

  • Salmon (80 g portion) 534 mg.

  • ½ cup of lentils 365 mg.

  • Turkey (80 g portion) 250 mg.

  • 2 tablespoons of peanut butter 210 mg.

Other pulses and beans are also good sources of potassium.

Dairy

Dairy foods rich in potassium:

  • Small pot of yoghurt 350 mg.

  • 1 cup of milk 360 mg.

These are just examples of potassium-rich foods but most fresh foods contain quite high levels of potassium. So a normal healthy diet containing a variety of fruit and vegetables will provide enough potassium for most people. However, you should seek medical advice if you are experiencing severe symptoms from high or low potassium intake.

  • As a side-effect of medication, especially 'water' tablets (diuretics).

اختيارات المرضى لـ النظام الغذائي والتغذية

النظام الغذائي الباليو (حمية العصر الحجري القديم)

الحياة الصحية

النظام الغذائي الباليو (حمية العصر الحجري القديم)

اتباع نظام غذائي باليو يعني تناول الأطعمة الطازجة وغير المعالجة التي تعكس النظام الغذائي لأسلافنا من الصيادين والجامعين من العصر الحجري القديم. يتضمن ذلك تجنب أي أطعمة لم تكن متوفرة لهؤلاء "رجال الكهوف" في ذلك الوقت، بما في ذلك الأطعمة المصنعة والحبوب ومنتجات الألبان. تشمل الأطعمة الأساسية في نظام باليو الغذائي اللحوم والمأكولات البحرية. كما يتضمن النظام الغذائي الفواكه والخضروات الطازجة والمكسرات والبذور والبيض وبعض الزيوت. قد يكون هناك بعض الفوائد من اتباع نظام باليو الغذائي ولكن هناك أيضًا بعض العيوب. وتشمل هذه العيوب نقص الكالسيوم المحتمل إذا لم يكن متبعو النظام الغذائي حذرين. الأدلة الموثوقة التي تدعم الفوائد الصحية طويلة الأمد لنظام باليو الغذائي غير متوفرة حاليًا.

بقلم الدكتورة روزالين أدلمان، MRCGP

نقص الزنك، وفرطه والمكملات الغذائية

الحياة الصحية

نقص الزنك، وفرطه والمكملات الغذائية

Zinc is needed for many of the chemical reactions which are going on inside us all the time at micro-level. We get zinc from our diets but not getting enough can cause a wide variety of symptoms, some of which are very vague.

بقلم الدكتورة توني هازيل، FRCGP

الأسئلة الشائعة

When might I need to follow a low-potassium diet?

You might need to follow a low-potassium diet if you have kidney problems, such as kidney stones. In such cases, it is important to be referred to a specialist dietician who can provide tailored advice.

Can processed foods affect my potassium intake?

Yes, processed foods generally contain lower levels of potassium compared to fresh, whole foods. For example, wholemeal bread and brown rice have higher potassium levels than their white equivalents. Eating fresh fruits and vegetables is a good way to ensure sufficient potassium intake.

Are there any specific fruits that are particularly rich in potassium?

Many fruits are rich in potassium. Examples include bananas, oranges, pears, and raisins. Tropical fruits like mango, papaya, kiwi, and melon are also good sources of potassium. Aiming for at least five portions of fruit and vegetables daily helps ensure a good intake.

What protein sources are good for increasing potassium levels?

Several protein foods can contribute to your potassium intake. Good sources include salmon, lentils, turkey, and peanut butter. Other pulses and beans are also beneficial for increasing your potassium levels.

How can daily dairy intake contribute to my potassium levels?

Dairy products like a small pot of yoghurt and a cup of milk are rich in potassium. Incorporating these into your diet can help you reach your recommended daily potassium intake.

قراءة إضافية ومراجع

عن المؤلفعرض السيرة الذاتية الكاملة

صورة المؤلف

الدكتورة سورانجي مينديس، MRCGP

استشاري ومؤلف طبي

بكالوريوس الطب والجراحة، بكالوريوس العلوم (الأول)، زميل الكلية الملكية للممارسين العامين (2014)، دبلوم في الصحة الجنسية والإنجابية، شهادة دراسات عليا في علم الأذن وطب السمعيات

سورانجي مينديس هي مستشارة في طب السمعيات العصبية وطب الأذن العصبي في المستشفى الوطني الملكي للأنف والأذن والحنجرة ومستشفى إيستمان للأسنان، UCLH.

حول المراجععرض السيرة الذاتية الكاملة

صورة المؤلف

الدكتورة هايلي ويلاسي، زميلة الكلية الملكية للأطباء العامين

طبيب عام، مؤلف طبي

MBChB (1992), DRCOG, DFFP, MRCOG (Part 1) MRCGP (2007), DFSRH (2013), MSc - medical education (2020)

كانت الدكتورة هايلي ويلاسي طبيبة عامة في هيئة الخدمات الصحية الوطنية تعمل في شمال غرب إنجلترا، وتقاعدت من الممارسة السريرية في عام 2022 بعد 30 عامًا. 

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