Ukuhlolwa kwegazi kweCalcium

Ukuhlolwa kwegazi kwe-calcium kukala izinga le-calcium egazini.

Lo mbhalo ukhuluma ngokuhlolwa ukukala inani eliphelele le-calcium egazini lakho. Cishe ingxenye eyodwa ye-calcium esegazini inamathiselwe kuma-protein, ikakhulukazi i-albumin.

Kwenziwa isivivinyo esehlukile esilinganisa i-calcium enganamatheli kuma-protein egazini lakho. I-calcium enjalo ibizwa nge-calcium yamahhala noma e-ionized.

I-calcium nayo ingalinganiswa emchameni.

Kudingeka isampula yegazi.

Umhlinzeki wakho wezokunakekelwa kwempilo angakutshela ukuthi uyeke ukuthatha imithi ethile okwesikhashana engathinta ukuhlolwa. Le mithi ingafaka:

• Usawoti we-calcium (ungatholakala kwizithako zokudla okunomsoco noma ama-antacids)
• ILithium
• I-Thiazide diuretics (amaphilisi wamanzi)
• I-Thyroxine
• Uvithamini D

Ukuphuza ubisi oluningi (2 noma ngaphezulu amaritha noma amalitha ama-2 ngosuku noma inani elikhulu leminye imikhiqizo yobisi) noma ukuthatha uvithamini D omningi njengesengezo sokudla nakho kungakhuphula amazinga e-calcium egazi.

Lapho inaliti ifakwa ukudonsa igazi, abanye abantu bezwa ubuhlungu obulinganiselayo. Abanye bazizwa beshaywa noma betinyelwa kuphela. Ngemuva kwalokho, kungahle kube nokushaywa okuthile noma ukulinyazeka okuncane. Lokhu maduzane kuyaphela.

Wonke amaseli adinga i-calcium ukuze asebenze. I-calcium isiza ekwakheni amathambo namazinyo aqinile. Kubalulekile ekusebenzeni kwenhliziyo, futhi kusiza ngokuncipha kwemisipha, ukusayinwa kwemizwa, nokuqina kwegazi.

Udokotela wakho angalalela lokhu kuhlolwa uma unezimpawu noma izimpawu ze:

• Izifo ezithile zethambo
• Eminye imidlavuza, efana ne-myeloma eminingi, noma umdlavuza webele, wamaphaphu, wentamo nowezinso
• Isifo sezinso esingalapheki
• Isifo esingalapheki sesibindi
• Ukuphazamiseka kwezindlala ze-parathyroid (i-hormone eyenziwe yilezi zindlala ilawula amazinga e-calcium nevithamini D egazini)
• Ukuphazamiseka okuthinta indlela amathumbu akho amunca ngayo izakhamzimba
• Izinga eliphakeme le-vitamin D
• Indlala yegilo eyeqile (hyperthyroidism) noma ukuthatha umuthi omningi wehomoni yegilo

Udokotela wakho futhi angayalela lokhu kuhlolwa uma ngabe uke waphumula embhedeni isikhathi eside.

Amanani ajwayelekile asukela ku-8.5 kuye ku-10.2 mg / dL (2.13 kuye ku-2.55 millimol / L).

Ububanzi bamanani ajwayelekile bungahluka kancane phakathi kwamalabhorethri ahlukene. Amanye ama-laboratories asebenzisa izilinganiso ezahlukahlukene noma angahlola izinhlobo ezahlukene. Khuluma nodokotela wakho mayelana nencazelo yemiphumela yakho ethile yokuhlolwa.

Izinga eliphakeme kunokujwayelekile lingahle libe ngenxa yezimo eziningi zezempilo. Izimbangela ezivamile zifaka:

• Ukuba embhedeni uphumule isikhathi eside.
• Kudla i-calcium eningi noma uvithamini D.
• I-Hyperparathyroidism (izindlala ze-parathyroid zenza ihomoni yazo eningi; imvamisa ihlotshaniswa nezinga eliphansi le-vitamin D).
• Izifo ezibanga ama-granulomas njengesifo sofuba kanye nezifo ezithile zefungal kanye ne-mycobacterial.
• I-myeloma eminingi, i-T cell lymphoma namanye amagciwane.
• I-metastatic bone tumor (umdlavuza wethambo osakazekile).
• Indlala yegilo eyeqile (hyperthyroidism) noma umuthi omningi wokufaka esikhundleni sehomoni yegilo.
• Isifo sePaget. Ukucekelwa phansi kwamathambo ngokungajwayelekile nokubuyela emthonjeni, kubangele ukukhubazeka kwamathambo athintekile.
• I-Sarcoidosis. Ama-lymph node, amaphaphu, isibindi, amehlo, isikhumba, noma ezinye izicubu ziyavuvukala noma zivuthe.
• Izicubu ezikhiqiza into efana ne-hormone efana ne-parathyroid.
• Ukusetshenziswa kwemithi ethile efana ne-lithium, i-tamoxifen, ne-thiazides.

Izinga eliphansi kunokujwayelekile lingahle libe ngenxa yalokhu:

• Ukuphazamiseka okuthinta ukumuncwa kwezakhi ezisuka emathunjini
• I-Hypoparathyroidism (izindlala ze-parathyroid azenzi ngokwanele ngehomoni yazo)
• Ukuhluleka kwezinso
• Izinga legazi eliphansi le-albhamuin
• Isifo sesibindi
• Ukushoda kweMagnesium
• I-Pancreatitis
• Ukushoda kukavithamini D

Kunengozi encane kakhulu ethintekayo ekuthatheni igazi lakho. Imithambo nemithambo yegazi kuyahluka ngosayizi komunye umuntu kuya kolunye uhlangothi lomzimba kuya kolunye. Ukuthatha igazi kwabanye abantu kungaba nzima kakhulu ukwedlula kwabanye.

Ezinye izingozi ezihambisana nokudonswa igazi zincane kepha zingafaka:

• Ukopha ngokweqile
• Ukuquleka noma uzizwe unekhanda elincane
• I-hematoma (ukuqoqwa kwegazi ngaphansi kwesikhumba)
• Ukutheleleka (ingozi encane noma kunini lapho isikhumba siphukile)
• Ukubhoboza okuningi ukuthola imithambo

Ca + 2; I-calcium yeserum; Ca ++; Hyperparathyroidism - izinga le-calcium; I-osteoporosis - izinga le-calcium; I-Hypercalcemia - izinga le-calcium; Hypocalcemia - izinga le-calcium

• Ukuhlolwa kwegazi

UKlemm KM, uKlein MJ. Omaka bezinto eziphilayo zamathambo metabolism. Ku: McPherson RA, Pincus MR, abahleli. UHenry’s Clinical Diagnosis and Management by Laboratory Methods. Umhla ka-23. IPhiladelphia, PA: Elsevier; I-2017: isahluko 15.

ISmogorzewski MJ, iStubbs JR, i-Yu ASL. Ukuphazamiseka kwe-calcium, i-magnesium ne-phosphate balance. Ku: Skorecki K, Chertow GM, Marsden PA, Taal MW, Yu ASL, ama-eds. IBrenner neRector's The Kidney. Umhlaka 10. IPhiladelphia, PA: Elsevier; 2016: isahluko 19.