Ukuhlolwa kweCalcium Okungabonakali

-Delile

• Kungani ngidinga ukuhlolwa kwe-calcium ionized?
• Ngilungiselela kanjani ukuhlolwa kwe-calcium ionized?
• Kwenziwa kanjani ukuhlolwa kwe-calcium ionized?
• Ziyini izingozi zokuhlolwa kwe-calcium ionized?
• Isho ukuthini imiphumela?
• Amazinga ajwayelekile
• Amazinga angajwayelekile

Kuyini ukuhlolwa kwe-calcium ionized?

I-calcium yiminerali ebalulekile umzimba wakho oyisebenzisayo ngezindlela eziningi. Kwandisa amandla amathambo akho namazinyo futhi kusiza imisipha yakho nezinzwa kusebenze.

Ukuhlolwa kwegazi le-serum calcium kukala i-calcium ephelele egazini lakho. Kunezinhlobo ezahlukahlukene ze-calcium egazini lakho. Lokhu kufaka phakathi i-calcium e-ionized, i-calcium eboshelwe kwamanye amaminerali abizwa ngama-anion, ne-calcium eboshwe kuma-protein afana ne-albumin. I-calcium eyakhiwe, eyaziwa nangokuthi i-calcium yamahhala, ifomu elisebenza kakhulu.

Kungani ngidinga ukuhlolwa kwe-calcium ionized?

Ukuhlolwa kwe-serum calcium kuvame ukuhlola inani eliphelele le-calcium egazini lakho. Lokhu kufaka phakathi i-calcium ne-calcium ehlanganiswe namaprotheni nama-anion. Udokotela wakho angafuna ukuhlola amazinga e-calcium yakho egazini uma unezimpawu zesifo sezinso, izinhlobo ezithile zomdlavuza, noma izinkinga ngendlala yakho ye-parathyroid.

Amazinga we-calcium enziwe anikezela ngemininingwane eminingi mayelana ne-calcium esebenzayo. Kungabalulekile ukwazi amazinga wakho we-calcium e-ionized uma unamazinga angajwayelekile wamaprotheni, afana ne-albhamuin, noma ama-immunoglobin egazini lakho. Uma ibhalansi phakathi kwe-calcium eboshiwe ne-calcium yamahhala ayijwayelekile, kubalulekile ukuthola ukuthi kungani. I-calcium yamahhala ne-calcium eboshiwe ngayinye ngokuvamile yakha uhhafu we-calcium ephelele yomzimba wakho. Ukungalingani kungaba uphawu lwenkinga enkulu yezempilo.

Ungadinga ukuthi kuhlolwe izinga lakho le-calcium ion uma:

• uthola ukumpontshelwa igazi
• ugula kakhulu futhi useziketshenzi ezifakwa emithanjeni (IV)
• uhlinzwa kakhulu
• unamazinga angavamile amaprotheni egazi

Kulezi zimo, kubalulekile ukuqonda kahle ukuthi une-calcium yamahhala etholakalayo.

Amazinga aphansi we-calcium yamahhala angadala ukuthi ukushaya kwenhliziyo yakho kwehle noma kusheshise, kubangele ukuphazamiseka kwemisipha, futhi kuholele nasekuqulekeni. Udokotela wakho angalawula ukuhlolwa kwe-calcium ionized uma unezimpawu zokuba ndikindiki emlonyeni wakho noma ezandleni nasezinyaweni, noma uma unezinhlungu zemisipha ezindaweni ezifanayo. Lezi yizimpawu zamazinga aphansi we-calcium yamahhala.

Ukuhlolwa kwe-calcium ionized kunzima ukukwenza kunokuhlolwa kwe-serum calcium. Kudinga ukuphathwa okukhethekile kwesampula segazi, futhi kwenziwa kuphela ezimweni ezithile.

Ngilungiselela kanjani ukuhlolwa kwe-calcium ionized?

Uzodinga ukuzila ukudla amahora ayisithupha ngaphambi kokuba igazi lakho lidonsele ukuhlolwa kwe-calcium ene-ionized. Lokhu kusho ukuthi akufanele udle noma uphuze noma yini ngaphandle kwamanzi ngaleso sikhathi.

Xoxa ngemithi yakho yamanje nodokotela wakho. Kungadingeka uyeke ukuthatha imishanguzo ethile ngaphambi kokuhlolwa, kodwa kuphela uma udokotela wakho ekutshela ukuthi wenze kanjalo. Izibonelo zezidakamizwa ezingathinta amazinga akho e-calcium e-ionized afaka:

• usawoti we-calcium
• i-hydralazine
• lithium
• i-thyroxine
• isisu se-thiazide

Ungayeki ukuthatha umuthi ngaphandle kokukhuluma nodokotela wakho ngakho kuqala.

Kwenziwa kanjani ukuhlolwa kwe-calcium ionized?

Ukuhlolwa kwe-calcium ionized kusebenzisa inani elincane legazi lakho. Uchwepheshe wezokunakekelwa kwempilo uzothola isampula yegazi ngokwenza i-venipuncture. Bazohlanza ingxenye yesikhumba engalweni noma esandleni sakho, bafake inaliti emthanjeni wakho ngesikhumba sakho, bese bedonsa inani elincane legazi kuthumbu lokuhlola.

Ungase uzwe ubuhlungu obulinganiselayo noma ukuzwa okuncane kokuncinza ngesikhathi senqubo. Ngemuva kokuthi udokotela wakho asuse inaliti, ungazizwa uthinteka. Uzotshelwa ukuthi usebenzise ingcindezi kusayithi lapho inaliti ingene khona esikhunjeni sakho. Ingalo yakho izobe isibhandishiwe. Kufanele ugweme ukusebenzisa leyongalo ukuphakamisa okunzima usuku lonke.

Ziyini izingozi zokuhlolwa kwe-calcium ionized?

Kunezingozi ezithile ezingandile kakhulu ezithintekayo ekuthatheni isampula yegazi, kufaka phakathi:

• ubuhlanya noma ukuquleka
• i-hematoma, eyenzeka lapho igazi liqoqana ngaphansi kwesikhumba sakho
• ukutheleleka
• ukopha ngokweqile

Ukopha isikhathi eside ngemuva kwenqubo kungakhombisa ukopha okukhulu.

Isho ukuthini imiphumela?

Amazinga ajwayelekile

Amazinga ajwayelekile we-calcium ionized ahlukile kubantu abadala nasezinganeni. Kubantu abadala, izinga lama-milligram angu-4.64 kuya ku-5.28 nge-deciliter (mg / dL) ejwayelekile. Ezinganeni, izinga elijwayelekile le-calcium e-ionized lingu-4.8 kuya ku-5.52 mg / dL.

Amazinga angajwayelekile

Uma unamazinga aphansi we-calcium ion egazini lakho, angakhombisa:

• i-hypoparathyroidism, okuyindlala engasebenzi kahle ye-parathyroid
• ukumelana nefa kwe-hormone ye-parathyroid
• i-malabsorption ye-calcium
• ukushoda kukavithamini D
• i-osteomalacia noma i-rickets, okuwukuthambisa kwamathambo (ezimweni eziningi ngenxa yokushoda kukavithamini D)
• ukushoda kwe-magnesium
• amazinga aphezulu e-phosphorus
• i-pancreatitis ebukhali, okuwukuvuvukala kwamanyikwe
• ukwehluleka kwezinso
• ukungondleki
• ukuphuza ngokweqile

Uma unezinga eliphakeme le-calcium e-ion egazini lakho, ingakhombisa:

• hyperparathyroidism, okuyi-gland ye-parathyroid esebenzayo
• impilo yokuhlala phansi noma ukungahambi kahle
• i-milk-alkali syndrome, okuyizinga eliphezulu le-calcium emzimbeni ngenxa yokudla ubisi oluningi, ama-antacids, noma i-calcium carbonate ngokuhamba kwesikhathi
• i-myeloma eminingi, okuwumdlavuza wamangqamuzana e-plasma (uhlobo lwamaseli amhlophe egazi akhiqiza amasosha omzimba)
• Isifo sePaget, okuyisifo esiholela ekukhubazekeni ngenxa yokonakala kwamathambo okungavamile nokukhula
• sarcoidosis, okuyisifo sokuvuvukala esithinta amehlo, isikhumba nezinye izitho
• isifo sofuba, okuyisifo esisongela impilo esibangelwa yigciwane Isifo sofuba iMycobacterium
• ukufakelwa izinso
• ukusetshenziswa kwe-thiazide diuretics
• izinhlobo ezithile zamathumba
• ukweqisa kuvithamini D

Udokotela wakho uzoxoxa nawe ngemiphumela yakho. Zizosiza futhi ukunquma izinyathelo zakho ezilandelayo uma kukhona ezidingekayo.