I-Hypocalcemia: Izimpawu, izimbangela kanye nokwelashwa

-Delile

• Ziyini izimbangela
• Ungaqinisekisa kanjani
• Izimpawu eziyinhloko ze-Hypocalcemia
• Yelashwa kanjani

I-Hypocalcemia ukwehla kwamazinga e-calcium egazi okuthi, ezimweni eziningi, kungabangeli zimpawu futhi kuvame ukukhonjwa kumphumela wokuhlolwa kwegazi. Kodwa-ke, lapho inani le-calcium liphansi kakhulu, izimpawu ezinzima ezinjengokuqina kwemisipha, ukudideka kwengqondo nokuquleka kungenzeka.

I-Hypocalcemia ivame ukuvela lapho umzimba ungakwazi ukugcina amazinga ajwayelekile ajikelezayo we-calcium yamahhala, njengakwi-hypoparathyroidism noma ukungabikho kukavithamini D, ngokwesibonelo, futhi ukwelashwa kwenziwa ngokuya ngesizathu, kucatshangelwa ubunzima besimo. Nokuthi ngabe noma azikho izimpawu, ezidinga ukwengezwa kwe-calcium.

I-calcium yiminerali ebalulekile yezempilo yethambo kanye ne-metabolism yomzimba, futhi amazinga ayo egazini alawulwa yi-parathyroid gland kanye ne-vitamin D, elinganisa ukumuncwa kwe-calcium ekudleni, ekusatshalalisweni kwamathambo nasemzimbeni noma ukuqedwa kwazo izinso. Bheka okuningi ngemisebenzi nenzuzo ye-calcium yomzimba.

Ziyini izimbangela

Izimbangela eziyinhloko ze-hypocalcemia zifaka:

• I-Hypoparathyroidism, ikakhulukazi uma kukhona ukulimala noma ukususwa kwezindlala ze-parathyroid, okungenzeka ngokuhlinzwa kwentamo, njengesikhathi sokukhishwa kwe-thyroid, noma i-irradiation ngesikhathi sokwelashwa komdlavuza, isibonelo;
• I-Pseudo-hypoparathyroidism, lapho umzimba ulahlekelwa ukuzwela futhi ungakwazi ukuphendula emazingeni e-PTH, okuyi-hormone yezindlala ze-parathyroid;
• Ukuntuleka kokuthuthukiswa kwezindlala ze-parathyroid, njenge-DiGeorge syndrome, ethinta izingane;
• Ukushoda kukaVitamin D;
• Ukudla okuphansi kwe-calcium noma i-malabsorption;
• Izifo zezinso, ezivimbela ukusebenza kukavithamini D futhi zingadala ukukhishwa okukhulu kwe-calcium emchameni;
• Imiphumela emibi yemithi ethile, njenge-Asparaginase, i-Cisplatin, i-Rifampicin, i-Ketoconazole, i-anticonvulsants noma i-bisphosphonates, isibonelo;
• Izinguquko emazingeni amanye amaminerali aphazamisa amazinga e-calcium, njenge-phosphate eyeqile noma ukungabi khona kwe-magnesium;
• Ukuphuza ngokweqile.

Ngaphezu kwalokho, i-hypocalcemia ingaba inkinga ye-pancreatitis ebukhali, njengoba ama-acid anamafutha akhishwa ama-pancreas avuthayo angaphazamisa inani le-calcium.

Ungaqinisekisa kanjani

I-Hypocalcemia itholakala ngokulinganisa i-calcium yamahhala egazini, ebizwa nge-calcium ye-ionic, engaphansi kwamazinga ajwayelekile, okufanele abe phakathi kuka-4 kuye ku-5 mg / dl kanti isilinganiso se-calcium yonke sikhomba ukuthi siyashoda uma singaphansi kuka-8, 5 mg / dl. Kodwa-ke, lawa mavelu angahluka ngokuya nge-laboratory eyenza ukuhlolwa. Futhi hlola ukuthi kwenzekani uma kune-calcium eyeqile egazini lakho.

Kodwa-ke, udokotela usengadinga ukwenza izivivinyo ezinso, amahomoni kanye namazinga ezinye izinto ezisegazini, njenge-PTH, uvithamini D, i-phosphorus kanye namazinga we-magnesium, isibonelo, ukukhomba imbangela engaba yinkinga.

Izimpawu eziyinhloko ze-Hypocalcemia

Yize i-hypocalcemia ingazibonisi izimpawu ezimweni ezimnene, lapho amazinga e-calcium eba phansi kakhulu noma ehla ngokungazelelwe, izimpawu ezinjengalezi:

• Ukuqunjelwa kwemisipha nokuqaqamba kwemisipha;
• Ukufakwa emlonyeni, ezandleni nasezinyaweni;
• Ukudlikizela;
• Ukujuluka;
• Isicanucanu nokuhlanza;
• Amajaqamba esiswini;
• Ukuhlaselwa yi-asthma.

Lapho i-hypocalcemia ingalapheki futhi ivela kancane kancane, njengakwi-hypoparathyroidism, isikhumba esomile, izipikili ezinamahloni, ukulahleka kwezinwele kanye nokuguguleka kwamazinyo nakho kungabonakala, kanye nokwethuka, ukukhathazeka, ukudideka kwengqondo, ukuguqulwa kwememori nokuthuthumela. Funda ngezinye izimpawu ezivamile zale nkinga.

Yelashwa kanjani

Ukwelashwa kwe-hypocalcemia kuya ngesizathu, ubunzima besimo nokuba khona noma ukungabikho kwezimpawu. Uma kune-hypocalcemia enamandla nezimpawu, ukushintshwa kwe-calcium, njenge-calcium gluconate noma i-calcium chloride, kuyadingeka ngomthambo, kuze kube yilapho izimpawu sezikhululekile.

Ezimweni ze-hypocalcemia emnene, kungakhonjiswa izithako ze-calcium nokwanda kokudla nge-calcium. Bona uhlu lokudla okunothile nge-calcium.

Kuyadingeka futhi ukuphenya imbangela nokuyixazulula, okungahle kufake esikhundleni se-magnesium, i-vitamin D, kanye nokwelashwa kwezifo ze-renal noma ze-parathyroid, uma kuyisizathu se-hypocalcemia.