Ua haʻahaʻa kou kino i ka calcium? E kamaʻilio kākou e pili ana i ka hypocalcemia!

Ua lohe paha ʻoe i ka haʻahaʻa o ka calcium i loko o ke kino? Hiki paha iā ʻoe ke hoʻopilikia ʻia e kēia maʻi me ka ʻike ʻole. Ua ʻike mākou a pau i ke koʻikoʻi o ka calcium no ko mākou mau iwi. Akā, he mea nui ka calcium no nā mea ʻē aʻe he nui i loko o ko mākou kino. No laila, i kēia lā e kamaʻilio mākou e pili ana i kēia kūlana o nā pae calcium haʻahaʻa i loko o ke koko, i kapa ʻia ʻo hypocalcemia . Mai hopohopo, he maʻi kēia e hiki ke mālama pinepine ʻia a ho'ōla ʻia.

He aha ka calcium a no ke aha he mea nui ia iā mākou?

I ka ʻōlelo maʻalahi, he mineral koʻikoʻi loa ka calcium a he mineral maʻamau i loko o ko kākou kino. Kōkua ia me nā mea he nui ma mua o kou manaʻo.

• Hoʻoikaika i nā iwi a me nā niho: ʻO kēia ka mea nui loa a kākou e ʻike nei. ʻO ka hapa nui o ka calcium i loko o ko kākou kino ua mālama ʻia i loko o ko kākou mau iwi.
• Pono nō hoʻi ka kalipuna i loko o ke koko: ʻAʻole wale i loko o nā iwi, akā, i loko hoʻi o ko kākou koko, pono e loaʻa kahi nui o ka kalipuna. ʻO ke kalipuna i loko o kēia koko:
• Kōkua i ka hana o kā mākou ʻōnaehana nerve .
• Kōkua ia i ko mākou mau ʻiʻo e ʻaelike a hoʻomaha (ʻo ia hoʻi ke neʻe nei mākou).
• Kōkua ia i ke kāpili ʻana o ke koko ke hōʻeha ʻia mākou.
• Kōkua ia i ko mākou puʻuwai e hana pono .

E noʻonoʻo, inā e emi ana ka pae calcium i loko o ko kākou koko (hypocalcemia), e paʻakikī i ko kākou kino ke hana pono i kēia mau kaʻina hana koʻikoʻi.

ʻO ka mea nui, inā ʻaʻole lawa ka calcium mai kā mākou meaʻai, e lawe ko mākou kino i ka calcium mai ko mākou mau iwi a hoʻohui iā ia i ko mākou koko. Hiki i kēia ke hoʻonāwaliwali i ko mākou mau iwi. Eia naʻe, ʻo ka 'Hypocalcemia' he emi ʻana o ka calcium i loko o ke koko, ʻaʻole wale ka emi ʻana o ka calcium i loko o nā iwi.

Hoʻokele ʻia ka pae o ka calcium i loko o ko kākou koko a me nā iwi e nā hormones nui ʻelua: ʻo ka Parathyroid Hormone (PTH) a me Calcitonin . He mea nui loa hoʻi ka Vitamin D no ka mālama ʻana i nā pae calcium. He mea nui ka Vitamin D no ke kino e omo i ka calcium a kākou e ʻai ai.

ʻO wai ka mea hiki ke loaʻa i ka hypocalcemia?

Hiki ke loaʻa kēia ʻano calcium haʻahaʻa i kekahi o kēlā me kēia makahiki, ʻoiai nā pēpē ʻōpiopio loa. ʻO ka makahiki e loaʻa ai ia mea e hoʻoholo pinepine ʻia e ke kumu. No ka laʻana, inā loaʻa kēia ʻano i kahi pēpē ʻōpio, ʻo ia paha ma muli o kahi maʻi genetic.

He mea paʻakikī ke ʻōlelo pololei i ke ʻano maʻamau o kēia, no ka mea, he hopena pinepine ia o kekahi maʻi ʻē aʻe. Eia nō naʻe, he mea maʻamau ka ʻike ʻana i kēia maʻi ma hope o ke ʻoki ʻana e wehe i ke kelepa thyroid (thyroidectomy) . Manaʻo kekahi mau noiʻi ma waena o 7% a me 49% o ka poʻe e loaʻa paha ka hypocalcemia manawa pōkole ma hope o ke ʻoki ʻana i ka thyroid.

He aha nā hōʻailona o kēia nele i ka calcium?

Loaʻa i kekahi poʻe kahi liʻiliʻi o ka calcium i loko o ko lākou kino akā ʻaʻole hōʻike i kekahi mau hōʻailona. Pili nā hōʻailona i ke kiʻekiʻe o ka hemahema o ka calcium - ʻo ia hoʻi, inā he "ʻoluʻolu" a "koʻikoʻi" paha ke ʻano.

Nā hōʻailona o ka nele o ka calcium:

• ʻEhaʻeha o nā ʻiʻo: ʻOi loa aku ma ke kua a me nā wāwae. E noʻonoʻo ʻoe e hiamoe ana ʻoe i ka pō a ua like koke kou wāwae me he mea lā e mae ana, ʻo ia ke ʻano.
• ʻIli maloʻo a unahi.
• Nā kui palupalu.
• Ke lilo nei ka lauoho i ʻoi aku ka paʻapū ma mua o ka maʻamau.

Inā ʻaʻole mālama pono ʻia kēia ʻano maʻi ʻoluʻolu, i ka hala ʻana o ka manawa, hiki ke ulu aʻe nā hōʻailona e hoʻopilikia ai i ka ʻōnaehana nerve (`neurologic`) a i ʻole ke olakino noʻonoʻo (`psychologic`). ʻO kēia mau mea:

• Ka huikau.
• Nā pilikia hoʻomanaʻo.
• Ka huhū pinepine a i ʻole ka hoʻomaha ʻole.
• Kaumaha.
• Nā Hallucinations: ʻO ia hoʻi ka ʻike ʻana i nā mea i ʻike ʻole ʻia ma laila.

Nā hōʻailona o ka hypocalcemia nui:

He kūlana weliweli kēia e kū mai ana i ka wā e hāʻule haʻahaʻa loa ai ka pae calcium i loko o ke koko.

• Ke ʻūlū ʻana o nā lehelehe, ke alelo, nā manamana lima a me/a i ʻole nā ​​​​wāwae.
• ʻEha nā ʻiʻo.
• Paʻakikī ka hanu ʻana ma muli o ka ʻūmiʻi ʻana o nā ʻiʻo puʻu (laryngospasm). He mea weliweli iki kēia.
• ʻOʻoleʻa a me ka ʻūlū ʻana o nā ʻiʻo (Tetany).
• Nā ʻōʻili.
• Nā ʻano ʻino o ka puʻuwai (Arrhythmia).
• Ka hāʻule ʻana o ka puʻuwai paʻa.

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona koʻikoʻi, he mea nui loa e ʻimi koke i ke kōkua lapaʻau.

No ke aha e emi ai ka calcium i loko o ko kākou kino? He aha nā kumu?

He hana paʻakikī ko ko kākou kino no ka mālama ʻana i nā pae paʻa o ka calcium i loko o ke koko. No laila, hiki ke hana ʻia ka hypocalcemia e nā ʻano maʻi like ʻole.

ʻO ka hapa nui o ka manawa, ʻo ke kumu nui o kēia he pilikia me kāu mau pae hormone parathyroid (PTH) a i ʻole nā ​​​​pae wikamina D. ʻO kēia no ka mea kōkua ka PTH i ka kaohi ʻana i ka calcium i loko o ke koko, a kōkua ka wikamina D i ke kino e omo i ka calcium.

ʻO nā kumu ʻekolu i maʻamau ʻia:

1. Hypoparathyroidism: Hana ʻia kēia i ka wā ʻaʻole lawa ka hana ʻana o nā kelepa parathyroid (ʻehā mau kelepa liʻiliʻi ma hope o ke kelepa thyroid) ma kou ʻāʻī i ka PTH. Ke haʻahaʻa nā pae PTH, hāʻule pū nā pae calcium i loko o kou kino. Hiki ke kumu kēia ma muli o ka genetics, ke ʻoki ʻana e wehe i hoʻokahi a ʻoi aku paha nā kelepa parathyroid, a i ʻole ke kelepa thyroid.

2.Ka nele o ka wikamina D: Inā ʻaʻole lawa ka wikamina D iā ʻoe, ʻaʻole hiki i kou kino ke omo pono i ka calcium. Hiki i kēia ke alakaʻi i nā pae calcium haʻahaʻa i ke koko. Hiki ke kumu ʻia ka nele o ka wikamina D e ka genetics, ka loaʻa ʻole o ka lā lawa, a i ʻole ka loaʻa ʻole o ka wikamina D lawa mai kāu meaʻai.

3. Ka hāʻule ʻana o nā puʻupaʻa / Ka hāʻule ʻana o nā puʻupaʻa: Hiki i ka poʻe me ka maʻi puʻupaʻa mau ke loaʻa i ka hypocalcemia. ʻO kēia ma muli o ka piʻi ʻana o nā pae phosphorus i loko o ke koko a me ka emi ʻana o kahi ʻano kūikawā o ka wikamina D i hana ʻia e nā puʻupaʻa.

Aia kekahi mau kumu ʻē aʻe:

• Kekahi mau lāʻau lapaʻau: No ka laʻana, hiki i kekahi mau lāʻau lapaʻau e like me 'Bisphosphonates', 'Corticosteroids', 'Rifampin', 'Calcitonin' ke kumu o ka nele o ka calcium. E kamaʻilio me kāu kauka e pili ana i nā lāʻau lapaʻau āu e lawe nei.
• Pseudohypoparathyroidism: He kūlana hoʻoilina kēia. ʻO ka mea e hana ʻia ma ʻaneʻi, ʻoiai he mau pae maʻamau ko ke kino o ka hormone PTH, ʻaʻole pane pono ke kino iā ia.
• Hypomagnesemia: He haʻahaʻa kēia pae o ka magnesium i loko o ke koko. Pono nā kelepa parathyroid i ka magnesium e hana a hoʻokuʻu i ka hormone PTH. Inā haʻahaʻa ka magnesium, emi ka PTH i hana ʻia, a ʻo ia hoʻi ke kumu e emi ai nā pae calcium.
• Pancreatitis: Ma waena o 15% a me 88% o ka poʻe me ka pancreatitis nui e loaʻa i ka hypocalcemia.
• Nā maʻi hoʻoilina laha ʻole: Hiki ke hana ʻia kēia ʻano e kekahi mau hoʻololi hoʻoilina, e like me ka 'DiGeorge syndrome'.

Pehea e ʻike ai inā loaʻa iaʻu kēia maʻi?

Inā emi ka nui o ka calcium o kou serum ma mua o 8.8 mg/dL, loaʻa paha iā ʻoe ka hypocalcemia. I kekahi manawa, ʻike ʻia ka hypocalcemia iki ma ka hanana ke hana ʻia kahi hoʻāʻo koko no kekahi mea ʻē aʻe.

He mea nui loa ia e ʻike inā aia kēia ʻano maʻi, a e ʻike pū i ke kumu.

Hiki i kāu kauka ke kauoha i nā hoʻokolohua e like me kēia e ʻike ai i ke kumu o ke kūlana a e ʻike inā e hoʻopilikia ana i nā ʻāpana ʻē aʻe o ke kino:

• Nā hoʻāʻo koko ʻē aʻe: E nānā i kāu magnesium, phosphorus, PTH hormone a/a i ʻole nā ​​​​pae o ka wikamina D.
• ECG (Electrocardiogram): Ke ana kēia i kou helu puʻuwai ma ke kau ʻana i nā electrodes ma kou umauma. Hiki i ka hypocalcemia ke hana i nā puʻuwai puʻuwai kūpono ʻole.
• Nā hoʻāʻo kiʻi iwi: Hiki ke hoʻohana ʻia kēia mau mea e ʻike inā he mau pilikia calcium kou i loko o kou mau iwi (e like me ka osteomalacia a i ʻole rickets).

Pehea e mālama ʻia ai ka nele o ka calcium?

Hoʻomaʻamaʻa pinepine ʻia kēia me nā mea hoʻohui calcium waha.. Eia kekahi, he mea nui e ʻike i ke kumu o ka haʻahaʻa o ka calcium a mālama iā ia. E noʻonoʻo ʻoe ua haʻahaʻa ka calcium ma muli o kahi lāʻau āu e lawe nei, a laila hiki i ke kauka ke hoʻololi i ka lāʻau lapaʻau a hoʻonui a hoʻemi paha i ka nui.

He aha nā lāʻau lapaʻau a me nā ʻano lapaʻau i hoʻohana ʻia no kēia?

• Nā papa kalipuna: Hāʻawi ʻia kēia mau mea e hoʻomaʻamaʻa i ka pae kalipuna i loko o ke koko.
• Pākuʻi Wikamina D: Hāʻawi pinepine ʻia nā mea hoʻohui wikamina D me nā pila kalipuna i ka poʻe me ka nele i ka kalipuna mau loa. Penei ke ʻano e hiki ai i ke kino ke omo pono i ka kalipuna.
• PTH Synthetic: Inā haʻahaʻa kou pae calcium ma muli o ka hypoparathyroidism, hiki i kāu kauka ke hāʻawi iā ʻoe i ka PTH synthetic.
• ʻO ka calcium gluconate intravenous (IV calcium gluconate): Inā haʻahaʻa loa kou pae calcium a loaʻa iā ʻoe nā hōʻailona koʻikoʻi e like me ka ʻūlū ʻana o nā ʻiʻo (tetany), hiki ke hāʻawi ʻia iā ʻoe kahi hopena calcium gluconate i hāʻawi ʻia ma ke ʻano intravenous ma ka haukapila.
• Nā lāʻau lapaʻau ʻē aʻe: Ma muli o ke kumu o ka calcium haʻahaʻa, pono paha ʻoe e lawe i nā lāʻau lapaʻau ʻē aʻe e mālama/hoʻokele i kēlā kumu.

He aha nā kumu pilikia no ka hoʻomohala ʻana i ka hypocalcemia?

ʻO ka poʻe i ʻoi aku ka nui o ka hoʻomohala ʻana i kēia maʻi:

• No nā poʻe me ka nele i ka wikamina D.
• No ka poʻe i loaʻa i ka maʻi kelepa parathyroid a i ʻole ke ʻoki ʻana i ka kelepa parathyroid .
• No ka poʻe i hana ʻia i ke ʻoki ʻana e wehe i ke kelepa thyroid ('thyroidectomy') .
• Inā loaʻa i kekahi o ka ʻohana nā maʻi genetic (e like me kekahi mau hoʻololi gene, nā maʻi genetic vitamin D, DiGeorge syndrome).

Aia kekahi ala e pale aku ai i kēia?

ʻO ka mea pōʻino, ʻaʻohe mea hiki iā ʻoe ke hana e pale aku i ka hypocalcemia. ʻOiai ke ʻano nei hiki iā ʻoe ke pale aku ma ka ʻai ʻana i nā meaʻai kiʻekiʻe i ka calcium, ʻaʻole pili pololei ka nui o ka calcium āu e ʻai ai i kou mau pae calcium koko. Eia nō naʻe, he mea nui ka loaʻa ʻana o ka calcium lawa no ke olakino o ka iwi.

He aha ka manaʻo no kēia kūlana? (Wānana)

ʻO ka nūhou maikaʻi, he maʻi hiki ke mālama ʻia ka hypocalcemia. Ke hoʻi hou kāu mau pae calcium i ka maʻamau, e nalo aku nā hōʻailona.

Eia nō naʻe, inā ʻaʻole mālama ʻia, hiki i ka hypocalcemia koʻikoʻi ke hoʻoweliweli i ke ola ma muli o nā pilikia e like me nā hopu ʻana a me ka hāʻule ʻana o ka puʻuwai. No laila, e ʻike i ke kauka inā loaʻa iā ʻoe nā hōʻailona. Inā koʻikoʻi kāu mau hōʻailona, ​​e hele i ka haukapila kokoke loa.

ʻOkoʻa ka lōʻihi o kēia kūlana ma muli o ke kumu. Hiki ke lilo i mea manawa pōkole a i ʻole ke ola holoʻokoʻa ('chronic`). E nīnau i kāu kauka i ka lōʻihi o kēia a me ka lōʻihi o kou pono e lawe i ka lāʻau lapaʻau.

Inā ʻaʻole i mālama ʻia, hiki i ka hypocalcemia ke make, no laila e makaʻala i nā hōʻailona.

Āhea ʻoe e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe nā hōʻailona o ka hypocalcemia , e ʻike pono i ke kauka. Inā loaʻa iā ʻoe ka hypocalcemia mau loa, he mea nui e ʻike pinepine i kāu kauka e hōʻoia i ka maʻamau o kāu mau pae calcium a ke hana pono nei kāu lāʻau.

He aha nā nīnau e pono iaʻu e nīnau aku i ke kauka inā loaʻa iaʻu kēia maʻi?

Ke ʻike ʻoe he hypocalcemia kou, he mea kōkua paha ke nīnau i kāu kauka a kahu maʻi paha i kēia mau nīnau:

• No ke aha i loaʻa ai iaʻu kēia hypocalcemia?
• Pehea ka lōʻihi o koʻu loaʻa ʻana i kēia maʻi?
• Pehea ka lōʻihi e pono ai iaʻu e lawe i ka lāʻau lapaʻau no kēia?
• ʻEhia ka lōʻihi e hala ai nā hōʻailona ma hope o ka hoʻomaka ʻana i ka lāʻau lapaʻau?
• Aia anei kaʻu mau keiki a i ʻole nā ​​​​lālā ʻē aʻe o ka ʻohana i ka pilikia o ka loaʻa ʻana o kēia maʻi?

He mea maʻamau ka makaʻu ke ʻike ʻoe he maʻi kou. Akā e hoʻomanaʻo, hiki ke mālama ʻia ka hypocalcemia. Me ka mālama ʻana, e hoʻi hou kāu mau pae calcium i ka maʻamau a e nalowale kāu mau hōʻailona. Mai makaʻu e nīnau i kāu hui lapaʻau e pili ana i kou kūlana a me ka mālama ʻana āu e loaʻa nei.

Leka Lawe-Home

No laila, ʻo ka hypocalcemia, a i ʻole ka calcium koko haʻahaʻa, he mea ia e hopohopo ai kākou, akā ʻaʻole ia he mea e makaʻu ai. Hiki ke mālama pinepine ʻia a hoʻomaikaʻi ʻia. ʻO ka mea nui loa, ʻo ia ke ʻimi i ka ʻōlelo aʻoaʻo lapaʻau me ka hoʻonele ʻole i ka manawa inā ʻike ʻoe i nā hōʻailona. Inā ʻoe e hahai i ka lāʻau lapaʻau a kāu kauka e ʻōlelo ai, hiki iā ʻoe ke hoʻōla koke. E noho olakino!

ʻO ka hypocalcemia, calcium, hemahema calcium, calcium koko, hormone parathyroid, wikamina D, olakino iwi, nā hōʻailona, ​​​​lāʻau lapaʻau