E ʻike kākou e pili ana i ka 'calcium manuahi' i loko o kou koko? (Ionized Calcium)

He aha kāu e ʻike ai e pili ana i ka calcium i loko o kou kino? Ua ʻike mākou a pau he pono ka calcium i nā iwi a me nā niho. Akā, ua ʻike anei ʻoe aia kekahi ʻano calcium i loko o ke koko he mea kūikawā iki. I kēia lā, e kamaʻilio mākou e pili ana i kēlā ʻano i kapa ʻia ʻo 'ionized calcium ' . He kuleana koʻikoʻi kēia i loko o ko mākou kino. E nānā kākou i ke ʻano o ia mea, no ke aha he mea nui ia, a he aha ka mea e hana ai inā haʻahaʻa loa a kiʻekiʻe loa paha.

He aha ke ʻano o ka 'calcium ionized'?

I ka ʻōlelo maʻalahi, ke lana nei kekahi o ka calcium i loko o kou koko me ka ʻole o ka hoʻopaʻa ʻia i kekahi protein . ʻO kēlā calcium manuahi a hana ka mea a mākou e kapa nei he 'calcium ionized' a i ʻole 'calcium manuahi.' E noʻonoʻo, ʻo kēia ka calcium 'hana' e hana maoli ana i loko o ko mākou kino. Ma kahi o ka hapalua, a i ʻole 50%, o ka calcium holoʻokoʻa i loko o kou koko he calcium ionized.

He aha ka mea e hana ʻia i ka ʻāpana ʻē aʻe o ka calcium? Hoʻopaʻa ʻia ia i nā protein i loko o ke koko, ʻoi aku hoʻi i kahi protein i kapa ʻia ʻo ' Albumin ' . Kāhea mākou iā ia he 'calcium i hoʻopaʻa ʻia' . ʻAʻole hana nui kēia calcium i hoʻopaʻa ʻia, he 'hana ʻole' wale nō ia, ʻo ia hoʻi he hana ʻole. ʻO ia ke kumu he calcium manuahi, ionized i hoʻohana pololei ʻia no nā hana o ko mākou kino.

E nānā, 99% o ka nui o ka calcium i loko o ko kākou kino aia i loko o ko kākou mau iwi a me nā niho . Ua ʻike kākou a pau i kēlā. ʻO ke koena 1% e kaʻapuni ana i loko o ke koko . No laila, ʻo kēia calcium ionized (calcium manuahi) a kākou e kamaʻilio nei he liʻiliʻi wale nō ia, ma kahi o 0.5% o ka nui o ka calcium i loko o ke kino. Manaʻo paha ʻoe, 'Auē, he liʻiliʻi loa kēlā.' Akā, e like me ka pepa chili , he mea nui kēia calcium ionized no ko kākou olakino holoʻokoʻa. Ua ʻike anei ʻoe i ke aha?

ʻO kēia calcium ionized kā mākou:

• Kōkua i ka ʻōnaehana nerve e hana pono. He mea nui loa kēia no ka lawe ʻana i nā leka a puni.
• Kōkua ia i nā ʻiʻo e ʻumeʻume, ʻo ia hoʻi ke ʻumeʻume a hoʻolōʻihi lākou, a hana pono.
• Kākoʻo i ka hana puʻuwai olakino a me ke kani o ka puʻuwai .
• Ke kāpili ʻana o ke kokoHe mea nui nō hoʻi ia no ke kaʻina hana. He mea pono kēia e hoʻōki i ke kahe ʻana o ke koko ke loaʻa kahi ʻeha.

E noʻonoʻo i ke koʻikoʻi o kēia mau mea. No laila, inā kiʻekiʻe loa a haʻahaʻa paha ka nui o ka calcium ionized i loko o ke koko, hiki iā ia ke hōʻike he pilikia olakino i loko o ke kino. No laila he mea nui e makaʻala i kēia.

No ke aha i hana ʻia ai kēia hoʻāʻo 'Ionized Calcium'?

ʻO ka maʻamau ke nānā mākou i ka calcium i loko o ke koko, nānā nā kauka i ka calcium holoʻokoʻa, ʻo ia ka nui o ka calcium i hoʻopaʻa ʻia a me ka calcium manuahi. Akā i kekahi manawa, makemake ʻoe e ʻike pono i ka nui o ka calcium manuahi a hana. ʻO ia ka manawa e hana ʻia ai kēia hoʻāʻo 'calcium ionized' . Ana wale ia i ka nui o ka calcium manuahi a hana.

No ka hana ʻana i kēia hoʻāʻo, e lawe ʻia kahi hāpana koko liʻiliʻi mai ou aku. ʻO ia wale nō.

I kēia manawa, e nānā kākou i nā kūlana hea e noi ai ke kauka i kahi hoʻāʻo calcium ionized:

• Inā ʻano ʻē kou pae protein koko (ʻoi aku ka albumin) . No ka mea, ke piʻi a emi paha ka albumin, hiki ke loli ka pae calcium holoʻokoʻa, akā ʻo ka pae calcium ionized wale nō ke ala e hoʻomaopopo ai i ke kūlana maoli.
• Inā maʻi nui ʻoe a pono e hāʻawi ʻia i nā wai IV (nā wai e like me ka saline i hāʻawi ʻia i loko o ka lima) . He mea nui kēia e nānā i ke kaulike o ke kino i nā hihia o ka maʻi nui.
• Inā ʻoe e hana i kahi ʻoki kino nui , he mea nui e nānā i kēia pae ma mua a ma hope o ke ʻoki kino.
• Inā ua loaʻa iā ʻoe nā hoʻoili koko , hiki i kekahi mau mea i loko o ke koko i hāʻawi ʻia ke hoʻololi i nā pae calcium.
• Inā hāpai ʻoe a pono ʻoe e nānā ʻia ka neonatal .
• Inā loaʻa iā ʻoe nā hōʻailona o ka pancreatitis ʻākī . Hoʻopilikia ʻia nā pae calcium e nā pilikia pancreatic.
• Inā kānalua ʻoe he maʻi parathyroid kou, hana kēia mau kelepa i nā hormones e kaohi ana i ka calcium.

Pehea e hoʻomākaukau ai no ka hoʻokolohua?

Aia kahi hoʻomākaukau liʻiliʻi e pono ai ʻoe e hana ma mua o ka hele ʻana no kēia hoʻāʻo calcium ionized.

• ʻO ka maʻamau, ua noi ʻia ʻoe ʻaʻole e ʻai a inu paha i kekahi mea no kahi o ʻeono (6) hola ma mua o ka hoʻāʻo ʻana . He mea maikaʻi ke inu iki i ka wai. ʻO kēia no ka mea hiki ke loli iki ka nui o nā mea i loko o ke koko ma muli o ka meaʻai a mākou e ʻai ai, e paʻakikī ai ka loaʻa ʻana o ka heluhelu pololei.
• Eia kekahi, pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau, nā huaora, a me nā mea hoʻohui āu e lawe nei . Hiki i kekahi mau lāʻau lapaʻau ke hoʻopilikia i nā hopena o kēia hoʻāʻo. Inā pēlā, e haʻi aku paha kāu kauka iā ʻoe e hoʻōki i ka lawe ʻana iā lākou no kekahi mau lā ma mua o ka hoʻāʻo.Akā e hoʻomanaʻo, mai ho'ōki i ka lawe ʻana i kāu lāʻau lapaʻau me ka ʻole o ke aʻo a kāu kauka.

He aha ke ʻano o ka pae calcium ionized?

Ma ka nānā ʻana i kou pae calcium ionized, hiki i kāu kauka ke hoʻomaopopo i nā mea he nui e pili ana i kou olakino. No ka laʻana, hiki iā ia ke kōkua i ka ʻike ʻana i nā ʻano maʻi like ʻole e like me ka pancreatitis, ka maʻi puʻupaʻa, a me nā kūlana parathyroid gland .

ʻO ka loaʻa ʻana o kāu mau pae calcium ionized i loko o ka pae kūpono, ʻo ia hoʻi ke hana pono nei nā hana pili i ka calcium o kou kino.

Eia nā pae maʻamau no ka calcium ionized (hiki ke ʻokoʻa iki kēia mau waiwai mai ka lab a i ka lab, no laila e nānā i ka pae maʻamau ma kāu hōʻike):

• Hānau hou ʻia: 4.8 – 5.5 mg/dL (milligrams no ka deciliter)
• No nā keiki: 4.8 - 5.3 mg/dL
• Nā mākua: 4.6 - 5.3 mg/dL

He aha ka mea e hana ai inā emi ka calcium ionized? (Hypocalcemia)

Inā haʻahaʻa kou pae calcium ionized koko, kapa mākou ia he 'hypocalcemia' ma ke ʻano lapaʻau. ʻO ke ʻano paha kēia he pilikia olakino kou.

He aha nā kumu no ka emi ʻana?

Aia kekahi mau kumu nui e emi ai nā pae calcium ionized:

• Hypoparathyroidism: ʻO ke ʻano kēia ʻaʻole hana kāu mau kelepa parathyroid i ka hormone parathyroid (PTH), kahi hormone e kaohi i nā pae calcium i loko o ke koko.
• Pancreatitis: ʻO ka mumū ʻeha o ka pancreas.
• Malabsorption: ʻAʻole hiki i ke kino ke hoʻopili pono i ka calcium mai nā meaʻai āu e ʻai ai.
• Rickets: He maʻi ia e palupalu ai nā iwi o nā keiki, ʻo ia hoʻi ka nele o ka wikamina D.
• Ka hāʻule ʻana o nā puʻupaʻa: Ke pau ka hana pono ʻana o nā puʻupaʻa, hoʻopilikia ʻia ka hoʻoponopono ʻana o ka calcium.
• Ka nele o ka wikamina D: He mea nui ka wikamina D no ke kino e omo i ka calcium. Inā ʻaʻole lawa kāu calcium, e hāʻule paha kāu pae calcium.

He aha nā hōʻailona o ka haʻahaʻa o ka calcium?

Ke haʻahaʻa nā pae calcium ionized (Hypocalcemia), hiki ke ʻike ʻia nā hōʻailona like ʻole . ʻAʻole e ʻike nā kānaka a pau i kēia mau hōʻailona a pau, a hiki i kekahi poʻe ke ʻike i hoʻokahi a ʻelua paha.

• ʻŪmiʻi a ʻūmiʻi paha nā ʻiʻo (ʻūmiʻi ʻiʻo).
• Ka huikau.
• Poho ka hoʻomanaʻo.
• Nā kui palupalu a palupalu.
• ʻO ka mae a me ke kani ʻana o nā lālā.
• Kaumaha.

Inā loaʻa iā ʻoe nā hōʻailona e like me kēia, ʻoi aku ka maikaʻi o ke kipa ʻana i ke kauka no ka ʻōlelo aʻo.

Pehea e mālama ʻia ai kēia maʻi?

Inā haʻahaʻa kou pae calcium ionized, e hoʻoholo kāu kauka i ke kumu a kuhikuhi i ka lāʻau lapaʻau e like me ia. Eia kekahi mau lāʻau lapaʻau maʻamau:

• Nā mea hoʻohui kalipuna: Hāʻawi ʻia ka kalipuna ma ke ʻano pila a wai paha.
• Nā mea hoʻohui Vitamin D: Kōkua i ke kino e omo i ka calcium.
• Inikini calcium gluconate: Inā haʻahaʻa loa nā pae calcium, hāʻawi ʻia kēia inikini e hoʻonui koke iā lākou.
• Hoʻololi i ka hormone parathyroid (PTH): Hiki ke hāʻawi ʻia kēia lāʻau inā loaʻa iā ʻoe ka hypoparathyroidism.

Me kēia lāʻau lapaʻau, he mea nui e mālama i ke kūlana olakino i kumu ai ka nele o ka calcium.

He aha ka mea e hana ai inā piʻi ka calcium ionized? (Hypercalcemia)

Ke kiʻekiʻe loa ka pae o ka calcium ionized i loko o ke koko, kapa mākou ia he 'hypercalcemia.' He kūlana kēia i hiki ke hana ʻia e kekahi mau pilikia olakino.

He aha nā kumu no ka hoʻonui ʻia?

Aia kekahi mau kumu e hiki ai ke hoʻonui i ka calcium ionized:

• Hyperthyroidism: Ka hana nui o ka thyroid.
• Hyperparathyroidism: Ka hana nui ʻana o ka hormone parathyroid (PTH) e nā kelepa parathyroid. ʻO kēia ke kumu nui o ka hypercalcemia.
• ʻO ka maʻi o Paget o ka iwi: He maʻi kahi e haki ai nā ʻiʻo iwi a ulu hou me ka nui.
• Thrombocytosis: Ka piʻi ʻana o ka nui o nā platelets i loko o ke koko.
• ʻO Sarcoidosis: ʻO ia ke ʻano e kū mai ai nā puʻupuʻu liʻiliʻi i kapa ʻia he granulomas ma nā wahi like ʻole o ke kino.
• ʻO ka Myeloma Multiple: He ʻano maʻi koko kakaikahi.

He aha nā hōʻailona o ke kiʻekiʻe o ka calcium?

Ke piʻi aʻe nā pae calcium ionized (Hypercalcemia), hiki ke ʻike ʻia nā hōʻailona like ʻole :

• Ka mimi pinepine ʻana.
• ʻEhaʻeha a ʻūmiʻi paha nā ʻiʻo.
• Ka luaʻi a me ka luaʻi.
• Nā ʻeha poʻo.
• Luhi.
• ʻEha iwi.
• Ka paʻa ʻana o ka ʻōpū.
• Poho ka hoʻomanaʻo.
• Kaumaha.
• Ka nalowale o ka makemake.

Mea nui: Hiki i nā pae calcium kiʻekiʻe loa ke lilo i pilikia olakino, no laila e makaʻala i kēia mau hōʻailona.

Pehea e hiki ai ke hoʻoponopono ʻia kēia?

ʻO ka lāʻau no ka calcium ionized kiʻekiʻe e pili ana i ke kumu. Aia kekahi mau koho lapaʻau:

• Calcimimetics: Kōkua kēia mau lāʻau lapaʻau i ka kaohi ʻana i nā kelepa parathyroid overactive.
• Nā mea hoʻohui Calcitonin: Kōkua i ka kaohi ʻana i nā pae calcium i loko o ke koko.
• ʻO Bisphosphonates: He mau lāʻau lapaʻau kēia i hoʻohana ʻia e mālama i ka osteoporosis (ka lahilahi o nā iwi). Hoʻohana ʻia hoʻi lākou e hōʻemi i ka hypercalcemia i hoʻokumu ʻia e ka maʻi kanesa.
• Denosumab: Hoʻohana ʻia kēia no ka poʻe i pane ʻole i nā bisphosphonates.
• Prednisone: Hāʻawi ʻia kēia steroid inā loaʻa ka hypercalcemia e ka hoʻonui ʻia o nā pae wikamina D.
• Nā wai IV (saline intravenous): Hāʻawi ʻia kēia lāʻau lapaʻau i ka wā pilikia inā koʻikoʻi ka hypercalcemia.
• Parathyroidectomy: Wehe ʻoki ʻana i nā ʻiʻo i hoʻopilikia ʻia mai nā kelepa parathyroid.

Eia kekahi, e kuhikuhi pū ke kauka i ka lāʻau no ka maʻi kumu i hoʻokumu ai i kou kūlana.

ʻO ka mea hope loa, he aha kāu e ʻike ai

Ua maopopo paha iā ʻoe i kēia manawa ke koʻikoʻi o kēia calcium ionized i ko kākou olakino. Inā nui loa a liʻiliʻi paha i loko o ke koko, ʻaʻole hiki i ko kākou kino ke hana pono.

ʻAʻole hiki i kahi hoʻāʻo calcium ionized wale nō ke haʻi pololei iā ʻoe i ke ʻano o ka maʻi āu. Eia nō naʻe, hāʻawi ia i kāu kauka i ka ʻike waiwai nui e pili ana i kou olakino. Me ka hoʻohana ʻana i kēlā ʻike, hiki iā ia ke hāʻawi iā ʻoe i kahi hōʻailona pololei a hoʻomaka i ka lāʻau e pono ai.

No laila, inā he mau nīnau a kānalua paha kāu e pili ana i kēia, mai hilahila a kamaʻilio me kāu kauka . E wehewehe ʻo ia i nā mea āpau iā ʻoe. E noho olakino!

ʻO ka calcium ionized, calcium, nā hoʻāʻo koko, hypocalcemia, hypercalcemia, olakino, nā hōʻailona