Ua ʻike kākou a pau he mea nui ka calcium no nā iwi a me nā niho ikaika. Akā, ua ʻike anei ʻoe ma waho aʻe o ka calcium i loko o ko kākou mau iwi, he mea nui nō hoʻi ka calcium i loko o ko kākou koko no nā hana he nui i loko o ko kākou kino? Inā haʻahaʻa ka pae calcium i loko o kēia koko ma mua o ka maʻamau, kapa mākou ia he hypocalcemia. Hiki i kēia ke hana i nā pilikia āu e manaʻo ʻole ai. No laila, e kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku i kēia lā.
I ka ʻōlelo maʻalahi, he aha ka hypocalcemia?
ʻO ka Hypocalcemia ka wā e haʻahaʻa loa ai ka pae calcium o kou koko. ʻAʻole wale ka calcium no ko kākou mau iwi a me nā niho, akā he mea nui hoʻi ia no nā kīʻaha koko e ʻaelike a hoʻonui, nā impulses nerve e hoʻouna, ke kāpili ʻana o ke koko, a me ka hana ʻana o nā ʻiʻo. ʻO ka maʻamau, hoʻoponopono maikaʻi loa ko kākou kino i kēia pae calcium. Kōkua ʻekolu mau hormones nui me kēia: ka hormone parathyroid (PTH), calcitonin, a me ka huaora D. ʻO ka maʻamau, pono ka pae calcium koko o ka pākeke ma waena o 8.5 a me 10.2 mg/dL (milligrams/deciliter). Eia naʻe, hiki ke ʻokoʻa iki kēia mau waiwai mai ka lab a i ka lab. I nā keiki a me nā ʻōpio, ʻoi aku ka kiʻekiʻe o kēia waiwai. Inā haʻahaʻa ka pae calcium i loko o kāu hōʻike koko ma mua o kēia waiwai maʻamau, ʻo ia ka hypocalcemia.
No ke aha e hana ai kēia? He aha nā kumu o ka hypocalcemia?
ʻO ka maʻamau, hiki mai kēia ʻano ke nalowale nui ka calcium i loko o kou mimi a i ʻole ke hoʻokuʻu ʻole kou mau iwi i ka calcium lawa i loko o kou koko. E nānā kākou i nā kumu nui.
| Kumu | He wehewehe maʻalahi |
|---|
| ʻO ka Hypoparathyroidism | ʻO nā kelepa parathyroid he ʻehā mau kelepa liʻiliʻi e kū ana ma hope o ke kelepa thyroid i loko o ko kākou ʻāʻī. ʻO kēia nā mea e hana i ka hormone PTH, ka mea e hoʻomalu i ka calcium. Inā hōʻino ʻia kēia mau kelepa i ka wā o kekahi mea e like me ke ʻoki ʻana o ka thyroid, e emi ana nā pae PTH a e emi ana nā pae calcium i loko o ke koko. |
| Ka nele o ka wikamina D | Ua like ka Vitamin D me kahi hoaaloha e kōkua ana i ke kino e omo i ka calcium. Inā ʻaʻole ʻoe e loaʻa i ka lawa o ka vitamin D mai ka lā, ka meaʻai, a i ʻole ka lāʻau lapaʻau, e emi ana ka omo ʻana o ka calcium a e emi ana nā pae calcium i loko o ke koko. |
| Maʻi puʻupaʻa mau loa | Ke hana pono ʻole nā puʻupaʻa, lilo ia i mea paʻakikī i ke kino ke hoʻohana i ka wikamina D. Eia kekahi, hōʻiliʻili ʻia kahi mineral i kapa ʻia ʻo ka phosphorus i loko o ke koko. Hiki i kēia mau pilikia ke hoʻohaʻahaʻa i nā pae calcium. |
| Nā kumu ʻē aʻe | - Nā ʻano ʻē i nā pae magnesium : ʻO ka nui a i ʻole ka liʻiliʻi o ka magnesium hiki ke hoʻopilikia i nā pae calcium .
- Pancreatitis : Hiki ke hana ʻia kēia ʻano e ka inu ʻona nui a i ʻole nā pōhaku gallstones a hiki ke alakaʻi i nā pae calcium haʻahaʻa.
- Kekahi mau lāʻau lapaʻau: Hiki ke hana ʻia e nā lāʻau lapaʻau no ka maʻi epilepsy, kekahi mau antibiotics , a me nā lāʻau lapaʻau no ka maʻi ʻaʻai iwi.
- Hāpai keiki: I kekahi manawa hiki ke hana ʻia kēia maʻi e ka nele i nā meaʻai a i ʻole ka luaʻi nui ʻana .
- Nā maʻi koʻikoʻi: Hiki ke emi nā pae calcium i nā maʻi koʻikoʻi e laha ana ma ke kino, e like me ka sepsis .
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He aha nā hōʻailona o ka hypocalcemia?
I kekahi manawa ʻaʻole paha ʻoe e loaʻa i kekahi mau hōʻailona, akā i kekahi manawa hiki i kēia maʻi ke koʻikoʻi loa a hoʻoweliweli i ke ola.
Nā hōʻailona liʻiliʻi
- ʻO nā ʻeha ʻiʻo ma ke kua a me nā wāwae
- ʻIli maloʻo a unahi
- Ke lilo nei ka lauoho i mānoanoa ma mua o ka maʻamau
- Māmā ka haki ʻana o nā kui
Nā hōʻailona e hiki ke kū mai i ka wā e koʻikoʻi ai ke kūlana
- Ka mae ʻana o nā lehelehe, ke alelo, nā manamana lima, a i ʻole nā wāwae
- ʻO nā ʻūmiʻi ʻeha ʻole o nā ʻiʻo
- Ka paʻakikī o ka hanu ʻana ma muli o ka ʻū ʻana o nā ʻiʻo o ka puʻu
- Nā hopu ʻana
- Nā ʻano ʻino o ka puʻuwai (Arrhythmia) a me ka hāʻule ʻana o ka puʻuwai
- Nā loli noʻonoʻo e like me ka nalowale o ka hoʻomanaʻo, ke kaumaha, ka huhū, a me nā hallucinations
He aha ka tetany? ʻO ka Tetany kahi hōʻiliʻili o nā hōʻailona i hoʻokumu ʻia e ka hypocalcemia . Hōʻike ʻia ia e ka huhū a me nā ʻūlū ʻana o nā ʻiʻo. ʻO nā hōʻailona e komo pū me ka ʻūlū ʻana, ka mae ʻana, a me ka paʻakikī o ka hanu ʻana i nā lālā. Inā ʻaʻole mālama koke ʻia ka tetany, hiki iā ia ke holomua i kahi kūlana koʻikoʻi i kapa ʻia ʻo rhabdomyolysis, hiki ke hana i ka haki ʻana o nā ʻiʻo a me ka hāʻule ʻana o nā puʻupaʻa.
Pehea e ʻike ai i kēia maʻi?
ʻO ke ala nui e ʻike ai i kēia me ka hoʻāʻo koko. Hiki i kāu kauka ke nānā i ka calcium holoʻokoʻa a me ka calcium ionized. Eia kekahi, e nānā kāu kauka i ʻelua mau hōʻailona kikoʻī i ka nānā ʻana iā ʻoe: 1.
Hōʻailona Chvostek: E noʻonoʻo e pā ana ke kauka i kahi aʻalolo i loko o kou ʻauwae me kona manamana lima. Inā ʻike ʻoe i kahi ʻano ʻūlū ma ka ʻaoʻao o kou maka, ʻo ia paha ka hōʻailona. 2.
Hōʻailona Trousseau: Inā kau ʻia kahi cuff koko ma kou lima a paʻa no kahi o 3 mau minuke, ʻeha nā ʻiʻo ma kou lima a me kou pulima. He hoʻāʻo koʻikoʻi loa kēia e nānā ai no ka hypocalcemia. Pono paha ʻoe e loaʻa nā hoʻokolohua hou aʻe e ʻike ai i ke kumu o kēia kūlana.
- Nā hoʻāʻo koko e nānā i ka magnesium, phosphorus, hormone PTH, a me nā pae huaora D
- Nā hoʻāʻo mimi e nānā i ke olakino o nā puʻupaʻa
- ʻO ke scan ultrasound e nānā i nā pōhaku puʻupaʻa
- Hoʻāʻo EKG (Electrocardiogram) e nānā i nā ʻano ʻē o ka puʻuwai
- He scan iwi e nānā i ke kūlana o nā iwi
Pehea e mālama ʻia ai?
ʻO ke ʻano o ka lāʻau lapaʻau āu e loaʻa ai e pili ana i ke kumu o ka maʻi a me ke koʻikoʻi o kāu mau hōʻailona.
- No nā hōʻailona ʻoluʻolu: Hiki ke kuhikuhi ʻia ʻoe i nā papa calcium a me ka wikamina D e lawe i kēlā me kēia lā. He mea nui loa ia e lawe i ka nui like a kāu kauka i kuhikuhi ai.
- No nā hōʻailona koʻikoʻi: Inā koʻikoʻi kāu mau hōʻailona, inā loaʻa iā ʻoe nā pilikia o ka puʻuwai, a inā hiki koke mai ke ʻano, pono paha ʻoe e lawe ʻia i ka haukapila a hāʻawi ʻia i ka calcium ma o kahi aʻa (intravenous - IV). Hāʻawi pinepine ʻia ia ma ke ʻano i kapa ʻia ʻo calcium gluconate. Ma hope o ka mālama ʻana iā IV, pono paha ʻoe e lawe i nā papa calcium no kekahi manawa.
- Ke mālama nei i ke kumu kumu:Inā haʻahaʻa kou pae magnesium, pono paha ʻoe e mālama iā ia, me ka mālama ʻana i nā maʻi puʻupaʻa.
ʻO ka mea nui loa, mai lawe wale i nā pila kalipuna. E kūkākūkā mau me kāu kauka a e lawe wale i ka nui āna i kuhikuhi ai.
Nā pilikia e hiki mai ana inā ʻaʻole mālama ʻia
ʻO ka maʻamau, nalo nā hōʻailona me ka mālama ʻia ʻana, akā inā ʻaʻole mālama ʻia, hiki mai nā pilikia weliweli loa.
- Ka hāʻule ʻana o ka puʻuwai
- Nā hopu ʻana
- Nā maʻi puʻuwai hoʻoweliweli ola
Eia kekahi, ʻo ka lawe ʻana i nā nui kiʻekiʻe o ka calcium a me ka wikamina D no ka manawa lōʻihi hiki ke hana i nā hopena ʻaoʻao e like me nā pōhaku puʻupaʻa. No laila, he mea nui loa ia e lawe mau i ka lāʻau lapaʻau ma lalo o ka nānā ʻana a ke kauka.
Leka Lawe-Home
- ʻO ka hypocalcemia kahi kūlana i haʻahaʻa ai ka pae o ka calcium i loko o ke koko. Hoʻopilikia kēia ʻaʻole wale i nā iwi, akā i ke kino holoʻokoʻa.
- Mai hoʻowahāwahā i nā hōʻailona e like me ke kani ʻana a i ʻole ka mae ʻana o ka hanu. He hōʻailona mua paha ia o kahi maʻi koʻikoʻi.
- Ma muli o ka nui o nā kumu o kēia ʻano, he mea nui e ʻimi a mālama i ke kumu a me ka mālama ʻana i nā hōʻailona.
- Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, e ʻike koke i kāu kauka. E hahai i kāna mau kuhikuhi no nā hoʻokolohua a me ka lāʻau lapaʻau e pono ai.
Hypocalcemia, nele i ka calcium, nele i ka calcium, ʻūlū ʻana o nā ʻiʻo, mae wale, wikamina D, parathyroid
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