Koj ob txhais ceg puas loog? Koj cov leeg puas zoo li lawv dhia? Tej zaum yuav yog Tetany.

Tej zaum koj yuav tau hnov ​​​​​​nws, puas yog? Koj cov ntiv tes thiab cov ntiv taw tsuas yog loog, koj lub qhov ncauj xav tias tingling, lossis koj cov leeg nqaij nruj zoo li cov leeg ntshav tawg. Feem ntau ntawm lub sijhawm, peb xav tias cov no yog cov khoom ib txwm muaj, tab sis qee zaum qhov no tuaj yeem yog ib qho cim ntawm ib qho mob uas xav tau kev saib xyuas. Qhov ntawd yog qhov peb tab tom tham txog hnub no, hu ua 'Tetany.' Qhov no tsis yog kab mob, tab sis yog ib qho tsos mob. Yog hais kom meej, peb lub cev lub paj hlwb raug txhawb nqa ntau dhau, ua rau cov leeg nqaij cog lus.

Yog li cov tsos mob ntawm Tetany yog dab tsi?

Kab mob Tetany muaj ntau yam tsos mob sib txawv. Qee cov tsos mob tsis hnyav heev, thaum lwm cov tsos mob hnyav heev. Cia peb muab lawv faib ua pawg sib txawv.

Kab mob Tetany feem ntau tsis ua rau tuag taus, tab sis yog mob hnyav ces ua tau. Yog cov leeg nqaij ntswj heev ces ua rau cov leeg nqaij tawg, ua rau muaj mob txaus ntshai hu ua 'Rhabdomyolysis'.

Puas yog tetany yog qaug dab peg?

Tsis yog. Ob tug no yog ob tug. Tab sis nws yooj yim ua rau tsis meej pem. Tetany hnyav tuaj yeem ua rau qaug dab peg.

Hais yooj yim xwb, qaug dab peg yog ib qho kev ua haujlwm hluav taws xob ib ntus hauv lub hlwb uas tsis tuaj yeem tswj tau. Txawm li cas los xij, Tetany tsis yog los ntawm teeb meem hauv lub hlwb, tab sis los ntawm kev ua kom cov hlab ntsha thiab cov leeg nqaij ua haujlwm ntau dhau vim yog qhov tsis sib npaug ntawm cov electrolyte hauv peb lub cev.

Vim li cas ho muaj mob tetany? Cov laj thawj tseem ceeb yog dab tsi?

Qhov ua rau mob tetany yog qhov tsis sib npaug ntawm cov electrolyte hauv lub cev. Cov electrolytes yog dab tsi? Cov no yog cov tshuaj uas nqa lub zog hluav taws xob thaum yaj hauv peb lub cev. Xav txog tias 60% ntawm peb lub cev yog dej. Yog li, yuav luag txhua lub cell thiab txhua cov kua dej muaj cov electrolytes. Cov electrolytes no yog qhov tseem ceeb rau ntau yam hauv peb lub cev, xws li cov tshuaj lom neeg, kev sib kis ntawm cov hlab ntsha, thiab cov leeg nqaij.

Thaum cov electrolytes no tsis sib npaug, cov tsos mob ntawm tetany tuaj yeem tshwm sim. Cia peb saib cov laj thawj tseem ceeb.

• Cov calcium hauv cov ntshav qis (Hypocalcemia): Qhov no yog qhov ua rau tetany feem ntau . Calcium hauv peb cov ntshav yog qhov pab ua haujlwm ntawm cov hlab ntsha, cov leeg nqaij, cov ntshav txhaws, thiab lub plawv ua haujlwm zoo. Cov calcium uas qis tuaj yeem qis vim ntau yam, xws li cov tshuaj parathyroid hormone qis (Hypoparathyroidism) lossis vitamin D tsis txaus.

• Cov ntshav magnesium qis (Hypomagnesemia): Magnesium yog ib qho electrolyte uas tseem ceeb rau ntau yam haujlwm hauv peb lub cev. Kev tsis txaus magnesium tuaj yeem tshwm sim vim muaj cov kab mob ntev, haus dej cawv ntau dhau, kab mob hauv lub plab zom mov, thiab kab mob raum.

• Cov ntshav potassium qis (Hypokalemia): Potassium yog qhov tseem ceeb rau kev ua haujlwm zoo ntawm cov hlab ntsha thiab cov leeg nqaij, tshwj xeeb tshaj yog cov leeg plawv. Qee cov tshuaj diuretics, ntuav lossis raws plab tas li, thiab kab mob raum ntev tuaj yeem ua rau cov potassium qis.

• Metabolic Alkalosis: Qhov sib npaug ntawm cov kua qaub-puag (pH) ntawm peb cov ntshav yog qhov tseem ceeb heev. Txawm tias qhov txawv me ntsis ntawm qhov no tuaj yeem ua rau peb mob. Hauv qhov xwm txheej no, qhov ntau ntawm bicarbonate (puag) hauv lub cev nce ntxiv.

• Ua pa sai (Respiratory Alkalosis):Xav txog seb, thaum koj ntshai lossis ntxhov siab heev, koj pib ua pa sai sai, puas yog? Thaum lub sijhawm zoo li no, peb tso pa tawm ntau cov pa roj carbon dioxide ntau dua li qhov tsim nyog. Tom qab ntawd cov pa roj carbon dioxide hauv cov ntshav txo qis, thiab cov ntshav dhau los ua alkaline. Qhov no kuj tseem tuaj yeem ua rau muaj cov tsos mob ntawm tetany.

Yuav kho tus mob no li cas?

Muaj ob lub hom phiaj hauv kev kho mob tetany.

1. Lub hom phiaj luv luv: Kho qhov tsis sib npaug ntawm cov electrolyte sai li sai tau.

2. Lub hom phiaj mus sij hawm ntev: Txheeb xyuas thiab kho tus kab mob uas ua rau muaj tus mob no.

Yog tias koj muaj cov tsos mob ntawm tetany uas tshwm sim los ntawm qhov tsis muaj calcium me me (hypocalcemia), koj tus kws kho mob yuav pom zoo cov hauv qab no:

• Cov tshuaj calcium ntxiv
• Cov tshuaj Vitamin D ntxiv
• Cov ntsiav tshuaj magnesium

Kab mob tetany hnyav yog ib qho xwm txheej ceev uas yuav tsum tau mus pw hauv tsev kho mob tam sim ntawd. Tej zaum yuav xav tau kev kho mob xws li txhaj tshuaj calcium rau hauv cov hlab ntsha (IV). Thaum qhov xwm txheej ceev dhau mus, cov kws kho mob yuav pib kho qhov mob uas ua rau muaj qhov no.

Puas tiv thaiv tau tus kab mob Tetany?

Kab mob tetany tej zaum yuav tsis tiv thaiv tau tag nrho yog tias muaj mob ua rau cov electrolyte tsis sib npaug. Txawm li cas los xij, ib yam li lwm yam kab mob, kev kuaj pom thiab kho thaum ntxov yog qhov tseem ceeb.

Thaum koj pom cov tsos mob me me xws li tingling nyob ib ncig ntawm lub qhov ncauj thiab cov leeg ntshav o, koj tuaj yeem tswj tau qhov mob ua ntej nws loj hlob tuaj.

Qhov tseem ceeb tshaj plaws yog tias yog tias cov tsos mob no twb tau tshwm sim lawm, nws nyuaj rau kho qhov tsis sib npaug ntawm cov electrolyte no los ntawm kev noj thiab haus hauv tsev xwb. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev pab kho mob.