Peb txhua tus paub tias calcium yog qhov tseem ceeb rau cov pob txha thiab cov hniav kom muaj zog. Tab sis koj puas paub tias ntxiv rau cov calcium hauv peb cov pob txha, cov calcium hauv peb cov ntshav kuj tseem ceeb heev rau ntau yam haujlwm hauv peb lub cev? Yog tias cov calcium hauv cov ntshav no qis dua li qub, peb hu nws tias hypocalcemia. Qhov no tuaj yeem ua rau muaj teeb meem uas koj tsis xav txog. Yog li cia peb tham txog qhov no kom ntxaws me ntsis hnub no.
Hauv lwm lo lus, hypocalcemia yog dab tsi?
Hypocalcemia yog thaum koj cov calcium hauv cov ntshav qis dhau. Calcium tsis yog tsuas yog qhov tseem ceeb rau peb cov pob txha thiab cov hniav xwb, tab sis nws tseem ceeb rau cov hlab ntsha kom cog lus thiab nthuav dav, cov hlab ntsha xa mus, cov ntshav txhaws, thiab cov leeg ua haujlwm. Feem ntau, peb lub cev tswj cov calcium no zoo heev. Peb cov tshuaj hormones tseem ceeb pab nrog qhov no: parathyroid hormone (PTH), calcitonin, thiab vitamin D. Feem ntau, cov calcium hauv cov ntshav ntawm tus neeg laus yuav tsum nyob nruab nrab ntawm 8.5 thiab 10.2 mg / dL (milligrams / deciliter). Txawm li cas los xij, cov nqi no tuaj yeem sib txawv me ntsis ntawm chav kuaj mus rau chav kuaj. Hauv cov menyuam yaus thiab cov hluas, tus nqi no siab dua me ntsis. Yog tias cov calcium hauv koj daim ntawv qhia ntshav qis dua tus nqi ib txwm no, qhov ntawd yog hypocalcemia.
Vim li cas qhov no thiaj tshwm sim? Dab tsi yog cov ua rau muaj hypocalcemia?
Feem ntau qhov teeb meem no tshwm sim thaum koj lub cev poob calcium ntau dhau hauv koj cov zis lossis thaum koj cov pob txha tsis tso calcium txaus rau hauv koj cov ntshav. Cia peb saib cov laj thawj tseem ceeb.
| Vim li cas | Piav qhia yooj yim |
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| Kev mob hypoparathyroidism | Cov qog parathyroid yog plaub lub qog me me nyob tom qab lub qog thyroid hauv peb lub caj dab. Cov no yog cov uas tsim cov tshuaj hormone PTH, uas tswj cov calcium. Yog tias cov qog no raug puas tsuaj thaum lub sijhawm phais mob thyroid, cov PTH yuav txo qis thiab cov calcium hauv cov ntshav yuav txo qis. |
| Tsis muaj Vitamin D txaus | Vitamin D zoo li ib tug phooj ywg uas pab lub cev nqus calcium. Yog tias koj tsis tau txais vitamin D txaus los ntawm tshav ntuj, khoom noj, lossis tshuaj, kev nqus calcium yuav txo qis thiab cov calcium hauv cov ntshav yuav poob qis. |
| Kab mob raum ntev | Thaum lub raum tsis ua haujlwm zoo, nws yuav nyuaj rau lub cev siv vitamin D. Tsis tas li ntawd, cov mineral hu ua phosphorus yuav sib sau ua ke hauv cov ntshav. Cov teeb meem no tuaj yeem ua rau cov calcium qis. |
| Lwm yam laj thawj | - Kev tsis zoo ntawm cov magnesium : Yog tias magnesium ntau dhau los yog tsawg dhau, nws tuaj yeem cuam tshuam rau cov calcium .
- Kab mob Pancreatitis : Qhov mob no tuaj yeem tshwm sim los ntawm kev haus dej cawv ntau dhau lossis pob zeb hauv lub zais zis thiab tuaj yeem ua rau cov calcium qis.
- Qee cov tshuaj: Nws kuj tseem tuaj yeem tshwm sim los ntawm cov tshuaj rau kev qaug dab peg, qee cov tshuaj tua kab mob , thiab cov tshuaj rau mob qog nqaij hlav pob txha.
- Cev Xeeb Tub: Qee zaum qhov mob no tuaj yeem tshwm sim los ntawm kev tsis txaus zaub mov lossis ntuav ntau dhau .
- Cov kab mob hnyav: Cov calcium uas ntau ntau tuaj yeem poob qis hauv cov kab mob hnyav uas kis thoob plaws lub cev, xws li sepsis .
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Cov tsos mob ntawm hypocalcemia yog dab tsi?
Qee zaum koj yuav tsis muaj tsos mob dab tsi li, tab sis qee zaum qhov mob no tuaj yeem hnyav heev thiab ua rau tuag taus.
Cov tsos mob me me
- Cov leeg nqaij mob hauv nraub qaum thiab ceg
- Tawv nqaij qhuav, tawv tawv
- Cov plaub hau tuab dua li niaj zaus
- Cov rau tes tawg yooj yim
Cov tsos mob uas yuav tshwm sim thaum tus mob hnyav heev
- Kev tsis muaj zog ntawm daim di ncauj, tus nplaig, cov ntiv tes, lossis ko taw
- Cov leeg nqaij mob heev uas tsis tuaj yeem tiv taus
- Ua pa nyuaj vim yog cov leeg nqaij ntawm caj pas nqaim
- Qaug dab peg
- Kev mob plawv tsis zoo (Arrhythmia) thiab kev ua tsis tau zoo ntawm lub plawv
- Kev hloov pauv ntawm lub hlwb xws li kev nco tsis zoo, kev nyuaj siab, kev chim siab, thiab kev pom kev tsis tseeb
Tetany yog dab tsi? Tetany yog cov tsos mob uas tshwm sim los ntawm hypocalcemia . Nws yog tus cwj pwm los ntawm kev chim siab thiab cov leeg nqaij contraction tsis kam . Cov tsos mob suav nrog tingling, loog, thiab ua pa nyuaj rau ntawm ob txhais ceg. Yog tias tetany tsis kho sai, nws tuaj yeem hloov mus rau qhov mob hnyav hu ua rhabdomyolysis, uas tuaj yeem ua rau cov leeg nqaij tawg thiab ua tsis tau haujlwm rau lub raum.
Yuav paub qhov mob no li cas?
Txoj kev tseem ceeb los kuaj qhov no yog los ntawm kev kuaj ntshav. Koj tus kws kho mob yuav kuaj xyuas ob qho tib si calcium tag nrho thiab ionized calcium. Tsis tas li ntawd, koj tus kws kho mob yuav nrhiav ob lub cim tshwj xeeb thaum kuaj koj: 1.
Lub cim Chvostek: Xav txog tias tus kws kho mob tab tom kov ib txoj hlab ntsha hauv koj lub puab tsaig nrog nws tus ntiv tes. Yog tias koj hnov qhov kev xav tingling ntawm sab ntawm koj lub ntsej muag, qhov ntawd yuav yog lub cim. 2.
Lub cim Trousseau: Yog tias lub ntsuas ntshav siab raug muab tso rau ntawm koj txhais caj npab thiab tuav li 3 feeb, cov leeg ntawm koj txhais caj npab thiab dab teg yuav mob heev. Qhov no yog ib qho kev xeem tseem ceeb heev los kuaj xyuas hypocalcemia. Tej zaum koj yuav tsum muaj ntau qhov kev xeem kom nrhiav tau qhov ua rau muaj tus mob no.
- Kev kuaj ntshav los xyuas cov magnesium, phosphorus, PTH hormone, thiab vitamin D
- Kev kuaj zis los xyuas seb lub raum puas noj qab haus huv
- Kev kuaj mob ultrasound los xyuas seb puas muaj pob zeb hauv lub raum
- Kev kuaj EKG (Electrocardiogram) los xyuas seb lub plawv dhia puas muaj teeb meem dab tsi
- Kev kuaj pob txha kom paub tseeb tias pob txha zoo li cas
Yuav kho li cas?
Kev kho mob uas koj tau txais yuav nyob ntawm seb ua rau muaj tus kab mob thiab qhov hnyav ntawm koj cov tsos mob.
- Rau cov tsos mob me me: Tej zaum yuav muaj kws kho mob sau ntawv kom koj noj cov tshuaj calcium thiab vitamin D txhua hnub. Nws yog ib qho tseem ceeb heev uas yuav tsum noj cov tshuaj raws li koj tus kws kho mob sau tseg.
- Rau cov tsos mob hnyav: Yog tias koj cov tsos mob hnyav heev, yog tias koj muaj teeb meem plawv dhia, lossis yog tias tus mob tshwm sim sai sai, koj yuav tsum tau mus pw hauv tsev kho mob thiab muab calcium los ntawm cov leeg ntshav (hauv cov hlab ntsha - IV). Feem ntau nws yog muab ua hom hu ua calcium gluconate. Tom qab kev kho mob IV, koj yuav tsum tau noj cov tshuaj calcium ib ntus.
- Kev kho qhov ua rau muaj qhov teeb meem no:Yog tias koj cov magnesium qis, tej zaum koj yuav tsum tau kho nws, suav nrog kev kho mob raum.
Qhov tseem ceeb tshaj plaws yog, tsis txhob noj cov tshuaj calcium koj tus kheej. Ib txwm nrog koj tus kws kho mob tham thiab noj tsuas yog cov tshuaj uas nws sau tseg xwb.
Cov teeb meem uas yuav tshwm sim yog tias tsis kho
Feem ntau cov tsos mob yuav ploj mus thaum kho mob, tab sis yog tias tsis kho, cov teeb meem txaus ntshai heev tuaj yeem tshwm sim.
- Lub plawv tsis ua haujlwm
- Qaug dab peg
- Kev mob plawv dhia ceev uas ua rau tuag taus
Tsis tas li ntawd xwb, kev noj cov tshuaj calcium thiab vitamin D ntau heev rau lub sijhawm ntev tuaj yeem ua rau muaj cov kev mob tshwm sim xws li pob zeb hauv lub raum. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum tau kho mob raws li kev saib xyuas ntawm tus kws kho mob.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Hypocalcemia yog ib qho mob uas cov calcium hauv cov ntshav qis. Qhov no tsis yog tsuas yog cuam tshuam rau cov pob txha xwb, tab sis kuj cuam tshuam rau tag nrho lub cev.
- Tsis txhob tsis quav ntsej cov tsos mob xws li tingling lossis loog. Nws yuav yog ib qho cim qhia ntxov ntawm tus mob hnyav.
- Vim muaj ntau yam ua rau muaj tus mob no, nws yog ib qho tseem ceeb uas yuav tsum nrhiav thiab kho qhov ua rau thiab kho cov tsos mob.
- Yog koj muaj ib qho ntawm cov tsos mob no, mus ntsib koj tus kws kho mob tam sim ntawd. Ua raws li nws cov lus qhia rau kev kuaj mob thiab kev kho mob tsim nyog.
Hypocalcemia, tsis muaj calcium, tsis muaj calcium, cov leeg nqaij ntswj, loog, vitamin D, parathyroid
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus