I thisenah phosphate a tlem em? He dinhmun (Hypophosphatemia) chungchang hi han sawi ila!

Thisen report i en hian "Phosphate" tih hi i hmu tawh ngei ang, a dik em? A nih loh leh doctor-in a hrilh che pawh a ni thei. He phosphate hi a takah chuan kan taksa tan a pawimawh hle. Chuti a nih chuan, thisenah he phosphate level hi a tlahniam a nih chuan eng nge thleng ang? Chu chu `(Hypophosphatemia)` kan tih chu a ni. Hemi chungchang hi chipchiar takin, awlsam takin, vawiin hian han sawi ila.

Phosphate tlem tih awmzia chu eng nge ni? `(Hypophosphatemia)` a ni em?

A awlsam zawngin, a ni. Hypophosphatemia hi i thisena mineral phosphate an tih level a hniam chuan a ni. Phosphate hi electrolyte a ni a, kan taksaa hna tam tak thawhna atana pawimawh tak a ni. Kan taksaah battery ang maiin hna a thawk a. Hetiang dinhmun hi a na lo emaw, a na lo emaw pawh a ni thei. A lo thleng thut (acute) emaw, hun kal zelah (chronic) emaw pawh a awm thei bawk.

Chuti a nih chuan, engtin nge he phosphate hi taksa tan a pawimawh?

He phosphate hian kan taksaah eng angin nge a thawh tih hi han ngaihtuah teh!

• Kan ruh leh ha siam that leh nghet taka vawn reng: Kan taksaa phosphorus 85% chu kan ruh chhungah a awm. Chuvangin hei hi ruh chak tak tan chuan a pawimawh hle.
• Nervous system hnathawh dan tur dik taka vawn reng: Kan nerve te hian hnathawh that nan phosphate an mamawh a.
• Muscles contract a pui: Kan kut leh ke kan tihchet hian, leh kan thinlung a na hian kan muscle te a contract a, chuvangin hei hian chutiang lamah pawh a pui bawk.

He phosphorus/phosphate hi kan ei leh in atang hian kan hmu thin.

Pawimawh tak chu kan thisena phosphate level hi calcium level nen a inzawm tlat a ni. An pahnih hian a lehlamah hna an thawk a ni. Chu chu thisena calcium level a san chuan phosphate level a tlahniam tihna a ni. Hei hi second tin a thleng zel a ni. Kan kawr chhunga parathyroid glands atanga siam parathyroid hormone (PTH) hian heng calcium leh phosphate level te hi a control a ni.

Hetiang dinhmun hi engtiang chiahin nge a awm (Hypophosphatemia)?

Mild hypophosphatemia hi thisen test-a hmuh tur awm fo a ni. Report thenkhat chuan United States-a mipui 5% thleng a nghawng niin an sawi. A tam zawkah chuan natna khirh tak a ni lo va, symptom engmah a awm lo. Thil thleng mai maiin hmuhchhuah a ni fo.

Mahse, rang taka, na tak, hypophosphatemia (acute, severe hypophosphatemia) hi damdawi lam harsatna nei thenkhatah chuan a tam zawk. Entir nan:

• Zu ruihhlo ngaite tan `(Alcohol use disorder)`
• Zunthlum kaihhnawih ketoacidosis (DKA) a awm chuan .
• Infection na tak takah chuan sepsis
• Kangmei chhuak lian tak tak nei tan

Hetiang mite hian 80% thlengin he dinhmun hi an hmu thei a ni.

Chuti a nih chuan, `(Hypophosphatemia)` natna lan chhuahna chu engte nge ni?

Symptoms chu phosphate level a hniam danah a innghat.

Hypophosphatemia natna nei lo

Mild hypophosphatemia vei te hian symptoms an nei lo fo , mahse thenkhat chuan muscle chak lohna leh hahna na lo tak tak an nei thei.

A nasat chuan (Severe Hypophosphatemia) .

Mahse, phosphate level a hniam hle (severe hypophosphatemia) chuan a hnuaia symptoms te hi a awm thei a, hengte hi ngaihthah tur a ni lo :

• Taksa leh ruh natna
• Muscle chak lohna nasa tak
• Mood inthlak danglam - entirnan, ngaihtuahna seng thei lo, thinrim awlsam
• Thluak lam emaw, thinlung lama harsatna emaw
• Chak lo tih hriatna, chhan let theihna tlahniam
• Fit (seizure) neih hi .

Hei hi a pawimawh hle: Hypophosphatemia na tak hi enkawl vat a nih loh chuan coma leh thihna thlengin a thlen thei . Chuvangin nangmah emaw, i hriat miin emaw heng natna khirh tak takte hi i neih chuan damdawi in hnai ber pan nghal tur a ni.

Hun rei tak a awm tawh chuan (Chronic Hypophosphatemia) .

Mite chuan hun rei tak chhung phosphate level hniam (chronic hypophosphatemia) te chuan natna lan chhuahna te hi an nei thei a, chungte chu:

• Ruh a na
• Ruh tliak a awm
• Chaklohna
• Chaw chakna

Naupang tê, hun rei tak chhûnga phosphate level hniam tak takte chuan rickets an tih natna lan chhuahna an nei thei a, chu chu:

• Kum upa lam avanga san zawng hloh
• Bow ang maia ke a curvature
• Ruh inthlak danglamna avanga kutphah leh ke ruh hmun zau zawk

Nang emaw i fa emaw hian heng symptoms te hi i neih chuan doctor thurawn lak a pawimawh hle.

`(Hypophosphatemia)` awm chhante chu engte nge ni?

Hetiang dinhmun hi a lo awm theih chhan hrang hrang a awm. A chhan chu a na lo emaw, a na emaw, a rang emaw, rei tak a awm emaw a zirin a inang lo.

Hypophosphatemia hniam leh na tak awm chhan

Phosphate tlakchhamna hniam lam atanga nasa tak thleng hi a hnuaia thil awm danah hian a awm thei a ni:

• Diabetic ketoacidosis (DKA) atanga dam leh lai hian .
• Zu in leh zu in inhnukdawk
• Kangmei nasa tak a awm
• Refeeding syndrome : Hei hi a buaithlak deuh. A awlsam zawngin sawi ila, chaw nghei hun engemaw chen hnua ei tur lama kir leh nghal mai hi a ni a, chu chuan taksaa tui leh electrolyte level inthlak danglamna hlauhawm tak, a chang chuan nunna atana hlauhawm tak a thlen thin.
• Severe respiratory alkalosis: Hei hi thisenah carbon dioxide a awm tawk loh lai a ni.

Hun rei tak chhunga hypophosphatemia awm chhan

• Parathyroid hormone level sang, entirnan ``Hyperparathyroidism`` tih dinhmunah.
• Hormone inthlauhna dang, Cushing’s syndrome ang chi te.
• Vitamin D tlakchhamna.
• Malabsorption hi ei leh in tha lo leh intestinal problem avanga ei tur a hip that loh vang a ni.
• Electrolyte inthlauhna dang, magnesium tlem (hypomagnesemia) leh potassium tlem (hypokalemia) te hi a ni.
• Iron tlakchhamna enkawlna chu IV iron infusion a ni a, a bik takin ferric carboxymaltose (FCM) an tih chi khat a ni. Hei hi hetianga thir lak chhunzawm zel hian a thleng fo thin.
• Hun rei tak chhung diuretics hman thin.
• Phosphate-binding antacids hman fo emaw, hman tam lutuk emaw, damdawi dawr atanga lei, damdawi lam thurawn tel lova lei. Hei hian aluminium, calcium leh magnesium awmna antacid te a huam a ni.
• Hmeichhe naupai hnena pek thin damdawi theophylline hmanga poisoning.

Kidney natna zual tak nei (a bik takin dialysis hmang mekte) te chuan chaw ei rualin "phosphate binders" an tih damdawi an ei thin a, chu chu an kidney specialist-in a pek thin a ni a, hei hian ei tur atanga phosphate lakluh tihtlem nan a hmang thin. Hengte hi hun rei tak hman a nih chuan phosphate level hniam tak a thlen thei bawk.

Engtin nge he natna `(Hypophosphatemia)` hi hriat theih?

Hei hi hriat chian a awlsam hle. Doctor chuan thisen test a ti ang a , i thisenah phosphate awm zat a enfiah ang . I thisen phosphate concentration chu deciliter khatah milligram 2.5 (mg/dL) aia tlem a nih chuan ``Hypophosphatemia'' i nei niin an sawi.

Puitling tan chuan thisen phosphate level pangngai chu 2.5 leh 4.5 mg/dL inkar a ni a, naupang tan chuan 4.5 leh 6.5 mg/dL inkar a ni. Mahse, heng value te hi lab hrang hrangah a inang lo deuh thei a ni.

Thil tam takah, a bik takin acute hypophosphatemia natnaah chuan i damdawi lam chanchin leh i natna lan chhuah dan a\angin a chhan chiang takin i hre thei a ni.

Hypophosphatemia hi damdawi lam thil dang avanga lo awm a nih fo avangin, i doctor chuan a chhan hriat chian nan leh i hriselna zawng zawng tehna atan test dang neih belh turin a ti thei bawk. Chûng zîngah chuan:

• Thisen test dang: Kal function test te, calcium blood test te, vitamin D thisen test te.
• Urinalysis tih a ni.
• Imaging scan pawh a ni mai thei.

`(Hypophosphatemia)` enkawl dan tur chu engte nge ni?

Enkawlna ber chu he natna thlentu bulpui ber enkawl a ni a, chutih rualin thisena phosphate level pawh siam that leh a ni bawk.

Hypophosphatemia na lo leh na lo nei te chu oral phosphate replacement pills pek an ni fo thin . I doctor pawhin phosphorus tamna ei tur ei turin a rawt thei bawk.

Mahse, a natna a nasat chuan phosphate chu thisenah (IV hmangin) pek a ni .

Hetiang dinhmun hi veng turin kan tih theih a awm em?

Dik tak chuan hypophosphatemia vei zawng zawng hi ven theih a ni lo va, a bik takin a nasat leh a rang thei ang bera awmte chu ven theih a ni lo. Mahse, ei leh in hrisel leh inthlau tak ei hian phosphate level na lo tak tak a veng thei a ni.

Eng ei tur nge phosphorus tamna?

• Sa, sangha leh protein dangte: Egg, vawk, turkey, vawk sa, tuifinriat thil, leh thin ang chi part hrang hrang.
• Bawnghnute atanga siam: bawnghnute, cheese, cottage cheese, yogurt.
• Nut leh chi: almond, cashew, Brazil nut, pumpkin chi, sesame chi.

Pawimawh: I ei leh in lama inthlak danglamna lian tham i siam hmain doctor emaw, nutritionist emaw i biak hmasa phawt ang che.

Hypophosphatemia vei theihna tur hlauhawmna sang zawk i neih chuan hyperparathyroidism, malabsorption issues, vitamin D tlakchhamna emaw i neih chuan doctor pan fo a, i enkawlna tur ruahmanna zawm fo a pawimawh. Hei hian hypophosphatemia a veng thei a ni.

Nakinah eng nge thleng dawn? (Prognosis) tih a ni.

He natna hi a lo awm dan tur (prognosis) chu a na lo emaw, a na lo emaw, a lo awm nghal vat emaw, rei tak a awm emaw a innghat a ni. Mild case te hian enkawlna an dawng tha tlangpui a, chu chu tihdam theih an ni tihna a ni. Mahse, natna khirh tak, rang taka lo awmte chu enkawl vat loh chuan harsatna lian tak a thlen thei a ni.

`(Hypophosphatemia)` avang hian harsatna a awm thei em?

Ni e, enkawl loh chuan, a bik takin hun rei tak chhung phosphate tlahniam (chronic hypophosphatemia) a awm chuan osteomalacia an tih natna a lo awm thei a ni. A awlsam zawngin, hei hi ruhte a nem a, awlsam taka a chheh hun a ni .

Sawi tawh ang khan, hypophosphatemia symptom na tak tak, sawifiah theih loh muscle na leh rilru dinhmun inthlak danglam te i neih chuan a rang thei ang bera damdawi in hnai ber pan a pawimawh hle.

A tawp berah chuan hei hi hre reng ang che.

Chuvangin, he phosphate kan sawi tak hi kan thisenah hian ``electrolyte`` pawimawh tak a ni. Thisen test-ah hian phosphate tlahniam tlem (``mild hypophosphatemia``) hmuh tur a awm thei a, ngaihtuahawm tur a ni lo. Chutiang a nih chuan i doctor chuan phosphorus tamna ei tur ei tam turin a hrilh ang che.

Mahse, damdawi lam harsatna emaw, phosphate tlakchhamna nasa tak, zu in tam lutuk emaw, intestinal malabsorption emaw ang chi i neih chuan i doctor nen inbiakna neih a tha ber. Hypophosphatemia ven dan tur leh eng symptoms nge fimkhur tur tih zawt rawh. I hriselna kawngah i doctor hi i thian tha ber a ni tih hre reng ang che. An pui thei che a ni.

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