Thisen report i en hian ‘Calcium’ tih value i hmu ngai em? Calcium hi ruh leh ha tan eng angin nge a tha tih kan hre vek. Mahse a chang chuan i doctor chuan calcium test pangngai ni lovin "Ionized Calcium" tih test bik a dil mai thei. Tichuan, "Chu chu eng nge ni? Chu chu calcium ang chiah kha a ni lo maw?" A nihna takah chuan heng pahnih inkarah hian danglamna tlemte, mahse pawimawh tak a awm a ni. Vawiin hian kan taksaa hero pawimawh tak "ionized calcium" tih hi han sawi ila.
Ionized Calcium hi eng nge ni?
A awlsam zawngin, hei hi kan thisena "free" emaw "active" emaw calcium awm chu a ni. Ngaihtuah teh, kan taksaa calcium awm zawng zawng 99% chu kan ruh leh haah a awm a. Bank-a pawisa awm ang mai a ni. A bak 1% chu thisenah a inher chhuak a ni .
Tunah chuan thisena calcium 1% awm zingah hian a then chu protein (a bik takin albumin)-ah a inzawm a, a nih loh leh "alloyed" a ni. Hei hi "bound calcium" kan ti a. He part hi inactive a ni a, bus stop-a bench-a thu ang mai a ni. A awm mai mai, engmah ti lo.
A dang chu thisenah "zalen takin" protein engmah nena inzawm lovin a kal kual thin a ni. He free, active part hi ionized calcium emaw "free calcium" emaw kan tih hi a ni. He free calcium hian taksaah hna a thawk tak tak a, thil pawimawh ber berte a thawhpui a ni. He part hian calcium zawng zawng atanga 50% vel a siam a ni.
Chumi awmzia chu, he ionized calcium hian kan taksaa hna pawimawh tak tak, nerve message thawn chhuah te, taksa ruh inzawmkhawm te, leh thinlung thawk tir te hi a thawk tihna a ni.
Engvangin nge ionized calcium hi kan taksa tan a pawimawh em em?
Free calcium hi a tlem hle nachungin a hnathawh hi a tlem lo hle. Kan taksaa system lian tam tak hrisel taka hnathawhna atan a pawimawh hle.
- Nerves: Nerve hian kan thluak a\angin thuchah kan taksa peng dang thlengin a keng tel \hin. Electric current chu wire-a kal ang maiin. Heng thuchahte hi a kal dik theih nan ionized calcium hi a pawimawh hle.
- Muscles: Kan taksa ruhte hi kan kut leh ke tihchet nan te, kalna atan te, thil chawi nan te kan hmang thin. Heng muscle zawng zawng hian contract leh relax turin he free calcium hi an mamawh vek a ni. Thinlung pawh hi taksa ruh bik a ni. Hei hi rate dik taka a hneh theih nan a pawimawh hle.
- Heart: Hei hian heart rate leh rhythm dik tak vawng reng turin a pui a ni.
- Thisen chhuahna: 1.1.Khawi emaw laiah hliam kan neih a, thisen kan chhuah chuan thisen chhuah tihtawp nan thil buaithlak tak a thleng thin. Chutiang thila thil pawimawh tak chu he ionized calcium hi a ni.
Engvangin nge calcium test pangngai ai chuan hetiang hi i dil?
Hei hi zawhna tha tak a ni. Calcium test pangngaiah chuan thisen a calcium awm zawng zawng a teh thin. Chu chu "bound" leh "free" part pahnih inzawmkhawm tihna a ni.
Amaherawhchu, mi pakhat thisen protein (albumin) level hniam lam a awm \hin. Entirnan, mi damlo nasa tak, kal natna nei emaw, thin natna nei emaw chuan protein level a hniam thei. Tichuan, protein nena inzawm calcium pawh a tlahniam bawk. Chuvangin an "Total Calcium" level i en chuan value hniam tak a lantir thei.
Mahse a taksaa "free" calcium (ionized calcium) hnathawk tak tak zat chu a pangngai mai thei. Tichuan, total calcium report chauh atanga thutlukna i siam chuan a dik lo mai thei. Chutiang hunah chuan doctor-te chuan taksaa active calcium awm zat dik tak hriat theih nan ionized calcium test an dil thin.
Doctor-in he test hi a dil theihna tur dinhmun pawimawh thenkhat chu hetiang hi a ni:
- Thisen a protein (a bik takin albumin) level a dik lo a nih chuan.
- Damlo na tak leh intravenous saline (IV fluids) ei mek tan.
- Surgery lian tak neih tura inbuatsaih mek tan.
- Thisen pek fo mi tan chuan.
- Nu naupai leh nau piang tharte dinhmun enfiah.
- Acute pancreatitis rinhlelh a nih chuan.
- Parathyroid glands natna rinhlelhna a awm chuan.
Test atan engtin nge kan inbuatsaih ang?
Test hma darkar 6 vel chaw nghei tura tih i ni tlangpui. Tui tlem in pawh a pawi lo. Tin, i damdawi ei zawng zawng, vitamin leh supplement i ei zawng zawngte chu i doctor hnenah hrilh vek a pawimawh bawk. Damdawi thenkhat hian he test result hi a nghawng thei a, chuvangin i doctor chuan test hma ni khatah ei tawh lo turin a ti mai thei che a ni. Mahse, i doctor thurawn tel lo chuan damdawi engmah ei kha bansan ngai suh.
Ionized calcium level pangngai chu engte nge ni?
Heng value te hi test titu lab a zirin a danglam deuh thei. I value chu i report-a "Normal Range" nen khaikhin fo ang che.
| Kum hrang hrang | A tlangpuiin (mg/dL) . | A tlangpuiin (mmol/L) . |
|---|---|---|
| Nausen piang thar | 4.8 – 5.3 mg/dL a ni | 1.20 – 1.32 mmol/L a ni |
| Naupang | 4.8 – 5.5 mg/dL a ni | 1.20 – 1.38 mmol/L a ni |
| Puitling tan chuan | 4.6 – 5.3 mg/dL a ni | 1.15 – 1.32 mmol/L a ni |
Ionized calcium level a tlahniam chuan (Hypocalcemia) .
Thisena functional calcium level tlahniam (damdawi lama hypocalcemia tia hriat) hi damdawi lam thil chi hrang hrang vang a ni thei.
- Hypoparathyroidism: Kawr chhunga parathyroid glands ten taksaa calcium control tu hormone (PTH) an siam chhuah tlem lutukna a ni.
- Pancreatitis: Pancreas natna (inflammation) a awm.
- Vitamin D tlakchhamna: Vitamin D hi taksain ei leh in atanga calcium a lakluh theih nan a pawimawh hle.
- Kidney tha lo a awm.
- Chaw ei tur (malabsorption) a awm.
- Naupangte zingah Rickets natna a awm.
Depletion chhinchhiahna a awm
Calcium level a tlahniam chuan symptom hrang hrang a awm thei.
| Mihring ziarang chi khat | Symptoms a lantir |
|---|---|
| Muscle leh nerve nena inzawm | Muscle cramps, ke ruh leh hmui vel a natna, tingling. |
| Rilru leh thluak nena inzawm | Hriatrengna hloh, buai, lungngaihna. |
| Thil dang pawh a awm | Nail chak lo leh a chhe awlsam, vun a vawt. |
A tlahniam chuan engtin nge i tih ang?
I doctor chuan i calcium level hniam chhan chu a hre hmasa ang. Tichuan, chu chhan chu an enkawl lai chuan i calcium level chu a pangngaia awm leh turin enkawl an tan ang.
- Calcium tihpunna tur a ni
- Vitamin D tihpunna tur a ni
- A châng chuan calcium gluconate injection chu vein-ah an pe ṭhin
- Parathyroid hormone (PTH) thlak danglam a ni
A pawimawh ber chu i doctor-in he enkawl dan tur hi a rel ang. I tana tha ber tur leh eng chen nge i hman tur tih a hrilh ang che. Damdawi dawrah kal ngai suh la, i duh danin calcium pill lei ngai suh.
Ionized calcium level a san chuan (Hypercalcemia) .
Thisena active calcium level sang (damdawi lama hypercalcemia tia hriat) pawh hi ngaihven ngai tak a ni.
- Hyperparathyroidism: Parathyroid glands ten hormone an siam tam lutuk.
- Hyperthyroidism: Thyroid gland a thawk nasa lutuk.
- Cancer thenkhat: Entirnan, multiple myeloma, thisen cancer a ni.
- Paget-a natna chu ruh a ni.
- Taksa chhunga vitamin D tam lutuk.
A pung chhoh zelna symptoms
Calcium level a san chuan symptom tam tak a awm thei.
| Mihring ziarang chi khat | Symptoms a lantir |
|---|---|
| Taksa ziarang tlangpui | Chau lutuk, lu na, luak chhuak leh luak chhuak, ei duh lohna. |
| Chaw ei dan (digestive system) a ni | Constipation, pum na. |
| Kidney nena inzawm a ni | Zun tam, tuihal lutuk. |
| Ruh leh taksa peng hrang hrang | Ruh na, thau na emaw chak lohna emaw. |
| Rilru | Hriatrengna hloh, lungngaihna. |
A pung chuan engtin nge kan tih ang?
Calcium level sang enkawlnaah hian a chhan hriat hmasak a pawimawh. Enkawl dan hi a chhan a zirin a inang lo.
- Parathyroid glands hnathawh dan tur control tu damdawi (Calcimimetics).
- Ruh tichaktu leh thisena calcium tihtlemtu damdawi (Bisphosphonates).
- Hetiang dinhmun hi vitamin D level sang vang a nih chuan prednisone ang chi damdawi pek theih a ni.
- A natna a nasat chuan damdawi ina dah leh intravenous saline (IV fluids) pek a ngai thei bawk.
- Parathyroid gland tumor ang chi thil vang a nih chuan operation (parathyroidectomy) hmangin lakchhuah theih a ni.
He enkawlna hi calcium pung chhan zawn chhuah atanga hriat theih a ni bawk. Doctor thurawn tel lo chuan engmah ti suh. A châng chuan hei hi medical emergency a ni thei bawk.
Take-Home Thuchah a ni
- Ionized Calcium hi kan thisena calcium awm "free" leh "active" a ni. Kan taksaa hna pawimawh tak tak tam tak atan a pawimawh hle.
- Calcium test pangngaiah chuan calcium awm zat zawng zawng a lang a, ionized calcium test hian taksaa calcium hnathawh tak tak zat chu chiang zawkin a hmu thei a ni.
- He test hi damdawi lama harsatna lian tham tak tak, kal natna leh operation hmaa test a pawimawh hle.
- Hetianga calcium level hniam emaw sang emaw hi damdawi lam dinhmun hnuaia awm chhinchhiahna a ni thei.
- I test result leh i enkawl dan eng pawh doctor nen sawiho fo ang che. Mahni indam ngai suh la, damdawi ei kha bansan ngai suh.
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