I thisena 'free calcium' awm dan hi i zawng chhuak ang u? (Ionized Calcium) tih a ni.

I taksaa calcium awm dan hi eng nge i hriat? Ruh leh ha hian calcium a mamawh tih kan hre vek. Mahse thisenah hian calcium chi khat, a bik deuh deuh a awm tih i hria em. Vawiin hian chu chi 'ionized calcium ' tih chu kan sawi dawn a ni. Hei hian kan taksaah hmun pawimawh tak a chang a ni. Eng nge a nih, engvangin nge a pawimawh tih leh a hniam lutuk emaw, a sang lutuk emaw a nih chuan eng nge thleng tih i lo en ang u.

‘Ionized calcium’ tih hi eng nge ni?

A awlsam zawngin, i thisena calcium ṭhenkhat chu protein engmah nena inzawm lovin a lo inher kual vel a ni . Chu free, active calcium chu ‘ionized calcium’ emaw ‘free calcium’ emaw kan tih chu a ni. Ngaihtuah teh, hei hi kan taksaa hnathawk tak tak ‘active’ calcium chu a ni. I thisena calcium awm zawng zawng zinga a chanve vel, a nih loh leh 50% vel chu ionized calcium a ni.

Calcium peng dang chu eng nge thleng? Thisen chhunga protein awmte nen a inzawm a, a bik takin ‘ Albumin ’ tih protein nen a inzawm tlat a ni. ‘bound calcium’ kan ti a ni. He bound calcium hian hna a thawk vak lo va, ‘inactive’ mai a ni a, chu chu inactive tihna a ni. Chuvangin kan taksa hnathawhna atana hman direct, free, ionized calcium a ni.

Tunah chuan han en teh, kan taksaa calcium awm zawng zawng zinga 99% chu kan ruh leh haah a awm a ni . Chu chu kan hre vek. A bak 1% chu thisenah a inher chhuak a ni . Chuvangin, he ionized calcium (free calcium) kan sawi hi a takah chuan a tlem hle a, taksaa calcium awm zawng zawng atanga 0.5% vel a ni. ‘Wow, chu chu chutiang zat tlemte chu a ni’ i ti mai thei. But, like a chili pepper , he ionized calcium hi kan hriselna zawng zawng atan a pawimawh hle. Eng nge i hria em?

He ionized calcium hi kan:

• Nervous system hnathawh that nan a pui thin. Hei hi thuchah phurh kualna atan a pawimawh hle.
• Muscle te a ti contract a, chu chu a contract leh a sei tihna a ni a, hna a thawk tha tihna a ni.
• Lung hnathawh hrisel leh thinlung rhythm tha tak a thlawp .
• Thisen chhuakA kalphung atan pawh a pawimawh hle. Hei hi hliam a awm huna thisen chhuah tihtawp nan a tul a ni.

Chûng thilte chu eng angin nge a pawimawh tih hi han ngaihtuah teh. Chuvangin thisenah ionized calcium a tam lutuk emaw, a tlem lutuk emaw a nih chuan taksa chhungah hriselna lama harsatna engemaw zat a awm tih a tilang thei a ni. Chuvang chuan hei hi hriat chian a pawimawh hle.

Engvangin nge he ‘Ionized Calcium’ test hi tih a nih?

A tlangpuiin thisen a calcium kan check hian doctor-te chuan total calcium an en a, chu chu bound calcium leh free calcium pahnih zat a ni. Mahse, a chang chuan, free, active calcium i neih zat dik tak hriat i duh thin. Chutah chuan he ‘ionized calcium’ test hi an ti ta a ni . Free, active calcium awm zat chauh a teh a ni.

He test ti tur hian i thisen sample te tak te lak a ni ang. Chu chu a ni.

Tunah chuan eng dinhmunah nge doctor-in ionized calcium test a dil theih ang tih hi han en ila:

• I thisen protein level (a bik takin albumin) a dik lo a nih chuan . A chhan chu albumin a san emaw a tlahniam emaw chuan total calcium level a danglam thei a, mahse ionized calcium level chauh hi thil awmdan dik tak hriatthiamna awmchhun a ni.
• Natna nasa tak i neih a, IV fluids (saline ang chi fluids arm-a pek) pek i ngai a nih chuan . Hei hi natna khirh tak a awm chuan taksa inthlauhna enfiah nan a pawimawh hle.
• If you are going to undergo major surgery , he level hi surgery hma leh operation zawhah enfiah a pawimawh.
• Thisen pek tawh i nih chuan . Thisen pek chhuah chhunga thil thenkhat chuan calcium level a tidanglam thei a ni.
• Naupai i nih a, neonatal monitoring i mamawh chuan .
• Acute pancreatitis symptom i neih chuan . Calcium level hi pancreatic problem vangin a nghawng a ni.
• Parathyroid disorder i nei nia i rinhlelh chuan heng glands te hian calcium control tu hormone an siam chhuak thin.

Test atan engtin nge kan inbuatsaih ang?

He ionized calcium test neih hma hian inbuatsaihna tlem i neih a ngai a ni.

• Test hma darkar ruk (6) vel engmah ei leh in lo turin an ti tlangpui che a ni . Tui tlem in pawh a pawi lo. Hei hi a chhan chu thisen a thil awm zat hi kan ei leh in a zirin a danglam deuh thei a, chu chuan chhiar dik tak neih a harsat phah a ni.
• Tin, i doctor hnenah damdawi, vitamin leh supplement i ei zawng zawngte chu i hrilh tur a ni . Damdawi thenkhat chuan he test result hi a nghawng thei a ni. Chutiang a nih chuan i doctor chuan test hma ni engemaw zat chu ei tawh loh turin a hrilh thei che a ni.Mahse, doctor rawn hmasa lovin i damdawi ei kha bansan ngai suh tih hre reng ang che.

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Ionized calcium level hian eng nge a awmzia?

I ionized calcium level en hian i doctor chuan i hriselna chungchang tam tak a hrilh thei che a ni. Entirnan, pancreatitis, kal natna, leh parathyroid gland natna te ang chi natna hriatchhuahna kawngah a pui thei a ni .

I ionized calcium levels chu a remchan dan anga i neih chuan i taksa calcium nena inzawm hnathawh te chu a thawk tha tihna a ni.

Ionized calcium atana normal range te chu hetiang hi a ni (heng value te hi lab hrang hrangah a inang lo deuh thei a, chuvangin i report-a normal range kha en la):

• Nau piang thar: 4.8 – 5.5 mg/dL (deciliter khatah milligram) .
• Naupang tan: 4.8 – 5.3 mg/dL
• Puitling tan: 4.6 – 5.3 mg/dL

Ionized calcium a tlahniam chuan eng nge thleng ang? (Hypocalcemia) tih hi a ni.

I thisen ionized calcium level a hniam chuan damdawi lam chuan ‘hypocalcemia’ kan ti thin. Hei hian hriselna lama harsatna i nei tihna a ni thei.

A tlahniam chhante chu engte nge ni?

Ionized calcium level tlahniam theihna chhan lian tak tak a awm a:

• Hypoparathyroidism: Hei hian i parathyroid glands te hian thisen a calcium level control tu hormone parathyroid hormone (PTH) an siam tling lo tihna a ni.
• Pancreatitis: Pancreas natna avanga natna hrik awm.
• Malabsorption: Taksa hian i ei leh in atanga calcium a hip tha tawk lo.
• Rickets: Nausen ruh a nem a, a chhan ber chu vitamin D tlakchham vang a ni.
• Kidney failure: Kidney hnathawh that loh chuan calcium regulation a tibuai thin.
• Vitamin D tlakchhamna: Vitamin D hi taksain calcium a lakluh theih nan a pawimawh hle. I neih tlem chuan i calcium level a tlahniam thei.

Calcium level tlahniam hian eng symptoms nge a neih?

Ionized calcium level a hniam chuan (Hypocalcemia) symptom hrang hrang a awm thei. Mi zawng zawng hian heng symptom zawng zawng hi an nei vek dawn lo va, mi thenkhat chuan pakhat emaw pahnih emaw an nei thei bawk.

• Muscle twitching emaw cramping emaw (Muscle cramps) emaw a awm thei.
• Rilru tibuai.
• Hriatrengna hloh.
• Nail chak lo, brittle tak tak.
• Ke ruh leh ke ruh (limbs) leh tingling.
• Lungngaihna.

Hetiang symptoms i neih chuan doctor pan a, thurawn lak a tha ber.

He natna hi engtin nge enkawl a nih?

I ionized calcium level a hniam chuan i doctor chuan a chhan a ruat ang a, chumi ang chuan enkawlna a pe ang. Damdawi hman tlanglawn thenkhat chu hetiang hi a ni:

• Calcium supplement: Calcium hi pill emaw liquid angin pek thin a ni.
• Vitamin D supplement: Taksain calcium a lakluh theih nan a pui thin.
• Calcium gluconate injection: Calcium level a hniam hle a nih chuan he injection hi rang taka tihpun nan pek thin a ni.
• Parathyroid hormone (PTH) thlakna: Hetiang enkawlna hi hypoparathyroidism i neih chuan pek theih a ni.

He enkawlna rual hian calcium tlakchhamna thlentu damdawi lam dinhmun (underlying medical condition) enkawl a pawimawh hle.

Ionized calcium a pun chuan eng nge thleng ang? (Hypercalcemia) tih a ni.

Thisena ionized calcium level a san lutuk chuan ‘hypercalcemia’ kan ti thin. Hei hi hriselna lama harsatna thenkhat avanga lo awm thei dinhmun a ni bawk.

A punna chhante chu engte nge ni?

Ionized calcium tihpun theih chhan hrang hrang a awm a:

• Hyperthyroidism: Thyroid gland a thawk nasa lutuk.
• Hyperparathyroidism: Parathyroid glands atanga parathyroid hormone (PTH) siam tam lutuk. Hei hi hypercalcemia thlentu ber a ni.
• Paget’s disease of the bone: Ruh tissue a chhe nasa lutuk a, a lo thang leh nasa lutuk.
• Thrombocytosis: Thisen a platelet awm zat tihpun a ni.
• Sarcoidosis: Taksa hmun hrang hrangah granulomas an tih lump te te a lo awm thin.
• Multiple Myeloma: Thisen cancer chi khat hmuh tur awm lo tak a ni.

Calcium level sang lutuk hian eng symptoms nge a neih?

Ionized calcium level a san chuan (Hypercalcemia) symptom hrang hrang a awm thei a:

• Zun chhuah fo thin.
• Muscle na emaw, cramp emaw a awm thei.
• Nausea leh luak chhuak.
• Lu na.
• Chau.
• Ruh natna.
• Ek khal.
• Hriatrengna hloh.
• Lungngaihna.
• Chaw ei chakna hloh.

Pawimawh: Calcium level sang lutuk hi a chang chuan medical emergency a ni thei a, chuvangin heng symptoms te hi fimkhur hle ang che.

Engtin nge hei hi siamthat theih ang?

Ionized calcium sang enkawlna chu a chhan a innghat a ni. Enkawlna kawng hrang hrang a awm a:

• Calcimimetics: Heng damdawi te hian overactive parathyroid glands te control nan a pui thin.
• Calcitonin supplement: Thisen a calcium level control nan a pui thin.
• Bisphosphonates: Heng damdawi hi ruh natna (ruh hring (thinning of the ruh) enkawlna atana hman thin damdawi a ni. Cancer vanga hypercalcemia awm thin tihziaawm nan an hmang bawk.
• Denosumab: Hei hi bisphosphonates dawng lote tan hman a ni.
• Prednisone: He steroid hi hypercalcemia hi vitamin D level sang vang a nih chuan pek thin a ni.
• IV fluids (intravenous saline): He enkawlna hi hypercalcemia a nasat chuan emergency-ah pek thin a ni.
• Parathyroidectomy: Parathyroid glands atanga tissue natna awm chu operation hmanga lakchhuah a ni.

Chu bakah, doctor chuan i dinhmun thlentu natna hnuaia awm chu enkawlna a pe bawk ang.

A tawp berah chuan eng nge hriat tur

Tunah hian he ionized calcium hi kan hriselna atana a pawimawh zia chu i hrethiam tawh mai thei. Thisenah a tam lutuk emaw, a tlem lutuk emaw pawh nise, kan taksa hian hna a thawk tha thei lo.

Ionized calcium test ringawt pawh hian eng natna nge i neih tih chiang takin a sawi thei lo. Mahse, i doctor hnenah i hriselna chungchangah thu hlu tak tak a pe a ni. Chu thute hmang chuan, i natna dik tak chu a pe thei che a, a ṭûl anga enkawlna chu a ṭan thei bawk.

Chuvangin, he thil chungchangah hian zawhna emaw rinhlelhna emaw i neih chuan zak suh la, i doctor nen inbiakna nei rawh . Engkim a hrilhfiah ang che. Hrisel takin awm rawh!