He iti te phosphate i roto i tō toto? Me kōrero tātou mō tēnei mate (Hypophosphatemia)!

Kua kite pea koe i tētahi mea e kīia nei ko te "Phosphate" ina tirohia e koe tētahi pūrongo toto, tika? Kua kōrerotia pea tēnei e tētahi tākuta ki a koe. He mea tino nui tēnei phosphate mō tō tātou tinana. Nā, he aha te mea ka puta mēnā ka heke te taumata o tēnei phosphate i roto i te toto? Koinei te mea e kīia nei e tātou ko te `(Hypophosphatemia)`. Me kōrero tātou mō tēnei mea i roto i ngā taipitopito, i roto i ngā kōrero māmā noa iho, i tēnei rā.

He aha te tikanga o te iti o te phosphate? He `(Hypophosphatemia)` rānei?

He ngāwari noa iho, āe. Ko te Hypophosphatemia he āhua e iti ana te taumata o te kohuke e kiia nei ko te phosphate i roto i tō toto. Ko te Phosphate he electrolyte e tika ana mō ngā mahi maha i roto i ō tātou tinana. Ka mahi ia pērā i te pākahiko i roto i ō tātou tinana. Ka taea e tēnei āhua te ngawari, te kino rānei. Ka taea hoki te puta ohorere (whakamataku) te puta roa rānei (mau tonu).

Nā, he aha te hiranga o tēnei phosphate ki te tinana?

Whakaarohia te nui o te mahi a tēnei phosphate ki ō tātou tinana!

• Te hanga i ō tātou wheua me ō tātou niho, me te pupuri i a rātou kia kaha: 85% o te whākōkī i roto i tō tātou tinana kei roto i ō tātou wheua. Nō reira, he mea nui tēnei mō ngā wheua kia kaha.
• Kia tika te mahi a te pūnaha io: Me whai phosphate ō tātou io kia tika ai te mahi.
• Āwhina i te whakawhāiti i ngā uaua: Ina nekehia ō tātou ringa me ō tātou waewae, ā, ina pā te manawa, ka whakawhāiti hoki ō tātou uaua, nō reira ka āwhina anō hoki tēnei i tēnā.

Ka whiwhi tātou i tēnei phosphorus/phosphate mai i ngā kai e kainga ana e tātou.

He mea nui, ko te taumata phosphate i roto i ō tātou toto e pā tika ana ki te taumata konupūmā. Ka mahi whakamuri ngā mea e rua. Arā, i te pikinga o te taumata konupūmā i roto i te toto, ka heke te taumata phosphate. Kei te tupu tēnei i ia hēkona. Ko te homoni parathyroid (PTH), e hangaia ana e ngā repe parathyroid i roto i ō tātou kaki, e whakahaere ana i ēnei taumata konupūmā me te phosphate.

He pēhea te noa o tēnei āhuatanga (Hypophosphatemia)?

He mate noa te hypophosphatemia ngawari e kitea ana i roto i ngā whakamātautau toto. E kī ana ētahi pūrongo e pāngia ana e te 5% o te taupori i te United States. I te nuinga o te wā, ehara i te mate kino, ā, kāore he tohu e puta. He maha ngā wā ka kitea noa iho.

Heoi, ko te hypophosphatemia ohorere, kino (hypophosphatemia whakapeka, kino) he mea noa ake i roto i te hunga whai mate hauora. Hei tauira:

• Mō te hunga e pāngia ana e te waipiro `(Alcohol use disorder)`
• Mēnā he mate huka te ketoacidosis (DKA)
• I roto i te mate kino, te sepsis
• Mō te hunga he nui ngā weranga

Ka taea e te hunga pēnei te kite i tēnei āhuatanga tae atu ki te 80%.

Nā, he aha ngā tohu o te `(Hypophosphatemia)`?

Ko ngā tohu e whakawhirinaki ana ki te iti o te taumata phosphate.

Te Hauātanga o te Phosphatemia Ngāwari

Ko te hunga e pāngia ana e te hypophosphatemia ngawari kāore he tohu , engari ko ētahi ka pāngia e te ngoikore ngawari o te uaua me te ngenge.

Mena he kino rawa (Te Hauātanga Nui o te Hukapapa)

Heoi, ki te tino iti ngā taumata phosphate (he nui te hypophosphatemia), ka puta pea ēnei tohu, ā, kaua ēnei e whakahaweatia :

• Te mamae i roto i ngā uaua me ngā wheua
• ngoikore nui o te uaua
• Ngā huringa o te wairua - hei tauira, te kore e taea te arotahi, te ngawari o te riri
• Te ngoikore o te manawa, te ngoikore rānei o te ngākau
• Te ngoikore o te ngākau, te heke o te aro
• Te pāngia e te mate urutā (hopukupuku)

He mea tino nui tēnei: ​​Ki te kore e rongoatia wawe te hypophosphatemia kino , ka taea e ia te arahi ki te koma, tae atu ki te mate . Nō reira, ki te pāngia koe, tētahi atu rānei e mōhio ana koe e ēnei tohu kino, me haere tonu koe ki te hōhipera tata.

Mena kua roa te noho (Te Hauātanga Mau tonu o te Mate Huka)

Ko te hunga he iti te taumata phosphate mō te wā roa ('hypophosphatemia mau tonu') ka pāngia pea e ngā tohu pēnei i:

• Te mamae o ngā wheua
• Ngā whati wheua
• ngoikore
• Hiahia kai

Ko ngā tamariki nohinohi he iti ngā taumata phosphate mō te wā roa, ka pāngia pea rātou e ngā tohu o te mate e kiia nei ko te rickets , tae atu ki:

• Te ngaronga o te teitei mō te pakeketanga
• Te piko o ngā waewae, pērā i te piko
• Te whānui haere o te ringaringa me te pona waewae nā te panoni o ngā wheua

Mena kei a koe, kei tāu tamaiti rānei tētahi o ēnei tohu, he mea tino nui kia rapu tohutohu hauora koe.

He aha ngā take o te `(Hypophosphatemia)`?

He maha ngā take e puta ai tēnei āhuatanga. He rerekē ngā take i runga i te mea he ngawari, he kino rānei, he ohorere, he roa rānei te wā.

Ngā take o te hypophosphatemia ngawari me te kino

Ka puta pea te korenga phosphate ngawari ki te kino i roto i ngā āhuatanga e whai ake nei:

• I te wā e ora ana mai i te ketoacidosis mate huka (DKA)
• Te whakamahinga waipiro me te tango waipiro
• Ngā wera nui
• Te mate whāngai anō : He uaua ake tēnei. Ki te kī māmā noa, ko te hokinga ohorere ki te kai i muri i te wā nohopuku, ka puta he huringa morearea, i ētahi wā ka morearea ki te ora, o ngā taumata wai me ngā electrolyte i roto i te tinana.
• Te mate pāwera manawa nui: Koinei te wā kāore e nui te hauhā waro i roto i te toto.

Ngā take o te hypophosphatemia mō te wā roa

• Te pikinga o ngā taumata o te homoni parathyroid, hei tauira i roto i te āhuatanga "Hyperparathyroidism".
• Ko ētahi atu raruraru taurite kore o ngā homoni, pērā i te mate a Cushing.
• Te korenga o te huaora D.
• Ko te kore mimiti kai he āhuatanga e kore ai e mimiti tika te kai nā te kore kai pai me ngā raruraru o te puku.
• Ko ētahi atu taurite kore o ngā irahiko, pērā i te iti o te konupūmā (hypomagnesemia) me te iti o te pāhare pāporo (hypokalemia).
• Ko te rongoā mō te korenga o te rino ko te werohanga rino ā-iwi, inā koa he momo e kiia nei ko te ferric carboxymaltose (FCM). He maha ngā wā ka puta tēnei ina tangohia tonutia te rino pēnei.
• Te whakamahi i ngā rongoā diuretic mō te wā roa.
• Te whakamahi pinepine, te whakamahi nui rānei i ngā rongoā ārai mate waikawa here-phosphate, i hokona mai i te whare rongoā me te kore tohutohu hauora. Kei roto i tēnei ko ngā rongoā ārai mate waikawa kei roto ko te konumohe, te konupūmā, me te konupora.
• Te paihana i te rongoā e kīia nei ko te theophylline, e hoatu ana ki ngā wahine hapu.

Ko te hunga e pāngia ana e te mate tākihi matatau (ina koa ko te hunga e tangohia ana i te dialysis) ka tango i ngā rongoā e kiia nei ko ngā "phosphate binders" me ngā kai, i whakaritea e tā rātou tohunga tākihi, hei whakawhāiti i te mimiti o te phosphate mai i te kai. Ka taea hoki e ēnei te whakaiti i ngā taumata phosphate mēnā ka whakamahia mō te wā roa.

Me pēhea te tātaritanga o tēnei mate `(Hypophosphatemia)`?

He tino māmā te tautuhi i tēnei. Ka whakamātauhia te toto e te tākuta hei tirotiro i te taumata o te phosphate i roto i tō toto . Mena he iti iho i te 2.5 mirikaramu ia teririta (mg/dL) te kukū o te phosphate i roto i tō toto, ka kiia koe he "Hypophosphatemia".

Ko te taumata phosphate toto noa mō ngā pakeke kei waenga i te 2.5 me te 4.5 mg/dL, ā, mō ngā tamariki, kei waenga i te 4.5 me te 6.5 mg/dL. Heoi, ka rerekē pea ēnei uara i ia taiwhanga, i ia taiwhanga.

I roto i te nuinga o ngā wā, inā koa i ngā take o te hypophosphatemia whakapeka, ka taea te tautuhi mārama i te pūtake i runga i tō hītori hauora me ngā tohumate.

Nā te mea he maha ngā wā ka puta te hypophosphatemia i tētahi atu mate hauora, ka tono pea tō tākuta i ētahi atu whakamātautau hei whakatau i te take me te aromatawai i tō hauora whānui. Kei roto i ēnei ko:

• Ētahi atu whakamātautau toto: Ngā whakamātautau mahi whatukuhu, ngā whakamātautau toto konupūmā, ngā whakamātautau toto huaora D.
• Te tātaritanga mimi.
• He matawai whakaahua pea.

He aha ngā maimoatanga mō te `(Hypophosphatemia)`?

Ko te maimoatanga matua he rongoā i te pūtake o tēnei mate, me te whakahoki mai anō i ngā taumata phosphate i roto i te toto.

He maha ngā wā ka hoatu he pire whakakapinga phosphate ki te hunga e pāngia ana e te hypophosphatemia ngawari ki te whakaōrite. Tērā pea ka tūtohu tō tākuta kia kai i ngā kai he nui te phosphorus.

Heoi, ki te kino rawa te āhua, ka hoatu te phosphate mā roto i te uaua (mā te IV) .

He aha tā tātou e taea ai te mahi hei ārai i tēnei āhuatanga?

Heoi, kāore e taea te ārai i ngā mate katoa o te hypophosphatemia, inā koa ko ngā mea tino kino, ohorere hoki. Heoi, mā te kai i tētahi kai hauora, taurite hoki ka āwhina i te aukati i ngā taumata phosphate ngawari.

He aha ngā kai he nui te phosphorus?

• Mīti, ika me ētahi atu pūmua: Ngā wāhanga pēnei i te hua manu, te heihei, te tāki, te poaka, te kaimoana, me te ate.
• Ngā hua miraka: miraka, tīhi, tiihi whare, miraka kawa.
• Nati me ngā purapura: aramona, nati kāhew, nati Brazil, purapura paukena, purapura hīhiama.

He mea nui: I mua i te hanga i tētahi huringa nui ki tō kai, me kōrero koe ki tētahi tākuta, ki tētahi tohunga kai rānei.

Mena he mate tōu e nui ake ai te mōrearea ki te hypophosphatemia, pērā i te hyperparathyroidism, ngā raruraru koretake o te ngongo, te korenga rānei o te huaora D, he mea nui kia toro atu koe ki tō tākuta i ia wā, kia whai hoki i tō mahere maimoatanga. Ka āwhina tēnei ki te ārai i te hypophosphatemia.

He aha ngā mea ka tupu ā muri ake nei? (Te matapae)

Ko te āhua o tēnei mate e whakawhirinaki ana ki te āhua ngawari, te āhua kino rānei, te āhua ohorere o te tīmatanga, te āhua roa rānei o te mate. He pai te urupare a ngā mate ngawari ki te rongoā, arā, ka taea te whakaora. Heoi, ko ngā mate kino, ohorere o te tīmatanga, ka arahi pea ki ngā raruraru nui mēnā kāore e rongoā wawetia.

Ka puta pea ngā raruraru nā te `(Hypophosphatemia)`?

Āe, ki te kore e rongoatia, inā koa mēnā he hekenga roa o te phosphate (te hypophosphatemia mau tonu), ka puta he āhuatanga e kiia nei ko te osteomalacia . He māmā noa iho, koinei te wā ka ngawari te wheua, ka whati hoki .

E ai ki te kōrero i mua ake nei, ki te pāngia koe e ngā tohu kino o te hypophosphatemia, pērā i te mamae uaua kāore i te mārama me ngā panonitanga o te āhua hinengaro, he mea tino nui kia haere wawe koe ki te hōhipera tata.

Hei whakamutunga, kia mahara ki tēnei.

Nō reira, ko tēnei phosphate i kōrerohia e tātou i tēnei rā he "irahiko" tino nui i roto i ō tātou toto. Tērā pea ka kitea he iti noa te hekenga o te phosphate ("te ngoikore o te phosphate") i roto i te whakamātautau toto, ā, ehara i te mea hei āwangawanga māu. Mēnā ka tupu tēnā, ka kī atu tō tākuta kia nui ake te kai i ngā kai he nui te phosphorus.

Heoi, ki te mea he mate hauora tōu, he whanonga rānei e tūpono ai koe ki te korenga o te phosphate nui, pērā i te nui o te inu waipiro, te ngoikore rānei o te ngongo o te puku, he pai ake te kōrero ki tō tākuta mō tēnei mea. Pātai atu ki a rātou me pēhea te ārai i te hypophosphatemia me ngā tohu hei tūpato. Kia maumahara, ko tō tākuta tō hoa pai i roto i tō haerenga hauora. Ka taea e rātou te āwhina i a koe.

`Te korenga o te phosphate, te phosphorus, ngā electrolytes, te iti o te phosphate, te whakamātautau toto, te kai totika, te phosphate, te phosphorus, ngā whakamātautau toto, te kai totika