Kua kite koe i tētahi uara e kīia nei ko te 'Calcium' i a koe e tirotiro ana i tētahi pūrongo toto? E mōhio ana tātou katoa ki te pai o te konupūmā mō ngā wheua me ngā niho. Engari i ētahi wā ka tono pea tō tākuta kia tukuna he whakamātautau motuhake e kīia nei ko te "Ionized Calcium" hei utu mō te whakamātautau konupūmā noa. Kātahi ka whakaaro tātou, "He aha tēnā? Kāore ianei i te rite te konupūmā?" He rerekētanga iti engari he tino nui kei waenganui i ēnei e rua. I tēnei rā, me kōrero tātou mō tēnei toa tino nui i roto i tō tātou tinana e kīia nei ko te "ionized calcium".
He aha te Konupūmā Ionized?
Ki te kī ngāwari, koinei te konupūmā "kore utu" te konupūmā "kaha" rānei i roto i ō tātou toto. Whakaarohia, 99% o te konupūmā katoa i roto i ō tātou tinana kei roto i ō tātou wheua me ō tātou niho. He rite ki te moni i roto i te peeke. Ko te toenga 1% ka rere i roto i te toto.
Nā, o tēnei 1% o te konupūmā i roto i te toto, ko ētahi o aua mea ka herea ki ngā pūmua (ina koa ko te albumin), he "whakakotahi" rānei. Ka kiia tēnei ko te "konupūmā herea." Kāore tēnei wāhanga e mahi ana, pērā i te tangata e noho ana i runga i te paepae i te taunga pahi. Kei reira noa iho, kāore e mahi i tetahi mea.
Ko tētahi atu wāhanga ko te wāhanga e rere noa ana i roto i te toto "kore utu" me te kore e herea ki tētahi pūmua. Ko tēnei wāhanga kore utu, kaha ko te mea e kiia nei e tātou ko te konupūmā ionized, ko te "konupūmā kore utu" rānei. Koinei te konupūmā kore utu e mahi ana i roto i te tinana, e whai wāhi ana ki ngā mea tino nui. E 50% o te konupūmā katoa te wāhanga o tēnei.
Arā, ko tēnei konupūmā kua whakakōkīhia te konupūmā e mahi ana i ngā mahi nui i roto i tō tātou tinana, pērā i te tuku karere ki ngā io, te whakawhāiti i ngā uaua, me te mea kia pakū te manawa.
He aha te hiranga o te konupūmā ionized mō ō tātou tinana?
Ahakoa he iti te nui o te konupūmā kore utu, ehara i te mea iti tōna mahi. He mea nui mō te mahi hauora o ngā pūnaha nui o tō tātou tinana.
- Ngā io: Ka haria ngā karere e ngā io mai i te roro ki te toenga o te tinana. Pērā i te hiko e rere ana i runga i te waea. He mea nui te konupūmā ionized kia tika ai te haere o ēnei karere.
- Uaua: Ka whakamahia e tātou ō tātou uaua hei neke i ō tātou ringa me ō tātou waewae, hei hikoi, hei hiki i ngā mea. Me whai konupūmā kore utu ēnei uaua katoa hei whakawhāiti me te whakangā. He uaua motuhake anō hoki te ngākau. He mea tino nui tēnei kia tika ai te tere o te patu.
- Manawa: Ka āwhina tēnei ki te pupuri i te tere me te auau o te manawa.
- Te toto totoka:Ina pāngia tātou e te patunga, ā, kei te toto, ka puta he tukanga uaua hei aukati i te toto. Ko tētahi taahiraa tino nui o taua tukanga ko te konupūmā ionized.
He aha koe i tono ai mō tēnei kaua ki te whakamātautau konupūmā noa?
He pātai tino pai tēnei. Mā te whakamātautau konupūmā noa ka ine i te nui katoa o te konupūmā i roto i te toto. Arā, ko te tapeke o ngā wāhanga "herea" me ngā wāhanga "kore".
Heoi anō, kei reira ētahi wā ka iti te taumata o te pūmua toto (pūmua-ā-ira) o te tangata. Hei tauira, ko te tangata e tino mate ana, ko te tangata e mate ana i te mate tākihi, ko te tangata rānei e mate ana i te mate ate, tera pea he iti te taumata o te pūmua. Kātahi ka heke te nui o te konupūmā e herea ana ki te pūmua. Nō reira, ki te tirohia te taumata "Konupūmā Katoa", tera pea he iti te uara.
Engari ko te nui o te konupūmā "kore utu" (konupūmā ionized) e mahi ana i roto i tōna tinana, tera pea he mea noa. Kātahi, ki te whakatau koe i runga i te pūrongo konupūmā katoa anake, tera pea he hē. I roto i ēnei āhuatanga, ka tono ngā tākuta kia whakamātauria he whakamātautau konupūmā ionized kia mōhio ai koe ki te taumata tika o te konupūmā hohe i roto i te tinana.
Anei ētahi o ngā āhuatanga matua ka taea e te tākuta te tono mō tēnei whakamātautau:
- Mena he rerekē te taumata o te pūmua (ina koa ko te albumin) i roto i te toto.
- Mō te tangata e tino pāngia ana e te mate, ā, e whiwhi ana i te wai tote ā-uaua (wai IV).
- Mō tētahi e whakareri ana mō te pokanga nui.
- Mō te tangata e whiwhi pinepine ana i te whakawhiti toto.
- Aroturuki i te āhua o ngā whaea hāpu me ngā pēpi whānau hou.
- Ina whakapaehia he pancreatitis whakapeka.
- Mena kei te whakapaehia he mate o ngā repe parathyroid.
Me pēhea te whakarite mō te whakamātautau?
I te nuinga o te wā ka tonoa koe kia nohopuku mō te ono hāora i mua i te whakamātautau. He pai ki te inu wai iti. He mea nui anō hoki kia kōrero ki tō tākuta mō ngā rongoā katoa, ngā huaora, me ngā tāpiringa e tangohia ana e koe. Ka pā pea ētahi rongoā ki ngā hua o tēnei whakamātautau, nō reira ka tono pea tō tākuta kia mutu te tango i aua rongoā i te rā i mua i te whakamātautau. Engari kia mahara, kaua rawa e mutu te tango i tētahi rongoā me te kore he tohutohu a tō tākuta.
He aha ngā taumata konupūmā ionized noa?
Tērā pea ka rerekē paku ēnei uara i runga i te taiwhanga e whakahaere ana i te whakamātautau. Whakatauritehia tō uara ki te "Awhe Noa" i runga i tō pūrongo.
| Rōpū tau | Awhe noa (mg/dL) | Awhe noa (mmol/L) |
|---|---|---|
| Ngā pēpi whānau hou | 4.8 – 5.3 mg/dL | 1.20 – 1.32 mmol/rita |
| Tamariki | 4.8 – 5.5 mg/dL | 1.20 – 1.38 mmol/rita |
| Ngā pakeke | 4.6 – 5.3 mg/dL | 1.15 – 1.32 mmol/rita |
Mena ka heke te taumata o te konupūmā ionized (Hypocalcemia)
Ka taea te whakaheke i te taumata o te konupūmā mahi i roto i te toto (e mōhiotia ana i te taha hauora ko te hypocalcemia) e ngā momo mate hauora katoa.
- Hypoparathyroidism: He āhuatanga e kore ai e nui te homoni (PTH) e whakaputahia ana e ngā repe parathyroid i te kaki e whakahaere ana i te konupūmā i roto i te tinana.
- Pancreatitis: Te mumura o te repe taiaki.
- Te korenga o te huaora D: He mea nui te huaora D kia mimiti ai te konupūmā mai i te kai e te tinana.
- Te ngoikore o te whatukuhu.
- Te ngoikore o te mimiti o te kai.
- Te mate rickets i roto i ngā tamariki.
Ngā tohu o te ngoikore
Ina heke te taumata o te konupūmā, ka puta pea ngā tohu maha.
| Momo āhuatanga | Ngā tohu i whakaaturia |
|---|---|
| Ngā hononga ki te uaua me te io | Ngā mamae o ngā uaua, te ngoikore o ngā peka me te waha, te ngenge. |
| Ngā mea e pā ana ki te hinengaro me te roro | Te ngaronga o te mahara, te pōhēhē, te pouri. |
| Ētahi atu āhuatanga | Ngā whao ngoikore, ngā kiri whati ngāwari, maroke hoki. |
Ka aha koe mēnā ka heke iho?
Ka tautuhia tuatahitia e tō tākuta te take o tō iti o te konupūmā. Kātahi, i a ia e rongoā ana i taua take, ka tīmata ia i te maimoatanga hei whakahoki i ō taumata konupūmā ki te āhua noa.
- Ngā tāpiringa konupūmā
- Ngā tāpiringa huaora D
- I ētahi wā ka tukuna he werohanga konupūmā gluconate ki roto i te uaua
- Te whakakapinga o te homoni parathyroid (PTH)
Ko te mea nui ko tāu tākuta e whakatau mō tēnei maimoatanga. Māna e kī atu ki a koe te mea pai mōu me te roa o te wā e tika ana kia tangohia e koe. Kaua rawa e haere ki te whare rongoā ki te hoko pire konupūmā i runga i tō ake whakaaro.
Mena ka piki te taumata o te konupūmā ionized (Hypercalcemia)
Ko te pikinga o te taumata o te konupūmā hohe i roto i te toto (e mōhiotia ana i te taha hauora ko te hypercalcemia) he āhuatanga anō e hiahia ana kia arohia.
- Hyperparathyroidism: Te nui rawa o te hanga homoni e ngā repe parathyroid.
- Hyperthyroidism: He nui rawa te mahi a te repe tairoi.
- Ētahi mate pukupuku: Hei tauira, te myeloma maha, he mate pukupuku toto.
- Te mate a Paget o te wheua.
- Te nui rawa o te huaora D i roto i te tinana.
Ngā tohu o te pikinga
Ahakoa te teitei o ngā taumata konupūmā, he maha ngā tohu ka puta.
| Momo āhuatanga | Ngā tohu i whakaaturia |
|---|---|
| Ngā āhuatanga whānui o te tinana | Te ngenge nui, te ānini, te whakapairuaki me te ruaki, te kore hiahia kai. |
| Pūnaha nakunaku | Te mate pāwera, te mamae o te puku. |
| E pā ana ki te whatukuhu | Te mimi pinepine, te matewai nui. |
| Ngā wheua me ngā uaua | Mamae wheua, mamae uaua, ngoikore rānei. |
| Hinengaro | Te ngaronga o te mahara, te pouri. |
Me aha mēnā ka piki ake?
I te rongoā i ngā taumata konupūmā tiketike, he mea nui kia tautuhia te pūtake i te tuatahi. He rerekē ngā tikanga rongoā i runga i te pūtake.
- Ngā rongoā e whakahaere ana i te mahi a ngā repe parathyroid (Calcimimetics).
- Ngā rongoā hei whakapakari i ngā wheua, hei whakaiti hoki i te konupūmā i roto i te toto (Bisphosphonates).
- Mena nā te nui o te huaora D i puta ai tēnei āhuatanga, ka tohua pea he rongoā pēnei i te prednisone.
- Mena he kino rawa te āhua, me kawe pea koe ki te hōhipera me te werohanga i te tote ā-uaua (ngā wai IV).
- Mena he mea pēnei i te pukupuku o te repe parathyroid te take, ka taea te tango mā te pokanga (parathyroidectomy).
Ka whakatauhia hoki tēnei maimoatanga mā te kimi i te pūtake o te pikinga o te konupūmā. Kaua e mahi i tetahi mea me te kore he tohutohu a tō tākuta. I ētahi wā ka taea tēnei te noho hei āhuatanga ohorere hauora.
Karere Tangohia ki te Kāinga
- Ko te konupūmā ionized te wāhanga "kore utu" me te "kaha" o te konupūmā i roto i ō tātou toto. He mea nui mō ngā mahi tino nui o tō tātou tinana.
- Ahakoa e whakaatu ana te whakamātautau konupūmā i te nui katoa o te konupūmā i roto i te tinana, ka mārama ake te āhua o te whakamātautau konupūmā kua whakakātohia ki te nui o te konupūmā e mahi ana i roto i te tinana.
- He mea tino nui tēnei whakamātautau mō ngā āhuatanga hauora kino, ngā mate tākihi, me mua i te pokanga.
- Ko tēnei taumata konupūmā iti, teitei rānei he tohu pea nō tētahi mate hauora e pā ana.
- Me kōrero tonu ki tō tākuta ngā hua o ō whakamātautau me ō maimoatanga katoa. Kaua rawa e rongoā i a koe anō, kaua hoki e mutu te tango rongoā.
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