E mōhio ana tātou katoa he mea nui te konupūmā mō te kaha o ngā wheua me ngā niho. Engari i mōhio koe, haunga te konupūmā i roto i ō tātou wheua, he mea nui anō hoki te konupūmā i roto i ō tātou toto mō ngā mahi maha o tō tātou tinana? Mena he iti iho te taumata konupūmā i roto i tēnei toto i te mea noa, ka kiia tēnei he hypocalcemia. Ka puta pea ngā raruraru kāore koe e whakaaro. Nō reira, me kōrero tātou mō tēnei i tēnei rā.
He aha te hypocalcemia, he aha te tikanga?
Ko te hypocalcemia he wā e iti rawa ana te taumata konupūmā o roto i tō toto. Ehara i te mea he mea nui te konupūmā mō ō tātou wheua me ō tātou niho anake, engari he mea nui hoki mō te whakawhāiti me te whakawhānui o ngā oko toto, te tuku i ngā ira o te io, te toto totoka, me te mahi a ngā uaua. I te nuinga o te wā, ka tino pai te whakahaere a ō tātou tinana i tēnei taumata konupūmā. E toru ngā homoni matua e āwhina ana i tēnei: te homoni parathyroid (PTH), te calcitonin, me te huaora D. I te nuinga o te wā, me noho te taumata konupūmā toto o te pakeke i waenga i te 8.5 me te 10.2 mg/dL (mirakaramu/tehirita). Heoi, ka rerekē pea ēnei uara i ia taiwhanga ki ia taiwhanga. Mō ngā tamariki me ngā taiohi, he paku teitei ake tēnei uara. Mēnā he iti iho te taumata konupūmā i roto i tō pūrongo toto i tēnei uara noa, he hypocalcemia tēnā.
He aha tēnei ka tupu ai? He aha ngā take o te hypocalcemia?
Ka puta tēnei āhuatanga ina nui rawa te konupūmā e ngaro ana i roto i tō mimi, ina kore rānei e tukuna e ō wheua te konupūmā ki roto i tō toto. Me titiro tātou ki ngā tino take.
| Take | He whakamārama māmā |
|---|
| Te ngoikore o te roro | Ko ngā repe parathyroid he repe iti e whā kei muri i te repe tairoiti i roto i tō tātou kaki. Koinei ngā mea e whakaputa ana i te homoni PTH, e whakahaere ana i te konupūmā. Mena ka pakaru ēnei repe i te wā o te pokanga tairoiti, ka heke te taumata o te PTH, ā, ka heke te taumata o te konupūmā i roto i te toto. |
| Te korenga o te huaora D | He rite te Huaora D ki tētahi hoa e āwhina ana i te tinana ki te mimiti i te konupūmā. Ki te kore e nui te huaora D e whiwhihia ana e koe mai i te rā, i te kai, i te rongoā rānei, ka heke te mimiti o te konupūmā, ā, ka heke hoki ngā taumata konupūmā i roto i te toto. |
| Mate tākihi mau tonu | Ina kore e mahi tika ngā whatukuhu, ka uaua ki te tinana te whakamahi i te huaora D. Waihoki, ka kohia he kohuke e kiia nei ko te phosphorus i roto i te toto. Ka taea e ēnei raruraru te whakaiti i te taumata o te konupūmā. |
| Ētahi atu take | - Ngā rerekētanga o ngā taumata konupora : Ka pāngia ngā taumata konupora e te nui rawa, te iti rawa rānei o te konupora.
- Pancreatitis : Ka puta pea tēnei āhuatanga i te nui o te inu waipiro , i ngā kohatu rānei i roto i te pūkahukahu, ā, ka iti pea ngā taumata konupūmā.
- Ētahi rongoā: Ka taea hoki te puta mai i ngā rongoā mō te mate haurangi, ētahi paturopi , me ngā rongoā mō te mate pukupuku wheua.
- Te Hapūtanga: I ētahi wā ka puta tēnei āhuatanga i te korenga o ngā kai totika, i te ruaki nui rānei .
- Ngā mate urutā kino: Ka heke pea ngā taumata konupūmā i roto i ngā mate urutā kino e horapa ana puta noa i te tinana, pērā i te sepsis .
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He aha ngā tohu o te hypocalcemia?
I ētahi wā, kāore pea he tohu e pā mai ana, engari i ētahi wā ka tino kino tēnei mate, ā, ka mōrearea hoki te ora.
Ngā tohu ngawari
- Ngā mamae o te uaua i te tuara me ngā waewae
- Kiri maroke, kiri unahi
- Ka matotoru haere te makawe i te mea noa
- Ka whati ngāwari ngā whao
Ngā tohu ka puta pea ina tino kino te mate
- Te ngenge o ngā ngutu, o te arero, o ngā matimati, o ngā waewae rānei
- Ngā uaua e kore e taea te whakamātau i te mamae
- Te uaua ki te manawa nā te kuiti o ngā uaua o te korokoro
- Ngā mate hopuhopu
- Ngā rerekētanga o te manawa o te ngakau (Arrhythmia) me te ngoikore o te ngakau
- Ngā huringa hinengaro pēnei i te ngaronga o te mahara, te pouri, te riri, me ngā moemoeā
He aha te tetany? He kohinga tohu te tetany i puta mai i te hypocalcemia . Ko tōna āhuatanga he riri me te kōpiripiri uaua kore e taea te whakaaro. Ko ngā tohu ko te ngau, te māuiui, me te uaua ki te manawa i roto i ngā peka. Ki te kore e rongoatia wawetia te tetany, ka taea te whanake ki tētahi mate kino e kiia nei ko te rhabdomyolysis, ka taea ai te pakaru o te uaua me te ngoikore o te whatukuhu.
Me pēhea te mohio ki tēnei āhuatanga?
Ko te huarahi matua ki te tautuhi i tēnei ko te whakamātautau toto. Tērā pea ka tirohia e tō tākuta te konupūmā katoa me te konupūmā ionized. Hei tāpiri, ka rapu tō tākuta i ngā tohu motuhake e rua i a koe e tirotiro ana i a koe: 1.
Tohu Chvostek: Whakaarohia kei te patopato te tākuta i tētahi io i roto i tō kauae ki tōna maihao. Mēnā ka rongo koe i te ngau i te taha o tō mata, koinei pea te tohu. 2.
Tohu Trousseau: Mēnā ka whakatakotoria he poroporo toto ki tō ringa, ā, ka puritia mō te 3 meneti pea, ka mamae te ngotea o ngā uaua o tō ringa me tō ringaringa. He whakamātautau tino nui tēnei hei tirotiro mō te hypocalcemia. Me whai whakamātautau anō pea koe kia kitea ai te take o tēnei āhuatanga.
- Ngā whakamātautau toto hei tirotiro i te konupora, te whākōkī, te homoni PTH, me ngā taumata huaora D
- Ngā whakamātautau mimi hei tirotiro i te hauora o te whatukuhu
- Matawai Ultrasound hei tirotiro i ngā kohatu tākihi
- Whakamātautau EKG (Electrocardiogram) hei tirotiro i ngā hapa o te manawa o te ngakau
- He matawai wheua hei tirotiro i te āhua o ngā wheua
Me pēhea te rongoā?
Ko te maimoatanga ka whakawhiwhia ki a koe ka whakawhirinaki ki te pūtake o te mate me te kaha o ō tohumate.
- Mō ngā tohu ngawari: Tērā pea ka tohua he papa konupūmā me te huaora D hei tango māu i ia rā. He mea tino nui kia tangohia te horopeta tika kua tohua e tō tākuta.
- Mō ngā tohu kino: Mena he kino ō tohu, mena he raruraru manawataki tōu, mena rānei ka puta ohorere mai te mate, me kawe pea koe ki te hōhipera, ā, me hoatu he konupūmā mā roto i te uaua (ā-uaua - IV). He maha ngā wā ka hoatu i roto i te āhua e kiia nei ko te konupūmā gluconate. I muri i te maimoatanga IV, me tango pea e koe ngā papa konupūmā mō tētahi wā.
- Te rongoā i te pūtake o te mate:Mena he iti ō taumata konupora, me rongoā pea e koe, tae atu ki te rongoā i te mate tākihi.
Ko te mea nui, kaua rawa e tango i ngā pire konupūmā ko koe anake. Me kōrero tonu ki tō tākuta, ā, me tango noa i te horopeta kua tohua e ia.
Ngā raruraru ka puta pea mēnā kāore e rongoatia
I te nuinga o te wā ka memeha haere ngā tohu i roto i te rongoā, engari ki te kore e rongoatia, ka puta pea ngā raruraru tino morearea.
- Te ngoikore o te ngākau
- Ngā mate hopuhopu
- Ngā mate manawataki o te ngakau e morearea ana ki te ora
Waihoki, mā te tango i ngā horopeta nui o te konupūmā me te huaora D mō te wā roa ka pā mai ngā pānga taha pēnei i te kōhatu tākihi. Nō reira, he mea tino nui kia tangohia tonutia te maimoatanga i raro i te tirotiro a te tākuta.
Karere Tangohia ki te Kāinga
- Ko te hypocalcemia he āhuatanga e iti ai te taumata o te konupūmā i roto i te toto. Ehara i te mea ko ngā wheua anake ka pā ki tēnei, engari ko te tinana katoa.
- Kaua e warewarehia ngā tohu pēnei i te mākūkū, te ngoikore rānei. He tohu tōmua pea tēnei o tētahi mate kino.
- I te mea he maha ngā take o tēnei mate, he mea nui kia kitea te pūtake me te rongoā i ngā tohumate.
- Ki te pā mai ēnei tohu ki a koe, me toro atu ki tō tākuta tonu. Whaia āna tohutohu mō ngā whakamātautau me ngā maimoatanga e tika ana.
Te ngoikore o te konupūmā, te korenga o te konupūmā, te wiri o te uaua, te ngoikore o te ngākau, te huaora D, te parathyroid
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