Kodi munayamba mwawonapo mtengo wotchedwa 'Calcium' mukamawona lipoti la magazi? Tonsefe timadziwa bwino momwe calcium imagwirira ntchito m'mafupa ndi mano. Koma nthawi zina dokotala wanu angapemphe mayeso apadera otchedwa "Ionized Calcium" m'malo moyesa calcium nthawi zonse. Kenako timaganiza kuti, "Kodi chimenecho ndi chiyani? Kodi si calcium yomweyi?" Pali kusiyana kochepa, koma kofunikira kwambiri pakati pa awiriwa. Lero, tiyeni tikambirane za ngwazi yofunika kwambiri m'thupi lathu yotchedwa "ionized calcium".
Kodi Calcium Yopangidwa ndi Ionized N'chiyani?
Mwachidule, iyi ndi calcium "yaulere" kapena "yogwira ntchito" m'magazi mwathu. Taganizirani izi, 99% ya calcium yonse m'thupi mwathu ili m'mafupa ndi mano athu. Zili ngati ndalama zomwe zili kubanki. 1% yotsalayo imazungulira m'magazi.
Tsopano, pa 1% ya calcium iyi m'magazi, ina imalumikizidwa ndi mapuloteni (makamaka albumin), kapena "yopangidwa." Timatcha izi kuti "calcium yomangidwa." Gawoli siligwira ntchito, ngati munthu amene wakhala pa benchi pa siteshoni ya basi. Lili pomwepo, silichita chilichonse.
Gawo lina ndi gawo lomwe limazungulira m'magazi "mwaufulu" popanda kulumikizidwa ndi mapuloteni aliwonse. Gawo laulere, logwira ntchito ili ndi lomwe timatcha calcium ya ionized kapena "calcium yaulere." Ndi calcium yaulere iyi yomwe imagwira ntchito m'thupi, zomwe zimathandiza pazinthu zofunika kwambiri. Gawoli limapanga pafupifupi 50% ya calcium yonse.
Izi zikutanthauza kuti, ndi calcium iyi yomwe imagwira ntchito zofunika kwambiri m'thupi lathu, monga kutumiza mauthenga a mitsempha, kugwirana minofu, ndikupangitsa mtima kugunda.
Kodi nchifukwa chiyani calcium ya ionized ndi yofunika kwambiri m'thupi lathu?
Ngakhale kuti calcium yaulere ndi yochepa, ntchito yake si yofooka. Ndi yofunikira kwambiri kuti ziwalo zambiri zazikulu m'thupi lathu zigwire ntchito bwino.
- Mitsempha: Mitsempha imanyamula mauthenga ochokera muubongo wathu kupita ku thupi lonse. Monga momwe magetsi amayendera pa waya. Kalisiyumu ya ayoni ndi yofunika kuti mauthengawa ayende bwino.
- Minofu: Timagwiritsa ntchito minofu yathu kusuntha manja ndi miyendo yathu, kuyenda, ndi kunyamula zinthu. Minofu yonseyi imafunikira calcium yaulere iyi kuti ichepetse ndikupumula. Mtima nawonso ndi minofu yapadera. Izi ndizofunikira kwambiri kuti ugwire pa liwiro loyenera.
- Mtima: Izi zimathandiza kuti mtima ukhale ndi kugunda bwino komanso kuti ukhale ndi kamvekedwe koyenera.
- Kuundana kwa magazi:Tikakhala ndi bala kwinakwake ndipo tikutuluka magazi, pamakhala njira yovuta kwambiri yoletsera kutuluka magazi. Gawo lofunika kwambiri pa njirayi ndi calcium iyi ya ayoni.
N’chifukwa chiyani mukupempha izi m’malo mongoyesa calcium nthawi zonse?
Funso ili ndi labwino kwambiri. Kuyesa kwa calcium kwachizolowezi kumayesa kuchuluka kwa calcium m'magazi. Ndiko kuti, kuchuluka kwa ziwalo "zomangidwa" komanso "zomasuka".
Komabe, pali nthawi zina pomwe kuchuluka kwa mapuloteni m'magazi mwa munthu (albumin) kumakhala kochepa. Mwachitsanzo, munthu amene akudwala kwambiri, munthu amene ali ndi matenda a impso, kapena munthu amene ali ndi matenda a chiwindi angakhale ndi mapuloteni ochepa. Kenako, kuchuluka kwa calcium komwe kumalumikizidwa ndi mapuloteni kumachepanso. Chifukwa chake, ngati muyang'ana kuchuluka kwawo kwa "Total Calcium", kungasonyeze kuti ndi kochepa.
Koma kuchuluka kwa calcium "yaulere" (calcium yokhala ndi ayoni) komwe kumagwira ntchito m'thupi lake kungakhale koyenera. Kenako, ngati mupanga chisankho kutengera lipoti lonse la calcium, kungakhale kolakwika. Pazochitika zotere, madokotala amapempha mayeso a calcium yokhala ndi ayoni kuti adziwe kuchuluka kwenikweni kwa calcium yogwira ntchito m'thupi.
Nazi zina mwazochitika zazikulu zomwe dokotala angapemphe mayeso awa:
- Ngati kuchuluka kwa mapuloteni (makamaka albumin) m'magazi sikuli bwino.
- Kwa munthu amene akudwala kwambiri ndipo akulandira mankhwala a saline (IV fluids) kudzera m'mitsempha.
- Kwa munthu amene akukonzekera opaleshoni yaikulu.
- Kwa munthu amene amalandira magazi nthawi zambiri.
- Yang'anirani momwe amayi apakati ndi makanda amakhalira.
- Pamene pancreatitis yoopsa ikukayikiridwa.
- Ngati pali kukayikira kuti pali matenda a parathyroid glands.
Kodi mungakonzekere bwanji mayeso?
Nthawi zambiri mumapemphedwa kuti musale kudya kwa maola pafupifupi 6 musanayesedwe. Palibe vuto kumwa madzi pang'ono. Ndikofunikiranso kuuza dokotala wanu za mankhwala onse, mavitamini, ndi zowonjezera zomwe mukumwa. Mankhwala ena amatha kukhudza zotsatira za mayesowa, kotero dokotala wanu angakupempheni kuti musiye kumwa tsiku limodzi musanayesedwe. Koma kumbukirani, musasiye kumwa mankhwala aliwonse popanda upangiri wa dokotala wanu.
Kodi calcium yochuluka bwanji yomwe ili ndi ayoni ndi yotani?
Mitengo iyi ingasiyane pang'ono kutengera labu yomwe imachita mayeso. Nthawi zonse yerekezerani mtengo wanu ndi "Normal Range" yomwe ili pa lipoti lanu.
| Gulu la zaka | Mlingo wabwinobwino (mg/dL) | Mlingo wabwinobwino (mmol/L) |
|---|---|---|
| Makanda obadwa kumene | 4.8 – 5.3 mg/dL | 1.20 – 1.32 mmol/L |
| Ana | 4.8 – 5.5 mg/dL | 1.20 – 1.38 mmol/L |
| Akuluakulu | 4.6 – 5.3 mg/dL | 1.15 – 1.32 mmol/L |
Ngati calcium yomwe ili mu ionized yatsika (Hypocalcemia)
Kuchepa kwa calcium yogwira ntchito m'magazi (yomwe imadziwika kuti hypocalcemia) kungayambitsidwe ndi matenda osiyanasiyana.
- Hypoparathyroidism: Matenda omwe ma glands a parathyroid omwe ali m'khosi sapanga mahomoni okwanira (PTH) omwe amalamulira calcium m'thupi.
- Pancreatitis: Kutupa kwa kapamba.
- Kusowa kwa Vitamini D: Vitamini D ndi wofunikira kuti thupi lizitha kuyamwa calcium kuchokera muzakudya.
- Kulephera kwa impso.
- Kusamwa chakudya.
- Matenda a Rickets mwa ana.
Zizindikiro za kuchepa mphamvu
Pamene calcium imachepa, zizindikiro zosiyanasiyana zimatha kuchitika.
| Mtundu wa khalidwe | Zizindikiro zomwe zawonetsedwa |
|---|---|
| Zokhudzana ndi minofu ndi mitsempha | Kupweteka kwa minofu, dzanzi m'miyendo ndi mkamwa mozungulira, kumva kuwawa. |
| Zokhudzana ndi ubongo ndi ubongo | Kutaya kukumbukira, chisokonezo, kuvutika maganizo. |
| Zina mwazinthu | Misomali yofooka komanso khungu louma komanso losweka mosavuta. |
Mumachita chiyani ngati yachepa?
Dokotala wanu adzayamba kaye wadziwa chomwe chikuchititsa kuti calcium yanu ikhale yochepa. Kenako, akamachiritsa vutoli, amayamba kulandira chithandizo kuti calcium yanu ikhalenso bwino.
- Zakudya zowonjezera za calcium
- Zowonjezera za Vitamini D
- Nthawi zina jakisoni wa calcium gluconate amaperekedwa m'mitsempha
- Kulowa m'malo mwa parathyroid hormone (PTH)
Chofunika kwambiri ndi chakuti dokotala wanu asankhe chithandizochi. Iye adzakuuzani chomwe chili chabwino kwa inu komanso nthawi yomwe muyenera kumwa. Musapite ku pharmacy kukagula mapiritsi a calcium monga mwakufuna kwanu.
Ngati calcium yochuluka (Hypercalcemia) ikuwonjezeka
Kuwonjezeka kwa calcium yogwira ntchito m'magazi (yomwe imadziwika kuti hypercalcemia) ndi vuto lomwe limafuna chisamaliro.
- Hyperparathyroidism: Kupanga mahomoni ambiri ndi ma thyroid glands a parathyroid.
- Hyperthyroidism: Chithokomiro chogwira ntchito mopitirira muyeso.
- Khansa zina: Mwachitsanzo, multiple myeloma, khansa ya m'magazi.
- Matenda a Paget a mafupa.
- Vitamini D wambiri m'thupi.
Zizindikiro za kuwonjezeka kwa
Ngakhale pamene calcium yakwera, zizindikiro zambiri zimatha kuwoneka.
| Mtundu wa khalidwe | Zizindikiro zomwe zawonetsedwa |
|---|---|
| Makhalidwe onse a thupi | Kutopa kwambiri, mutu, nseru ndi kusanza, kusowa chilakolako cha chakudya. |
| Dongosolo la m'mimba | Kudzimbidwa, kupweteka m'mimba. |
| Zokhudzana ndi impso | Kukodza pafupipafupi, ludzu lochuluka. |
| Mafupa ndi minofu | Kupweteka kwa mafupa, kupweteka kwa minofu kapena kufooka. |
| Maganizo | Kutaya kukumbukira, kuvutika maganizo. |
Kodi mungachite chiyani ngati chikuwonjezeka?
Pochiza calcium yambiri, ndikofunikira kuzindikira kaye chomwe chimayambitsa matendawa. Njira zochiritsira zimasiyana malinga ndi chomwe chimayambitsa matendawa.
- Mankhwala omwe amawongolera ntchito ya ma glands a parathyroid (Calcimimetics).
- Mankhwala olimbitsa mafupa ndi kuchepetsa calcium m'magazi (Bisphosphonates).
- Ngati vutoli layamba chifukwa cha kuchuluka kwa vitamini D, mankhwala monga prednisone angakupatseni.
- Ngati vutoli ndi lalikulu, mungafunike kugonekedwa m'chipatala ndi kumwa mankhwala a saline (IV fluids).
- Ngati ndi chifukwa cha chinthu chonga chotupa cha parathyroid gland, chingachotsedwe kudzera mu opaleshoni (parathyroidectomy).
Chithandizochi chimadziwikanso pofufuza chomwe chimayambitsa kuchuluka kwa calcium m'thupi. Musachite chilichonse popanda upangiri wa dokotala. Nthawi zina izi zimatha kukhala zadzidzidzi.
Uthenga Wopita Nawo Kunyumba
- Calcium yokhala ndi ayoni ndi gawo la calcium "lopanda" komanso "logwira ntchito" m'magazi mwathu. Ndi lofunikira kwambiri pa ntchito zambiri zofunika kwambiri m'thupi lathu.
- Ngakhale kuti mayeso a calcium nthawi zonse amasonyeza kuchuluka kwa calcium yonse, mayeso a calcium omwe ali ndi ayoni amapereka chithunzi chomveka bwino cha kuchuluka kwa calcium komwe kumagwira ntchito m'thupi.
- Kuyezetsa kumeneku n'kofunika kwambiri makamaka pa matenda aakulu, matenda a impso, komanso opaleshoni isanachitike.
- Kuchuluka kwa calcium m'thupi kapena m'thupi kungakhale chizindikiro cha matenda enaake.
- Nthawi zonse kambiranani ndi dokotala wanu zotsatira za mayeso anu ndi chithandizo chilichonse. Musadzipatse mankhwala kapena kusiya kumwa mankhwala.
💬 Comments (0)
Palibe ndemanga zomwe zatumizidwa pano. Onjezani ndemanga yanu pano koyamba.
Onjezani ndemanga yanu