Ni iki uzi kuri kalisiyumu iri mu mubiri wawe? Twese tuzi ko kalisiyumu ari ingenzi ku magufwa n'amenyo mazima. Ariko se wari uzi ko hari ubwoko bwihariye bw'ingenzi bwa kalisiyumu itembera mu maraso yawe? Uyu munsi, turimo gusuzuma ' Kalisiyumu yibumbiyemo iyoni' . Igira uruhare runini mu mikorere ya buri munsi y'umubiri wawe. Reka turebe icyo ari cyo, impamvu ari ingenzi, n'ibibaho iyo urugero rwawe ruhindagurika.
'Ionized Calcium' ni iki?
Mu magambo make, igice cya kalisiyumu mu maraso yawe kireremba mu buryo bworoshye, kidafatanye na poroteyine iyo ari yo yose. Ubu bwoko bw'ingufu kandi bukora ni bwo twita 'Ionized Calcium' cyangwa 'ifree calcium' . Tekereza iyi nka kalisiyumu "ikora" umubiri wawe ukoresha muri iki gihe kugira ngo ukore imirimo y'ingenzi. Hafi 50% bya kalisiyumu yose mu maraso yawe iboneka muri ubu bwoko bwa iyoni.
Bite se ku bindi? Igice gisigaye gifatanye na poroteyine zo mu maraso, cyane cyane imwe yitwa ' Alubumini ' . Ibi byitwa 'calcium ibound' . Calcium ibound ntabwo ikora—ikora nk'ikigega ariko ntigira uruhare rugaragara mu mikorere y'umubiri ako kanya. Kubera iyo mpamvu, umubiri wawe wishingikiriza cyane cyane kuri calcium yigenga kandi ifite iyoni kugira ngo ikore neza.
Tekereza kuri ibi: 99% by'umunyu wa kalisiyumu umubiri wawe uba mu magufwa no mu menyo yawe , ibyo twese tuzi. 1% gusa ni yo itembera mu maraso yawe . Kalisiyumu irimo iyoni turimo kuvugaho igizwe na 0.5% gusa bya kalisiyumu yose y'umubiri wawe. Ushobora gutekereza uti: "Ibyo bisa nkaho ari bike cyane!" Ariko, nk'uko akantu gato gashobora gutera umuriro, aka kalisiyumu gato karimo iyoni ni ingenzi ku buzima bwawe. Dore impamvu:
Kalisiyumu ikozwe muri iyoni ni ingenzi kuri:
- Uturemangingo tw'imitsi yawe: Ni ingenzi cyane mu gutanga ubutumwa ku mitsi no kohereza ubutumwa mu mubiri wawe wose.
- Imikorere y'imitsi : Ituma imitsi ikora neza kandi ikaruhuka.
- Ubuzima bw'umutima : Ni ngombwa kugira ngo umutima ukomeze gukora neza kandi mu buryo buhamye.
- Gufungana kw'amaraso: Ni ingenzi cyane mu gutuma amaraso afungana, ibyo bikaba ari ngombwa kugira ngo amaraso ahagarike kuva mu mubiri igihe ufite imvune.
Nkuko mubibona, iyi ni imikorere y'ingenzi y'umubiri. Niba urugero rwa kalisiyumu yawe ruri hejuru cyane cyangwa hasi cyane, bishobora kuba ikimenyetso cy'ikibazo cy'ubuzima, ari yo mpamvu kuguma umenye ibi, nk'igice cy'ubuvuzi bwawe muri Nirogi Lanka, ari ingenzi cyane.
Kuki ikizamini cya 'Ionized Calcium' gikorwa?
Ubusanzwe, iyo muganga asuzumye kalisiyumu yawe, ategeka ikizamini cya "Kalisiyumu yose", gipima kalisiyumu ifatanye n'iyo idafite kalisiyumu. Ariko, hari igihe muganga wawe aba akeneye kumenya neza urwego rwa kalisiyumu idafite kalisiyumu kandi ikora. Icyo gihe ni bwo hakenewe ikizamini cya "Kalisiyumu Ionized" .
Iki kizamini gisaba ikizamini gito cy'amaraso gusa.
Dore zimwe mu bihe aho muganga ashobora gusaba iki kizamini cyihariye:
- Niba urugero rwa poroteyine yawe (cyane cyane Albumin) rudasobanutse neza . Kubera ko urugero rwa calcium yose ruhindagurika ugereranyije n'urugero rwa calcium, ikizamini cya calcium cya ionized gitanga ishusho nyayo y'uko calcium yawe ihagaze.
- Niba urwaye cyane kandi ukeneye amazi yo mu miyoboro y'amaraso . Mu gihe cy'ubuzima bukomeye, kugenzura imikorere y'umuyoboro w'amashanyarazi mu mubiri wawe ni ngombwa.
- Niba uri kubagwa bikomeye , kugenzura urwego rw'ubuvuzi mbere na nyuma yo kubagwa ni ibintu bisanzwe.
- Niba waratewe amaraso , kuko bimwe mu bice bigize amaraso y'umutanga bishobora guhindura urugero rwa kalisiyumu mu maraso yawe.
- Niba utwite cyangwa niba hari ikibazo cyo gukurikiranirwa umwana ukiri muto.
- Iyo ugaragaje ibimenyetso bya pancreatitis ikabije , iyi ndwara igira ingaruka zikomeye ku kuringaniza kalisiyumu.
- Niba hari ikibazo cya parathyroid gikekwa, kuko izi ngirabuzimafatizo zikora imisemburo igenga kalisiyumu yawe.
Uburyo bwo kwitegura ikizamini
Kugira ngo urebe neza ibisubizo nyabyo, kurikiza aya mabwiriza:
- Ubusanzwe, ugirwa inama yo kwiyiriza ubusa (kwirinda kurya cyangwa kunywa ikindi kintu cyose kitari amazi) mu gihe cy'amasaha atandatu mbere yo kwipimisha. Ibiryo biryo bishobora guhindura by'agateganyo imiterere y'amaraso, bigatuma bigoye kubona igipimo nyacyo.
- Nyamuneka menyesha muganga wawe imiti yose, vitamine, n'inyongeramusaruro urimo gufata ubu . Hari ibintu bimwe na bimwe bishobora kubangamira ibisubizo by'ibizamini. Muganga wawe ashobora kugusaba guhagarika imiti imwe n'imwe iminsi mike mbere yo gupimwa. Ariko, ntugahagarike gufata imiti iyo ari yo yose wanditswe na muganga utabanje kugisha inama muganga wawe.
Ibisubizo bivuze iki?
Igipimo cya kalisiyumu yawe ikoresheje iyoni gifasha muganga wawe gusuzuma ubuzima bwawe muri rusange. Bifasha mu gusuzuma indwara zitandukanye, harimo pancreatitis, indwara z'impyiko, n'ibibazo by'udukoko twa parathyroid .
Iyo urugero rwa kalisiyumu yawe ruri mu rugero rwayo, bigaragaza ko imikorere y’umubiri wawe ishingiye kuri kalisiyumu ishobora kuba ikora neza.
Ingano zisanzwe z’ingero ziragaragara hano hepfo (menya ko izi zishobora gutandukana gato bitewe na laboratwari, bityo buri gihe reba ingero z’ingero zatanzwe kuri raporo yawe yihariye ya laboratwari):
- Abana bavutse: 4.8 – 5.5 mg/dL
- Abana: 4.8 – 5.3 mg/dL
- Abantu bakuru: 4.6 - 5.3 mg/dL
Bite ho niba Kalisiyumu ya Ionized iri hasi? (Hypocalcemia)
Iyo mu maraso yawe hari urugero ruto rwa calcium ikozwe muri iyoni, mu buvuzi yitwa 'Hypocalcemia' . Ibi akenshi bigaragaza impungenge z'ubuzima.
Ni izihe mpamvu zikunze kugaragara?
Hari ibintu byinshi bishobora gutuma urugero rwa kalisiyumu rugabanuka, harimo:
- Hypoparathyroidism: Ibi bivuze ko ingirabuzimafatizo za parathyroid zidakora imisemburo ya parathyroid (PTH) ihagije, ikaba ari ingenzi mu kugena urugero rwa kalisiyumu mu maraso yawe.
- Pancreatite: Kubyimba kubabaza kwa pancreas.
- Kudakoresha neza ibiryo: Umubiri wawe urwana no kwinjiza neza kalisiyumu mu byo urya.
- Rickets: Indwara ku bana itera amagufwa yoroshye kandi adakomeye, akenshi iterwa no kubura vitamine D.
- Kunanirwa kw'impyiko: Iyo impyiko zawe zidakora neza, ntiziba zigishobora kugenzura neza urugero rwa kalisiyumu.
- Kubura Vitamine D: Vitamine D ni ingenzi cyane mu kwinjiza kalisiyumu. Kuyibura bishobora gutuma urugero rwa kalisiyumu mu maraso yawe rugabanuka.
Ni ibihe bimenyetso by'uko umuntu afite kalisiyumu nkeya?
Kalisiyumu nkeya (hypocalcemia) ishobora gutera ibimenyetso bitandukanye . Ushobora kutabibona byose, ariko ushobora kubona kimwe cyangwa byinshi:
- Kubabara imitsi cyangwa kubabara mu mitsi.
- Urujijo.
- Gutakaza kwibuka.
- Inzara zidakomeye kandi zicika intege.
- Kubabara no gucika intege mu biganza no mu birenge.
- Kwiheba.
Niba urimo kubona ibi bimenyetso, inzira nziza ni uguteganya gahunda yo kubonana na muganga wawe kugira ngo agusuzume.
Iyi ndwara ivurwa ite?
Muganga wawe aramutse asanze urugero rwa kalisiyumu yawe ruri hasi, azamenya impamvu nyamukuru maze agukorere gahunda yo kuvura. Ubuvuzi busanzwe burimo:
- Inyongeramusaruro za kalisiyumu: Zitangwa mu binini cyangwa mu buryo bw'amazi.
- Inyongeramusaruro za Vitamine D: Kugira ngo umubiri wawe urusheho kwinjiza kalisiyumu neza.
- Inshinge za calcium gluconate: Zikoreshwa mu gihe urugero rwa calcium ruri hasi cyane kandi rukeneye gukosorwa vuba.
- Gusimbuza imisemburo ya parathyroid (PTH): Akenshi ihabwa abarwayi bafite hypoparathyroidism.
Hamwe n'ubu buryo bwo kuvura, ni ngombwa cyane gukemura no kuvura indwara yateye ikibazo cy'ubusumbane bwa kalisiyumu mu mubiri.
Bigenda bite iyo kalisiyumu yawe irimo iyoni nyinshi cyane? (Hypercalcemia)
Iyo urugero rwa calcium ikozwe muri iyoni mu maraso yawe ruri hejuru cyane, byitwa hypercalcemia . Ibi bishobora guterwa n'ibibazo bitandukanye by'ubuzima.
Ni izihe mpamvu?
Hari ibintu byinshi bishobora gutuma urugero rwa kalisiyumu ruri hejuru cyane:
- Hyperthyroidism: Indwara ya tiroyide ikora cyane.
- Hyperparathyroidism: Kubyara PTH ikabije cyane n'uturemangingo twa parathyroid, ari nabyo bitera hypercalcemia.
- Indwara ya Paget y'igufwa: Indwara aho ingingo z'amagufwa zisenyuka zikongera zikongera kwiyubaka mu buryo budasanzwe.
- Thrombocytosis: Umubare munini w'ibinure mu maraso yawe.
- Sarcoidosis: Indwara yo kubyimba ituma uduce duto tw’uturemangingo twitwa granulomas twirema mu bice bitandukanye by’umubiri.
- Myeloma nyinshi: Ubwoko budasanzwe bwa kanseri y'amaraso.
Ni ibihe bimenyetso by'uko umuntu afite kalisiyumu nyinshi?
Hypercalcemia ishobora kugaragaza ibimenyetso bitandukanye :
- Kwihagarika inkari kenshi.
- Kubabara imitsi cyangwa kuribwa mu nda.
- Isesemi no kuruka.
- Kuribwa umutwe.
- Umunaniro.
- Kubabara amagufwa.
- Kwihagarika impatwe.
- Gutakaza kwibuka.
- Kwiheba.
- Kubura ubushake bwo kurya.
Icy'ingenzi: Kurya kalisiyumu nyinshi cyane rimwe na rimwe bishobora kuba ikibazo cyihutirwa cy'ubuvuzi. Buri gihe komeza kuba maso kuri ibi bimenyetso kandi ushake ubuvuzi bwihuse niba wumva umeze nabi cyane.
Ibi bivurwa bite?
Uburyo bwo kuvura kalisiyumu nyinshi ikungahaye kuri iyoni buterwa n'impamvu nyamukuru. Amahitamo ashobora kuba arimo:
- Calcimimetics: Imiti ifasha mu kugenzura imikorere y'uturemangingo tw'imitsi ya parathyroid.
- Inyongeramusaruro za Calcitonine: Kugira ngo bifashe mu gucunga urugero rwa kalisiyumu mu maraso.
- Bisphosphonates: Ubusanzwe ikoreshwa mu kuvura indwara ya osteoporosis, ishobora no gufasha kugabanya hypercalcemia iterwa na kanseri.
- Denosumab: Ikoreshwa ku barwayi batemera bisphosphonates.
- Prednisone: Steroid ikoreshwa iyo hypercalcemia iterwa n'urugero rwinshi rwa vitamine D.
- Ibinyobwa bya IV: Bitangwa mu bihe byihutirwa kugira ngo bifashe mu gukuramo kalisiyumu nyinshi.
- Parathyroidectomy: Uburyo bwo kubaga kugira ngo hakurweho ingirabuzimafatizo za parathyroid zangiritse.
Byongeye kandi, muganga wawe azaguha uburyo bwo kuvura indwara nyamukuru ituma urya kalisiyumu nyinshi.
Ibitekerezo bya nyuma
Nkuko mubibona, kalisiyumu ikozwe muri iyoni ni ingenzi ku buzima bwawe muri rusange. Byaba urugero ruri hejuru cyane cyangwa ruri hasi cyane, umubiri wawe ntushobora gukora neza.
Nubwo ikizamini cya calcium cyakozwe muri iyoni cyonyine kidashobora gusuzuma buri kibazo, giha muganga wawe amakuru y'ingenzi ku buzima bwawe. Akoresheje ibi bisubizo, muganga wawe ashobora kugera ku gusuzuma neza no gutangiza gahunda ikwiye yo kugufasha.
Niba ufite ikibazo cyangwa impungenge, ntutindiganye kubiganiraho na muganga wawe wo muri Nirogi Lanka. Barahari kugira ngo bagusobanurire neza byose. Komeza ugire ubuzima bwiza!
Amagambo ahinnye: Kalisiyumu ya ionized, kalisiyumu, ibizamini by'amaraso, hypoglycemia, hypercalcemia, ubuzima, ibimenyetso
