Muviri wako hauna calcium yakakwana here? Ngatitaurei nezve kushaya calcium mumuviri!

Wakambonzwa nezve calcium shoma mumuviri here? Ungangobatwa nechirwere ichi usingatombozvizivi. Tese tinoziva kukosha kwe calcium kumapfupa edu. Asi calcium inokosha kune zvimwe zvinhu zvakawanda mumuviri wedu. Saka, nhasi tichataura nezvechirwere ichi che calcium shoma muropa, chinonzi hypocalcemia . Usazvidya mwoyo, ichi chirwere chinogona kurapwa uye kurapwa.

Chii chinonzi calcium? Sei ichikosha kwatiri?

Zvichitaurwa zviri nyore, calcium chinhu chakakosha uye chinowanikwa mumiviri yedu. Inobatsira kupfuura zvaungafunga.

• Inosimbisa mapfupa nemazino: Ichi ndicho chinhu chakakosha chatinongoziva tese. Karusiyamu yakawanda mumuviri wedu inochengetwa mumapfupa edu.
• Calcium inodiwawo muropa: Kwete mumapfupa chete, asiwo muropa redu, panofanira kunge paine huwandu hwakati hwecalcium. Calcium iri muropa iri ndeiyi:
• Inobatsira mashandiro etsinga dzedu .
• Zvinobatsira tsandanyama dzedu kukwenya nekuzorodzwa (zvinoreva kuti tinofamba).
• Zvinobatsira kuti ropa rigwambe kana tikakuvara.
• Zvinobatsira mwoyo yedu kushanda zvakanaka .

Fungidzira, kana huwandu hwecalcium muropa redu hukadzikira (hypocalcemia), miviri yedu ichaomerwa nekuita mabasa aya akakosha nemazvo.

Chinokosha ndechekuti kana tikasawana calcium yakakwana kubva mukudya kwedu, miviri yedu inotora calcium kubva mumapfupa edu yoiwedzera muropa redu. Izvi zvinogona kunetesa mapfupa edu. Zvisinei, `Hypocalcemia` kudzikira kwecalcium muropa, kwete kudzikira kwecalcium mumapfupa chete.

Huwandu hwecalcium muropa redu nemapfupa hunodzorwa nemahormone maviri makuru: Parathyroid Hormone (PTH) neCalcitonin . Vhitamini D inokoshawo pakuchengetedza huwandu hwecalcium. Vhitamini D inokosha kuti muviri utore calcium yatinodya.

Ndiani anogona kuwana hypocalcemia?

Dambudziko iri rekushaya calcium yakawanda rinogona kuitika kune chero munhu wezera ripi zvaro, kunyangwe vacheche vadiki. Zera rayo rinowanzo tsanangurwa nechikonzero chacho. Semuenzaniso, kana dambudziko iri rikaitika kumwana mudiki, ringangodaro rinokonzerwa nechirwere chemajini.

Zvakaoma kutaura kuti izvi zvakajairika sei, sezvo kazhinji kacho zvichikonzerwa nechimwe chirwere. Zvisinei, zvakajairika kuona chirwere ichi mushure mekuvhiyiwa kubvisa thyroid gland (thyroidectomy) . Dzimwe ongororo dzinoratidza kuti pakati pe7% ne49% yevanhu vanogona kusangana ne hypocalcemia kwenguva pfupi mushure mekuvhiyiwa thyroid.

Ndezvipi zviratidzo zvekushaikwa kwecalcium mumuviri?

Vamwe vanhu vane calcium shoma mumuviri wavo asi havaratidzi zviratidzo. Zviratidzo zvinoenderana nehuwandu hwekushaikwa kwecalcium mumuviri - kureva kuti, ingave chirwere chacho chiri `chishoma` kana `chakakomba`.

Zviratidzo zvekushomeka kwecalcium zvishoma:

• Kurwadziwa kwetsandanyama: Kunyanya kumusana nemakumbo. Fungidzira kuti uri kurara husiku uye kamwe kamwe gumbo rako rinonzwa sekunge rava kupera simba, ndizvo zvarinonzwa.
• Ganda rakaoma, rine mavanga.
• Nzara dzakapfava.
• Vhudzi rinova rakaoma kupfuura zvaragara richiita.

Kana chirwere ichi chisina kunyanya kuipa chikarapwa nemazvo, nekufamba kwenguva, zviratidzo zvinokanganisa tsinga dzemuviri (`neurologic`) kana hutano hwepfungwa (`psychologic`) zvinogona kutanga. Izvi zvinosanganisira:

• Kuvhiringidzika.
• Matambudziko ekurangarira.
• Kugara uchigumbuka kana kusagadzikana.
• Kuora mwoyo.
• Kufungidzira zvinhu zvisipo: Izvi zvinoreva kuona zvinhu zvisipo zvechokwadi.

Zviratidzo zve hypocalcemia yakanyanya:

Ichi chirwere chine njodzi chinoitika kana huwandu hwecalcium muropa hukadzikira zvakanyanya.

• Kurira kwemiromo, rurimi, minwe kana tsoka.
• Kurwadziwa kwetsandanyama.
• Kutadza kufema zvakanaka nekuda kwekuoma kwetsandanyama dzepahuro (laryngospasm). Izvi zvine njodzi zvishoma.
• Kuomarara kwetsandanyama uye kugwinha (Tetany).
• Kubatwa nepfari.
• Kusashanda zvakanaka kwemoyo (Arrhythmia).
• Kukundikana kwemoyo kwakakombama.

Kana uine chimwe chezviratidzo izvi zvakakomba, zvakakosha kutsvaga rubatsiro rwechiremba nekukasika.

Sei calcium mumuviri wedu ichiderera? Ndezvipi zvikonzero?

Miviri yedu ine maitiro akaomarara ekuchengetedza huwandu hwakagadzikana hwecalcium muropa. Nokudaro, hypocalcemia inogona kukonzerwa nematambudziko akasiyana-siyana ehutano nezvirwere.

Kazhinji, chikonzero chikuru cheizvi idambudziko remazinga eparathyroid hormone (PTH) kana mazinga evhitamini D. Izvi zvinodaro nekuti PTH inobatsira kudzora calcium muropa, uye vhitamini D inobatsira muviri kunwa calcium.

Zvikonzero zvitatu zvinonyanya kuzivikanwa ndeizvi:

1. Hypoparathyroidism: Izvi zvinoitika kana magland eparathyroid (magland mana madiki ari kuseri kwegland re thyroid) ari mumutsipa wako asingaburitse PTH yakakwana. Kana mazinga ePTH ari mashoma, mazinga ecalcium mumuviri wako anodererawo. Izvi zvinogona kunge zvichikonzerwa nemajini, kuvhiyiwa kubvisa rimwe kana akawanda parathyroid gland, kana gland re thyroid.

2.Kushaikwa kweVitamin D: Kana usina Vitamin D yakakwana, muviri wako haugone kupinza calcium zvakanaka. Izvi zvinogona kukonzera kudzikira kwecalcium muropa. Kushaikwa kweVitamin D kunogona kukonzerwa nemajini, kusawana chiedza chezuva chakakwana, kana kusawana Vitamin D yakakwana kubva mukudya kwako.

3. Kutadza kushanda zvakanaka kweitsvo / Kutadza kushanda zvakanaka kweitsvo: Vanhu vane chirwere cheitsvo chisingaperi vanogona kushaya calcium. Izvi zvinokonzerwa nekuwedzera kwephosphorus muropa uye kudzikira kwemhando yevhitamini D inogadzirwa neitsvo.

Kune zvimwe zvikonzero zvakare:

• Mimwe mishonga: Semuenzaniso, mimwe mishonga yakaita se `Bisphosphonates`, `Corticosteroids`, `Rifampin`, `Calcitonin` inogona kukonzera kushomeka kwecalcium. Taura nachiremba wako nezvemishonga yauri kutora.
• Pseudohypoparathyroidism: Ichi chirwere chemajini. Chinoitika pano ndechekuti, kunyangwe muviri uine huwandu hwakajairwa hwehomoni yePTH, muviri haupinduri zvakanaka.
• Hypomagnesemia: Iri ihuwandu hushoma hwemagnesium muropa. Matumbu eparathyroid anoda magnesium kuti agadzire uye abudise hormone yePTH. Kana magnesium iri shoma, PTH shoma inogadzirwa, izvo zvinoita kuti huwandu hwecalcium hudzikire.
• Pancreatitis: Vanhu vari pakati pe15% ne88% vane pancreatitis inogona kukonzera kushaya calcium mumuviri.
• Zvirwere zvisingawanzoitiki zvemajini: Dambudziko iri rinogonawo kukonzerwa nemamwe majini anochinja, akadai se`DiGeorge syndrome`.

Ndingaziva sei kana ndine chirwere ichi?

Kana huwandu hwecalcium muropa rako huri pasi pe8.8 mg/dL, ungangove uine hypocalcemia. Dzimwe nguva, hypocalcemia iri nyore inowanikwa netsaona kana ropa rako rikaongororwa chimwe chinhu.

Zvakakosha kuziva kuti chirwere ichi chiripo, pamwe nekuona kuti chii chinokonzera.

Chiremba wako anogona kuraira bvunzo dzakadai kuti aone chikonzero chechirwere ichi uye kuti aone kana chiri kukanganisa dzimwe nhengo dzemuviri:

• Kumwe kuongororwa kweropa: Tarisa huwandu hwemagnesium, phosphorus, PTH hormone uye/kana vhitamini D.
• ECG (Electrocardiogram): Izvi zvinoyera kurova kwemoyo wako nekuisa maelectrode pachipfuva chako. Hypocalcemia inogona kukonzera kurova kwemoyo kusina kurongeka.
• Kuongororwa kwemapfupa: Izvi zvinogona kushandiswa kuona kana uine matambudziko ecalcium mumapfupa ako (akadai se osteomalacia kana rickets).

Kushomeka kwecalcium mumuviri kunorapwa sei?

Izvi zvinowanzorapwa nekudya zvinovaka muviri zvine calcium.Zvakare, zvakakosha kuti uzive chiri kukonzera calcium shoma uye woirapa. Fungidzira kuti calcium shoma inokonzerwa nemushonga wauri kutora, chiremba anogona kuchinja mushonga kana kuwedzera kana kuderedza dose.

Ndeipi mishonga uye marapirwo anoshandiswa pakuita izvi?

• Mapiritsi ecalcium: Aya anopiwa kuti calcium iwedzere muropa.
• Zvinowedzerwa neVitamin D: Vanhu vane chirwere checalcium chisingaperi vanowanzopihwa zvinowedzerwa neVitamin D pamwe chete nemapiritsi ecalcium. Izvi ndizvo zvinoita kuti muviri ugone kupinza calcium zvakanaka.
• Synthetic PTH: Kana uine calcium shoma nekuda kwe hypoparathyroidism, chiremba wako anogona kukupa synthetic PTH.
• Intravenous calcium gluconate (IV calcium gluconate): Kana calcium yako yakaderera zvikuru uye uine zviratidzo zvakakomba zvakaita sekukwenya kwetsandanyama (tetany), unogona kupihwa calcium gluconate solution inopihwa muchipatara netsinga.
• Mimwe mishonga: Zvichienderana nechikonzero checalcium shoma, ungangoda kushandisa mimwe mishonga yekurapa/kugadzirisa chikonzero ichocho.

Ndezvipi zvinhu zvinokonzera hypocalcemia?

Vanhu vane mukana mukuru wekuwana chirwere ichi ndevanotevera:

• Kune avo vane kushaya vitamin D.
• Kune avo vakambova nechirwere cheparathyroid gland kana kuvhiyiwa kweparathyroid gland .
• Kune avo vakavhiyiwa kubvisa thyroid gland (`thyroidectomy`) .
• Kana paine munhu mumhuri ane zvirwere zvemajini (zvakadai sekuchinja kwemajini, zvirwere zvemajini zvevhitamini D, chirwere cheDiGeorge).

Pane nzira yekudzivirira izvi here?

Zvinosuwisa kuti hapana chaungaita kudzivirira hypocalcemia. Kunyange zvazvo zvingaita sekuti unogona kudzivirira hypocalcemia nekudya chikafu chine calcium yakawanda, huwandu hwecalcium hwaunodya hahukanganisi zvakananga huwandu hwecalcium muropa rako. Zvisinei, kuwana calcium yakakwana kwakakosha pahutano hwemapfupa.

Chii chiri kutarisira chirwere ichi? (Kufungidzira)

Mashoko akanaka ndeekuti hypocalcemia chirwere chinorapika. Kana huwandu hwecalcium mumuviri wako hwadzoka pahwakajairika, zviratidzo zvinopera.

Zvisinei, kana ikasarapwa, hypocalcemia yakanyanya inogona kuisa upenyu panjodzi nekuda kwezvinetso zvakaita sepfari uye kusagadzikana kwemoyo. Saka, ona chiremba kana uine zviratidzo. Kana zviratidzo zvako zvakakomba, enda kuchipatara chiri pedyo.

Kuti chirwere ichi chinotora nguva yakareba sei zvinoenderana nechikonzero chacho. Chinogona kuva chenguva pfupi kana chehupenyu hwese ('chronic'). Bvunza chiremba wako kuti izvi zvichatora nguva yakareba sei uye kuti uchafanira kutora mishonga kwenguva yakareba sei.

Kana ikasarapwa, hypocalcemia inogona kuuraya, saka ziva zviratidzo.

Unofanira kuona chiremba rini?

Kana uine zviratidzo zvekushaya calcium mumuviri , iva nechokwadi chekuti waona chiremba. Kana uine hypocalcemia isingaperi, zvakakosha kuti ugare uchiona chiremba wako kuti uve nechokwadi chekuti calcium yako yakaenzana uye kuti kurapwa kwako kuri kushanda nemazvo.

Mibvunzo ipi yandinofanira kubvunza chiremba kana ndine chirwere ichi?

Kana wangoziva kuti une hypocalcemia, zvingabatsira kubvunza chiremba wako kana nesi mibvunzo iyi:

• Sei ndakaita hypocalcemia iyi?
• Ndichagara nechirwere ichi kusvika rini?
• Ndichatora mishonga kwenguva yakareba sei kuti ndiite izvi?
• Zvinotora nguva yakareba sei kuti zviratidzo zvipere mushure mekutanga mushonga?
• Vana vangu kana vamwe vemumhuri vari panjodzi yekubatwa nechirwere ichi here?

Zvakajairika kuti unzwe kutya kana ukanzwa kuti une chirwere. Asi yeuka kuti hypocalcemia inorapika. Nekurapwa, huwandu hwecalcium mumuviri wako huchadzokera pahwakajairika uye zviratidzo zvako zvichapera. Usatya kubvunza timu yako yezvekurapa nezvechirwere chako uye kurapwa kwauri kuitwa.

Mharidzo Yekuenda Nayo Kumba

Saka, hypocalcemia, kana kuti calcium shoma muropa, chinhu chatinofanira kunetseka nacho, asi hachisi chinhu chekutya. Chinowanzo shandiswa kurapwa uye kugadziriswa. Chinhu chakakosha kutsvaga mazano echiremba pasina kutambisa nguva kana ukaona zviratidzo. Kana ukatevera marapirwo anokurudzirwa nachiremba wako, unogona kupora nekukurumidza. Ramba uine hutano hwakanaka!

Hypocalcemia , calcium, kushomeka kwecalcium, calcium muropa, parathyroid hormone, vhitamini D, hutano hwemapfupa, zviratidzo, kurapwa