Ropa rako harina phosphate yakakwana here? Ngatikurukurei nezvechirwere ichi (Hypophosphatemia)!

Pamwe wakaona chimwe chinhu chinonzi "Phosphate" paunotarisa mushumo weropa, handiti? Kana kuti pamwe chiremba akakuudza nezvazvo. Iyi phosphate inokosha zvikuru mumuviri wedu. Saka, chii chinoitika kana huwandu hwe phosphate hukadzikira muropa? Ndizvo zvatinodaidza kuti `(Hypophosphatemia)`. Ngatitaurei nezvazvo zvakadzama, zviri nyore, nhasi.

Zvinorevei phosphate yakaderera? `(Hypophosphatemia)`?

Zvichitaurwa zviri nyore, hongu. Hypophosphatemia chirwere umo huwandu hwemineral inonzi phosphate muropa rako huri pasi. Phosphate ielectrolyte inokosha pamabasa akawanda mumuviri wedu. Inoshanda sebhatiri mumiviri yedu. Chirwere ichi chinogona kunge chiri chinyoro kana chakakomba. Chinogonawo kuitika kamwe kamwe (pakarepo) kana nekufamba kwenguva (chisingaperi).

Saka, iyi phosphate inokosha sei mumuviri?

Fungidzira kuti phosphate iyi inoita zvakawanda sei mumiviri yedu!

• Kuvaka mapfupa nemazino edu uye kuachengetedza akasimba: 85% yephosphorus iri mumuviri wedu iri mumapfupa edu. Saka izvi zvakakosha kuti mapfupa akasimba.
• Chengetedza hurongwa hwetsinga huchishanda zvakanaka: Tsinga dzedu dzinoda phosphate kuti dzishande zvakanaka.
• Zvinobatsira tsandanyama kukotama: Patinofambisa maoko nemakumbo edu, uye kana mwoyo wedu uchirova, tsandanyama dzedu dzinokotama, saka izvi zvinobatsirawo nazvo.

Tinowana phosphorus/phosphate iyi kubva muchikafu chatinodya.

Chinokosha ndechekuti huwandu hwephosphate muropa redu hwakabatana zvakananga nehuwandu hwecalcium. Izvi zviviri zvinoshanda zvakasiyana. Kureva kuti, sezvo huwandu hwecalcium muropa huchiwedzera, huwandu hwephosphate hunoderera. Izvi zviri kuitika sekondi yega yega. Parathyroid hormone (PTH), inogadzirwa nemagland eparathyroid mumutsipa wedu, inodzora huwandu hwecalcium nephosphate.

Dambudziko iri (Hypophosphatemia) rakajairika zvakadii?

Kushaya phosphatemia zvishoma chirwere chinowanzoitika kana munhu aongororwa ropa. Mimwe mishumo inoratidza kuti chirwere ichi chinobata vanhu vanosvika 5% muUnited States. Kazhinji, hachisi chirwere chakakomba uye hachikonzeri zviratidzo. Chinowanzoonekwa netsaona.

Zvisinei, hypophosphatemia inongoerekana yaitika (hypophosphatemia inokonzeresa, yakanyanya) inowanzoonekwa muvanhu vane mamwe matambudziko ehutano. Semuenzaniso:

• Kune avo vakapindwa muropa nedoro `(Dambudziko rekushandisa doro)`
• Kana paine chirwere cheshuga-related ketoacidosis (DKA)
• Muhutachiona hwakakomba, sepsis
• Kune avo vane kutsva kwakanyanya

Vanhu vakaita seizvi vanogona kuona chirwere ichi kusvika ku80%.

Saka, zviratidzo zve `(Hypophosphatemia)` ndezvipi?

Zviratidzo zvinoenderana nekuti phosphate yakadzikira zvakadii.

Hypophosphatemia iri nyore

Vanhu vane hypophosphatemia isina kunyanya kuoma vanowanzova nezviratidzo , asi vamwe vanogona kunzwa kusasimba kwetsandanyama uye kuneta zvishoma.

Kana zvakanyanya (Severe Hypophosphatemia)

Zvisinei, kana huwandu hwephosphate hwakaderera zvakanyanya (hypophosphatemia yakanyanya), zviratidzo zvinotevera zvinogona kuitika, uye izvi hazvifanirwe kutorwa sezvisina basa :

• Kurwadziwa kwetsandanyama nemapfupa
• Kushaya simba kwakanyanya kwetsandanyama
• Kuchinja kwemanzwiro - semuenzaniso, kutadza kuisa pfungwa pachinhu chimwe chete, kukurumidza kugumbuka
• Kutadza kufema kana mwoyo
• Kunzwa kwekushaya simba, kudzikira kwekupindura
• Kuva nepfungwa dzakapfava (pfari)

Izvi zvakakosha zvikuru: Kana hypophosphatemia yakanyanya ikasarapwa nekukurumidza , inogona kutungamira ku coma uye kunyange kufa . Saka kana iwe kana mumwe munhu waunoziva aine zviratidzo izvi zvakakomba, unofanira kuenda kuchipatara chiri pedyo nekukasika.

Kana yagara iripo kwenguva yakareba (Chronic Hypophosphatemia)

Vanhu vane phosphate yakaderera kwenguva yakareba (chronic hypophosphatemia) vanogona kuona zviratidzo zvakaita se:

• Kurwadziwa mumapfupa
• Kutyoka kwemapfupa
• Kushaya simba
• Kuda kudya

Vana vadiki vane phosphate shoma kwenguva yakareba vanogona kuva nezviratidzo zvechirwere chinonzi rickets , chinosanganisira:

• Kurasikirwa nehurefu nekuda kwezera
• Kukombama kwakaita sekukotama kwemakumbo
• Kukura kwenzvimbo dzemaoko nedzemakumbo nekuda kwekuchinja kwemapfupa

Kana iwe kana mwana wako muine chimwe chezviratidzo izvi, zvakakosha zvikuru kutsvaga rubatsiro kubva kuna chiremba.

Ndezvipi zvikonzero zve `(Hypophosphatemia)`?

Pane zvikonzero zvakawanda zvinoita kuti chirwere ichi chiitike. Zvikonzero zvinosiyana zvichienderana nekuti chinenge chiri chinyoro kana kuti chakanyanya, chakangoerekana chaitika, kana kuti chagara kwenguva refu.

Zvikonzero zve hypophosphatemia ine mwero uye yakanyanya

Kushomeka kwephosphate kuri pakati nepakati kusvika kwakanyanya kunogona kuitika mumamiriro ezvinhu anotevera:

• Munguva yekupora kubva kuchirwere cheshuga ketoacidosis (DKA)
• Kushandisa doro uye kurega doro
• Kutsva kwakanyanya
• Chirwere chekudyisa muviri zvakare : Izvi zvakaoma zvishoma. Zvichitaurwa zviri nyore, kudzoka kamwe kamwe kuchikafu mushure mekutsanya, izvo zvinokonzera shanduko dzine njodzi, dzimwe nguva dzinotyisidzira hupenyu, muhuwandu hwemvura uye electrolytes mumuviri.
• Kufema kwakanyanya: Izvi zvinoitika kana pasina carbon dioxide yakakwana muropa.

Zvikonzero zve hypophosphatemia kwenguva refu

• Kuwedzera kwemazinga emahormone eparathyroid, semuenzaniso muchirwere che "Hyperparathyroidism".
• Kumwe kusarongeka kwemahormone, senge Cushing's syndrome.
• Kushaikwa kweVitamin D.
• Kusanwa chikafu zvakanaka (malabsorption) chirwere chinokonzerwa nekusadya zvakanaka uye matambudziko emudumbu.
• Kumwe kusawirirana kwema electrolyte, kwakadai se low magnesium (hypomagnesemia) uye low potassium (hypokalemia).
• Kurapa kushomeka kwesimbi mumuviri kunoiswa mumichina yesimbi, kunyanya rudzi runonzi ferric carboxymaltose (FCM). Izvi zvinowanzoitika kana iron ikatorwa nguva dzose nenzira iyi.
• Kushandisa diuretics kwenguva yakareba.
• Kushandisa mishonga inorwisa mabhakitiriya inobata phosphate kakawanda kana zvakanyanya, inotengwa ku pharmacy pasina kurairwa nachiremba. Izvi zvinosanganisira mishonga inorwisa mabhakitiriya ine aruminiyamu, calcium, uye magnesium.
• Kucheneswa nemushonga unonzi theophylline, unopihwa vakadzi vane pamuviri.

Vanhu vane chirwere cheitsvo chakanyanya kuipa (kunyanya avo vari pa dialysis) vanotora mishonga inonzi "phosphate binders" pamwe chete nekudya, yakanyorerwa nachiremba weitsvo, kuti vadzivise kupinza kwephosphate kubva muchikafu. Izvi zvinogonawo kukonzera phosphate shoma kana zvikashandiswa kwenguva refu.

Dambudziko iri `(Hypophosphatemia)` rinoonekwa sei?

Izvi zviri nyore kuona. Chiremba achaita bvunzo yeropa kuti aone huwandu hwephosphate muropa rako . Kana huwandu hwephosphate muropa rako huri pasi pe2.5 milligrams pa deciliter (mg/dL), zvinonzi une "Hypophosphatemia".

Huwandu hwephosphate muropa hwevanhu vakuru huri pakati pe2.5 ne4.5 mg/dL, uye kuvana, huri pakati pe4.5 ne6.5 mg/dL. Zvisinei, izvi zvinogona kusiyana zvishoma kubva murabhoritari kuenda kurabhoritari.

Kazhinji, kunyanya kana paine acute hypophosphatemia, chikonzero chacho chinogona kuzivikanwa zvakajeka zvichibva pane zvakaitika kwauri panyaya dzehutano uye zviratidzo.

Nekuti hypophosphatemia inowanzo kukonzerwa nechimwe chirwere, chiremba wako anogona kuraira mimwe miedzo kuti aone chikonzero uye kuongorora hutano hwako hwese. Izvi zvinogona kusanganisira:

• Kumwe kuyedzwa kweropa: Kuongororwa kwebasa reitsvo, kuyedzwa kweropa recalcium, kuyedzwa kweropa revhitamini D.
• Kuongororwa kweweti.
• Pamwe kuskena mifananidzo.

Ndezvipi zvinorapwa zve `(Hypophosphatemia)`?

Kurapa kukuru kurapa chikonzero chikuru chechirwere ichi, ukuwo kuchidzoreredza huwandu hwephosphate muropa.

Vanhu vane hypophosphatemia iri pakati nepakati vanowanzopihwa mapiritsi ekutsiva phosphate . Chiremba wako anogonawo kukurudzira kudya chikafu chine phosphorus yakawanda.

Zvisinei, kana chirwere chacho chakanyanya kuipa, phosphate inopinzwa netsinga (kuburikidza neIV) .

Pane zvatingaita here kudzivirira mamiriro ezvinhu aya?

Ehe, hazvisi zvese zviitiko zvekushaya phosphatemia zvinogona kudzivirirwa, kunyanya izvo zvinokurumidza uye zvakakomba. Zvisinei, kudya chikafu chine hutano uye chakaringana kunogona kubatsira kudzivirira huwandu hwephosphate hushoma.

Ndezvipi zvekudya zvine phosphorus yakawanda?

• Nyama, hove nemamwe mapuroteni: Zvikamu zvakaita semazai, huku, kakuni, nyama yenguruve, hove, nechiropa.
• Zvigadzirwa zvemukaka: mukaka, chizi, cottage cheese, yogati.
• Nzungu nembeu: maarumondi, macashew, nzungu dzeBrazil, mhodzi dzemanhanga, mhodzi dzesesame.

Zvakakosha: Usati waita chero shanduko huru pakudya kwako, iva nechokwadi chekutaura nachiremba kana nyanzvi yezvekudya.

Kana uine chirwere chinokuisa panjodzi huru yekushaya phosphatemia, senge hyperparathyroidism, matambudziko ekushaya vitamin D, kana kushomeka kwevhitamini D, zvakakosha kuti uone chiremba wako nguva dzose uye uteedzere hurongwa hwako hwekurapa. Izvi zvinogona kubatsira kudzivirira phosphatemia.

Chii chichaitika mune ramangwana? (Kufungidzira)

Kufanotaura kwechirwere ichi kunoenderana nekuti chakanyanya here kana kuti chakanyanya, chakangoerekana chatanga, kana kuti chagara kwenguva refu. Zvirwere zvidiki zvinowanzo pindura zvakanaka kana zvarapwa, zvichireva kuti zvinogona kurapwa. Zvisinei, zvirwere zvakakomba, zvinongoerekana zvatanga zvinogona kukonzera matambudziko akakomba kana zvikasarapwa nekukasika.

Matambudziko anogona kuitika nekuda kwe `(Hypophosphatemia)` here?

Ehe, kana ikasarapwa, kunyanya kana paine kudzikira kwenguva refu kwephosphate (chronic hypophosphatemia), chirwere chinonzi osteomalacia chinogona kuitika. Zvichitaurwa zviri nyore, apa ndipo apo mapfupa anonyorova uye anotyoka nyore nyore .

Sezvambotaurwa, kana uine zviratidzo zvakakomba zvekushaya phosphatemia, zvakaita sekurwadziwa kwetsandanyama kusingatsananguriki uye kuchinja kwepfungwa, zvakakosha zvikuru kuenda kuchipatara chiri pedyo nekukurumidza.

Pakupedzisira, yeuka izvi.

Saka, iyi phosphate yatataura nezvayo nhasi inokosha zvikuru muropa redu. Kuderera kudiki kwephosphate (``mild hypophosphatemia``) kunogona kuonekwa pakuongorora ropa uye hachisi chinhu chekunetseka nacho. Kana izvozvo zvikaitika, chiremba wako achakuudza kuti udye chikafu chine phosphorus yakawanda.

Zvisinei, kana uine chirwere kana tsika inokuisa panjodzi yekushaikwa kwephosphate zvakanyanya, zvakaita sekunwa doro zvakanyanya kana kusanyatsonwiwa kwemudumbu, zvakanaka kutaura nachiremba wako nezvazvo. Vabvunze kuti ungadzivirira sei hypophosphatemia uye zviratidzo zvekuchenjerera. Yeuka, chiremba wako ndiye shamwari yako yepamoyo parwendo rwako rwehutano. Vanogona kukubatsira.

'Hypophosphatemia, phosphate, phosphorus, electrolytes, phosphate yakaderera, kuongororwa kweropa, kudya kunovaka muviri, phosphate, phosphorus, kuongororwa kweropa, kudya kunovaka muviri